NEW CLASSIFICATION of PERIODONTAL and PERI-IMPLANT DISEASES Guest Editors: Mariano Sanz and Panos N

Total Page:16

File Type:pdf, Size:1020Kb

NEW CLASSIFICATION of PERIODONTAL and PERI-IMPLANT DISEASES Guest Editors: Mariano Sanz and Panos N Scientific journal of the Period I, Year V, n.º 15 Sociedad Española de Periodoncia Editor: Ion Zabalegui 2019 / 15 International Edition periodonciaclínica NEW CLASSIFICATION OF PERIODONTAL AND PERI-IMPLANT DISEASES Guest editors: Mariano Sanz and Panos N. Papapanou ADVERTISING Presentation ANTONIO BUJALDÓN, PRESIDENT OF SEPA 2019-2022 THIS IS THE FIRST EDITORIAL of Periodoncia Clínica of the Before ending this editorial, it is essential to dedicate some SEPA presidential mandate for 2019-2022. It is a huge honour lines of recognition and thanks to the active and committed SEPA to start with a monographic issue on the New Classification members involved with Periodoncia Clínica over the four years that of Periodontal and Peri-implant Diseases, fruit of the work of have passed since the creation of this informative publication, which the World Workshop held in 2017 by the American Academy has consolidated a style and friendly way of strengthening and of Periodontology (AAP) and the European Federation of facilitating professional access to knowledge, under the values of Periodontology (EFP), to which SEPA is proud to belong as one of its rigour, innovation, and excellence that are the hallmarks of SEPA. most dynamic members. Ion Zabalegui, editor of Periodoncia Clínica, together with The rejoicing increases by having the brilliant collaboration as associate editors Laurence Adriaens, Andrés Pascual, and Jorge guest editors of Panos N. Papapanou and Mariano Sanz, the latter Serrano, deserve a display of immense gratitude from all SEPA of which – as chair of the European Workshop in Periodontology members, the Spanish dental community, and the international – has led the work and consensus of this new classification, which periodontal community for having allowed us to enjoy these 15 will allow all oral-health professionals to have clear criteria, based editions of Periodoncia Clínica, together with the immeasurable on evidence and the latest knowledge, when focusing both on work of the national and international editorial committees, the treatment and on the diagnosis and prevention of periodontal and guest editors of each issue, and the huge number of authors who peri-implant diseases. The classification also provides for the first have provided their reviews and clinical cases in a disinterested way time a definition of how to understand and identify periodontal to fulfil SEPA’s aims and mission. health. Thus, this issue number 15 has sought to give shape to the To all the collaborators involved in this project – which was summaries of each of the Workshop’s working groups written by born in February 2015 – much thanks. Similarly, it is also right the EFP – through Iain Chapple, Mariano Sanz, Maurizio Tonetti, to recognize the work of the technical teams that have made it Søren Jepsen, and Tord Berglundh – and translated into Spanish by possible for SEPA to publish its own publication. And, of course, SEPA. a special thanks too to the Platinum and Gold strategic partners The visual style and the focus applied to the clinical cases, who, thanks to their commitment and alliance with a scientific which has made Periodoncia Clinica a benchmark for professionals non-profit-making organization, have encouraged the fulfilment of in periodontology and other related dental disciplines and SEPA’s mission in the service of the development of periodontology therapies, is also reflected in the excellent cases in which the and health promotion. SEPA: periodontology and oral health for outstanding current editor of Periodoncia Clínica, Ion Zabalegui, everyone. and his successor from the next issue, Ignacio Sanz Martín, have participated, accompanying talented young periodontists who are able to reflect on the application of specific cases according to the new classification. Both Ana Marcos and María Rioboo, together with other young clinicians of recognised prestige such as Marta Escribano, enrich this magazine with cases of a brilliant execution and clarity when better understanding the practical application of the new classification. 3 periodonciaclínica Management Board Editorial committee Editorial committee Scientific magazine of the SEPA 2019-2022: Clinical Periodontics: Clinical Periodontics: Spanish Society of Periodontology President: Editor: National Editorial Committee: Edited by: Antonio Bujaldón Luis Antonio Aguirre Sociedad Española de Periodoncia Vice-president: Rodrigo Andrés y Osteointegración José Nart Olalla Argibay Editorial management of the project: Secretary: Eva Berroeta Javier García Fernando Blanco-Moreno Paula Matesanz Design and Art Direction: Cristina Carral Board members: Ion Zabalegui Juan Aís Neus Carrió Olalla Argibay Associate editors: Ana Echeverría Editorial co-ordination, layout, Andrés Pascual Ruth Estefanía and printing: Ignacio Sanz Sánchez Francisco José Enrile elestudio.com Francisco Vijande Sebastián Fabreges Translation: Member, Periodoncia Clínica: Gerardo Gómez Moreno Paul Edward Davies Andrés Pascual Óscar González Advertising: Board of Trustees, SEPA Jorge Serrano Federico Hernández-Alfaro [email protected] Foundation of Periodontology Berta Legido € and Dental Implants: Andrés López Price Spain: 180 President: Francesc Matas SEPA members receive a free copy of Antonio Bujaldón Francisco Mesa Clinical Periodontics Rafael Naranjo Vice-president: Andrés Pascual Subscription (annual: three issues): €390 Juan Puchades José Nart Cancellation of the subscription must Isabel Ramos be communicated at least two months Secretary General: Vicente Ríos before its scheduled renewal. Paula Matesanz Silvia Roldán Trustees: Vanessa Ruiz Prices of the printed magazine: Olalla Argibay Laurence Adriaens Juan Rumeu SEPA members: included in the Óscar González Ignacio Sanz Sánchez membership fee Adrián Guerrero Fabio Vignoletti Non-members of SEPA: € 390 David Herrera Institutions: € 390 Rafael Naranjo International Editorial Students: Free online Andrés Pascual Committee: Ignacio Sanz Martín access Ignacio Sanz Sánchez Gil Alcoforado. Portugal For customers in Spain, prices include Mónica Vicario Sofía Aroca. Francia Guest editors n.º 15 VAT and postage costs. Francisco Vijande Raúl Caffesse. EEUU. New classification of Ion Zabalegui Leandro Chambrone. Brasil For deliveries outside of Spain, postage periodontal and peri-implant Honorary Trustees: Moshe Goldstein. Israel costs are not included. diseases: Juan Blanco Phoebus Madianos. Grecia Raúl Caffesse Maurizio Tonetti. Italia Legal Deposit: M-4615-2015 José Javier Echeverría Otto Zuhr. Suiza ISSN 2386-9623 Niklaus Lang Jan Lindhe Blas Noguerol © Copyright SEPA. This publication Mariano Sanz Mariano Panos N. may not be reproduced or transmitted, Maurizio Tonetti Sanz Papapanou in whole or part, by any electronic or Nuria Vallcorba mechanical means, nor by photocopy, Writers: Editor Periodoncia Clínica: recording, or any other system of Tord Berglundh Ion Zabalegui information reproduction without Iain Chapple authorization in writing by the Editor Cuida tus Encías: Marta Escribano Regina Izquierdo copyright owner. The editor assumes Søren Jepsen no responsibility for unsolicited Management Structure: Ana Marcos Terán manuscripts. All opinions belong to their María Rioboo Executive Director: authors. Javier García Ignacio Sanz Martín Mariano Sanz Coordinator of Operations and Innovation: Maurizio Tonetti Jaume Pros Ion Zabalegui Administration: Marta Alcayde Training and Projects: Eva Castro Eugenia Huerta Lorena Ortiz Flor Laciar Communication: Miguel López Paco Romero Member services: Mario Rueda 4 Editorial ION ZABALEGUI, EDITOR OF PERIODONCIA CLÍNICA AT THE END OF 2017, the European Federation of Convinced of the benefit that this new classification implies for Periodontology (EFP), the American Academy of Periodontology our patients, at Periodoncia Clínica we decided to a bring this new (AAP), and representatives of the remaining worldwide classification to all Spanish-speaking colleagues, counting on two associations of periodontology met in Chicago with the aim of of its creators and leading exponents of European and American reaching a consensus on a new classification of periodontal and periodontology: Prof. Mariano Sanz and Prof. Panos Papapanou, peri-implant diseases that allows our field to advance towards who invite us to understand why the classification was necessary precision and individualized dentistry through the unification of and the advantages of its application. diagnosis, prevention, and treatment of these diseases. In addition, in line with this magazine’s purpose of linking This new classification defines three new clinical entities: i) science with the day-to-day practice of the dental clinic, the next periodontal health, ii) reduced periodontium in health, and iii) issue of Periodoncia Clínica (No. 16) will address the clinical gingival inflammation in a patient treated for periodontitis. In the application of these new concepts and thereby address the clinical same way, it recognises three periodontal diagnoses: i) necrotizing concern that has been generated. Through explicative cases, it periodontal diseases, ii) periodontitis, and iii) periodontitis as a will try to link the concepts derived from the consensus with the manifestation of systemic diseases. The other important feature challenges that clinicians face in their daily practice. of this classification is the introduction of the concepts of staging, We hope it can help you. which allows the description of the severity and complexity of managing the case, and grading,
Recommended publications
  • Management of Acute Periodontal Abscess Mimicking Acute Apical Abscess in the Anterior Lingual Region: a Case Report
    Open Access Case Report DOI: 10.7759/cureus.5592 Management of Acute Periodontal Abscess Mimicking Acute Apical Abscess in the Anterior Lingual Region: A Case Report Omar A. Alharbi 1 , Muhammad Zubair Ahmad 1 , Atif S. Agwan 1 , Durre Sadaf 1 1. Conservative Dentistry, Qassim University, College of Dentistry, Buraydha, SAU Corresponding author: Muhammad Zubair Ahmad, [email protected] Abstract Purulent infections of periodontal tissues are known as periodontal abscesses localized to the region of the involved tooth. Due to the high prevalence rate and aggressive symptoms, it is considered a dental emergency; urgent care is mandatory to maintain the overall health and well being of the patient. This case report describes the management of a patient who presented with an acute periodontal abscess secondary to poor oral hygiene. Clinically and radiographically, the lesion was mimicking an acute apical abscess secondary to pulpal necrosis. Periodontal treatment was started after completion of antibiotic therapy. The clinical presentation of the condition and results of the recovery, along with a brief review of relevant literature are discussed. Categories: Pain Management, Miscellaneous, Dentistry Keywords: periodontal abscess, antimicrobial agents, dental pulp test, dental pulp necrosis, apical suppurative periodontitis Introduction Periodontium, as a general term, describes the tissues surrounding and supporting the tooth structure. A localized purulent infection of the periodontal tissues adjacent to a periodontal pocket, also known as a periodontal abscess, is a frequently encountered periodontal condition that may be characterized by the rapid destruction of periodontal tissues [1-2]. The symptoms generally involve severe pain, swelling of the alveolar mucosa or gingiva, a reddish blue or red appearance of the affected tissues, and difficulty in chewing [1-3].
    [Show full text]
  • Prevention and Treatment of Periodontal Diseases in Primary Care Guidance in Brief
    Scottish Dental SD Clinical Effectiveness Programme cep Prevention and Treatment of Periodontal Diseases in Primary Care Guidance in Brief June 2014 Scottish Dental SD Clinical Effectiveness Programme cep The Scottish Dental Clinical Effectiveness Programme (SDCEP) is an initiative of the National Dental Advisory Committee (NDAC) in partnership with NHS Education for Scotland. The Programme provides user-friendly, evidence-based guidance on topics identified as priorities for oral health care. SDCEP guidance aims to support improvements in patient care by bringing together, in a structured manner, the best available information that is relevant to the topic and presenting this information in a form that can be interpreted easily and implemented. Supporting the provision of safe, effective, person-centred care Scottish Dental SD Clinical Effectiveness Programme cep Prevention and Treatment of Periodontal Diseases in Primary Care Guidance in Brief June 2014 Prevention and Treatment of Periodontal Diseases in Primary Care Cover image: Colour-enhanced photomicrograph of oral bacterial colonies growing on an agar plate. Derren Ready, Wellcome Images. © Scottish Dental Clinical Effectiveness Programme SDCEP operates within NHS Education for Scotland. You may copy or reproduce the information in this document for use within NHS Scotland and for non-commercial educational purposes. Use of this document for commercial purposes is permitted only with written permission. ISBN 978 1 905829 18 7 Published June 2014 Scottish Dental Clinical Effectiveness Programme Dundee Dental Education Centre, Frankland Building, Small’s Wynd, Dundee DD1 4HN Email [email protected] Tel 01382 425751 / 425771 Website www.sdcep.org.uk Prevention and Treatment of Periodontal Diseases in Primary Care Introduction Prevention and Treatment of Periodontal Diseases in Primary Care is designed to assist and support primary care dental teams in providing appropriate care for patients both at risk of and with periodontal diseases.
    [Show full text]
  • National Standardized Dental Claim Utilization Review Criteria
    NATIONAL STANDARDIZED DENTAL CLAIM UTILIZATION REVIEW CRITERIA Revised: 4/1/2017 The following Dental Clinical Policies, Dental Coverage Guidelines, and dental criteria are designed to provide guidance for the adjudication of claims or prior authorization requests by the clinical dental consultant. The consultant should use these guidelines in conjunction with clinical judgment and any unique circumstances that accompany a request for coverage. Specific plan coverage, exclusions or limitations may supersede these criteria. For reference, criteria approved by the Clinical Policy and Technology Committee are provided. These represent clinical guidelines that are evidence-based. Please Note: Links to the specific Dental Clinical Policies and Dental Coverage Guidelines are embedded in this document. Additionally, for notices of new and updated Dental Clinical Policies and Coverage Guidelines or for a full listing of Dental Clinical Policies and Coverage Guidelines, refer to UnitedHealthcareOnline.com > Tools & Resources > Policies, Protocols and Guides > Dental Clinical Policies & Coverage Guidelines. CLAIM UR CRITERIA / DENTAL CLINICAL POLICY / DENTAL PROCEDURE DOCUMENTATION COVERAGE GUIDELINE DIAGNOSTIC Clinical Oral Evaluations Documentation in member record that includes all services performed D0120–D0191 for the code submitted Pre-Diagnostic Services Documentation in member record that includes all services performed D0190 screening of a patient for the code submitted. D0191 assessment of a patient Diagnostic Imaging Documentation in the member record. Diagnostic, clear, readable Criteria for codes D0364–D0368, D0380–D0386, D0391–D0395: images, dated with member name. Image capture with interpretation Cone beam computed tomography (CBCT) is unproven and not medically D0210–D0371 necessary for routine dental applications. There is insufficient evidence that CBCT is beneficial for use in routine dental Image Capture only applications.
    [Show full text]
  • Diagnosis and Treatment of Periodontal Emergencies
    PERIODONTAL Dr. Nazli Rabienejad DDS,MSc; Periodontist Assistant professor of Hamadan Dentistry faculty viral shedding may begin 5–6 days before the appearance of the first symptoms. Pre symptomatic carriers are difficult to identify viral load is shown to be the highest at the time of symptom onset any person who enters may be a potential source of transmission Dr. Nazli Rabienejad 3 Dr. Nazli Rabienejad 4 Dr. Nazli Rabienejad 5 انتقال حین درمان های دندانپزشکی دراپلت بزاقی دراپلت تنفسی آئروسل Dr. Nazli Rabienejad موارد اورژانس و ضروری در ارائه خدمات دندانپزشکی در شرایط همه گیری کووید19- تسکین درد کنترل خونریزی بیمار خطر برای کنترل عفونت سﻻمتی Dr. Nazli Rabienejad 7 Dr. Nazli Rabienejad Dr. Nazli Rabienejad Dr. Nazli Rabienejad PERIODONTAL EMERGENCIES 1. Pericoronitis 2. Periodontal and gingival abscess 3. Chemical and physical injuries 4. Acute herpetic gingivostomatitis 5. Necrotizing ulcerative gingivitis 6. Cracked tooth syndrome 7. Periodontic and endodontic problems 8. Dentine hypersensitivity Dr. Nazli Rabienejad 11 Classification of Abscesses • marginal gingival and interdental tissues gingival abscess • periodontal pocket periodontal abscess • crown of a partially erupted tooth. Pericoronal abscess Dr. Nazli Rabienejad 12 Pericoronal Abscess (pericoronitis) • Most common periodontal emergency • inflammation of the soft tissue operculum, which covers a partially erupted tooth. • most often observed around the mandibular third molars Dr. Nazli Rabienejad 13 The clinical picture of pericoronitis • red, swollen, possibly suppurative lesion that is extremely painful to touch. • Swelling of the cheek at the angle of jaw, partial trismus, and radiating pain to ear and systemic complications such as fever, leukocytosis and general malaise are common findings.
    [Show full text]
  • SAID 2010 Literature Review (Articles from 2009)
    2010 Literature Review (SAID’s Search of Dental Literature Published in Calendar Year 2009*) SAID Special Care Advocates in Dentistry Recent journal articles related to oral health care for people with mental and physical disabilities. Search Program = PubMed Database = Medline Journal Subset = Dental Publication Timeframe = Calendar Year 2009* Language = English SAID Search-Term Results 6,552 Initial Selection Results = 521 articles Final Selected Results = 151 articles Compiled by Robert G. Henry, DMD, MPH *NOTE: The American Dental Association is responsible for entering journal articles into the National Library of Medicine database; however, some articles are not entered in a timely manner. Some articles are entered years after they were published and some are never entered. 1 SAID Search-Terms Employed: 1. Mental retardation 21. Protective devices 2. Mental deficiency 22. Conscious sedation 3. Mental disorders 23. Analgesia 4. Mental health 24. Anesthesia 5. Mental illness 25. Dental anxiety 6. Dental care for disabled 26. Nitrous oxide 7. Dental care for chronically ill 27. Gingival hyperplasia 8. Self-mutilation 28. Gingival hypertrophy 9. Disabled 29. Glossectomy 10. Behavior management 30. Sialorrhea 11. Behavior modification 31. Bruxism 12. Behavior therapy 32. Deglutition disorders 13. Cognitive therapy 33. Community dentistry 14. Down syndrome 34. State dentistry 15. Cerebral palsy 35. Gagging 16. Epilepsy 36. Substance abuse 17. Enteral nutrition 37. Syndromes 18. Physical restraint 38. Tooth brushing 19. Immobilization 39. Pharmaceutical preparations 20. Pediatric dentistry 40. Public health dentistry Program: EndNote X3 used to organize search and provide abstract. Copyright 2009 Thomson Reuters, Version X3 for Windows. Categories and Highlights: A. Mental Issues (1-5) F.
    [Show full text]
  • Acute Periodontal Abscess in an Adolescent Patient: Case Report
    ISSN: 2639-0434 Madridge Journal of Dentistry and Oral Surgery Case Report Open Access Acute Periodontal Abscess in an Adolescent Patient: Case Report Alparslan Dilsiz* Department of Periodontology, Faculty of Dentistry, Atatürk University, Erzurum, Turkey Article Info Abstract *Corresponding author: Periodontal abscess has been defined as a suppurative lesion that is associated with Alparslan Dilsiz periodontal breakdown and pus collection in the gingival wall of the periodontal pocket. Professor Department of Periodontology The prevalence of periodontal abscess is relatively high and it affects the prognosis of Faculty of Dentistry, Atatürk University the tooth. In this article, a patient with acute periodontal abscess due to poor oral Turkey hygiene was treated periodontically 10 days after the start of antibiotic therapy. The Fax: +90 442 2361375 clinical features and likely healing results of the lesion were discussed and related Tel: +90 442 2360940 E-mail: [email protected] literatures were reviewed. Keywords: Periodontal Abscess; Periodontal Pocket; Alveolar Bone Resorption; Received: August 16, 2017 Accepted: September 3, 2017 Suppuration; Anti-Bacterial Agents; Periodontal Atrophy and Periodontal Debridement. Published: September 8, 2017 Introduction Citation: Dilsiz A. Acute Periodontal Abscess in an Adolescent Patient: Case Periodontal abscess, which is a localized purulent infection of the periodontal Report. Madridge J Dent Oral Surg. 2017; tissues adjacent to a periodontal pocket, is a frequent periodontal condition in which 2(2): 77-79. periodontal tissues may be rapidly destroyed [1,2]. Major symptoms of a periodontal doi: 10.18689/mjdl-1000118 abscess are known as the spontaneous or evoked pain, gingival or mucosal swelling, Red or reddish blue discoloration of affected tissue [1-4].
    [Show full text]
  • A Case of Suspected Temporomandibular Disorder and Cracked Tooth
    A CASE OF SUSPECTED TEMPOROMANDIBULAR DISORDER AND CRACKED TOOTH Takashi Ishii, DDS, PhD1 A patient referred with a suspected temporomandibular disorder was exam- ined. Initial temporomandibular symptoms and pain subsided with normal dental treatment. However, over time, the patient began to develop trigeminal neuralgia-like symptoms. Typical symptoms appeared after about 1 year, and trigeminal neuralgia was eventually diagnosed. Surgery was performed at a neurosurgery department, leading to recovery. The initial symptoms in this case were pre-trigeminal neuralgia, the precursor to trigeminal neuralgia. INT J MICRODENT 2015;6:90–93 INTRODUCTION CASE REPORT In order to diagnose myofascial toothache, a non-odontogenic Patient: 60-year-old male toothache that appears as re- ferred myofascial pain of the mas- • Main complaint: left tempo- seter muscle,1 or toothache due romandibular joint noise, spon- to cracked tooth syndrome,2, 3 taneous pain of left mandibular which includes cracked teeth and molars is an odontogenic toothache, the • Medical history: The patient pathologies of these conditions had been attending an ortho- must be properly understood. It pedic surgery department for a is not possible to diagnose an un- cervical vertebral disc herniation known condition. for approximately 1 year. He had A case is reported in which both also received laser treatment the patient himself and the refer- for left temporomandibular joint ring doctor suspected temporo- noise, but there was no change. mandibular disorder. Since the He was prescribed neurotropin pain was not well characterized, and celecoxib by the orthopedic a mixed condition of myofascial surgery department. toothache and odontogenic tooth- • Family history: Nothing of note.
    [Show full text]
  • Sensitive Teeth Causes & Treatment Options
    SENSITIVE TEETH CAUSES & TREATMENT OPTIONS TEETHMATE™ DESENSITIZER The future is now… create hydroxyapatite HAVING SENSITIVE TEETH SENSITIVITY CAN HAVE VARIOUS CAUSES, AND THERE ARE DIFFERENT TREATMENT OPTIONS IS A POPULATION-WIDE The conditions for dentin sensitivity are that the dentin There are many treatment strategies and even more must be exposed and the tubules must be open on both products that are used to eliminate dentin sensitivity. the oral and the pulpal sides. Patients suffering from However, today there is unfortunately still no universally dentin sensitivity describe the pain sensation as a severe, accepted treatment method. The many variables, the PROBLEM sharp, usually short-term pain in the tooth. placebo effect, and the many treatment methods get Holland et al.1 characterise dentin sensitivity as a short, in the way of the design of studies4. In most cases, the sharp pain resulting from exposed dentin in response to treatment of dentin sensitivity starts with the application various stimuli. These stimuli are typically thermal, i.e. by of desensitizing toothpaste. After this or simultaneously, evaporation, tactile, i.e. by osmosis or chemically, or not the treatment can be supplemented with one or more And something every practice has to deal with due to any other form of dental pathological defect. treatment options5. Patients with dentin sensitivity may react to air blown But what exactly do we mean by sensitive teeth? How many from the air-syringe or to scratching with a probe on the PREVALENCE patients report to dental practices with this problem and is this tooth surface. Of course, it is essential to rule out possible According to several publications6 7 8 9 10, dentin sensitivity figure in line with the prevalence? What are the different causes causes of the pain other than dentin sensitivity.
    [Show full text]
  • Clinicalpractice
    Clinical P RACTIC E Overview of Complications Secondary to Tongue and Lip Piercings Contact Author Léo-François Maheu-Robert, DMD; Elisoa Andrian, PhD; Daniel Grenier, PhD Dr. Grenier Email: Daniel.Grenier@ greb.ulaval.ca ABSTRACT In recent years, intraoral and perioral piercings have grown in popularity among teen- agers and young adults. This is of concern to dental and medical professionals because of the risks and complications for oral, dental and general health. The risks and compli- cations associated with tongue and lip piercings range from abnormal tooth wear and cracked tooth syndrome to gingival recession and systemic infections. In this report, we provide an overview of possible problems associated with oral piercings that may be encountered by dentists. For citation purposes, the electronic version is the definitive version of this article: www.cda-adc.ca/jcda/vol-73/issue-4/327.html ody piercing is a cultural practice or In this article, we present a brief review tradition in various civilizations dating of the current literature on potential compli- Bback to antiquity. In recent years, body cations and adverse consequences of tongue piercing has become increasingly fashionable and lip piercings. Our objective is to provide for purely esthetic reasons, and the practice a general overview of possible problems that cuts across all sectors of society. The emer- may be encountered by dentists. In addition, gence of oral piercing, especially among young we highlight the urgent need for dentists and adults, is of concern to dental and medical doctors to inform target patients of the risks professionals because of the risks and com- associated with oral piercings.
    [Show full text]
  • Periodontitis: Consensus Report of Workgroup 2 of the 2017 World
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by University of Birmingham Research Portal Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions Papapanou, Panos N; Sanz, Mariano; Buduneli, Nurcan; Dietrich, Thomas; Feres, Magda; Fine, Daniel H; Flemmig, Thomas F; Garcia, Raul; Giannobile, William V; Graziani, Filippo; Greenwell, Henry; Herrera, David; Kao, Richard T; Kebschull, Moritz; Kinane, Denis F; Kirkwood, Keith L; Kocher, Thomas; Kornman, Kenneth S; Kumar, Purnima S; Loos, Bruno G DOI: 10.1002/JPER.17-0721 License: Other (please specify with Rights Statement) Document Version Publisher's PDF, also known as Version of record Citation for published version (Harvard): Papapanou, PN, Sanz, M, Buduneli, N, Dietrich, T, Feres, M, Fine, DH, Flemmig, TF, Garcia, R, Giannobile, WV, Graziani, F, Greenwell, H, Herrera, D, Kao, RT, Kebschull, M, Kinane, DF, Kirkwood, KL, Kocher, T, Kornman, KS, Kumar, PS, Loos, BG, Machtei, E, Meng, H, Mombelli, A, Needleman, I, Offenbacher, S, Seymour, GJ, Teles, R & Tonetti, MS 2018, 'Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions', Journal of Periodontology, vol. 89 , no. S 1, pp. S173-S182. https://doi.org/10.1002/JPER.17-0721 Link to publication on Research at Birmingham portal Publisher Rights Statement: Papapanou PN, Sanz M, et al. Periodontitis: Consensus report of Workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions.
    [Show full text]
  • Case Report Management of Cracked Tooth Syndrome: a Case Report
    Updat Dent. Coll .j 2014;4(1):53-58 Case Report Management of Cracked tooth syndrome: A case Report a b b a *A H M Zakir Hossain Shikder , S M Abdul Quader , Shirin Sultana Chowdhury , Ferdousi Begum , Md. Nazmul c Hasan a. MS Phase-B Resident, Dept.of Conservative Dentistry & Endodontics, Bangabandhu Sheikh Mujib Medical University, Dhaka. b. Associated Professor, Dept.of Conservative Dentistry & Endodontics, Update Dental College & Hospital, Dhaka, c. Assistant Professor, Department of Orthodontics & Dentofacial Orthopedics, Update Dental College & Hospital, Dhaka, ARTICILE INFO Article history: Abstract: Received 27 October 2013 Accepted 15 March 2014 Cracked tooth is a distinct type of longitudinal tooth fracture which occurs very commonly and its diagnosis can be challenging. This type of fracture tends to grow and change over time. Clinical diagnosis is difficult because the signs and symptoms are variable Key words: Cracked tooth or nonspecific and may even resemble post-treatment disease syndrome, diagnosis. following root canal treatment or periodontal disease. This variety and unpredictability make the cracked tooth a challenging diagnostic entity. In this paper we present a case of cracked tooth and emphasise on the timely proper diagnosis and management. Introduction: The human dentition is subject to many and The incidence of cracks in teeth seems to have varied destructive forces which decrease the increased since the last three decades. This is longevity of the individual tooth and dentition. probably because of better health care facilities, Cameron coined the term cracked tooth people live longer and their teeth last longer too, syndrome (CTS) to define the condition as “an thus making them more susceptible to cracking incomplete fracture of a vital posterior tooth that from normal wear and tear.
    [Show full text]
  • The Treatment of Peri-Implant Diseases: a New Approach Using HYBENX® As a Decontaminant for Implant Surface and Oral Tissues
    antibiotics Article The Treatment of Peri-Implant Diseases: A New Approach Using HYBENX® as a Decontaminant for Implant Surface and Oral Tissues Michele Antonio Lopez 1,†, Pier Carmine Passarelli 2,†, Emmanuele Godino 2, Nicolò Lombardo 2 , Francesca Romana Altamura 3, Alessandro Speranza 2 , Andrea Lopez 4, Piero Papi 3,* , Giorgio Pompa 3 and Antonio D’Addona 2 1 Unit of Otolaryngology, University Campus Bio-Medico, 00128 Rome, Italy; [email protected] 2 Division of Oral Surgery and Implantology, Institute of Clinical Dentistry, Department of Head and Neck, Catholic University of the Sacred Heart, Gemelli University Polyclinic Foundation, 00168 Rome, Italy; [email protected] (P.C.P.); [email protected] (E.G.); [email protected] (N.L.); [email protected] (A.S.); [email protected] (A.D.) 3 Department of Oral and Maxillo Facial Sciences, Policlinico Umberto I, “Sapienza” University of Rome, 00161 Rome, Italy; [email protected] (F.R.A.); [email protected] (G.P.) 4 Universidad Europea de Madrid, 28670 Madrid, Spain; [email protected] * Correspondence: [email protected] † These authors contributed equally to this work. Abstract: Background: Peri-implantitis is a pathological condition characterized by an inflammatory Citation: Lopez, M.A.; Passarelli, process involving soft and hard tissues surrounding dental implants. The management of peri- P.C.; Godino, E.; Lombardo, N.; implant disease has several protocols, among which is the chemical method HYBENX®. The aim Altamura, F.R.; Speranza, A.; Lopez, of this study is to demonstrate the efficacy of HYBENX® in the treatment of peri-implantitis and to A.; Papi, P.; Pompa, G.; D’Addona, A.
    [Show full text]