Laser Gingivectomy Post Op Instructions
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Effect of Sonic and Mechanical Toothbrushes on Subgingival Microbial Flora: a Comparative in Vivo Scanning Electron Microscopy Study of 8 Subjects
Isa ni Research Effect of sonic and mechanical toothbrushes on subgingival microbial flora: A comparative in vivo scanning electron microscopy study of 8 subjects Karen B, Williams, MS, RDHVCharles M, Cobb, DDS, PhDVHeidi J. Taylor, MS, Alan R. Brown, DDSVKimberly Krust Bray, MS, Objedives; The purpose of this initial study was to evaluafe fhe effects of bcfii a sonic and a mechanical focfhbrush versus fhe effects of no freatment on depth of subgingival penetrafion of epifhelial and footh- assooiafed bacferia. Method and materials: Eight adult subjects exhibiting advanced chronic pericdontitis with at leasf 3 single-rocfed feeth thaf were in separate sextanfs wiffi facial pockefs a 4 mm and s 8 mm and fhaf required exfraction consfituted the expérimentai sample. Teeth were either subjected to 15 sec- onds of brushing wifh a mechanical toothbrush or a sonic tocfhbrush or leff untreated. The tesf toofh and fhe associafed soft fissue wall of the periodonfai pocket were removed as a single unit. Samples were processed and coded for blind examinafion by scanning elecfron microsoopy. Distribufionai and morpho- logic characferisfics of dominanf bacteria wifh specific emphasis on spirochetes were evaluafed for boffi epithelial- and foofh-associafed plaque. Results: No differences were found in morphotypes or disfribu- fional and aggregafional characteristics of epifhelial-associafed microbes in the f- to 3-mm subgingival zone befween fhe mechanical and sonic tocf h bru s h-freated groups and the control group. Both toothbrush groups featured disrupfion of microbes fhat extended up to 1 mm subgingivally. Roof surfaces on the sonic-treated samples appeared plaque-free at low magnificafion; however, af 4,70Dx, afhin layer of mixed morphofypes and intact spirochefes was found supragingivally and slighfly subgingivally. -
Soft Tissue Laser Dentistry and Oral Surgery Peter Vitruk, Phd
Soft Tissue Laser Dentistry and Oral Surgery Peter Vitruk, PhD Introduction The “sound scientific basis and proven efficacy in order to ensure public safety” is one of the main eligibility requirements of the ADA CERP Recognition Standards and Procedures [1]. The outdated Laser Dentistry Curriculum Guidelines [2] from early 1990s is in need of an upgrade with respect to several important laser-tissue interaction concepts such as Absorption Spectra and Hot Glass Tip. This position statement of The American Board of Laser Surgery (ABLS) on soft tissue dentistry and oral surgery is written and approved by the ABLS’s Board of Directors. It focuses on soft tissue ablation and coagulation science as it relates to both (1) photo-thermal laser-tissue interaction, and (2) thermo-mechanical interaction of the hot glass tip with the tissue. Laser Wavelengths and Soft Tissue Chromophores Currently, the lasers that are practically available to clinical dentistry operate in three regions of the electromagnetic spectrum: near-infrared (near-IR) around 1,000 nm, i.e. diode lasers at 808, 810, 940, 970, 980, and 1,064 nm and Nd:YAG laser at 1,064 nm; mid-infrared (mid-IR) around 3,000 nm, i.e. erbium lasers at 2,780 nm and 2,940 nm; and infrared (IR) around 10,000 nm, i.e. CO2 lasers at 9,300 and 10,600 nm. The primary chromophores for ablation and coagulation of oral soft tissue are hemoglobin, oxyhemoglobin, melanin, and water [3]. These four chromophores are also distributed spatially within oral tissue. Water and melanin, for example, reside in the 100-300 µm-thick epithelium [4], while water, hemoglobin, and oxyhemoglobin reside in sub-epithelium (lamina propria and submucosa) [5], as illustrated in Figure 1. -
Hereditary Gingival Fibromatosis CASE REPORT
Richa et al.: Management of Hereditary Gingival Fibromatosis CASE REPORT Hereditary Gingival Fibromatosis and its management: A Rare Case of Homozygous Twins Richa1, Neeraj Kumar2, Krishan Gauba3, Debojyoti Chatterjee4 1-Tutor, Unit of Pedodontics and preventive dentistry, ESIC Dental College and Hospital, Rohini, Delhi. 2-Senior Resident, Unit of Pedodontics and preventive dentistry, Oral Health Sciences Centre, Post Correspondence to: Graduate Institute of Medical Education and Research , Chandigarh, India. 3-Professor and Head, Dr. Richa, Tutor, Unit of Pedodontics and Department of Oral Health Sciences Centre, Post Graduate Institute of Medical Education and preventive dentistry, ESIC Dental College and Research, Chandigarh, India. 4-Senior Resident, Department of Histopathology, Oral Health Sciences Hospital, Rohini, Delhi Centre, Post Graduate Institute of Medical Education and Research, Chandigarh, India. Contact Us: www.ijohmr.com ABSTRACT Hereditary gingival fibromatosis (HGF) is a rare condition which manifests itself by gingival overgrowth covering teeth to variable degree i.e. either isolated or as part of a syndrome. This paper presented two cases of generalized and severe HGF in siblings without any systemic illness. HGF was confirmed based on family history, clinical and histological examination. Management of both the cases was done conservatively. Quadrant wise gingivectomy using ledge and wedge method was adopted and followed for 12 months. The surgical procedure yielded functionally and esthetically satisfying results with no recurrence. KEYWORDS: Gingival enlargement, Hereditary, homozygous, Gingivectomy AA swollen gums. The patient gave a history of swelling of upper gums that started 2 years back which gradually aaaasasasss INTRODUCTION increased in size. The child’s mother denied prenatal Hereditary Gingival Enlargement, being a rare entity, is exposure to tobacco, alcohol, and drug. -
Vhi Dental Rules - Terms and Conditions
Vhi Dental Rules - Terms and Conditions Date of Issue: 1st January 2021 Introduction to Your Policy The purpose of this Policy is to provide an Insured Person with Dental Services as described below. Only the stated Treatments are covered. Maximum benefit limits and any applicable waiting periods are listed in Your Table of Benefits. In order to qualify for cover under this Policy all Treatments must be undertaken by a Dentist or a Dental Hygienist in a dental surgery, be clinically necessary, in line with usual, reasonable and customary charges for the area where the Treatment was undertaken, and must be received by the Insured Person during their Period of Cover. Definitions We have defined below words or phrases used throughout this Policy. To avoid repeating these definitions please note that where these words or phrases appear they have the precise meaning described below unless otherwise stated. Where words or phrases are not listed within this section, they will take on their usual meaning within the English language. Accident An unforeseen injury caused by direct impact outside of oral cavity to an Insured Person’s teeth and gums (this includes damage to dentures whilst being worn). Cancer A malignant tumour, tissues or cells, characterised by the uncontrolled growth and spread of malignant cells and invasion of tissue. Child/Children Your children, step-child/children, legally adopted child/children or child/children where you are their legal guardian provided that the child/children is under age 18 on the date they are first included under this Policy. Claims Administrator Vhi Dental Claims Department, Intana, IDA Business Park, Athlumney, Navan, Co. -
Gingivectomy Approaches: a Review
ISSN: 2469-5734 Peres et al. Int J Oral Dent Health 2019, 5:099 DOI: 10.23937/2469-5734/1510099 Volume 5 | Issue 3 International Journal of Open Access Oral and Dental Health REVIEW ARTICLE Gingivectomy Approaches: A Review Millena Mathias Peres1, Tais da Silva Lima¹, Idiberto José Zotarelli Filho1,2*, Igor Mariotto Beneti1,2, Marcelo Augusto Rudnik Gomes1,2 and Patrícia Garani Fernandes1,2 1University Center North Paulista (Unorp) Dental School, Brazil 2Department of Scientific Production, Post Graduate and Continuing Education (Unipos), Brazil Check for *Corresponding author: Prof. Idiberto José Zotarelli Filho, Department of Scientific Production, Post updates Graduate and Continuing Education (Unipos), Street Ipiranga, 3460, São José do Rio Preto SP, 15020-040, Brazil, Tel: +55-(17)-98166-6537 gingival tissue, and can be corrected with surgical tech- Abstract niques such as gingivectomy. Many patients seek dental offices for a beautiful, harmoni- ous smile to boost their self-esteem. At present, there is a Gingivectomy is a technique that is easy to carry great search for oral aesthetics, where the harmony of the out and is usually well accepted by patients, who, ac- smile is determined not only by the shape, position, and col- cording to the correct indications, can obtain satisfac- or of teeth but also by the gingival tissue. The present study aimed to establish the etiology and diagnosis of the gingi- tory results in dentogingival aesthetics and harmony val smile, with the alternative of correcting it with very safe [3]. surgical techniques such as gingivectomy. The procedure consists in the elimination of gingival deformities resulting The procedure consists in the removal of gingival de- in a better gingival contour. -
Toothbrush Could Cure Bad Pet Breath “But Cats Are Another Story,” Animals Also Need She Added
3DLIFE Page Editor: Jim Barr, 754-0424 LAKE CITY REPORTER LIFE SUNDAY, JANUARY 20, 2013 3D PETS Toothbrush could cure bad pet breath “But cats are another story,” Animals also need she added. brushing at home, Harvey said that’s because cats’ mouths are smaller, their regular checkups. teeth sharper and they could care less about bonding with a human By SUE MANNING during designated tooth time. Associated Press Keith said she took it slow when she began brushing the LOS ANGELES — Dogs and teeth of her 8-year-old greyhound cats can’t brush, spit, gargle or Val. She started with one tooth at floss on their own. So owners a time and used a foamless fla- who want to avoid bad pet breath vored gel that dogs can swallow. will need to lend a hand. “She started to nibble (on “Brushing is the gold stan- the toothbrush) and I rubbed dard for good oral hygiene at it on her front teeth. I didn’t home. It is very effective, but make a big deal out of it. I didn’t some dogs and more cats don’t worry about brushing the first appreciate having something half dozen times. It was just a in their mouth,” said Dr. Colin little bonding thing. Eventually, Harvey, a professor of surgery I brushed one tooth. Now she and dentistry in the Department stands there and lets me brush of Clinical Studies for the all her teeth,” she said. University of Pennsylvania’s The gel doesn’t require water School of Veterinary Medicine. -
Dentinal Hypersensitivity: a Review
Dentinal Hypersensitivity: A Review Abstract Dentinal hypersensitivity is generally reported by the patient after experiencing a sharp pain caused by one of several different stimuli. The pain response varies substantially from one person to another. The condition generally involves the facial surfaces of teeth near the cervical aspect and is very common in premolars and canines. The most widely accepted theory of how the pain occurs is Brannstrom’s hydrodynamic theory, fluid movement within the dentinal tubules. The dental professional, using a variety of diagnostic techniques, will discern the condition from other conditions that may cause sensitive teeth. Treatment of the condition can be invasive or non-invasive in nature. The most inexpensive and efficacious first line of treatment for most patients is a dentifrice containing a desensitizing active ingredient such as potassium nitrate and/or stannous fluoride. This review will address the prevalence, diagnosis, and treatment of dentinal hypersensitivity. In addition the home care recommendations will focus on desensitizing dentifrices. Keywords: Dentinal hypersensitivity, hydrodynamic theory, stannous fluoride, potassium nitrate Citation: Walters PA. Dentinal Hypersensitivity: A Review. J Contemp Dent Pract 2005 May;(6)2:107-117. © Seer Publishing 1 The Journal of Contemporary Dental Practice, Volume 6, No. 2, May 15, 2005 Introduction The prevalence of dentinal hypersensitivity Dentifrices and mouth rinses are routinely used has been reported over the years in a variety as a delivery system for therapeutic agents of ways: as greater than 40 million people such as antimicrobials and anti-sensitivity in the U.S. annually1, 14.3% of all dental agents. Therapeutic oral care products are patients2, between 8% and 57% of adult dentate available to assist the patient in the control of population3, and up to 30% of adults at some time dental caries, calculus formation, and dentinal during their lifetime.4 hypersensitivity to name a few. -
The Inpatient Rehabilitation Facility – Patient Assessment Instrument (Irf-Pai) Training Manual
THE INPATIENT REHABILITATION FACILITY – PATIENT ASSESSMENT INSTRUMENT (IRF-PAI) TRAINING MANUAL: EFFECTIVE 10/01/2012 For patient assessments performed when a patient is discharged on or after October 1, 2012, the IRF-PAI Training Manual: Effective 10/01/2012 is the version of the manual that must be used when performing the patient assessment and recording that assessment data on the IRF-PAI. Copyright 2001- 2003 UB Foundation Activities, Inc. (UBFA, Inc.) for compilation rights; no copyrights claimed in U.S. Government works included in Section I, portions of Section IV, Appendices G and I, and portions of Appendices B, C, E, F, and H. All other copyrights are reserved to their respective owners. Copyright ©1993-2001 UB Foundation Activities, Inc. for the FIM Data Set, Measurement Scale, Impairment Codes, and refinements thereto for the IRF-PAI, and for the Guide for the Uniform Data Set for Medical Rehabilitation, as incorporated or referenced herein. The FIM mark is owned by UBFA, Inc. IRF-PAI Training Manual Effective 10/01/2012 CMS Help Desk: For all questions related to recording data on the IRF patient assessment instrument (IRF- PAI) or using the Inpatient Rehabilitation Validation Entry (IRVEN) Software: Phone: 1-800-339-9313 Fax: 1-888-477-7871 Email: [email protected] Coverage Hours: 8:00am (ET) to 8:00pm (ET) Monday through Friday Please note: When sending an email, to receive priority, please include 'IRF Clinical' in the subject line. Toll-Free Customer Service for IRF billing/payment questions: See link below to the Medicare Learning Network. A document on that page provides toll-free customer service numbers for the fiscal intermediaries and Medicare Administrative Contractors (MACs). -
View Annual Report
Technology, Inc. Redefining Surgery in Dentistry and Medicine Laser eye treatment for presbyopia. BIOLASE U.S. Patent 7,458,380 The new WaterLase iPlus™ cuts faster than the high speed drill and any other dental laser. Annual Report 2010 Dear Shareholder, In the few months since I became the Chairman of the Board, President, and Chief Executive Officer in August 2010, I have been engaged in a fundamental restructuring of BIOLASE and we achieved a number of operational and financial milestones. Our reorganized management team, along with a new and experienced Board of Directors, has focused on ways to reenergize our company and reignite growth and profitability. We are now in the process of laying the foundation for the long-term direction and extended growth of the Company. Our first priority has been, and will continue to be, consolidating our leadership position in laser dentistry as we enjoy an 80% market share in North America. As a central part of this process, in September 2010, I amended our multiyear, exclusive distribution agreement with our primary North American and international distributor and reestablished our previously successful business model of selling direct in the major world markets and selling through distributors in others. This change has already produced results, as we ended a very challenging 2010 on a positive note with a profitable fourth quarter by drastically reversing a long period of quarterly losses. This result was a combination of a strong turnaround in sales growth and a rationalization of the entire cost structure of the Company. We will continue to leverage our vast and valuable intellectual property and plan to offer new products in dentistry and specific areas of medicine, such as ophthalmology, orthopedics, dermatology, and pain management. -
Laser Hazards and Safety in Dental Practice
Oral Health and Care Review Article ISSN: 2399-9640 Laser hazards and safety in dental practice: A Review Meenakshi Boddun1* and Vijayta Sharva2 1Department of Periodontology, People’s Dental Academy, Bhopal, India 2Department of Public health Dentistry, People’s Dental Academy, Bhopal, India Abstract The intendment of this review is to give the readers, an insight about the practical guidelines to overcome the possible hazards which can be managed adequately with the proper knowledge of handling the laser device. The article describes about the interaction of laser with the biological tissues, hazards that may commence during the use of laser device, as well as the principle safety rules and regulations. Introduction Dental professionals while using lasers may be in similar inadvertent situation, which can be avoided if proper information of the device and In the past years there has been a large-scale development of the the associated hazards is known by the professional. Laser hazards and mechanical cutting devices used in dentistry. Despite the considerable safety measures are discussed in detail. progress, dental patients are still apprehensive regarding the noise and vibration produced by the mechanical action of the devices used Laser hazards in dentistry. Starting from the 20th century until now, there has been Lasers are classified into four broad areas depending on the an unceasing improvement in the development of laser-based dental potential for causing biological damage. When you see a laser, it devices. Once contemplated as a complicated technology with limited should be labeled with one of these four class designation [5]. uses in dentistry, there is a growing understanding of the utility of lasers in modern dental practice, where they can be used as an adjuvant • Class I – These lasers cannot emit laser radiation at known hazard or substitute to traditional long-established procedures. -
Informed Consent for Gingivectomy
DR. J J FARGHER AND ASSOCIATES P ERIODONTICS AND DENT AL IMPLANTOLOGY Informed Consent for Gingivectomy Gingivectomy: A type of surgery used to remove excessive tissue or reduce pockets. It involves not only removal of the tissue, but scaling and root planning of the affected teeth. This procedure is performed with local anesthesia. All dental treatments have an associated risk. Periodontal surgery of any type may result in bleeding, swelling, bruising, pain, infection, sore jaws, recession, tooth sensitivity to hot and cold, caries exposure, etc. I understand that every person responds to treatment differently. Therefore, it is impossible for the doctor to predict how long the healing period may require or if time away from normal routines may be necessary. I understand that smoking and poor oral hygiene may significantly interfere with healing and cause disease reoccurrence. I understand if no treatment is rendered or if active treatment is interrupted or discontinued, my periodontal condition would likely continue and worsen. This may result in pain, swelling, bleeding, infection, recession, mobility, decay, staining, bone loss, and tooth loss. In the case of a gingivectomy, a second procedure may be required to ensure good symmetry and esthetics, depending on how the tissue heals. I have been advised of my alternatives to this treatment and understand what has been proposed thoroughly. I confirm with my signature that: My periodontist has discussed the above information with me. I have had the chance to ask questions. All of my questions have been answered to my satisfaction. I do hereby consent to the treatment described in this form. -
Policy on the Use of Lasers for Pediatric Dental Patients
ORAL HEALTH POLICIES: USE OF LASERS Policy on the Use of Lasers for Pediatric Dental Patients Latest Revision How to Cite: American Academy of Pediatric Dentistry. Policy on 2017 the use of lasers for pediatric dental patients. The Reference Manual of Pediatric Dentistry. Chicago, Ill.: American Academy of Pediatric Dentistry; 2020:116-8. Purpose of energy that are delivered in a beam of unique wavelength The American Academy of Pediatric Dentistry (AAPD) that is measured in nanometers.4 The wavelength of a dental recognizes the judicious use of lasers as a beneficial instrument laser is the determining factor of the level to which the laser in providing dental restorative and soft tissue procedures for energy is absorbed by the intended tissue. Target tissues infants, children, and adolescents, including those with differ in their affinity for specific wavelengths of laser energy special health care needs. This policy is intended to inform depending on the presence of the chromophore or the laser- and educate dental professionals on the fundamentals, types, absorbing elements of the tissue.4-6 Oral hard and soft tissues diagnostic and clinical applications, benefits, and limitations have a distinct affinity for absorbing laser energy of a specific of laser use in pediatric dentistry. wavelength. For this reason, selecting a specific laser unit depends on the target tissue the practitioner wishes to treat. Methods The primary effect of a laser within target tissues is photo- This policy was developed by the Council on Clinical Affairs thermal.7 When the temperature of the target tissue containing and adopted in 2013. It is based on a review of current dental water is raised above 100 degrees Celsius, vaporization of the and medical literature related to the use of lasers.