A Morphologic Comparison of the Periodontal Ligament of Normal Versus Accelerated Erupting Teeth in Rats and Guinea Pigs
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Comparison of Etoricoxib and Indomethacin for the Treatment of Experimental Periodontitis in Rats
Brazilian Journal of Medical and Biological Research (2007) 40: 117-125 Etoricoxib in experimental periodontitis 117 ISSN 0100-879X Comparison of etoricoxib and indomethacin for the treatment of experimental periodontitis in rats M.C.F. Azoubel1, 1Departamento de Fisiologia e Farmacologia, A.M.A. Menezes1, 2Departamento de Morfologia, Faculdade de Medicina, D. Bezerra1, R.B. Oriá2, Universidade Federal do Ceará, Fortaleza, CE, Brasil R.A. Ribeiro1 and G.A.C. Brito2 Abstract Correspondence We investigated the effect of etoricoxib, a selective cyclooxygenase- Key words G.A.C. Brito 2 inhibitor, and indomethacin, a non-selective cyclooxygenase inhib- • Alveolar bone loss Departamento de Fisiologia itor, on experimental periodontitis, and compared their gastrointesti- • Inflammation e Farmacologia nal side effects. A ligature was placed around the second upper left • Periodontitis Faculdade de Medicina, UFC molars of female Wistar rats (160 to 200 g). Animals (6 per group) • Cyclooxygenase inhibitors Rua Coronel Nunes de Melo, 1127 • were treated daily with oral doses of 3 or 9 mg/kg etoricoxib, 5 mg/kg Etoricoxib 60430-270 Fortaleza, CE • Indomethacin Brasil indomethacin, or 0.2 mL saline, starting 5 days after the induction of Fax: +55-85-3366-8333 periodontitis, when bone resorption was detected, until the sacrifice E-mail: [email protected] on the 11th day. The weight and survival rate were monitored. Alveolar bone loss (ABL) was measured as the sum of distances Research supported by CNPq and between the cusp tips and the alveolar bone. The gastric mucosa was Fundação Cearense de Pesquisa e examined macroscopically and the periodontium and gastric and Cultura (FUNCAP). -
Effects of Direct Dental Restorations on Periodontium - Clinical and Radiological Study
Effects of direct dental restorations on periodontium - clinical and radiological study Luiza Ungureanu, Albertine Leon, Cristina Nuca, Corneliu Amariei, Doru Petrovici Constanta, Romania Summary The authors have performed a clinical study - 175 crown obturations of class II, II, V and cavities have been analyzed in 125 patients, following their impact on the marginal periodontium and a radi- ological study - consisting of the analysis of 108 proximal amalgam obturations and of their nega- tive effects on the profound periodontium. The results showed alarming percentages (over 80% in the clinical examination and 87% in the radiological examination of improper restorations, which generated periodontal alterations, from gingivitis to chronic marginal progressive periodontitis. The percentage of 59.26% obturations that triggered different degrees of osseous lysis imposed the need of knowing the negative effects of direct restorations on the periodontium and also the impor- tance of applying the specific preventive measures. Key words: dental anatomy, gingival embrasure contact area, under- and over sizing, cervical exten- sion, osseous lysis. Introduction the antagonist tooth can trigger enlargement of the contact point during functional movements. Dental restorations and periodontal health This allows interdental impact of foodstuff, with are closely related: periodontal health is needed devastating consequent effects on interproximal for the correct functioning of all restorations periodontal tissues. while the functional stimulation due to dental Marginal occlusal ridges must be placed restorations is essential for periodontal protection. above the proximal contact surface, and must be Coronal obturations with improper occlusal rounded and smooth so as to allow the access of modeling, oversized proximally or on the dental floss. -
Long-Term Uncontrolled Hereditary Gingival Fibromatosis: a Case Report
Long-term Uncontrolled Hereditary Gingival Fibromatosis: A Case Report Abstract Hereditary gingival fibromatosis (HGF) is a rare condition characterized by varying degrees of gingival hyperplasia. Gingival fibromatosis usually occurs as an isolated disorder or can be associated with a variety of other syndromes. A 33-year-old male patient who had a generalized severe gingival overgrowth covering two thirds of almost all maxillary and mandibular teeth is reported. A mucoperiosteal flap was performed using interdental and crevicular incisions to remove excess gingival tissues and an internal bevel incision to reflect flaps. The patient was treated 15 years ago in the same clinical facility using the same treatment strategy. There was no recurrence one year following the most recent surgery. Keywords: Gingival hyperplasia, hereditary gingival hyperplasia, HGF, hereditary disease, therapy, mucoperiostal flap Citation: S¸engün D, Hatipog˘lu H, Hatipog˘lu MG. Long-term Uncontrolled Hereditary Gingival Fibromatosis: A Case Report. J Contemp Dent Pract 2007 January;(8)1:090-096. © Seer Publishing 1 The Journal of Contemporary Dental Practice, Volume 8, No. 1, January 1, 2007 Introduction Hereditary gingival fibromatosis (HGF), also Ankara, Turkey with a complaint of recurrent known as elephantiasis gingiva, hereditary generalized gingival overgrowth. The patient gingival hyperplasia, idiopathic fibromatosis, had presented himself for examination at the and hypertrophied gingival, is a rare condition same clinic with the same complaint 15 years (1:750000)1 which can present as an isolated ago. At that time, he was treated with full-mouth disorder or more rarely as a syndrome periodontal surgery after the diagnosis of HGF component.2,3 This condition is characterized by had been made following clinical and histological a slow and progressive enlargement of both the examination (Figures 1 A-B). -
Alveolar Ridge Preservation at Different Anatomical Locations
ALVEOLAR RIDGE PRESERVATION AT DIFFERENT ANATOMICAL LOCATIONS- CLINICAL AND HISTOLOGICAL EVALUATION OF TREATMENT OUTCOME MASTERS THESIS Presented in Partial Fulfillment of Requirements for the Degree Master of Science in Dentistry in the Graduate School of The Ohio State University By Mabel Salas, DDS Graduate Program in Dentistry The Ohio State University 2009 Master’s Examination Committee: Binnaz Leblebicioglu, DDS, MS, PhD, Advisor Dimitris N. Tatakis, DDS, PhD Suda Agarwal, PhD Do-Gyoon Kim, PhD Copyright by Mabel Salas 2009 ABSTRACT Background: Alveolar ridge preservation (ARP) is a surgical technique designed to prevent naturally occurring post-extraction bone resorption. It is well documented that alveolar bone height and width are reduced following tooth extraction as a result of physiologic bone remodeling. Depending on the type of post-extraction intrabony defect, an immediate or early implant placement itself may preserve the bone height and width. However, if the defect is generally too wide for immediate and/or early implant placement, it is recommended to perform ARP surgery to preserve the bone volume for future implant placement. The purpose of this study was to investigate clinical and histological healing outcomes following ARP performed on molar and premolar sites by using freeze-dried bone allograft (FDBA) together with a collagen membrane. Maxillary and mandibular sextants were compared for clinical and histological parameters. Methods: Patients who were scheduled to have tooth extraction and implant placement for a molar or premolar tooth were included into this study. Inclusion criteria were single tooth extraction with intact mesial and distal adjacent teeth. Exclusion criteria were smokers, systemic health problems that may affect wound healing and acute infection ii that may prevent bone graft placement. -
Intrusion of Incisors to Facilitate Restoration: the Impact on the Periodontium
Note: This is a sample Eoster. Your EPoster does not need to use the same format style. For example your title slide does not need to have the title of your EPoster in a box surrounded with a pink border. Intrusion of Incisors to Facilitate Restoration: The Impact on the Periodontium Names of Investigators Date Background and Purpose This 60 year old male had severe attrition of his maxillary and mandibular incisors due to a protrusive bruxing habit. The patient’s restorative dentist could not restore the mandibular incisors without significant crown lengthening. However, with orthodontic intrusion of the incisors, the restorative dentist was able to restore these teeth without further incisal edge reduction, crown lengthening, or endodontic treatment. When teeth are intruded in adults, what is the impact on the periodontium? The purpose of this study was to determine the effect of adult incisor intrusion on the alveolar bone level and on root length. Materials and Methods We collected the orthodontic records of 43 consecutively treated adult patients (aged > 19 years) from four orthodontic practices. This project was approved by the IRB at our university. Records were selected based upon the following criteria: • incisor intrusion attempted to create interocclusal space for restorative treatment or correction of excessive anterior overbite • pre- and posttreatment periapical and cephalometric radiographs were available • no incisor extraction or restorative procedures affecting the cementoenamel junction during the treatment period pretreatment pretreatment Materials and Methods We used cephalometric and periapical radiographs to measure incisor intrusion. The radiographs were imported and the digital images were analyzed with Image J, a public-domain Java image processing program developed at the US National Institutes of Health. -
Lecture 2 – Bone
Oral Histology Summary Notes Enoch Ng Lecture 2 – Bone - Protection of brain, lungs, other internal organs - Structural support for heart, lungs, and marrow - Attachment sites for muscles - Mineral reservoir for calcium (99% of body’s) and phosphorous (85% of body’s) - Trap for dangerous minerals (ex:// lead) - Transduction of sound - Endocrine organ (osteocalcin regulates insulin signaling, glucose metabolism, and fat mass) Structure - Compact/Cortical o Diaphysis of long bone, “envelope” of cuboid bones (vertebrae) o 10% porosity, 70-80% calcified (4x mass of trabecular bone) o Protective, subject to bending/torsion/compressive forces o Has Haversian system structure - Trabecular/Cancellous o Metaphysis and epiphysis of long bone, cuboid bone o 3D branching lattice formed along areas of mechanical stress o 50-90% porosity, 15-25% calcified (1/4 mass of compact bone) o High surface area high cellular activity (has marrow) o Metabolic turnover 8x greater than cortical bone o Subject to compressive forces o Trabeculae lined with endosteum (contains osteoprogenitors, osteoblasts, osteoclasts) - Woven Bone o Immature/primitive, rapidly growing . Normally – embryos, newborns, fracture calluses, metaphyseal region of bone . Abnormally – tumors, osteogenesis imperfecta, Pagetic bone o Disorganized, no uniform orientation of collagen fibers, coarse fibers, cells randomly arranged, varying mineral content, isotropic mechanical behavior (behavior the same no matter direction of applied force) - Lamellar Bone o Mature bone, remodeling of woven -
Periodontal Ligament, Cementum, and Alveolar Bone in the Oldest Herbivorous Tetrapods, and Their Evolutionary Significance
Periodontal Ligament, Cementum, and Alveolar Bone in the Oldest Herbivorous Tetrapods, and Their Evolutionary Significance Aaron R. H. LeBlanc*, Robert R. Reisz Department of Biology, University of Toronto Mississauga, Mississauga, Ontario, Canada Abstract Tooth implantation provides important phylogenetic and functional information about the dentitions of amniotes. Traditionally, only mammals and crocodilians have been considered truly thecodont, because their tooth roots are coated in layers of cementum for anchorage of the periodontal ligament, which is in turn attached to the bone lining the alveolus, the alveolar bone. The histological properties and developmental origins of these three periodontal tissues have been studied extensively in mammals and crocodilians, but the identities of the periodontal tissues in other amniotes remain poorly studied. Early work on dental histology of basal amniotes concluded that most possess a simplified tooth attachment in which the tooth root is ankylosed to a pedestal composed of ‘‘bone of attachment’’, which is in turn fused to the jaw. More recent studies have concluded that stereotypically thecodont tissues are also present in non-mammalian, non-crocodilian amniotes, but these studies were limited to crown groups or secondarily aquatic reptiles. As the sister group to Amniota, and the first tetrapods to exhibit dental occlusion, diadectids are the ideal candidates for studies of dental evolution among terrestrial vertebrates because they can be used to test hypotheses of development and homology in deep time. Our study of Permo-Carboniferous diadectid tetrapod teeth and dental tissues reveal the presence of two types of cementum, periodontal ligament, and alveolar bone, and therefore the earliest record of true thecodonty in a tetrapod. -
The Preservation of Alveolar Bone Ridge During Tooth Extraction Marius Kubilius, Ricardas Kubilius, Alvydas Gleiznys
REVIEWS SCIENTIFIC ARTICLES Stomatologija, Baltic Dental and Maxillofacial Journal, 14: 3-11, 2012 The preservation of alveolar bone ridge during tooth extraction Marius Kubilius, Ricardas Kubilius, Alvydas Gleiznys SUMMARY Objectives. The aims were to overview healing of extraction socket, recommendations for atraumatic tooth extraction, possibilities of post extraction socket bone and soft tissues preservation, augmentation. Materials and Methods. A search was done in Pubmed on key words in English from 1962 to December 2011. Additionally, last decades different scientifi c publications, books from ref- erence list were assessed for appropriate review if relevant. Results and conclusions. There was made intraalveolar and extraalveolar postextractional socket healing overview. There was established the importance and effectiveness of atraumatic tooth extraction and subsequent postextractional socket augmentation in limited hard and soft tissue defects. There are many different methods, techniques, periods, materials in regard to the review. It is diffi cult to compare the data and to give the priority to one. Key words: tooth extraction, grafting, socket, healing, ridge preservation. INTRODUCTION Nowadays tooth extraction becomes more im- portunity to get acknowledge with summarized con- portant in complex odontological treatment. Three temporary scientifi c publication results, methodologies dimensional bones’ and soft tissue parameters infl u- and practical recommendations in preserving alveolar ence further treatment plan, results and long time crest in tooth extraction (validity for atraumatic tooth prognosis. Tooth extraction inevitably has infl uence extraction, operative methods, protection of alveolus in bone resorption and changes in gingival contours. after extractions, feasible post extraction fi llers and Further treatment may become more complex in using complications, alternative treatment). -
Dental Cementum Reviewed: Development, Structure, Composition, Regeneration and Potential Functions
Braz J Oral Sci. January/March 2005 - Vol.4 - Number 12 Dental cementum reviewed: development, structure, composition, regeneration and potential functions Patricia Furtado Gonçalves 1 Enilson Antonio Sallum 1 Abstract Antonio Wilson Sallum 1 This article reviews developmental and structural characteristics of Márcio Zaffalon Casati 1 cementum, a unique avascular mineralized tissue covering the root Sérgio de Toledo 1 surface that forms the interface between root dentin and periodontal Francisco Humberto Nociti Junior 1 ligament. Besides describing the types of cementum and 1 Dept. of Prosthodontics and Periodontics, cementogenesis, attention is given to recent advances in scientific Division of Periodontics, School of Dentistry understanding of the molecular and cellular aspects of the formation at Piracicaba - UNICAMP, Piracicaba, São and regeneration of cementum. The understanding of the mechanisms Paulo, Brazil. involved in the dynamic of this tissue should allow for the development of new treatment strategies concerning the approach of the root surface affected by periodontal disease and periodontal regeneration techniques. Received for publication: October 01, 2004 Key Words: Accepted: December 17, 2004 dental cementum, review Correspondence to: Francisco H. Nociti Jr. Av. Limeira 901 - Caixa Postal: 052 - CEP: 13414-903 - Piracicaba - S.P. - Brazil Tel: ++ 55 19 34125298 Fax: ++ 55 19 3412 5218 E-mail: [email protected] 651 Braz J Oral Sci. 4(12): 651-658 Dental cementum reviewed: development, structure, composition, regeneration and potential functions Introduction junction (Figure 1). The areas and location of acellular Cementum is an avascular mineralized tissue covering the afibrillar cementum vary from tooth to tooth and along the entire root surface. Due to its intermediary position, forming cementoenamel junction of the same tooth6-9. -
The Cementum: Its Role in Periodontal Health and Disease*
THE JOURNAL OF PERIODONTOLOGY JULY, NINETEEN HUNDRED SIXTY ONE The Cementum: Its Role In Periodontal Health and Disease* by DONALD A. KERR, D.D.S., M.S.,** Ann Arbor, Michigan HE cementum is a specialized calcified tissue of mesenchymal origin which provides for the attachment of the periodontal fibers to the surface of the Troot. It consists of 45 to 50 per cent inorganic material and 50 to 55 per cent organic material with the inorganic material in a hydroxyl apatite structure. The primary cementum is formed initially by appositional growth from the dental sac and later from the periodontal membrane under the influence of cementoblasts. It is formed in laminated layers with the incorporation of Sharpey's fibers into a fibrillar matrix which undergoes calcification. Cementum deposition is a Continuous process throughout life with new cementum being deposited over the old cemental surface. Cementum is formed by the organiza• tion of collagen fibrils which are cemented together by a matrix produced by the polymerization of mucopolysaccharides. This material is designated as cementoid and becomes mature cementum upon calcification. The significance of the continuous deposition of cementum has received various interpretations. 1. Continuous deposition of cementum is necessary for the reattachment of periodontal fibers which have been destroyed or which require reorientation due to change in position of teeth. It is logical that there should be a continuous deposition of cementum because it is doubtful that the initial fibers are retained throughout the life of the tooth, and therefore new fibers must be continually formed and attached by new cementum. -
Acute Dental Pain I: Pulpal and Dentinal Pain Pulpal And
VIDENSKAB & KLINIK | Oversigtsartikel ABSTRACT Acute dental pain I: Acute dental pain I: pulpal and dentinal pain pulpal and The specialized anatomy of the pulp-dentin dentinal pain complex and the dense, predominantly noci- ceptive pulpal innervation from the trigeminal nerve explains the variety of pain sensations from this organ. Matti Närhi, professor, ph.d., Department of Dentistry/Physiology, Institute of Medicine, University of Eastern Finland, Finland Brief, sharp pain is typical of A-fibre-mediated pain, while long-lasting, dull/aching pain indi- Lars Bjørndal, associate professor, dr.odont., ph.d., Department of Cariology and Endodontics, Faculty of Health and Medical Sciences, cates C-fibre involvement. A-fibres react to University of Copenhagen cold or mechanical stimuli, such as cold drinks Maria Pigg, senior lecturer, dr.odont., Department of Endodontics or toothbrushing, whereas C-fibres are mainly and Department of Orofacial Pain and Jaw Function, Malmö activated by inflammatory mediators. Thus, lin- University, Sweden gering pain suggests presence of irreversible Inge Fristad, professor, ph.d., Department of Clinical Dentistry, pulpal inflammation. Faculty of Medicine and Dentistry,University of Bergen, Norway During pulpitis, structural changes of the pul- Sivakami Rethnam Haug, associate professor and head, dr.odont., pal nerves (sprouting) occur and neuropeptide Section for Endodontics, Department of Clinical Dentistry, Faculty of release triggers an immune response; neuro- Medicine and Dentistry, University of Bergen, Norway, Årstadveien 19 N5009, Bergen, Norway genic inflammation. Pain sensations during pul- pitis can range from hypersensitivity to thermal stimuli to severe throbbing. There might also be aching pain, possibly referred and often difficult to localize. Thus, diagnosis is challenging for ain localized to teeth is among the most frequently ex- the clinician. -
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International Journal of Stomatological Research 2012, 1(2): 6-16 DOI: 10.5923/j.ijsr.20120102.01 Periodontium and Orthodontic Implications: Biological Basics Marinho Del Santo Orthodontist in Private Practice, Neo Face Dental Clinic Abstract As more and better orthodontic and periodontal scientific evidences are contextualized, potentially richer will be their achieved clinical results. The primary goal of this article is to study the main anatomic, histologic, physiologic and pathologic features of the periodontal tissues, and such knowledge to be applied in the Orthodontics and Periodontics fields. Keywords Periodontics, Orthodontics, Periodontal Development, Periodontal Anatomy, Periodontal Physiology the tissues and host resistance. When the equilibrium is 1. Introduction broken the periodontal disease is installed or re-installed, and diverse degenerative levels can possibly happen, and are In general, the periodontal tissues of patients who seek revertible or not. periodontal treatment suffer constant and dynamic oscillation between the physiologic and pathologic states, and the natural ongoing process to achieve periodontal 2. Goal homeostasis depends upon tissue reposition, remodeling, The main goal of this article is to study the periodontal degradation and repair. In practice, as more and better tissues, illustrating their innate features, and highlighting orthodontic and periodontal treatments are contextualized, pertinent clinical parameters. The target-specialists of these more potentially richer will be the achieved clinical results. publications practice in the Periodontics and Orthodontics In Orthodontics, dental movements target the correction of fields, and must know the mandatory periodontal requisites malocclusions. Such goal includes the leveling and to recommend orthodontic treatment, and the benefits of the alignment of the teeth in the arches, and such movements orthodontic treatment for the periodontal homeostasis.