Clinical Periodontology and Implant Dentistry

Total Page:16

File Type:pdf, Size:1020Kb

Clinical Periodontology and Implant Dentistry Index Note: page numbers in italics refer to adhesins 231, 245–6 immuneimmunmmu response 438–9 fi gures and boxes, those in bold refer to adhesion molecules 289 interinterbacterial antagonism 243–4 tables. adolescents ininvasion 248 palatal implants 1286–7 leukotoxins 214, 216, 248, 294, 438, Aae protein adhesin 217, 237 periodontal tissue breakdownown 1243 440 abortion, spontaneous 161–2, 480 plaque removal 1243 linear gingival erythema 382 abrasive agents 740–1 prosthetic oral implantant aanchorageorageMATERIAL fofor metronidazole with amoxicillin abscess orthodontics 1283–4 combination 889 periapical see also pubertyy oral cavity colonization 217 diabetes mellitus 309 adrenal functionon disorders, surgsusurgery peri-implant infection 272–3, 274 drainage 851, 852 contraindicationaindicationindication 800 periodontal disease history 276–7 see also periodontal abscess advanced fl ap procedure, root periodontal infection 213, 214, 215– absorbable collagen sponge (ACS) 1093 coverage 972, 97975–80 17, 243 abutments advancedancednced glycation eend-products periodontal lesions in diabetes 310 angulated 1198–9 (AGEs) 3103310, 311, 487 polymicrobial microbiota 226 ceramic 1233 afferentent nerve fi bers 109 prevalence in periodontal disease implant-supported restorations 1225– age 331 6, 1227, 1231 aggressivaggressive periodontitis 447–8 serotypes 216–17 Zirconia 1233 attachmattachattachment loss 144 smoking association 319 access therapy 783–820 chrochchronic periodontitis risk 424 subgingival peri-implant distal wedge procedures 794–7–7 imimplant patient 639–40 infections 639 periodontal pocket surgeryy necrotizing periodontal disease 470 suppression 883 techniques 783–94 periodontal disease 143–4 transmission 236, 237 periodontal surgery periodontal support loss 1307 virulence 243 guidelines 797–812812 see also adolescents; children aggressive periodontitis 331–2, 428–52 outcome 812–20200 Aggregatibacter actinomycetemcomitans age at onset 447–8 accessory canals 507–8, 510, 5115 145–6, 148, 149 A. actinomycetemcomitans 438–40, 441, acellular freeze-driede-dried dermal mmatrix aggressive periodontitis 438–40, 441, 448, 449–51 (ADM)M) allograftsallograf 966966–7 448, 449 alveolar bone loss 450–1 acetylsalicylicicylic acid burnbu 396 elimination 449–51 antibodies 441, 445, 449 aciclovirvirr 3793 antibiotics 450–1 associated medical conditions 446 Actinobacillusinobacillusnobacillus actinomactinactinomycetemcomitans see local delivery 893 attachment loss 429, 433, 446, 448, AggregatibaAggregatibacter microbiologic tests 890 450–1 actinomyactinomycetemcomitanstin susceptibility 886–7 bacterial etiology 437–41 Actinomycesctinomyces synergism 887 candidate genes 444–5 biofifiCOPYRIGHTED lm composition 238, 239 systemic 889 classifi cation 429–31 colonizationon 246 antibodies in aggressive clinical diagnosis 445–8 peri-implant infections 273 periodontitis 445 clinical syndromes 429–31 plaque formation 185, 186, 212 antibody response 217 crevicular fl uid prostaglandin E2 Actinomyces naeslundii antibody titers 303–4 levels 449 biofi lm on implant surfaces 268–71 association studies 438 dentition coaggregation 246 bacteriocin production 244, 247 permanent 432–3 Actinomyces viscosus 212 cardiovascular disease 157, 158 primary 432 active threshold determination 115, carotid endarterectomy 157 diabetes mellitus 446 117 clonal subset 216 diagnosis 445–9 acute necrotizing ulcerative gingivitis connective tissue invasion 440 differential diagnosis 447 (ANUG) 210, 211 diabetes mellitus 245 drug-induced granulocytopenia 446 etiology 212 elimination by extraction of all environmental factors 445, 446 microbial invasion 294 teeth 274 epidemiology 431–3 smokers 317 growth inhibition factors 243, 247 etiology 437–41 spirochetes 221 HIV infection 244 familial aggregation 447 i2 Index aggressive periodontitis (continued) orthodontic loading 363–5 horizontal 1091–2 forms 428 osteoclast activity 41 regeneration 1084 furcation involvement 657–67 osteoporosis 89–91 soft tissue grafts 1089 generalized 428, 429, 430, 431, 440, patient examination 583 vertical 1092 441, 447 radiographic analysis 576, 583 extraction sockets 1089–90 genetic diagnosis 449 regrowth 542 healed following tooth loss 1063 genetic factors 441–5 remodeling 42 preservation 1088–9 heritability 331–2 renewal 40, 41 alveolar ridge, edentulous 50–67 HIV infection 446 repair 94–5 atrophy following tooth loss 1060–1 host defense evaluation 448–9 resorption 41, 42, 66, 67 augmentation 1011–17, 1018–19, 1020, host response to bacterial periodontitis 440 1021–3 pathogens 440–1 pulpal infl ammatory response 506, bone gain 53 host susceptibility 441–5 508 bone loss 53 hypophosphatasia 446 turnover with orthodontic bone marrow 67 implants 661 loading 364 bundle bone 63, 64 planning 680–2 alveolar bone proper 3, 4, 5, 36, 38, 42 classifi cation of remaining bonene 535 inheritance 442–5 lamellar bone 37 defect correction 1010–11 leukemia 446 periodontal ligament 28 deformed 1008–17, 1018–19–19, 1020,102 leukocyte adhesion defi ciency 446 fi bers 30, 32, 33, 42 1021–3 local infl ammatory responses 441 resorption 63 extra-alveolar processesessess 62–6 localized 140–1, 213, 215–17, 428, 429, Sharpey’s fi bers 38, 42 free graft proceduresuresres 1013–17,1013–1 1018–10 430–1, 437–41, 447 tooth attachment 37 19, 1020, 1021–3021–3 microbiologic diagnosis 445–8 tooth extraction 55 gingivoplastyty soft tissue microbiologic testing 451–2 tooth socket healing 63, 64, 65 sculptingpting 1020, 1021–31021– orthodontic therapy 662, 665 alveolar crest 28 implantnt placementplacemen 1055–6,105 1057, palmo-plantar keratitis 446 distance to cemento-enamel 1058–61, 106262 pathogenesis 441–5 junction 434–7 interpositionalterpositional graftgragr procedures 1014, pathogenic fl ora elimination/ fi bers 28 10155, 1016 suppression 449–52 outline 657 combined withw onlay grafts 1020 periodontal probing 437 preparation for implant intra-alveolarintra-alveoalve processes 54–5, 56, 57, periodontium rate of destruction placement 1072 58–958–TERIAL, 60, 61, 62 447 recontouring 832 lamellarlamel bone 67 permanent dentition 432–3 width determination 1068–9 onlayonl graft procedures 1015–17, polymorphonuclear leukocytes 441 alveolar crestal height (ACH) 900 1018–19, 1020, 1021–3 P. gingivalis 440, 441, 448 alveolar mucosa 5, 7–8, 15 combined with interpositional primary dentition 432 necrotizing periodontal diseadisease 462,MATE grafts 1020 prosthetic treatment 661 463, 464 osseointegration 99 restorative therapy 662, 665 transplanted 24, 25–75–7–7 pedicle grafts 1011–13 restorative treatment 661 alveolar nerve, inferiorerior 48 pontic contours 1020, 1021–3 screening 433–7 tooth extractionon 120 pouch graft procedures 1013–14 sibling monitoring 448 alveolar plexus,us, superior 48 remaining bone 52–3 smoking 432–3, 445, 446 alveolar processrocess 3, 27, 28,,3 34–53 soft tissue collapse surgery 661, 663 adaptationation after tooth extraction prevention 1009–10 therapeutic intervention 449–52 1059059 soft tissue grafts 1010–11 treatment 657–67 boneone 86–95 surgical procedures for agranulocytosis, surgery cancellous 11063 augmentation 1011–17, 1018–19, contraindication 800 lamellaramel 337, 54 1020, 1021–3 AIDS see HIV infection loss 86 topography 66–7 alcohol abuse, implant patient 645 sponspongypo 54 amalgam tattoo 398 alcohol consumption, necrotizing corticcorticortical plates 53, 54 ameloblasts 16 periodontal disease 470 CT 1286 amine alcohols, plaque control 746–7 alexidine, plaque control 744 edentulous alveolar ridge 50, 51, 52–3 amine fl uoride 746 allele frequencies 330 formation 37 amino acids, sulfur-containing 1326 allergic reactions 393, 6900 mineralization 37 amoeba 209 oral mucosa 392–4 resorption rate 1089 amoxicillin 450, 451, 886 periodontium 8499 tooth extraction 54–5, 56, 57, 58–9, 60, metronidazole combination 889 alloplastic grafts 552–3552– 61, 62–6 peri-implant lesions 878 alveolar bone 3, 27–8,7–8, 34–42,34– 8686–95 topography 53–4, 55 amphotericin B 752 blood vesselssels 45, 46 alveolar pyorrhea, trauma from amyloglucosidase, plaque control 744 dehiscencencee 36 occlusion association 349–50 analgesia 691 gingivalngival recession 961, 1267, 1269 alveolar ridge anchorage depositionposition 42 augmentation 1011–17, 1018–19, 1020, orthodontic destructionstruction 5105 1021–3 absolute 1280–90, 1291 fenestrationnestrationestration 336 clinical concepts 1088–92 implants as temporary formationationCOPYRIGHTED 3 39, 86 dehiscence defects 1090–1 devices 1284–8, 1289, 1290, healing 888–9 differentiation factors 1093 1291 height 657 extraction sockets 1089–90 indications for implants 1283, loss 86, 92–3 growth factors 1093 1284 aggressive periodontitis 450–1 horizontal defects 1091–2 length-reduced devices 1285 children 140–1 horizontal tooth movement 1264–5, skeletal systems 1281 diabetes mellitus 488 1267, 1268 temporary devices 1282 osseous surgery 795 long-term results 1087–8 anchoring fi bers 12, 13 P. gingivalis 219 materials 1085–7 androgens 408 radiographic assessment 131 procedures 1083–94 anemia, surgery contraindication 800 risk assessment 1307 vertical defects 1092 angina pectoris, surgery smokers 318 vertical tooth movement 1263–4, contraindication 799 trauma from occlusion 360 1265, 1266 angiogenesis 60 membrane barriers 94, 95 defects angular bone necrosis 462 correction 1010–11 defects 351, 360 neurovascularization 109–10 dehiscence 1090–1 destruction 358, 359 Volume 1, pp. 1–570; Volume 2, pp. 571–1340 Index i3 ankylosis 547 antiplaque agents 734, 740, 742–60 cardiovascular disease 157, 158 external infl ammatory root
Recommended publications
  • 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.
    [Show full text]
  • Gingival Recession – Etiology and Treatment
    Preventive_V2N2_AUG11:Preventive 8/17/2011 12:54 PM Page 6 Gingival Recession – Etiology and Treatment Mark Nicolucci, D.D.S., M.S., cert. perio implant, F.R.C.D.(C) Murray Arlin, D.D.S., dip perio, F.R.C.D.(C) his article focuses on the recognition and reason is often a prophylactic one; that is we understanding of recession defects of the want to prevent the recession from getting T oral mucosa. Specifically, which cases are worse. This reasoning is also true for the esthetic treatable, how we treat these cases and why we and sensitivity scenarios as well. Severe chose certain treatments. Good evidence has recession is not only more difficult to treat, but suggested that the amount of height of keratinized can also be associated with food impaction, or attached gingiva is independent of the poor esthetics, gingival irritation, root sensitivity, progression of recession (Miyasato et al. 1977, difficult hygiene, increased root caries, loss of Dorfman et al. 1980, 1982, Kennedy et al. 1985, supporting bone and even tooth loss . To avoid Freedman et al. 1999, Wennstrom and Lindhe these complications we would want to treat even 1983). Such a discussion is an important the asymptomatic instances of recession if we consideration with recession defects but this article anticipate them to progress. However, non- will focus simply on a loss of marginal gingiva. progressing recession with no signs or Recession is not simply a loss of gingival symptoms does not need treatment. In order to tissue; it is a loss of clinical attachment and by know which cases need treatment, we need to necessity the supporting bone of the tooth that distinguish between non-progressing and was underneath the gingiva.
    [Show full text]
  • 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
    [Show full text]
  • 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.
    [Show full text]
  • 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).
    [Show full text]
  • Diagnosis Questions and Answers
    1.0 DIAGNOSIS – 6 QUESTIONS 1. Where is the narrowest band of attached gingiva found? 1. Lingual surfaces of maxillary incisors and facial surfaces of maxillary first molars 2. Facial surfaces of mandibular second premolars and lingual of canines 3. Facial surfaces of mandibular canines and first premolars and lingual of mandibular incisors* 4. None of the above 2. All these types of tissue have keratinized epithelium EXCEPT 1. Hard palate 2. Gingival col* 3. Attached gingiva 4. Free gingiva 16. Which group of principal fibers of the periodontal ligament run perpendicular from the alveolar bone to the cementum and resist lateral forces? 1. Alveolar crest 2. Horizontal crest* 3. Oblique 4. Apical 5. Interradicular 33. The width of attached gingiva varies considerably with the greatest amount being present in the maxillary incisor region; the least amount is in the mandibular premolar region. 1. Both statements are TRUE* 39. The alveolar process forms and supports the sockets of the teeth and consists of two parts, the alveolar bone proper and the supporting alveolar bone; ostectomy is defined as removal of the alveolar bone proper. 1. Both statements are TRUE* 40. Which structure is the inner layer of cells of the junctional epithelium and attaches the gingiva to the tooth? 1. Mucogingival junction 2. Free gingival groove 3. Epithelial attachment * 4. Tonofilaments 1 49. All of the following are part of the marginal (free) gingiva EXCEPT: 1. Gingival margin 2. Free gingival groove 3. Mucogingival junction* 4. Interproximal gingiva 53. The collar-like band of stratified squamous epithelium 10-20 cells thick coronally and 2-3 cells thick apically, and .25 to 1.35 mm long is the: 1.
    [Show full text]
  • The-Anatomy-Of-The-Gum-1.Pdf
    OpenStax-CNX module: m66361 1 The Anatomy of the Gum* Marcos Gridi-Papp This work is produced by OpenStax-CNX and licensed under the Creative Commons Attribution License 4.0 Abstract The gingiva is the part of the masticatory mucosa that surrounds the teeth and extends to the alveolar mucosa. It is rmly attached to the jaw bone and it has keratinized stratied squamous epithelium. The free gingiva is separated from the tooth by the gingival groove and it it very narrow. Most of the gum is the attached gingiva. The interdental gingiva occupies the cervical embrasures in healthy gums but periodontal disease may cause it to receede. Gingival bers attach the gums to the neck of the tooth. They also provide structure to the gingiva and connect the free to the attached gingivae. Figure 1: Maxillary gingiva of a dog. More details1. This chapter is about the gums, which are also called gingivae (singular gingiva). The text will describe the structure of the gingiva and explain its role in periodontal diseases, from gingivitis to abscesses in humans and other mammals. *Version 1.1: Mar 3, 2018 8:43 pm -0600 http://creativecommons.org/licenses/by/4.0/ 1https://upload.wikimedia.org/wikipedia/commons/3/3b/Bull_Terrier_Chico_05.jpg http://cnx.org/content/m66361/1.1/ OpenStax-CNX module: m66361 2 1 Structure The gingiva is part of the masticatory mucosa2 of the mouth. This mucosa is formed by keratinized stratied squamous epithelium and it covers the dorsum of the tongue and hard palate in addition to forming the gingivae. Figure 2: The gingiva surrounds the teeth and contacts the alveolar mucosa.
    [Show full text]
  • Literature Review
    LITERATURE REVIEW PERIODONTAL ANATOMY The tissues which surround the teeth, and provide the support necessary for normal function form the periodontium (Greek peri- “around”; odont-, “tooth”). The periodontium is comprised of the gingiva, periodontal ligament, alveolar bone, and cementum. The gingiva is anatomically divided into the marginal (unattached), attached and interdental gingiva. The marginal gingiva forms the coronal border of the gingiva which surrounds the tooth, but is not adherent to it. The cemento-enamel junction (CEJ) is where the crown enamel and the root cementum meet. The Marginal gingiva in normal periodontal tissues extends approximately 2mm coronal tothe CEJ. Microscopically the gingiva is comprised of a central core of dense connective tissue and an outer surface of stratified squamous epithelium. The space between the marginal gingiva and the external tooth surface is termed the gingival sulcus. The normal depth of the gingival sulcus, and corresponding width of the marginal gingival, is variable. In general, sulcular depths less than 2mm to 3mm in humans and animals are considered normal1. Ranges from 0.0mm to 6.0mm 2 have been reported.. The depth of a sulcus histologically is not necessarily the same as the depth which could be measured with a periodontal probe. The probing depth of a clinically normal human or canine gingival sulcus is 2 to 3 mm2 1. Attached gingiva is bordered coronally by the apical extent of the unattached gingiva, which is, in turn, defined by the depth of the gingival sulcus. The apical extent of the attached 1 gingiva is the mucogingival junction on the facial aspect of the mandible and maxilla, and the lingual aspect of the mandibular attached gingiva.
    [Show full text]
  • The Art and Science of Shade Matching in Esthetic Implant Dentistry, 275 Chapter 12 Treatment Complications in the Esthetic Zone, 301
    FUNDAMENTALS OF ESTHETIC IMPLANT DENTISTRY Abd El Salam El Askary FUNDAMENTALS OF ESTHETIC IMPLANT DENTISTRY FUNDAMENTALS OF ESTHETIC IMPLANT DENTISTRY Abd El Salam El Askary Dr. Abd El Salam El Askary maintains a private practice special- Set in 9.5/12.5 pt Palatino izing in esthetic dentistry in his native Egypt. An experienced cli- by SNP Best-set Typesetter Ltd., Hong Kong nician and researcher, he is also very active on the international Printed and bound by C.O.S. Printers Pte. Ltd. conference circuit and as a lecturer on continuing professional development courses. He also holds the position of Associate For further information on Clinical Professor at the University of Florida, Jacksonville. Blackwell Publishing, visit our website: www.blackwellpublishing.com © 2007 by Blackwell Munksgaard, a Blackwell Publishing Company Disclaimer The contents of this work are intended to further general scientific Editorial Offices: research, understanding, and discussion only and are not intended Blackwell Publishing Professional, and should not be relied upon as recommending or promoting a 2121 State Avenue, Ames, Iowa 50014-8300, USA specific method, diagnosis, or treatment by practitioners for any Tel: +1 515 292 0140 particular patient. The publisher and the editor make no represen- 9600 Garsington Road, Oxford OX4 2DQ tations or warranties with respect to the accuracy or completeness Tel: 01865 776868 of the contents of this work and specifically disclaim all warranties, Blackwell Publishing Asia Pty Ltd, including without limitation any implied
    [Show full text]
  • Alveolar Process May Be Defined As That Part of the Maxilla and the Mandible That Forms and Supports the Sockets of the Teeth
    The alveolar process may be defined as that part of the maxilla and the mandible that forms and supports the sockets of the teeth. It developed with the eruption of teeth and disappears or lost after tooth extraction ALVEOLAR PROCESS BASAL BONE Alveolar (bone) process: is that part of the maxilla and the mandible that forms and supports the sockets of the teeth. Basal Bone. it is the bone of the facial skeleton which support the alveolar bone. There is no anatomical boundary between basal bones and alveolar bone. Both alveolar process and basal bone are covered by the same periosteum. In some areas alveolar processes may fuse or masked with jaw bones as in (1) Anterior part of maxilla (palatal). (2) Oblique line of the mandible. * Alveolar process is resorbed after extraction of teeth. Functions of alveolar bone – Houses and protects developing permanent teeth, while supporting primary teeth. – Organizes eruption of primary and permanent teeth. – Anchors the roots of teeth to the alveoli, which is achieved by the insertion of Sharpey’s fibers into the alveolar bone proper (attachment). – Helps to move the teeth for better occlusion (support). – Helps to absorb and distribute occlusal forces generated during tooth contact (shock absorber). – Supplies vessels to periodontal ligament. •DEVELOPMENT OF ALVEOLAR BONE •Near the end of the second month of fetal life, the maxilla as well as the mandible form a groove that is open towards the surface of the oral cavity. •Tooth germs develop within the bony structures at late bell stage. •Bony septa and bony bridge begin to form and separatethe individual tooth germs from one another, keeping individual tooth germs in clearly outlined bony compartments.
    [Show full text]
  • Splinting and Occlusal Correction Questions and Answers
    6.6 Splinting and Occlusal Correction (Therapy 19 Questions) 11. All of the following may be radiographic signs of trauma from occlusion EXCEPT 1. Widening of the periodontal ligament space 2. Thickening of the lamina dura 3. Root resorption 4. Reduced trabeculation of bone* 35. All of the following are associated with bruxism EXCEPT 1. Sore muscles 2. TMD disturbances 3. Decreased tooth mobility* 4. Occlusal wear 37. Extracoronal splints use restorative materials to stabilize teeth by attaching them to adjacent teeth via removal of tooth structure; intracoronal splints use restorative materials to stabilize teeth by attaching them to adjacent teeth without removal tooth structure. 2. Both statements are FALSE* 60. Which of the following refers to excessive force applied to a tooth or teeth with reduced bone support? 1. Primary occlusal trauma 2. Secondary occlusal trauma* 3. Tertiary occlusal trauma 4. Quaternary occlusal trauma 69. Selective occlusal adjustment is contraindicated in all of the following EXCEPT 1. Elimination of occlusal prematurities* 2. When pulp chambers are large 3. Major occlusal discrepancies that require orthodontics or reconstruction 4. In the presence of sensitivity 82. All of the following are diagnostic of occlusal trauma EXCEPT 1. Wear facets 2. Fremitus 3. Increase in tooth mobility 4. Periodontal pocket formation* 5. Increased width of the periodontal ligament space 158. Unilateral mastication will tend to result in 1. greater accumulation of plaque on the unused side.* 2. greater accumulation of plaque on the used side. 3. a greater degree of periodontal disease on the used side. 4. heavier and moredense bone support on the unused side.
    [Show full text]
  • Palatal Swelling: a Diagnostic Enigma
    Hindawi Publishing Corporation Case Reports in Dentistry Volume 2016, Article ID 1945907, 5 pages http://dx.doi.org/10.1155/2016/1945907 Case Report Palatal Swelling: A Diagnostic Enigma Ramalingam Suganya,1 Narasimhan Malathi,1 Harikrishnan Thamizhchelvan,1 Subramaniam Ramkumar,2 andG.V.V.Giri2 1 Department of Oral Pathology and Microbiology, Faculty of Dental Sciences, Sri Ramachandra University, Tamil Nadu, India 2Department of Oral and Maxillofacial Surgery, Faculty of Dental Sciences, Sri Ramachandra University, Tamil Nadu, India Correspondence should be addressed to Ramalingam Suganya; [email protected] Received 24 September 2016; Accepted 25 October 2016 Academic Editor: Luis M. J. Gutierrez Copyright © 2016 Ramalingam Suganya et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Giant cell tumor (GCT) of bone is a giant-cell-rich bony lesion associated with abundant multinucleated osteoclast-type giant cells. It is a primary neoplasm of bone with characteristic clinical, radiological, and pathological features. It is an expansive and lytic lesion without periosteal reaction and prominent peripheral sclerosis. Giant cells are also seen in other diseases like giant cell granuloma of the jaws, traumatic bone cyst, aneurysmal bone cyst, and jaw tumor of hyperparathyroidism. We present a unique case of GCT of palate in a 30-year-old female. 1. Introduction intraoral examination, a massive, solitary proliferative growth measuring 2.5 cm × 3 cm with irregular margins, extending Giant cell tumor of bone or Osteoclastoma is a benign giant from the left maxillary canine region up to the posterior part cell tumor characterized by mononuclear cells proliferation of the hard palate, was evident.
    [Show full text]