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The Periodontal Assessment
The Periodontal Assessment Sumamry This lesson will guide you through how to carry out a thorough periodontal assessment. NOTE – Please note this assessment and management criteria are indicated by the British Society of Periodontology. If you are following this lesson from another region, please check your national guidelines in regard to periodontal assessment and management. Keywords: Supracrestal attached The distance from the base of the gingival sulcus, to the alveolar tissues (previously termed bone; it includes the connective tissue and the junctional epithelium Biological width) attachment to the tooth. Plaque which has calcified due to mineral deposits such as calcium Calculus and phosphates from the saliva The area where roots separate; this can be in a bifurcation (two Furcation roots), or trifurcation (three roots) The displacement of a tooth beyond its normal physiological Mobility boundaries in a horizontal or vertical plane Periodontal Pocket A pathologically deepened gingival sulcus Is the distance between the free gingival margin and the bottom of Pocket Depth the pocket. Clinical Attachment Loss CAL is the distance between the CEJ and the bottom of the pocket. (CAL) ReviseDental.com Instruments involved in the Periodontal Assessment Basic Periodontal Exam Probe (also known as a WHO probe) Williams probe UNC 15 probe Nabers probe BPE probe A BPE probe is the standard probe used in every initial dental assessment. This probe is used to give a BPE score. Its structure has a 0.5mm ball at the end; this is ball shaped to prevent trauma to the gingivae, but also this will pick up the tactile feel of calculus subgingivally. -
Pesquisa, Produção E Divulgação Do Conhecimento Na Odontologia 2
Editora Chefe Profª Drª Antonella Carvalho de Oliveira Assistentes Editoriais Natalia Oliveira Bruno Oliveira Flávia Roberta Barão Bibliotecária Janaina Ramos Projeto Gráfico e Diagramação Natália Sandrini de Azevedo Camila Alves de Cremo Luiza Alves Batista Maria Alice Pinheiro Imagens da Capa 2021 by Atena Editora Shutterstock Copyright © Atena Editora Edição de Arte Copyright do Texto © 2021 Os autores Luiza Alves Batista Copyright da Edição © 2021 Atena Editora Revisão Direitos para esta edição cedidos à Atena Os Autores Editora pelos autores. Todo o conteúdo deste livro está licenciado sob uma Licença de Atribuição Creative Commons. Atribuição-Não-Comercial- NãoDerivativos 4.0 Internacional (CC BY-NC-ND 4.0). O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores, inclusive não representam necessariamente a posição oficial da Atena Editora. Permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem a possibilidade de alterá-la de nenhuma forma ou utilizá-la para fins comerciais. Todos os manuscritos foram previamente submetidos à avaliação cega pelos pares, membros do Conselho Editorial desta Editora, tendo sido aprovados para a publicação com base em critérios de neutralidade e imparcialidade acadêmica. A Atena Editora é comprometida em garantir a integridade editorial em todas as etapas do processo de publicação, evitando plágio, dados ou resultados fraudulentos e impedindo que interesses financeiros comprometam os padrões éticos da publicação. Situações suspeitas de má conduta científica serão investigadas sob o mais alto padrão de rigor acadêmico e ético. Conselho Editorial Ciências Humanas e Sociais Aplicadas Prof. -
Management of Grade II Furcation Defect in Mandibular Molar with Alloplastic Bone Graftand Bioresorbable Guided Tissue Regeneration Membrane: a Case Report
Case Report Management of grade II furcation defect in mandibular molar with alloplastic bone graftand bioresorbable guided tissue regeneration membrane: A case report Mrinalini Ag. Bhatnagar1,*, Deepa D2 1PG Student, 2Professor, Dept. of Periodontology, Subharti Dental College & Hospital, Meerut *Corresponding Author: Email: [email protected] Abstract Background: Management of furcation represent one of the greatest challenges in periodontal therapy due to limited accessibility and complex anatomy of furcalareas.The main aim of regenerative therapy is regeneration of periodontal hard and soft-tissues, including formation of a new attachment apparatus. Various reconstructive procedures have been employed over years to achieve this goal. Aim: To evaluate the efficacy of alloplastic bone graft along with GTR membrane in the management of mandibular grade II furcation defect. Materials and method: Grade II mandibular furcation defect was treated using bone graft Ostin™ along with bioresorbable collagen GTR membrane Periocol®. Evaluation of clinical parameters, probing depth (PD), clinial attachment level (CAL), radiovisuography was done preoperatively and at three and six months postoperatively. Results and Conclusion: Six months postoperative measurements demonstrated reduction in probing depths and bone fill in the region of furcation defect. The results observed showed that combined treatment modalities using alloplastic bone graft and GTR membrane are beneficial for the treatment of mandibular grade II furcation defects. Keywords: Bone graft, Collagen membrane, Furcation, Guided tissue regeneration. Introduction foreign body response. Two types of calcium phosphate Periodontitis is a disease of multifactorial origin, ceramics have been used, hydroxyapatite and tricalcium “an inflammatory disease of the teeth caused by phosphate.(4) specific microorganisms or group of microorganisms, Nyman et al(1986)(5) first introduced the concept of resulting in progressive destruction of the periodontal GTR for treatment of periodontal defects. -
Furcation Involvement Classification - a Literature Review
International Journal of Science and Research (IJSR) ISSN: 2319-7064 ResearchGate Impact Factor (2018): 0.28 | SJIF (2018): 7.426 Furcation Involvement Classification - A Literature Review Iva Yordanova1, Irena Georgieva2 1Medical University Varna, Bulgaria 2Department of Periodontology and Dental Implantology, Medical University Varna, Bulgaria Abstract: Furcation involvement is an extremely common clinical problem, resulted from progressive inflammatory periodontal pathology. Till date, a number of classifications have been proposed present limitations, because of varied anatomy of the furcation defects thatmake it almost impossible to correlate all possible clinical scenarios in a comprehensive and concise manner. This article reviews the current classifications for furcation involvements and clinical decision making for optimizing diagnosis and prognosis of interradicular defects. The classifications of Kolte and Pilloni(2018) are a more efficient guide to the clinician in proper diagnosis, treatment planning and provide a better understanding of furcation involvements.A more concise and less explanatory new classification system can be proposed. Keywords: furcation involvement, classification, diagnosis, periodontal defect 1. Introduction from the furcation anatomy, the need for sound technical skills and compliance of the patient. Because of these The furcation involvement (FI) is a result of periodontal factors, there is always searching for newer diagnostic tools inflammatory destruction of the iterradicular supportive and modern -
Periodontal Regeneration Questions and Answers
6.3.4 Periodontal Regeneration (Therapy 19 Questions) 8. A flap that may be used to cover exposed root surfaces or cover membranes used in guided tissue regeneration is a 1. Coronally positioned flap* 2. Apically positioned flap 3. Double papilla flap 4. Modified Widman flap 36. What is guided tissue regeneration? 1. Placement of a soft tissue graft to correct a mucogingival problem 2. Placement of a membrane over a bony defect* 3. Gingival grafting to increase the amount of attached gingiva 4. Placement of an autograft to treat a bony defect 41. Intrabony defects are classified by the number of bony walls that have been destroyed by periodontal disease; the more bony walls that remain, the more amenable the defect is to regenerative treatment. 4. The first statement is FALSE, the second is TRUE* 63. In which defect is a bone grafting procedure least likely to be successful? 1. One walled defect 2. Two walled defect 3. Three walled defect 4. Through and through furcation defect* 254. Bone-fill procedures (new attachment) are most successful in treating 1. trifurcation involvements. 2. deep, two-wall craters. 3. narrow, three-wall defects.* 4. osseous defects with one remaining wall. 281. Which of the following types of periodontal pockets offers the best possibility for bone regeneration? 1. Suprabony pocket 2. One-wall infrabony pocket 3. Two-wall infrabony pocket 4. Three-wall infrabony pocket* 352. Which of the following is the most likely side effect of a fresh, autogenous iliac crest transplant in managing an infrabony pocket? 1. Infection 2. Arthus reaction 3. -
ISSN 2193-3863 a Rch Iv Eu Ro M Ed Ica 2 0 19 V O L. 9 N U M
archiv euromedica | 2019 | v ol. 9 | num . 2 | 2 2 2019 ISSN 2193-3863 Editor-in-Chief Editorial Advisory Board Dr. Georg Tyminski Prof. Nurlan Akhparov EWG e.V., Hannover, Germany Scientific Center of Pediatrics and Pediatric Surgery, Almaty, Kazakhstan Prof. Dr. Jörg Schulz Prof. Vadim Astashov Geriatric Clinics Berlin-Buch, Germany Peoples' Friendship University of Russia, Moscow, Russia Prof. Tatiana Belousova Publishing Director Privolzhsky Research Medical University, Prof. Aleksei Zhidovinov Nizhny Novgorod, Russia Astrakhan State Medical University, Astrakhan, Russia Prof. Sergey Dmitrienko Pyatigorsk Medical and Phamaceutical Institute, Executive Editor Pyatigorsk, Russia Prof. Carlos Kusano Bucalen Ferrari Prof. Dmitry Domenyuk Federal University of Mato Grosso, Barra do Garças, Brazil Stavropol State Medical University, Stavropol, Russia Prof. Liana Gogiashvili Managing Editor Ivane Javakhishvili Tbilisi State University,Tbilisi, Georgia Prof. Habibulo Ibodov Prof. Maya Dgebuadze Institute of Postgraduate Medical Studies, Dushanbe, Tajikistan Tbilisi State Medical University, Tbilisi, Georgia Prof. Gulnara Kapanova Asfendiyarov Kazakh National Medical University, Almaty, Kaza- Ethics Manager khstan Prof. Gayane Khachatryan Prof. Semen Kireev Erivan State Medical University, Erivan, Armenia Tula State Medical University, Tula, Russia Prof. Vladimir Krestyashin Associate Editors Pirogov Russian National Research Medical University, Moscow, Russia Prof. Sergey Kolbasnikov Prof. Sergey Levakov Tver State Medical Academy, Tver, Russia I.M. Sechenov First Moscow State Medical University, Moscow, Russia Dr. rer. Nat. Stephan Heymann Noventalis – Institut für systemische BioKorrektur, Prof. Nikogos Oganesyan Berlin-Buch, Germany Academy of Medical Sciences, Erivan, Armenia Prof. Oral Ospanov Medical University “Astana”, Astana, Kazakhstan Prof. Ants Peetsalu Tartu University Clinics, Tartu, Estonia Prof. Urij Peresta Uzhhorod National University, Uzhhorod, Ukraine Dr. Olga Pitirimova, MD Bakulev Scientific Center of Cardiovascular Surgery, Russia Prof. -
Regenerative Approach in the Treatment of Grade II Furcations: a Case Report
CASE REPORT Journal of Dentomaxillofacial Science (J Dentomaxillofac Sci ) April 2019, Volume 4, Number 1: 53-56 P-ISSN. 2503-0817, E-ISSN. 2503-0825 Regenerative approach in the treatment of grade II case report furcations: a case report CrossMark http://dx.doi.org/10.15562/jdmfs.v3i2.750 Hasanuddin Thahir, Dian Setiawati* Abstract Month: August Objective: A grade II furcation involvement has been defined as root planning was done. It was followed by periodontal regenerative a defect having a horizontal loss attachment of 3 mm or greater therapy using bone graft and resorbable membranes. Volume No.: 3 but not through the entire furcation. There are several techniques Results: The treatment for overall seemed success with healthy used alone or in combination considered to achieve periodontal periodontium and complete closed defect with bone fill, based on the regeneration. This case report aims to describe regenerative clinical and radiographic development of the patient at the end of six approach in the treatment of grade II furcation defects in maxillary month follow up. Issue: 2 molars. Conclusion: The regenerative approach such as resorbable GTR Methods: A 43 years old male reported to the Department of membrane with bone material was more effective than open Periodontics with a complaint of pain. At the initial visit, scaling and debridement alone, in the treatment of furcation defects. First page No.: 16 Keywords: Bone graft, Furcation defect, Guided tissue regeneration, Periodontitis, Periodontal treatment Cite this Article: Thahir H, Setiawati D. 2019. Regenerative approach in the treatment of grade II furcations: a case report. Journal of P-ISSN.2503-0817 Dentomaxillofacial Science. -
Biofilm Eraser
Oral debridement gel B IOF ILM ER A S E R A NEW APPLICATION FOR PERIODONTAL AND PERI-IMPLANT INFLAMMATION Periodontitis, peri-implant mucositis and peri-implantitis are bacterial inflammations with similar symptoms. The underlying cause of all three indications, which progress in a similar way, is bacterial plaque forming a biofilm, rich in pathogenic bacteria. The softening of the biofilm and effective elimination of the bacteria is the key prerequisite for successful treatment of these conditions.4 Perisolv® is a new debridement gel used in addition to mechanical debridemen to precon- dition the treatment site by softening and degrading biofilm on tooth root/dental implant surface. PERISOLV®-EFFECTS • Elimination of the biofilm* • Impoved peri-implant situation such as mucostitis1, 8 • Reduction of pocket depth2, 3 MODE OF ACTION MECHANICAL DEBRIDEMENT ALONE OR WITH PERISOLV® BEFORE AFTER MECHANICAL DEBRIDEMENT BIOFILM * Enhancing bacterial removal by mechanical debridement. TREATMENT OF PERI-IMPLANT MUCOSITIS CASE BY PROF VINCENZO IORIO-SICILIANO, UNIVERSITY OF CATANZARO, ITALY Implant with probing depth (PD) ≤ 5mm and BOP+. Application of Perisolv® before non-surgical treatment. Biofilm removal using a sonic scaler with PEEK tip. 6 MONTHS AFTER TREATEMENT Probing depth (PD) after 6 months observation time. TREATMENT OF A FURCATION DEFECT CASE BY PROF VINCENZO IORIO-SICILIANO, UNIVERSITY OF CATANZARO, ITALY 1. A PD of 5 mm was noted. 2. A class-II furcation defect was recorded. 1. 2. 3. First application of Perisolv®. 4. Scaling was performed using an ultrasonic device. 3. 4. 5. Second application of Perisolv®. 6. Root planing was performed. 5. 6. 6 MONTHS AFTER TREATEMENT 7. -
The Biology of Marine Mammals
Romero, A. 2009. The Biology of Marine Mammals. The Biology of Marine Mammals Aldemaro Romero, Ph.D. Arkansas State University Jonesboro, AR 2009 2 INTRODUCTION Dear students, 3 Chapter 1 Introduction to Marine Mammals 1.1. Overture Humans have always been fascinated with marine mammals. These creatures have been the basis of mythical tales since Antiquity. For centuries naturalists classified them as fish. Today they are symbols of the environmental movement as well as the source of heated controversies: whether we are dealing with the clubbing pub seals in the Arctic or whaling by industrialized nations, marine mammals continue to be a hot issue in science, politics, economics, and ethics. But if we want to better understand these issues, we need to learn more about marine mammal biology. The problem is that, despite increased research efforts, only in the last two decades we have made significant progress in learning about these creatures. And yet, that knowledge is largely limited to a handful of species because they are either relatively easy to observe in nature or because they can be studied in captivity. Still, because of television documentaries, ‘coffee-table’ books, displays in many aquaria around the world, and a growing whale and dolphin watching industry, people believe that they have a certain familiarity with many species of marine mammals (for more on the relationship between humans and marine mammals such as whales, see Ellis 1991, Forestell 2002). As late as 2002, a new species of beaked whale was being reported (Delbout et al. 2002), in 2003 a new species of baleen whale was described (Wada et al. -
The Dental Office
GUIDED SURGERY • complete solutions for oral surgery the new generation digital platform iRES® SmartGuide® is the innovative and personalized solution for the entire clinical team-- dentistry that maintains strong ties with the dentistry of the future. iRES® offers dentists a valid system that meets all the patient’s requirements through adequate and personalized solutions planned and achieved using the vast, modern range of Cad Cam technologies with certified materials and executed with absolute excellence. The iRES® system guarantees the right solution for every need, from computer-assisted surgery with all the necessary required computer tools to all components for individual prostheses with 5 axes machine tools that carry out complex, individualized geometries with perfect results- -and all through only one source The dentist uses iRES® SmartGuide® software and with a few simple steps develops his or her own simple treatment plan, if necessary by combining his or her own requisites with our Tutor to achieve personalized assistance SmartGuide®: This is user-friendly software, a cost-contained, state-of- the-art system for quick, smooth ope- rating results—swift and non-traumatic surgery. iRES® offers a new surgery sy- stem using SmartGuide®. iRES® aims at furnishing the professional with an easy and intuitive system that provides both greater accuracy in positioning implan- ts and substantially reduced operating time, thus at once rendering the surgery as un-traumatic as possible. Costs are truly contained. iRES® delivers an overall system that includes: diagno- stic software and surgical/prosthetic planning, creation of the surgical mask, and the surgical kit including all drills ca- librated by diameter for all lengths. -
The Connection Between Socioeconomic Inequalities
Psychiatria Danubina, 2020; Vol. 32, Suppl. 4, pp S576-582 Medicina Academica Mostariensia, 2020; Vol. 8, No. 1-2, pp 178-184 Original paper © Medicinska naklada - Zagreb, Croatia THE CONNECTION BETWEEN SOCIOECONOMIC INEQUALITIES AND THE APPEARANCE OF THE TOOTHLESSNESS IN MOSTAR Bajro Sariü1, Kristina Galiü2,3, Belma Sariü Zolj3, Zdenko Šarac2, Marina ûurlin2 & Ivan Vasilj2 1Regional Medical Centre Mostar, Mostar, Bosnia and Herzegovina 2Medical School Mostar, Mostar, Bosnia and Herzegovina 3University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina received: 11.12.2019 revised: 7.5.2020 accepted: 7.7.2020 SUMMARY Background: To determine the existence of the toothlessness within the patients in the area of Mostar. The aim is to determine the topography of toothlessness within the population of Mostar, according to Kennedy classification. The aim is to connect measures of socioeconomic status with the appearance of the toothlessness. To develop a model that includes a form of toothlessness and the socioeconomic status of the patients in Mostar. Subjects and methods: The study was conducted at the Health Center in Mostar and the Regional Medical Center in Mostar. The research was cross-sectional study. It included 800 patients who regularlyoccurred to the dental ambulance because of the toothlessness and because of the prosthodontics treatment. The measurement was conducted by the dentist based on the anonymous research cardboard at the first examination of the patient. The dentist will determine the topography of the toothlessness according to Kennedy classification and the etiology of the toothlessness. Results: In the total sample of respondents, the toothlessness was significantly higher represented (P<0.001). -
KRAS Mutation in an Implant-Associated Peripheral Giant
in vivo 35 : 947-953 (2021) doi:10.21873/invivo.12335 KRAS Mutation in an Implant-associated Peripheral Giant Cell Granuloma of the Jaw: Implications of Genetic Analysis of the Lesion for Treatment Concept and Surveillance REINHARD E. FRIEDRICH 1* , FALK WÜSTHOFF 1* , ANDREAS M. LUEBKE 2, FELIX K. KOHLRUSCH 1, ILSE WIELAND 3, MARTIN ZENKER 3 and MARTIN GOSAU 1 1Department of Oral and Maxillofacial Surgery, Eppendorf University Hospital, University of Hamburg, Hamburg, Germany; 2Institute of Pathology, Eppendorf University Hospital, University of Hamburg, Hamburg, Germany; 3Institute of Human Genetics, Otto-von-Guericke University Magdeburg, Magdeburg, Germany Abstract. The aim of this case report was to detail constant irritation of the local tissue by the therapeutic diagnosis and therapy in a case of implant-associated measures is kept to a minimum by careful treatment planning peripheral giant cell granuloma (IA-PGCG) of the jaw. Case and permanent oral care. However, severe inflammatory Report: The 41-year-old female attended the outpatient clinic reactions can arise in the peri-implant area, often in for treatment of recurrent mandibular IA-PGCG. The lesion connection with activation of osteoclasts and peri-pillar bone was excised and the defect was closed with a connective loss. In individual cases a rapidly growing tumor-like mucous tissue graft of the palate. Healing of oral defects was tissue hyperplasia develops in the immediate vicinity of the uneventful, and no local recurrence has occurred during a implant (1). In some cases and case series reported on this follow-up of 7 months. Genetic examination of the lesion phenomenon so far, the peri-implant inflammatory reaction identified a somatic mutation in KRAS.