March 2011 127 Cda Journal, Vol 39, N º 3
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Guideline # 18 ORAL HEALTH
Guideline # 18 ORAL HEALTH RATIONALE Dental caries, commonly referred to as “tooth decay” or “cavities,” is the most prevalent chronic health problem of children in California, and the largest single unmet health need afflicting children in the United States. A 2006 statewide oral health needs assessment of California kindergarten and third grade children conducted by the Dental Health Foundation (now called the Center for Oral Health) found that 54 percent of kindergartners and 71 percent of third graders had experienced dental caries, and that 28 percent and 29 percent, respectively, had untreated caries. Dental caries can affect children’s growth, lead to malocclusion, exacerbate certain systemic diseases, and result in significant pain and potentially life-threatening infections. Caries can impact a child’s speech development, learning ability (attention deficit due to pain), school attendance, social development, and self-esteem as well.1 Multiple studies have consistently shown that children with low socioeconomic status (SES) are at increased risk for dental caries.2,3,4 Child Health Disability and Prevention (CHDP) Program children are classified as low socioeconomic status and are likely at high risk for caries. With regular professional dental care and daily homecare, most oral disease is preventable. Almost one-half of the low-income population does not obtain regular dental care at least annually.5 California children covered by Medicaid (Medi-Cal), ages 1-20, rank 41 out of all 50 states and the District of Columbia in receiving any preventive dental service in FY2011.6 Dental examinations, oral prophylaxis, professional topical fluoride applications, and restorative treatment can help maintain oral health. -
Clinical Outcome of a New Surgical Technique for the Treatment of Peri-Implant Dehiscence in the Esthetic Area. a Case Report
applied sciences Case Report Clinical Outcome of a New Surgical Technique for the Treatment of Peri-Implant Dehiscence in the Esthetic Area. A Case Report Norberto Quispe-López 1 , Carmen García-Faria 2, Jesús Mena-Álvarez 2,* , Yasmina Guadilla 1, Pablo Garrido Martínez 3,4 and Javier Montero 1 1 Department of Surgery, Faculty of Medicine, University of Salamanca, 37008 Salamanca, Spain; [email protected] (N.Q.-L.); [email protected] (Y.G.); [email protected] (J.M.) 2 Faculty of Health Sciences, Alfonso X el Sabio University, 28703 Madrid, Spain; [email protected] 3 Department of Prosthesis, Faculty of Dentistry, Universidad Alfonso X el Sabio, 28703 Madrid, Spain; [email protected] 4 Department of Oral and Maxillofacial Surgery, Hospital La Luz, 28003 Madrid, Spain * Correspondence: [email protected] Abstract: This study describes the clinical and esthetic outcome of n apical surgical treatment on peri-implant soft tissue dehiscence in an implant with a poor prognosis in the esthetic area. The patient presented a compromised situation of clinical attachment loss both in the 1.2 implant and in the adjacent teeth. A biphasic approach consisted firstly of a connective tissue graft accessed by apical and then, 11 months later, a palatal flap technique plus a connective tissue graft. After 20 months of Citation: Quispe-López, N.; healing, surgical approaches without vertical releasing incisions showed a gain in recession reduction García-Faria, C.; Mena-Álvarez, J.; over the implant ranging from 0.3 to 2.7 mm (CI 95%), in addition to a gain in width (2 mm) and Guadilla, Y.; Garrido Martínez, P.; thickness (2.3 mm) of the keratinized mucosa. -
04-207 Gingival Flap Procedure and Apically Positioned
Dental Policy Subject: Gingival Flap Procedure and Apically Positioned Flap Guideline #: 04-207 Publish Date: 03/27/2018 Status: New Last Review Date: 03/12//2018 Description This document addresses the Gingival Flap Procedure, including root planing, and Apically Positioned Flap. Note: Please refer to the following documents for additional information concerning related topics: Scaling and Root Planing (04-301) Periodontal Maintenance (04-901) Mucogingival Surgery and Soft Tissue Grafting (04-204) Biological Materials to Aid Soft and Hard Tissue Grafting (04 Clinical Policy-01 Teeth with Guarded or Poor Prognosis Indications The gingival flap procedure or apically positioned flap are considered appropriate for the treatment of mild to severe periodontal disease when non-surgical methods such as scaling and root planing have been unsuccessful in removal of below the gum deposits of plaque (biofilm) and calculus and where, due to supra-bony pocket depths osseous recontouring and bone grafting are not required. As it applies to appropriateness of care, dental services must be: provided by a Dentist, exercising prudent clinical judgment provided to a patient for the purpose of evaluating, diagnosing and/or treating a dental injury or disease or its symptoms in accordance with the generally accepted standards of dental practice which means: o standards that are based on credible scientific evidence published in peer-reviewed, dental literature generally recognized by the practicing dental community o specialty society recommendations/criteria o any other relevant factors clinically appropriate, in terms of type, frequency and extent considered effective for the patient's dental injury or disease not primarily performed for the convenience of the patient or Dentist not more costly than an alternative service. -
Correlation of Width of Attached Gingiva on Oral Hygiene Maintenance and Gingival Health
Research Article J Nepal Soc Perio Oral Implantol. 2020;4(7):5-9 Correlation of Width of Attached Gingiva on Oral Hygiene Maintenance and Gingival Health Dr. Shaili Pradhan,1 Dr. Benju Shrestha1 1Department of Dental Surgery, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal. ABSTRACT Introduction: Attached gingiva aids in increased resistance to external injury and contribute in stabilisation of gingival margin against frictional forces as well as dissipates physiological forces exerted by the muscular fibers of the alveolar mucosa on gingival tissues. Objective: To assess width of attached gingiva in adults and correlate with oral hygiene maintenance and gingival inflammation. Methods: A cross-sectional study was conducted in patients aged 20-40 years visiting dental OPD with healthy periodontium. Plaque index (PI) and Gingival index (GI) were recorded. Mucogingival junction was determined by visual and functional method. Keratinised gingiva width (KGW) and probing pocket depth (PPD) was recorded and attached gingiva width (AGW) was calculated as (KGW–PPD). Results: Total 85 patients (43 males and 42 females) enrolled in this study. Among total, 48.23% had AGW<1 mm. AGW <1 mm most commonly was found in mandibular first premolar, highest mean AGW was found in maxillary incisors. The mean GI and PI values for AGW<1 mm were found to be higher than those for AGW≥ 1 mm. However, result did not show any significant relation between AGW and severity of gingival inflammation (P value 0.608) and plaque control (P value 0.297). Conclusion: The correlation between attached gingiva width and severity of gingival inflammation and plaque index was not significant statistically. -
Pediatric Oral Pathology. Soft Tissue and Periodontal Conditions
PEDIATRIC ORAL HEALTH 0031-3955100 $15.00 + .OO PEDIATRIC ORAL PATHOLOGY Soft Tissue and Periodontal Conditions Jayne E. Delaney, DDS, MSD, and Martha Ann Keels, DDS, PhD Parents often are concerned with “lumps and bumps” that appear in the mouths of children. Pediatricians should be able to distinguish the normal clinical appearance of the intraoral tissues in children from gingivitis, periodontal abnormalities, and oral lesions. Recognizing early primary tooth mobility or early primary tooth loss is critical because these dental findings may be indicative of a severe underlying medical illness. Diagnostic criteria and .treatment recommendations are reviewed for many commonly encountered oral conditions. INTRAORAL SOFT-TISSUE ABNORMALITIES Congenital Lesions Ankyloglossia Ankyloglossia, or “tongue-tied,” is a common congenital condition characterized by an abnormally short lingual frenum and the inability to extend the tongue. The frenum may lengthen with growth to produce normal function. If the extent of the ankyloglossia is severe, speech may be affected, mandating speech therapy or surgical correction. If a child is able to extend his or her tongue sufficiently far to moisten the lower lip, then a frenectomy usually is not indicated (Fig. 1). From Private Practice, Waldorf, Maryland (JED); and Department of Pediatrics, Division of Pediatric Dentistry, Duke Children’s Hospital, Duke University Medical Center, Durham, North Carolina (MAK) ~~ ~ ~ ~ ~ ~ ~ PEDIATRIC CLINICS OF NORTH AMERICA VOLUME 47 * NUMBER 5 OCTOBER 2000 1125 1126 DELANEY & KEELS Figure 1. A, Short lingual frenum in a 4-year-old child. B, Child demonstrating the ability to lick his lower lip. Developmental Lesions Geographic Tongue Benign migratory glossitis, or geographic tongue, is a common finding during routine clinical examination of children. -
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. -
Tooth Decay Information
ToothMasters Information on Tooth Decay Definition: Tooth decay is the destruction of the enamel (outer surface) of a tooth. Tooth decay is also known as dental cavities or dental caries. Decay is caused by bacteria that collect on tooth enamel. The bacteria live in a sticky, white film called plaque (pronounced PLAK). Bacteria obtain their food from sugar and starch in a person's diet. When they eat those foods, the bacteria create an acid that attacks tooth enamel and causes decay. Tooth decay is the second most common health problem after the common cold (see common cold entry). By some estimates, more than 90 percent of people in the United States have at least one cavity; about 75 percent of people get their first cavity by the age of five. Description: Anyone can get tooth decay. However, children and the elderly are the two groups at highest risk. Other high-risk groups include people who eat a lot of starch and sugary foods; people who live in areas without fluoridated water (water with fluoride added to it); and people who already have other tooth problems. Tooth decay is also often a problem in young babies. If a baby is given a bottle containing a sweet liquid before going to bed, or if parents soak the baby's pacifier in sugar, honey, or another sweet substance, bacteria may grow on the baby's teeth and cause tooth decay. Causes: Tooth decay occurs when three factors are present: bacteria, sugar, and a weak tooth surface. The sugar often comes from sweet foods such as sugar or honey. -
Desensitizing Agent Reduces Dentin Hypersensitivity During Ultrasonic Scaling: a Pilot Study Dentistry Section
Original Article DOI: 10.7860/JCDR/2015/13775.6495 Desensitizing Agent Reduces Dentin Hypersensitivity During Ultrasonic Scaling: A Pilot Study Dentistry Section TOMONARI SUDA1, HIROAKI KOBAYASHI2, TOSHIHARU AKIYAMA3, TAKUYA TAKANO4, MISA GOKYU5, TAKEAKI SUDO6, THATAWEE KHEMWONG7, YUICHI IZUMI8 ABSTRACT of the dentin hypersensitivity agent. Evaluation of effects on Background: Dentin hypersensitivity can interfere with optimal dentin hypersensitivity was determined by a questionnaire and periodontal care by dentists and patients. The pain associated visual analog scale (VAS) pain scores after ultrasonic scaling. with dentin hypersensitivity during ultrasonic scaling is intolerable The statistical analysis was performed using the paired Student for patient and interferes with the procedure, particularly during t-test and Spearman rank correlation coefficient. supportive periodontal therapy (SPT) for patients with gingival Results: The desensitizing agent reduced the mean VAS pain recession. score from 69.33 ± 16.02 at baseline to 26.08 ± 27.99 after Aim: This study proposed to evaluate the desensitizing effect of application. The questionnaire revealed that >80% patients the oxalic acid agent on pain caused by dentin hypersensitivity were satisfied and requested the application of the desensitizing during ultrasonic scaling. agent for future ultrasonic scaling sessions. Materials and Methods: This study involved 12 patients who Conclusion: This study shows that the application of the oxalic were incorporated in SPT program and complained of dentin acid agent considerably reduces pain associated with dentin hypersensitivity during ultrasonic scaling. We examined the hypersensitivity experienced during ultrasonic scaling. This availability of the oxalic acid agent to compare the degree of pain control treatment may improve patient participation and pain during ultrasonic scaling with or without the application treatment efficiency. -
Msnewsletter 201809 E.Pdf
SEPTEMBER 2018 Volume 24, Issue 3 HEALTHY A newsletter for the members of Central California Alliance for Health YOU AND YOUR HEALTH are important to us. Please call us at 1-800- 700-3874 (TTY: 1-800- 735-2929 or 7-1-1) if you have questions, need help or have concerns about your care as an Alliance member. We’re here to help! Service with a smile! Have you ever wondered who is on the ● Answer questions about your ● Send you a new Alliance ID card if other end of the phone when you call benefits you lose yours Member Services? ● Explain how you can get medical ● Assist you with concerns or Our representatives are caring, care and services complaints dedicated professionals. They are here ● Let you know which doctors and We have representatives in Santa to answer your calls Monday through clinics you can go to Cruz, Monterey and Merced counties. Friday from 8 a.m. to 5:30 p.m. ● Help you choose or change your They live and work in the communities Our representatives are ready to: Primary Care Provider we serve. What they have in common ● Help you understand how your ● Offer interpreter services if you do is that they care about our members health plan works not speak English, Spanish or Hmong and are here to help. Important notice Member Services will not be available on the following dates and times due to companywide or departmental meetings: ● November 7, all day Permit No. 1186 No. Permit ● CA Merced, December 13, from 10:45 a.m. -
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Advances in Health Science Research, volume 8 International Dental Conference of Sumatera Utara 2017 (IDCSU 2017) Black Triangle, Etiology and Treatment Approaches: Literature Review Putri Masraini Lubis Rini Octavia Nasution Resident Lecturer Department of Periodontology Department of Periodontology Faculty of Dentistry, University of Sumatera Utara Faculty of Dentistry, University of Sumatera Utara [email protected] Zulkarnain Lecturer Department of Periodontology Faculty of Dentistry, University of Sumatera Utara Abstract–Currently, beauty and physical appearance is Loss of the interdental papillae results in a condition of a major concern for many people, along with the known as the black triangle. Various factors may affect greater demands of aesthetics in the field of dentistry. in the case of interdental papilla loss, including alveolar Aesthetics of the gingival is one of the most important crest height, interproximal spacing, soft tissue, buccal factors in the success of restorative dental care. The loss of thickness, and extent of contact areas. With the current the interdental papillae results in a condition known as the black triangle. Interdental papilla is one of the most adult population which mostly has periodontal important factors that clinicians should pay attention to, abnormalities, open gingival embrasures are a common especially in terms of aesthetic. The Black triangle can thing. Open gingival embrasures also known as black cause major complaints by the patients such as: aesthetic triangles occur in more than one-third of the adult problems, phonetic problems, food impaction, oral population; black triangle is a state of disappearance of hygiene maintenance problems. The etiology of black the interdental papillae and is a disorder that should be triangle is multi factorial, including loss of periodontal discussed first with the patient before starting treatment.