scholarly journals A Dynamic Technique of Oral Rehabilization Using Fixed Prosthesis and CSC Telescopic Denture for Severe Advanced Periodontitis with Secondary Occlusal Traumatism – A Long-term Case Report

2021 ◽  
Vol 2 (6) ◽  
pp. 14-17
Author(s):  
Guey-Lin Hou
Keyword(s):  
Periodontal Pathogen ◽  
Prosthetic Design ◽  
Periodontal Tissues ◽  
Dynamic Technique ◽  
Gingival Bleeding ◽  
Effective Reduction ◽  
Fixed Prosthesis ◽  
Periodontal Bone Loss ◽  
Maxilla And Mandible

Clinical reports of many literatures had documented that meticulous non-surgical periodontal therapy (NSPT) and combined with periodontal prosthesis application might not only improve periodontal parameters, but also provide effective reduction of microbiological organisms associated with periodontal pathogen. A 54-year old female individual visited with chief complains of gingival bleeding and mobile teeth, and recurrent periodontal abscess over # 13, # 11, # 21, and # 22. Periapical radiographs disclosed moderate periodontal bone loss on the total remained teeth of maxilla and mandible arches. A diagnosis of generalized severe advanced periodontitis (SAP) with secondary occlusal traumatism (SOT) was established. This present case was to document the treatment of a 6 years longitudinally retrospective evaluation of case affected SAP with SOT using treatment of the combination of periodontal and perio-prosthetic design. Results showed that the remarkable improvement of periodontal tissues, reconstruction of posterior bite occlusion and recovery of esthetic appearance. It can be concluded that the Sandwich’s technique in treating patients affected SAP with SOT is an effective and valuable option.

scholarly journals Comparative Evaluation of Porcelain Fused to Metal (PFM) Material used for Fixed Partial Prosthesis Placed on Vital & Non-vital Abutments on the Periodontal Status – A Two Year Retrospective Follow-up

2020 ◽  
pp. 85-92
Author(s):  
Shreya Shetty ◽  
Karunakar Shetty ◽  
Othman Wali ◽  
Raghad Tayeb ◽  
Jumana Abdou ◽  
...  
Keyword(s):  
Phase 1 ◽  
Baseline Phase ◽  
Periodontal Tissues ◽  
Fixed Prosthodontics ◽  
Probing Depth ◽  
Ethical Committee Approval ◽  
Abutment Teeth ◽  
Fixed Prosthesis

Objective: Sound periodontal foundation of abutment teeth is essential for successful restorative therapy and also for long-term success of prosthodontic restorations. Porcelain fused to metal (PFM) has been a popular choice of novel esthetic material in fixed prosthodontics over the last few decades. The present study aimed to assess the long term effect and tissue responses of fixed partial prosthesis using PFM material on vital and non- vital abutments on the periodontal parameters both clinically and radiographically. Methodology: Following ethical committee approval, the study group comprised of 86 abutment teeth in 41 systemically healthy patients (24 males and 17 females) aged between 18 – 45 years who had received 3 unit fixed prosthesis made of PFM, having equigingival margins using vital and non-vital abutments. The following parameters were assessed at baseline, phase 1, 3 and 4 (1 year follow up) – CAL, Probing depth, Distance between CEJ/ cervical crown margin and alveolar crest of the abutment teeth (radiograph). Results: Statistical analysis carried out by SPSSV22 software revealed no significant changes in probing depth and CAL (p>0.05) and significant changes in radiographic bone levels (p<0.05) in vital abutments whereas significant changes in probing depth and CAL from baseline to the end of 2 years (p<0.05) with no changes in radiographic parameters (p>0.05) with non vital abutments. However, significant differences were observed between vital and non vital abutments with regard to probing depth at the end of 2years, CAL and radiographic bone levels at 6months, 1 year and 2 years (p<0.05) Conclusion: The response of the periodontal tissues to the PFM material used on fixed prosthesis on both vital and non vital abutment teeth although favorable, were marginally better in vital abutments.

scholarly journals Influence of Intermittent Parathyroid Hormone (PTH) Administration on the Outcomes of Orthodontic Tooth Movement—A Systematic Review

2021 ◽  
Vol 11 (11) ◽  
pp. 5268
Author(s):  
Zohaib Khurshid ◽  
Faris Yahya Asiri
Keyword(s):  
Parathyroid Hormone ◽  
Animal Studies ◽  
Tooth Movement ◽  
Orthodontic Tooth Movement ◽  
Inclusion Criteria ◽  
Medical Subject Headings ◽  
Periodontal Tissues ◽  
Minimal Bias ◽  
Intermittent Pth

Objective: The aim of this review is to summarize the effects of local and systemic PTH administration on periodontal tissues during orthodontic tooth movement. Materials and methods: An electronic search was conducted on the following databases: PubMed/MEDLINE, Google Scholar, SCOPUS and Embase. On PubMed/MEDLINE, the Medical Subject Headings (MeSH) keywords used were: “orthodontic tooth movement” OR (“tooth” (All Fields) AND “tooth movement” (All Fields)) OR “tooth movement” (All Fields)) AND (“parathyroid hormone”); all studies included using CONSORT. Results: After elimination of duplicates and articles not meeting our inclusion criteria, seven animal studies were included in this review. Although the majority of the studies suggest that PTH may a have a favorable outcome on OTM, most studies were found to have several sources of bias. Conclusion: Animal studies with minimal bias and long-term clinical studies are needed to ascertain the efficacy of intermittent PTH administration in improving the rate and retention of OTM.

scholarly journals CLINICAL COURSE OF PERIODONTAL DISEASES IN PATIENTS WITH POSTMENOPAUSAL OSTEOPOROSIS TREATED WITH BISPHOSPHONATES

2021 ◽  
Vol 11 (2) ◽  
pp. 118-122
Author(s):  
Marietta Sukhorukikh ◽  
Marina Kozlova ◽  
Ekaterina Gorbatova ◽  
Larisa Dzikovitskaya ◽  
Alexey Bashtovoy
Keyword(s):  
Postmenopausal Osteoporosis ◽  
Clinical Course ◽  
Periodontal Diseases ◽  
Prolonged Treatment ◽  
Tablet Form ◽  
Inflammatory Reactions ◽  
Periodontal Tissues ◽  
Dental Examination ◽  
Probe System

The aim of the study was to assess the state of the clinical course of periodontal diseases in patients with postmenopausal osteoporosis (OP), depending on the long-term oral administration of various groups of bisphosphonates (BP). The study included 120 women aged 55–65 years with postmenopausal OP for at least three years who took complex antiosteoporetic therapy, including BP in tablet form. The dental examination included an examination of the oral cavity, the study of the pH of the oral fluid, the hygienic state of the mouth (the "Florida Probe" system). According to the results of the study, it was revealed that prolonged treatment of BP in tablets can provoke the development of inflammatory reactions in periodontal tissues. This phenomenon is associated with a shift in the pH of saliva to the acidic side, at which its buffer properties change.

scholarly journals Gingival enlargement in thalassemia patient – A Conjectural Association

2020 ◽  
Vol 6 (3) ◽  
pp. 74-77
Author(s):  
CS BAIJU ◽  
Gunjan Gupta ◽  
Karuna Joshi ◽  
Shagufta ◽  
N.D Gupta
Keyword(s):  
Single Gene ◽  
Thalassemia Major ◽  
Beta Thalassemia ◽  
Thalassemia Patient ◽  
Anterior Maxilla ◽  
Facial Region ◽  
Periodontal Tissues ◽  
Beta Thalassemia Major ◽  
Gingival Enlargement ◽  
Maxilla And Mandible

Thalassemia is a single gene inherited blood disease. Beta thalassemia major is life threating. It causes abnormality in various organs and oral-facial region. Thalassemia patients are immune-deficient because of iron-overload. Immune system abnormality includes neutrophilic dysfunction and impairment of phagocytosis by the monocyte-macrophage system. Iron accumulation also affects periodontal tissues, which seems to increase the level of cytokines and thus have an enhancing effect on gingival inflammation. This article highlights a peculiar case of gingival enlargement in anterior maxilla and mandible. The patient was known case of a beta-thalassemia major. Blood investigation revealed a lower level of hemoglobin. The patient underwent non-surgical periodontal therapy. Proper periodontal care improves the quality of life in these patients. This case report reinforces the significance of proper history taking with all minor details and the role of patient education in phase I therapy

scholarly journals Periodontitis-level butyrate-induced ferroptosis in periodontal ligament fibroblasts by activation of ferritinophagy

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Yunhe Zhao ◽  
Jiao Li ◽  
Wei Guo ◽  
Houxuan Li ◽  
Lang Lei
Keyword(s):  
Cell Death ◽  
Periodontal Ligament ◽  
Iron Homeostasis ◽  
Glutathione Depletion ◽  
Periodontal Pocket ◽  
Periodontal Ligament Fibroblasts ◽  
Periodontal Tissues ◽  
Regulated Cell Death ◽  
Long Term Treatment

Abstract Loss of periodontal ligament fibroblasts (PDLFs) is one critical issue for regenerating lost periodontal tissues. A wide variety of regulated cell death pathways, such as apoptosis, pyroptosis, and necroptosis have been proposed in the periodontitis development. The aim of the present study was to explore whether long-term periodontitis-level butyrate may trigger ferroptosis, a newly characterized iron-dependent regulated cell death in PDLFs. Here, we showed that long-term treatment of butyrate, an important short-chain fatty acid in the periodontal pocket, induces the cargo receptor nuclear receptor coactivator 4 (NCOA4)-mediated ferritinophagy and ferroptosis in PDLFs. Butyrate-induced iron accumulation, reactive oxygen species (ROS) generation, glutathione depletion and lipid peroxidation in PDLFs, and the butyrate-induced ferroptosis can be blocked by the lipid peroxide scavenger ferrostatin-1. The NCOA4-mediated ferritinophagy is dependent on p38/hypoxia inducible factor-1α (HIF-1α) pathway activation as well as Bromodomain-containing protein (BRD) 4 and cyclin-dependent kinase 9 (CDK9) coordination. These lines of evidence provide a new mechanistic insight into the mechanism of loss of PDLFs during periodontitis development, showing that periodontitis-level butyrate disrupted iron homeostasis by activation of NCOA4-mediated ferritinophagy, leading to ferroptosis in PDLFs.

scholarly journals Effect of Orthodontic Treatment on Tooth Autotransplantation: Systematic Review of Controlled Clinical Trials

2020 ◽  
Vol 14 (03) ◽  
pp. 467-482
Author(s):  
Rogério Lacerda-Santos ◽  
Rhaíssa Ferreira Canutto ◽  
José Lucas dos Santos Araújo ◽  
Fabiola Galbiatti de Carvalho ◽  
Eliseu Aldrighi Münchow ◽  
...  
Keyword(s):  
Systematic Review ◽  
Clinical Trials ◽  
Randomized Clinical Trials ◽  
Risk Of Bias ◽  
Significant Heterogeneity ◽  
Controlled Clinical Trials ◽  
Periodontal Tissues ◽  
Orthodontic Movement ◽  
Anterior Teeth

AbstractThis systematic review was focused on evaluating tooth autotransplantation, considering its impacts on the teeth, bone, soft tissues, and aesthetics in orthodontic patients. A bibliographic search was conducted without limitations on year of publication or language in the databases of PubMed, Web of Science, Scopus, Medline Complete, Cochrane, Clinical Trials, and Trials Central. For triage of articles, indications, surgical planning, orthodontic movement, risk factors for treatment, and long-term follow-ups were considered. For outcomes, the results with reference to teeth, alveolar bone, periodontal tissues, and esthetic satisfaction were considered. Risk of bias was evaluated using the methodological index for nonrandomized studies-MINORS. The results showed 10 controlled clinical trials, and no randomized clinical trials were found. The selected studies included 715 patients and 934 autotransplanted teeth among which there were premolars, molars, and anterior teeth evaluated in the long term, indicating that orthodontics associated with autotransplantation indicated a result that was generally clinically acceptable. The quality of the set of evidence was considered medium due to the presence of different methodological problems, risk of bias, and significant heterogeneity in the evaluated studies. There was a sufficient body of evidence that justified autotransplantation in patients who needed orthodontic movement. In teeth, there was an increase in root resorption influenced by orthodontics, but without impacting on the general clinical result in the long term. Bone and periodontal tissue do not appear to be affected by orthodontics. The patient’s aesthetic satisfaction was not considered in the studies.

Peri-Implant Plastic Surgical Approaches to Increasing Keratinized Mucosa Width: Which to Use and When?

2015 ◽  
Vol 41 (3) ◽  
pp. e73-e81 ◽  
Author(s):  
Esra Baltacıoğlu ◽  
Bora Bağış ◽  
Fatih Mehmet Korkmaz ◽  
Güven Aydın ◽  
Pınar Yuva ◽  
...  
Keyword(s):  
Plastic Surgery ◽  
Treatment Protocol ◽  
Clinical Findings ◽  
Surgical Approaches ◽  
Free Gingival Graft ◽  
Radiographic Measurements ◽  
Soft Tissue Problems ◽  
Maxilla And Mandible ◽  
Keratinized Mucosa

The long-term efficacy of adequate keratinized mucosa (&gt;2 mm) in dental implants is controversial. Peri-implant plastic surgeries are currently used because they increase keratinized mucosa width (KMW), helping to regain peri-implant health and maintaining it over the long-term. We present the clinical findings using free-gingival-graft (FGG) and free-periosteal-graft (FPG) techniques in peri-implant plastic surgery for implant rehabilitation patients. We included 20 patients with implant indications of inadequate KMW (KMW &lt; 2 mm for postimplantation) in the maxilla and mandible. All underwent clinical and radiographic measurements and a treatment protocol was prepared for implant rehabilitation and subsequent peri-implant plastic surgery. A decision as to whether and when FGG or FPG techniques would be used was made. FGG/FPG was performed pre-implantation (before monocortical block-bone augmentation) or postimplantation (before/during/after stage 2 surgery). KMW was ≥ 2 mm after application of FGG/FPG pre- or post-implantation. Moreover, peri-implant tissue health was regained/maintained in all cases from 6 months to 4 years. Peri-implant plastic surgery techniques can prevent hard- and soft-tissue problems after implant rehabilitation and during treatment of developing problems. However, surgical design and timing, and an interdisciplinary perspective determine the success of peri-implant plastic surgery.

scholarly journals Influence of Different Composites and Polishing Techniques on Periodontal Tissues near Noncarious Cervical Lesions: A Controlled, Randomized, Blinded Clinical Trial

2019 ◽  
Vol 13 (04) ◽  
pp. 635-641
Author(s):  
Nancielli Teixeira ◽  
Mariana Benedetti Ferreira Webber ◽  
Carlos Augusto Nassar ◽  
Veridiana Camilotti ◽  
Marcio José Mendonça ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Time Factor ◽  
Gingival Index ◽  
Cervical Lesions ◽  
Bleeding On Probing ◽  
Periodontal Tissues ◽  
Probing Depth ◽  
Long Term Effect ◽  
Friedman's Test

Abstract Objectives This study evaluated the long-term effect on gingival tissues near noncarious cervical lesions after restoration with different composites in association with two different polishing techniques. Materials and Methods This study was conducted on 60 patients as a randomized, split-mouth, single-blind clinical trial and divided into four groups (n = 15) and restored using different composites (Tetric N-Ceram nanohibride or Z350 XT nanoparticles) and polishing materials (Astropol or Sof-Lex). The periodontal parameters analyzed were Silness–Löe plaque index; Silness–Löe gingival index; probing depth, clinical insertion level; and bleeding on probing. Periodontal analysis was performed before scaling and root planing at 30, 60, 120, and 180 days after restoration. Statistical Analysis The data submitted to the Friedman’s test were employed for comparison between groups (p < 0.05). Results Statistically significant differences between Z350/Astropol and other groups were observed for visible plaque and probing depth. Gingival index Tetric/Sof-Lex, the time factor did not influence the results. All experiment groups exhibited statistically significant differences in the clinical level of insertion when the follow-up time was considered. Percentage of bleeding on probing, in which there was a difference only with regard to group Tetric/Sof-Lex when the time factor was considered. Conclusion The evaluated composites and polishing techniques did not exhibit differences in performance in the periodontal parameters analyzed at the end of 6 months of evaluation.

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