This document describes two case reports that demonstrate how using a laser after regenerative surgery for peri-implantitis can lead to improved outcomes. In the first case, the initial surgery was only partially successful in treating advanced peri-implant bone loss. Five months later, the area was treated with an Nd:YAG laser, along with soft tissue curettage and antibiotics. One year later, the clinical outcomes had greatly improved with reduced soft tissue inflammation and probing depths within normal limits. The second case similarly showed improved results after using a CO2 laser following an initial unsuccessful regenerative surgery. The cases suggest that lasers may help treat peri-implantitis by removing titanium particles and cement remnants that can persist after other
prevention of peri implant disease 8.pdfmlhdakafera
The document discusses prevention of peri-implant disease by identifying risk factors and proper maintenance. It identifies factors such as a history of periodontal disease, lack of maintenance therapy, smoking, diabetes, incorrect implant positioning, excess cement, and improper prosthetic design as increasing the risk of peri-implantitis. Regular cleaning using non-abrasive tools and polishes as well as a soft toothbrush are recommended for implant maintenance to prevent plaque buildup and bone loss.
This document discusses implant maintenance, including plaque biofilm and its role in peri-implant diseases like mucositis and periimplantitis. It describes the implant maintenance appointment procedure and criteria for assessing implant health, such as probing depth and bleeding. Factors that can contribute to crestal bone loss and early or late implant failures are also outlined. The importance of establishing a baseline, evaluating occlusion, and taking annual radiographs is emphasized for monitoring implant health over time.
ORTHODONTIC TREATMENT OF PERIODONTALLY DAMAGED TEETH - AN INTERDISCIPLINARY A...Abu-Hussein Muhamad
This document describes an interdisciplinary case involving orthodontic treatment of a patient with periodontal damage. The patient had a deep periodontal pocket and bone loss around tooth 26. Guided tissue regeneration (GTR) and a bone graft were used to regenerate the defect before orthodontic treatment. Orthodontic treatment was then performed to align the teeth. The periodontal therapy and bone regeneration prior to orthodontics helped to improve the periodontal health and allowed for successful orthodontic treatment.
Amato2019immediate loading of implant insertred throughMohamed Elsayed
This case series evaluated the survival rate and complications of immediately loading dental implants inserted through impacted teeth in the anterior maxilla or mandible. Seven patients received a total of 11 implants, which were immediately inserted using piezosurgery to drill through the impacted teeth. All implants integrated successfully without complications and were followed for 5-7 years. The results suggest this unconventional approach may be a viable option to avoid invasive procedures for removing impacted teeth. However, more studies are needed to validate this technique.
This case report describes a rare case of a 56-year-old female patient who presented with four isolated gingival enlargements, one on each side of her upper and lower molars. Histopathological examination determined the lesions were epulides. This finding of four separate epulides was termed "Quadra Epulis". The epulides were surgically excised and antibiotics were prescribed. Follow up was recommended to minimize recurrence. This report describes a unique presentation of multiple epulis lesions not previously reported in the literature.
Crestal bone loss around dental implants after implantation of Tricalcium pho...Dr. Anuj S Parihar
Background and Aims: Bone loss around dental implants is generally measured by monitoring changes in marginal bone level using radiographs. After the first year of implantation, an implant should have <0.2 mm annual loss of marginal bone level to satisfy the criteria of success. However, the success rate of dental implants depends on the amount of the crestal bone around the implants. The main aim of this study was to evaluate and compare the crestal bone loss around implants placed with particulate β‑Tricalcium Phosphate Bone Graft and platelet concentrates. Methods: 50 individuals received hundred dental implants. Each individual received one dental implant in the edentulous site filled with β‑Tricalcium Phosphate Bone Graft along (β‑TCP) with Platelet‑ Rich Plasma (PRP)
(Group A) and another in edentulous site filled only with β‑Tricalcium Phosphate Bone Graft (Group B) in the posterior edentulous region. All the 100 implants were prosthetically loaded after a healing period of three months. Crestal bone loss was measured on mesial, distal, buccal and lingual side of each implant using periapical radiographs 3 months, 6 months and 9 months after implant placement. Results: The average crestal bone loss 9 months after the implants placement in Group A and Group B was 2.75 mm and 2.23 mm respectively, the value being statistically significant (P < 0.05). In both Group A and Group B, the average crestal bone loss was maximum on the lingual side followed by buccal, distal and mesial sides. Conclusion: β‑TCP is a promising biomaterial for clinical
situations requiring bone augmentation. However, the addition of PRP results in decreased bone loss around the dental implants.
Dense Evaginatus: Management Using Novel Materials A Case ReportQUESTJOURNAL
ABSTRACT: Dens evaginatus is an uncommon developmental anomaly of human dentition characterized by a projection of enamel and dentin that usually encloses pulp tissue. Most commonly found as the tubercle on the occlusal surface of mandibular premolars and lingual surface of anterior teeth.Due to occlusal trauma this tubercle tends to fracture thus exposing the pathway to the pulp chamber of teeth. This case reports about the presentation of dens evaginatus in mandibular premolar 35 which was associated with open apex and chronic apical periodontitis. Root canal treatment was performed with tooth 35. DFDBA apical barrier and Biodentine as an apical plug was placed showing successful management of the same.
Non-Surgical Repair of A Perforation Defect-A Case ReportQUESTJOURNAL
ABSTRACT: Iatrogenic root perforations, which may have serious implications, occur in approximately 2- 12% of endodontically treated teeth. Root perforation repair has historically been an unpredictable treatment modality, with an unacceptably high rate of clinical failure. Successful management of root perforations is dependent on early diagnosis of the defect, location of the perforation, choice of treatment, materials used, host response, and the experience of the practitioner. This case report presents the successful management of a nonsurgical iatrogenic perforation repair
prevention of peri implant disease 8.pdfmlhdakafera
The document discusses prevention of peri-implant disease by identifying risk factors and proper maintenance. It identifies factors such as a history of periodontal disease, lack of maintenance therapy, smoking, diabetes, incorrect implant positioning, excess cement, and improper prosthetic design as increasing the risk of peri-implantitis. Regular cleaning using non-abrasive tools and polishes as well as a soft toothbrush are recommended for implant maintenance to prevent plaque buildup and bone loss.
This document discusses implant maintenance, including plaque biofilm and its role in peri-implant diseases like mucositis and periimplantitis. It describes the implant maintenance appointment procedure and criteria for assessing implant health, such as probing depth and bleeding. Factors that can contribute to crestal bone loss and early or late implant failures are also outlined. The importance of establishing a baseline, evaluating occlusion, and taking annual radiographs is emphasized for monitoring implant health over time.
ORTHODONTIC TREATMENT OF PERIODONTALLY DAMAGED TEETH - AN INTERDISCIPLINARY A...Abu-Hussein Muhamad
This document describes an interdisciplinary case involving orthodontic treatment of a patient with periodontal damage. The patient had a deep periodontal pocket and bone loss around tooth 26. Guided tissue regeneration (GTR) and a bone graft were used to regenerate the defect before orthodontic treatment. Orthodontic treatment was then performed to align the teeth. The periodontal therapy and bone regeneration prior to orthodontics helped to improve the periodontal health and allowed for successful orthodontic treatment.
Amato2019immediate loading of implant insertred throughMohamed Elsayed
This case series evaluated the survival rate and complications of immediately loading dental implants inserted through impacted teeth in the anterior maxilla or mandible. Seven patients received a total of 11 implants, which were immediately inserted using piezosurgery to drill through the impacted teeth. All implants integrated successfully without complications and were followed for 5-7 years. The results suggest this unconventional approach may be a viable option to avoid invasive procedures for removing impacted teeth. However, more studies are needed to validate this technique.
This case report describes a rare case of a 56-year-old female patient who presented with four isolated gingival enlargements, one on each side of her upper and lower molars. Histopathological examination determined the lesions were epulides. This finding of four separate epulides was termed "Quadra Epulis". The epulides were surgically excised and antibiotics were prescribed. Follow up was recommended to minimize recurrence. This report describes a unique presentation of multiple epulis lesions not previously reported in the literature.
Crestal bone loss around dental implants after implantation of Tricalcium pho...Dr. Anuj S Parihar
Background and Aims: Bone loss around dental implants is generally measured by monitoring changes in marginal bone level using radiographs. After the first year of implantation, an implant should have <0.2 mm annual loss of marginal bone level to satisfy the criteria of success. However, the success rate of dental implants depends on the amount of the crestal bone around the implants. The main aim of this study was to evaluate and compare the crestal bone loss around implants placed with particulate β‑Tricalcium Phosphate Bone Graft and platelet concentrates. Methods: 50 individuals received hundred dental implants. Each individual received one dental implant in the edentulous site filled with β‑Tricalcium Phosphate Bone Graft along (β‑TCP) with Platelet‑ Rich Plasma (PRP)
(Group A) and another in edentulous site filled only with β‑Tricalcium Phosphate Bone Graft (Group B) in the posterior edentulous region. All the 100 implants were prosthetically loaded after a healing period of three months. Crestal bone loss was measured on mesial, distal, buccal and lingual side of each implant using periapical radiographs 3 months, 6 months and 9 months after implant placement. Results: The average crestal bone loss 9 months after the implants placement in Group A and Group B was 2.75 mm and 2.23 mm respectively, the value being statistically significant (P < 0.05). In both Group A and Group B, the average crestal bone loss was maximum on the lingual side followed by buccal, distal and mesial sides. Conclusion: β‑TCP is a promising biomaterial for clinical
situations requiring bone augmentation. However, the addition of PRP results in decreased bone loss around the dental implants.
Dense Evaginatus: Management Using Novel Materials A Case ReportQUESTJOURNAL
ABSTRACT: Dens evaginatus is an uncommon developmental anomaly of human dentition characterized by a projection of enamel and dentin that usually encloses pulp tissue. Most commonly found as the tubercle on the occlusal surface of mandibular premolars and lingual surface of anterior teeth.Due to occlusal trauma this tubercle tends to fracture thus exposing the pathway to the pulp chamber of teeth. This case reports about the presentation of dens evaginatus in mandibular premolar 35 which was associated with open apex and chronic apical periodontitis. Root canal treatment was performed with tooth 35. DFDBA apical barrier and Biodentine as an apical plug was placed showing successful management of the same.
Non-Surgical Repair of A Perforation Defect-A Case ReportQUESTJOURNAL
ABSTRACT: Iatrogenic root perforations, which may have serious implications, occur in approximately 2- 12% of endodontically treated teeth. Root perforation repair has historically been an unpredictable treatment modality, with an unacceptably high rate of clinical failure. Successful management of root perforations is dependent on early diagnosis of the defect, location of the perforation, choice of treatment, materials used, host response, and the experience of the practitioner. This case report presents the successful management of a nonsurgical iatrogenic perforation repair
Treatment of gingival recession using coronally advanced flapShruti Maroo
This document describes a case study evaluating the efficacy of the coronally advanced flap technique for treating gingival recession. A 27-year old male patient presented with Miller's Class I gingival recession on teeth 22 and 23, along with sensitivity. The coronally advanced flap procedure was performed, involving incisions and elevation of a partial-thickness flap. One month and three months post-operatively, the patient showed uneventful healing and 100% root coverage, with reduction in sensitivity and no probing defects. The coronally advanced flap technique alone can successfully treat gingival recession when residual gingiva is thick and wide, resulting in good esthetic and functional outcomes.
This document discusses apical periodontitis (AP), an inflammatory disease caused by polymicrobial infection of the root canal. It provides context on the historical use of intracanal medicaments and discusses the present status and future directions of intracanal medicaments. Specifically, it notes that intracanal medicaments are still useful for confirming initial signs of healing or symptom resolution before completing treatment, but that their efficacy is unpredictable in the presence of debris. The document also discusses limitations of classifying AP as a binary disease and the need for a more thorough classification that considers characteristics of bone loss severity.
This document describes a case of a patient with microstomia (reduced oral aperture) due to extensive post-surgical facial scarring. Standard impression techniques could not be used due to the small mouth opening. The dentists innovatively used impression compound on an articulator bite fork to create a preliminary impression, allowing for complete denture construction. The patient was ultimately satisfied with the functional and aesthetic outcome, though she continues to experience recurring skin cancers. The technique of using a bite fork with compound is recommended for similar microstomia cases where small stock trays do not fit.
Atrophied Edentulous Mandible with Implant-Supported Overdenture; A 10-year f...Abu-Hussein Muhamad
Abstract: Severe atrophy of the inferior alveolar process and underlying basal bone often results in problems with a lower denture. These problems include insufficient retention of the lower denture, intolerance to loading by the mucosa, pain, difficulties with eating and speech, loss of soft-tissue support, and altered facial appearance. These problems are a challenge for the prosthodontist and surgeon. In this case report, patient with resorbed edentulous mandible was successfully rehabilitated using two dental implants placed in the interforaminal region with ball abutments opposing conventional maxillary complete denture. Key Words: dental implants; dental prosthesis, implant-supported; resorption,
This case series examines a new surgical technique for regenerating interimplant papillae using subepithelial connective tissue grafts. 10 patients with missing papillae between implant restorations received the new procedure involving buccal and palatal incisions made away from the papilla to preserve blood supply, and tunneling performed with a specialized instrument. The papillae scores improved on average from 0.8 to 2.4 after 16 months, demonstrating regeneration of the papillae over 11-30 months. However, long-term studies are still needed to validate the technique and outcomes.
Treatment of Endodontic –Periodontic lesion with combination therapy: PRF and...iosrjce
This document describes a case study of a patient with a primary endodontic and secondary periodontic lesion treated with a combination of platelet rich fibrin (PRF) and demineralized freeze dried bone allograft (DFDBA). The patient presented with bleeding gums and a 15mm periodontal pocket around tooth #46. Endodontic treatment was performed initially, followed by regenerative periodontal surgery 3 months later using DFDBA bone graft material and a PRF membrane. Follow up at 6 months found reduced pocket depth and increased bone fill on radiographs, indicating the combination therapy was effective at treating the combined endo-perio lesion.
This case report describes the successful treatment of a 59-year-old edentulous female patient with a two-implant overdenture. Two implants were placed in the mandible using a surgical guide. After osseointegration was confirmed, ball abutments were attached to the implants and connected to an overdenture with O-rings. The patient was able to eat with the new prosthesis. Follow-ups showed good outcomes with minor gingivitis resolved with education. The report concludes two-implant overdentures provide an affordable option for edentulous patients.
Surgery of Labially Impacted Canine & Orthodontic Management – A Case ReportAbu-Hussein Muhamad
Maxillary canines are one of the most common teeth that are impacted among patients seeking orthodontic treatment. Depending on the position of these impacted teeth, various surgical techniques have been employed for their exposure. His primary goal of surgical phase is to provide the means for correct position of orthodontic anchorage. Additionally, the technique used must ensure favorable tissue anatomy that will permit long-term maintenance of periodontal health. In the present case, a labially impacted maxillary left canine was surgically exposed using an apically positioned flap. Orthodontic extrusion was carried out further.
periodontal regeneration article in grade III mobile tooth with poor prognosisAvadhesh Tiwari
This case report describes the treatment of a periodontal intrabony defect using a combination of demineralized freeze-dried bone allograft (DFDBA) and platelet-rich fibrin (PRF). A 45-year old female patient presented with a grade III mobile tooth and intrabony defect. Non-surgical therapy was initially performed followed by regenerative surgery using DFDBA mixed with PRF to fill the defect. Follow-up at 6 months found reduced pocket depth, clinical attachment gain, reduced mobility, and bone fill on radiographs, indicating regeneration. The report concludes the combination of DFDBA and PRF resulted in superior clinical outcomes for treating the intrabony defect.
This document discusses peri-implant diseases, their management, and differences from periodontal diseases. It defines peri-implant mucositis as an inflammatory reaction restricted to soft tissues around implants that is reversible with treatment. Peri-implantitis is defined as inflammatory reaction of soft tissues plus clinically detectable bone loss around implants. Key differences between tooth and implant interfaces are described. Etiology of peri-implant diseases includes poor oral hygiene and microbial factors. Diagnosis involves probing depth, bleeding, bone loss on radiographs. Management involves non-surgical debridement followed by systemic antibiotics and surgical therapies like bone grafting for advanced cases.
This document discusses impacted and unerupted maxillary incisors. It provides information on prevalence, causes such as supernumerary teeth or odontomes, and classifications of delayed eruption. For management, it recommends examining patient history, radiographs, and surgical exposure techniques. Surgical exposure can be open, involve an apically repositioned flap, or use a closed eruption procedure. Factors like position, angulation, and amount of attached gingiva determine the best exposure technique. Orthodontic treatment may involve space creation, surgical exposure with orthodontic alignment, or tooth removal and space management. Complications of orthodontic treatment include relapse, non-compliance, root resorption,
Dens evaginatus- a problem based approachAshok Ayer
Dens evaginatus is an uncommon developmental anomaly of human dentition characterized by the presence of tubercle on the occlusal surface of mandibular premolars and lingual surface of anterior teeth.Due to occlusal trauma, this tubercle tends to fracture thus exposing the pathway to the pulp chamber of teeth. This case report is about the presentation of dens evaginatus in mandibular premolars bilaterally; among them, tooth 44 was associated with chronic apical periodontitis. Fractured tubercle of three premolars was sealed with composite resin. Root canal treatment was performed with tooth 44. Routine endodontic treatment did not result in remission of infection.Therefore, culture and sensitivity tests were performed to identify the cause and modify treatment plan accordingly. The triple antibiotic paste was used as an intracanal medicament to disinfect the root canal that resulted in remission of infection.
This case report describes the replacement of congenitally missing bilateral maxillary lateral incisors and a right mandibular premolar with dental implants in a 22-year old female patient. The treatment involved first extracting retained primary canines and using orthodontics to gain space between teeth for implant placement. Implants were then surgically placed and allowed to heal, followed by the placement of abutments and final prosthesis. The treatment achieved excellent esthetic and functional results through an interdisciplinary approach between orthodontics, periodontics, and prosthodontics.
Immediate implant placement following tooth extraction a case reportAbu-Hussein Muhamad
Immediate dental implants are an attractive option to patients and dentists. This paper report the management of a
fractured right permanent maxillary central incisor with extraction of the root followed by immediate implant placement
with two years follow-up.
A 12-year-old female presented with swelling and pain in the right lower back tooth region. Radiographs revealed a well-defined radiolucency surrounding the right mandibular first, second, and third molars. The lesion was enucleated along with extraction of the involved teeth. Histopathological examination found a cystic cavity lined by non-keratinized epithelium, consistent with a radicular cyst. Follow-up after 1 month showed complete healing. This case report describes the presentation, management, and outcomes of a large multi-tooth radicular cyst in the mandible of a pediatric patient.
36.Kesharwani P, Hussain SA, Sharma N, Karpathak S, Bhanot R, Kothari S, Tiwari RVC. Massive radicular cyst involving multiple teeth in pediatric mandible- A case report. J Family Med Prim Care. 2020 Feb;9(2):1253-1256. doi: 10.4103/jfmpc.jfmpc_1059_19. eCollection 2020 Feb. PubMed PMID: 32318508; PubMed Central PMCID: PMC7113959.
PULP REVASCULARIZATION OF A NECROTIC INFECTED IMMATURE PERMANENT TOOTH: A CAS...Abu-Hussein Muhamad
This document summarizes a case report of regenerative endodontic treatment (revascularization) of a necrotic, immature permanent tooth. Specifically:
- An 11-year-old patient presented with a necrotic tooth that had undergone previous calcium hydroxide treatment but remained immature.
- The tooth underwent cleaning and disinfection, followed by a bleeding induction technique to form a blood clot and promote revascularization. MTA was then used to seal the canal.
- Follow up radiographs at 10 and 12 months showed continued root development, thickening of root walls, and periapical healing, indicating success of the revascularization procedure.
- Revascularization represents a
11.Mathew P, Rahul VCT, Mullath A, David J, Tiwari H. An unusual case of Ectopic Eruption of Supernumerary Mandibular Molar tooth in Coronoid. Int J Oral Health Med Res 2017;4(5):51-54.
This document discusses the different types of hypersensitivity reactions as classified by Gell and Coombs. It provides details on type I (immediate), type II (antibody-mediated), type III (immune complex-mediated), and type IV (delayed) hypersensitivity reactions, including the antibodies or cells involved, examples of diseases, and a brief description of the immunological reaction for each type. It also discusses contact stomatitis as an uncommon allergic reaction affecting the inside of the mouth.
The document provides an overview of lasers in dentistry, including:
1. A definition of lasers and their key characteristics of being monochromatic, coherent, and directional.
2. A brief history of lasers from early phototherapy research to the invention of the laser in 1960.
3. Descriptions of common dental laser types like CO2, Er:YAG, and Nd:YAG lasers and their applications like soft tissue surgery.
4. Advantages of lasers include reduced bleeding, less pain, and faster healing times compared to traditional scalpel procedures.
More Related Content
Similar to A Rationale for Postsurgical Laser Use to Effectively Treat Dental Implants_Froum_2020 (2).pdf
Treatment of gingival recession using coronally advanced flapShruti Maroo
This document describes a case study evaluating the efficacy of the coronally advanced flap technique for treating gingival recession. A 27-year old male patient presented with Miller's Class I gingival recession on teeth 22 and 23, along with sensitivity. The coronally advanced flap procedure was performed, involving incisions and elevation of a partial-thickness flap. One month and three months post-operatively, the patient showed uneventful healing and 100% root coverage, with reduction in sensitivity and no probing defects. The coronally advanced flap technique alone can successfully treat gingival recession when residual gingiva is thick and wide, resulting in good esthetic and functional outcomes.
This document discusses apical periodontitis (AP), an inflammatory disease caused by polymicrobial infection of the root canal. It provides context on the historical use of intracanal medicaments and discusses the present status and future directions of intracanal medicaments. Specifically, it notes that intracanal medicaments are still useful for confirming initial signs of healing or symptom resolution before completing treatment, but that their efficacy is unpredictable in the presence of debris. The document also discusses limitations of classifying AP as a binary disease and the need for a more thorough classification that considers characteristics of bone loss severity.
This document describes a case of a patient with microstomia (reduced oral aperture) due to extensive post-surgical facial scarring. Standard impression techniques could not be used due to the small mouth opening. The dentists innovatively used impression compound on an articulator bite fork to create a preliminary impression, allowing for complete denture construction. The patient was ultimately satisfied with the functional and aesthetic outcome, though she continues to experience recurring skin cancers. The technique of using a bite fork with compound is recommended for similar microstomia cases where small stock trays do not fit.
Atrophied Edentulous Mandible with Implant-Supported Overdenture; A 10-year f...Abu-Hussein Muhamad
Abstract: Severe atrophy of the inferior alveolar process and underlying basal bone often results in problems with a lower denture. These problems include insufficient retention of the lower denture, intolerance to loading by the mucosa, pain, difficulties with eating and speech, loss of soft-tissue support, and altered facial appearance. These problems are a challenge for the prosthodontist and surgeon. In this case report, patient with resorbed edentulous mandible was successfully rehabilitated using two dental implants placed in the interforaminal region with ball abutments opposing conventional maxillary complete denture. Key Words: dental implants; dental prosthesis, implant-supported; resorption,
This case series examines a new surgical technique for regenerating interimplant papillae using subepithelial connective tissue grafts. 10 patients with missing papillae between implant restorations received the new procedure involving buccal and palatal incisions made away from the papilla to preserve blood supply, and tunneling performed with a specialized instrument. The papillae scores improved on average from 0.8 to 2.4 after 16 months, demonstrating regeneration of the papillae over 11-30 months. However, long-term studies are still needed to validate the technique and outcomes.
Treatment of Endodontic –Periodontic lesion with combination therapy: PRF and...iosrjce
This document describes a case study of a patient with a primary endodontic and secondary periodontic lesion treated with a combination of platelet rich fibrin (PRF) and demineralized freeze dried bone allograft (DFDBA). The patient presented with bleeding gums and a 15mm periodontal pocket around tooth #46. Endodontic treatment was performed initially, followed by regenerative periodontal surgery 3 months later using DFDBA bone graft material and a PRF membrane. Follow up at 6 months found reduced pocket depth and increased bone fill on radiographs, indicating the combination therapy was effective at treating the combined endo-perio lesion.
This case report describes the successful treatment of a 59-year-old edentulous female patient with a two-implant overdenture. Two implants were placed in the mandible using a surgical guide. After osseointegration was confirmed, ball abutments were attached to the implants and connected to an overdenture with O-rings. The patient was able to eat with the new prosthesis. Follow-ups showed good outcomes with minor gingivitis resolved with education. The report concludes two-implant overdentures provide an affordable option for edentulous patients.
Surgery of Labially Impacted Canine & Orthodontic Management – A Case ReportAbu-Hussein Muhamad
Maxillary canines are one of the most common teeth that are impacted among patients seeking orthodontic treatment. Depending on the position of these impacted teeth, various surgical techniques have been employed for their exposure. His primary goal of surgical phase is to provide the means for correct position of orthodontic anchorage. Additionally, the technique used must ensure favorable tissue anatomy that will permit long-term maintenance of periodontal health. In the present case, a labially impacted maxillary left canine was surgically exposed using an apically positioned flap. Orthodontic extrusion was carried out further.
periodontal regeneration article in grade III mobile tooth with poor prognosisAvadhesh Tiwari
This case report describes the treatment of a periodontal intrabony defect using a combination of demineralized freeze-dried bone allograft (DFDBA) and platelet-rich fibrin (PRF). A 45-year old female patient presented with a grade III mobile tooth and intrabony defect. Non-surgical therapy was initially performed followed by regenerative surgery using DFDBA mixed with PRF to fill the defect. Follow-up at 6 months found reduced pocket depth, clinical attachment gain, reduced mobility, and bone fill on radiographs, indicating regeneration. The report concludes the combination of DFDBA and PRF resulted in superior clinical outcomes for treating the intrabony defect.
This document discusses peri-implant diseases, their management, and differences from periodontal diseases. It defines peri-implant mucositis as an inflammatory reaction restricted to soft tissues around implants that is reversible with treatment. Peri-implantitis is defined as inflammatory reaction of soft tissues plus clinically detectable bone loss around implants. Key differences between tooth and implant interfaces are described. Etiology of peri-implant diseases includes poor oral hygiene and microbial factors. Diagnosis involves probing depth, bleeding, bone loss on radiographs. Management involves non-surgical debridement followed by systemic antibiotics and surgical therapies like bone grafting for advanced cases.
This document discusses impacted and unerupted maxillary incisors. It provides information on prevalence, causes such as supernumerary teeth or odontomes, and classifications of delayed eruption. For management, it recommends examining patient history, radiographs, and surgical exposure techniques. Surgical exposure can be open, involve an apically repositioned flap, or use a closed eruption procedure. Factors like position, angulation, and amount of attached gingiva determine the best exposure technique. Orthodontic treatment may involve space creation, surgical exposure with orthodontic alignment, or tooth removal and space management. Complications of orthodontic treatment include relapse, non-compliance, root resorption,
Dens evaginatus- a problem based approachAshok Ayer
Dens evaginatus is an uncommon developmental anomaly of human dentition characterized by the presence of tubercle on the occlusal surface of mandibular premolars and lingual surface of anterior teeth.Due to occlusal trauma, this tubercle tends to fracture thus exposing the pathway to the pulp chamber of teeth. This case report is about the presentation of dens evaginatus in mandibular premolars bilaterally; among them, tooth 44 was associated with chronic apical periodontitis. Fractured tubercle of three premolars was sealed with composite resin. Root canal treatment was performed with tooth 44. Routine endodontic treatment did not result in remission of infection.Therefore, culture and sensitivity tests were performed to identify the cause and modify treatment plan accordingly. The triple antibiotic paste was used as an intracanal medicament to disinfect the root canal that resulted in remission of infection.
This case report describes the replacement of congenitally missing bilateral maxillary lateral incisors and a right mandibular premolar with dental implants in a 22-year old female patient. The treatment involved first extracting retained primary canines and using orthodontics to gain space between teeth for implant placement. Implants were then surgically placed and allowed to heal, followed by the placement of abutments and final prosthesis. The treatment achieved excellent esthetic and functional results through an interdisciplinary approach between orthodontics, periodontics, and prosthodontics.
Immediate implant placement following tooth extraction a case reportAbu-Hussein Muhamad
Immediate dental implants are an attractive option to patients and dentists. This paper report the management of a
fractured right permanent maxillary central incisor with extraction of the root followed by immediate implant placement
with two years follow-up.
A 12-year-old female presented with swelling and pain in the right lower back tooth region. Radiographs revealed a well-defined radiolucency surrounding the right mandibular first, second, and third molars. The lesion was enucleated along with extraction of the involved teeth. Histopathological examination found a cystic cavity lined by non-keratinized epithelium, consistent with a radicular cyst. Follow-up after 1 month showed complete healing. This case report describes the presentation, management, and outcomes of a large multi-tooth radicular cyst in the mandible of a pediatric patient.
36.Kesharwani P, Hussain SA, Sharma N, Karpathak S, Bhanot R, Kothari S, Tiwari RVC. Massive radicular cyst involving multiple teeth in pediatric mandible- A case report. J Family Med Prim Care. 2020 Feb;9(2):1253-1256. doi: 10.4103/jfmpc.jfmpc_1059_19. eCollection 2020 Feb. PubMed PMID: 32318508; PubMed Central PMCID: PMC7113959.
PULP REVASCULARIZATION OF A NECROTIC INFECTED IMMATURE PERMANENT TOOTH: A CAS...Abu-Hussein Muhamad
This document summarizes a case report of regenerative endodontic treatment (revascularization) of a necrotic, immature permanent tooth. Specifically:
- An 11-year-old patient presented with a necrotic tooth that had undergone previous calcium hydroxide treatment but remained immature.
- The tooth underwent cleaning and disinfection, followed by a bleeding induction technique to form a blood clot and promote revascularization. MTA was then used to seal the canal.
- Follow up radiographs at 10 and 12 months showed continued root development, thickening of root walls, and periapical healing, indicating success of the revascularization procedure.
- Revascularization represents a
11.Mathew P, Rahul VCT, Mullath A, David J, Tiwari H. An unusual case of Ectopic Eruption of Supernumerary Mandibular Molar tooth in Coronoid. Int J Oral Health Med Res 2017;4(5):51-54.
Similar to A Rationale for Postsurgical Laser Use to Effectively Treat Dental Implants_Froum_2020 (2).pdf (20)
This document discusses the different types of hypersensitivity reactions as classified by Gell and Coombs. It provides details on type I (immediate), type II (antibody-mediated), type III (immune complex-mediated), and type IV (delayed) hypersensitivity reactions, including the antibodies or cells involved, examples of diseases, and a brief description of the immunological reaction for each type. It also discusses contact stomatitis as an uncommon allergic reaction affecting the inside of the mouth.
The document provides an overview of lasers in dentistry, including:
1. A definition of lasers and their key characteristics of being monochromatic, coherent, and directional.
2. A brief history of lasers from early phototherapy research to the invention of the laser in 1960.
3. Descriptions of common dental laser types like CO2, Er:YAG, and Nd:YAG lasers and their applications like soft tissue surgery.
4. Advantages of lasers include reduced bleeding, less pain, and faster healing times compared to traditional scalpel procedures.
This document discusses various toothbrushing techniques and provides guidance on selecting the appropriate technique based on a patient's age, oral health status, and other factors. It describes techniques like rolling, Bass, Stillman, Charters, and Watanabe's method. The rolling technique is generally recommended, while Fones' is for preschoolers, Bass for gingivitis, Stillman for widespread gingivitis, and Charters for bridge wearers. Proper toothbrushing removes plaque and massages gums to improve oral health.
This document discusses the different types of hypersensitivity reactions as classified by Gell and Coombs. It provides details on type I (immediate), type II (antibody-mediated), type III (immune complex-mediated), and type IV (delayed or cell-mediated) hypersensitivity reactions. Key points include the antibodies or cells involved, the immunologic reactions that occur, examples of diseases associated with each type of hypersensitivity, and confirmation that the Mantoux test elicits a type IV delayed hypersensitivity reaction to tuberculosis.
This document provides an introduction to regenerative endodontics and minimally invasive endodontics. It discusses the goals of regenerative endodontics, which include eliminating symptoms, promoting bone healing, and increasing root length. Regenerative endodontics aims to replace damaged pulp and root structures using stem cells. The document reviews the history and terminology of regenerative endodontics. It also examines the tissue outcomes of regenerative procedures, discussing that repair rather than regeneration often occurs. The principles of regeneration and repair in endodontics are explored, as well as pulp biology and the use of bioactive materials to promote healing.
The document provides an overview of the anatomy of the gingiva. It discusses the nerve supply, blood supply, lymphatic drainage and microscopic anatomy of the gingiva. It also covers the development, color, size, contour, shape, consistency, surface texture, and position of the gingiva. The document summarizes repair and healing of the gingiva, age-related changes, gingival diseases, clinical considerations like biological width and gingival biotype, and defines the different types of oral mucosa including alveolar mucosa.
The document provides an overview of lasers in dentistry, including:
1. A definition of lasers and their key characteristics of being monochromatic, coherent, and directional.
2. A brief history of lasers from early phototherapy research to the invention of the laser in 1960.
3. Descriptions of common dental laser types like CO2, Er:YAG, and Nd:YAG lasers and their applications like soft tissue surgery.
4. Advantages of lasers include reduced bleeding, less need for sutures, and faster surgery times.
This document contains the answers to multiple choice questions about the bones that make up the human skull. It lists various skull bones, sutures, and landmarks, identifying each part labeled in a diagram. These include the frontal bone, parietal bone, occipital bone, sphenoid bone, temporal bone, zygomatic bone, maxilla, mandible, and others.
Radiographic interpretation involves analyzing radiographic images to diagnose dental issues. Radiographs provide diagnostic information and are used alongside clinical exams. Proper interpretation requires evaluating images for normal anatomy and any abnormalities. It is important to systematically examine radiographs for things like bone structure, teeth, and lesions. Any abnormalities detected must be carefully described based on their size, shape, location, density, and other characteristics to determine the potential issue. Radiographic interpretation is a key part of dental diagnosis.
The document discusses the relationship between systemic health conditions and periodontal diseases. It provides examples of how conditions like diabetes, hormonal fluctuations, hematological disorders, and medications like bisphosphonates can negatively impact periodontal health. Periodontal diseases are also implicated as risk factors for certain systemic conditions. The relationship between periodontal and systemic health is complex, with potential bidirectional effects.
This document provides definitions and details about the anatomy and microscopic structure of gingiva. It begins with definitions of gingiva from several sources and discusses the development, macroscopic anatomy including the different types of gingiva, and microscopic anatomy. The microscopic anatomy section describes the layers of the gingival epithelium and cell types present. It also discusses the different types of gingival epithelium including oral, sulcular, and junctional epithelium. In summary, the document provides a comprehensive overview of the definitions, structures, and histology of gingival tissues.
This document discusses the anatomy, histology, and clinical significance of the attached gingiva. It defines attached gingiva as the portion of gingiva firmly bound to the underlying alveolar bone. The normal width of attached gingiva is described to be greater in the anterior regions. Inadequate width is associated with increased risk of recession and plaque formation. Methods for measuring width and increasing width through surgery are presented. The importance of keratinized tissue for protection and force distribution is explained.
This document provides information on periodontal disease, including its etiology, pathogenesis, histopathology, classification, and prevalence. It discusses how periodontal disease is commonly known as gum disease, which is a gum infection that can damage the soft tissues and bone supporting the teeth. If left untreated, it can lead to tooth loosening and loss. The document also provides statistics on the prevalence of periodontal disease in the Philippines and United States. It outlines the histopathology of periodontal disease in four stages from initial lesion to advanced lesion. Classification schemes for different types of periodontitis are also presented.
Dental calculus, or tartar, is a hardened deposit that forms on teeth. It begins as dental plaque, which mineralizes on the tooth surface. Calculus forms in two locations: supragingival calculus forms above the gumline and is whitish in color, while subgingival calculus forms below the gumline and is dark in color. Several factors influence calculus formation, including saliva composition and bacterial activity. Calculus promotes the retention of dental plaque and can contribute to periodontal disease if not removed.
This document provides an overview of radiographic interpretation for periapical and panoramic dental x-rays. It discusses the objectives of understanding normal dental anatomy and interpreting pathology under radiographs. Key views covered include periapical and panoramic x-rays. The document outlines the normal radiographic anatomy seen in periapical and panoramic views and provides guidance on interpreting radiographs, including steps to localize, observe, consider generally, interpret, and correlate findings. Common dental structures and conditions that can be evaluated on radiographs are described, such as caries, pulp calcification, bone loss, restorations, and lesions.
This document provides a report on Division 8 of the Kiwanis International Philippine South District. It includes information on district governors, membership numbers and growth for each club, a list of activities conducted at both the division and club levels from October 2022 to March 2023, and service projects implemented by individual clubs. Key events mentioned include Kiwanis One Day, leadership education, installations, relief operations, feeding programs, and health initiatives focused on children and communities.
1) Advances in digital radiographic techniques have provided alternatives to conventional film-based radiography. Two-dimensional digital imaging modalities include intraoral and extraoral techniques like periapical, panoramic, and cephalometric imaging.
2) Digital intraoral imaging can be achieved indirectly by scanning conventional films, semi-directly using photo-stimulable phosphor plates, or directly with solid-state sensors like CCD and CMOS devices. Extraoral imaging uses CCD sensors in panoramic and cephalometric units.
3) Digital images allow for enhancements like adjustments to contrast and brightness as well as measurements not possible with conventional radiography. However, two-dimensional imaging can
Digital imaging has advantages over conventional radiography. Digital images can be enhanced by adjusting contrast and brightness or applying filters. Measurements can also be performed directly on digital images. This allows for image analysis functions like linear measurements. Digital imaging also decreases radiographic working time as images are available immediately and there is no film processing. However, digital images have less contrast compared to conventional films.
This document provides an introduction to regenerative endodontics, which aims to replace damaged dental structures through biological procedures rather than traditional root canal treatments. It defines key concepts like regeneration versus repair and discusses the history and components of regenerative endodontics. Specifically, it outlines sources of stem cells in the dental pulp, papilla, and periapical tissues that can be recruited to sites of injury and differentiated to produce new tissues. Growth factors and scaffolds provide signaling and structure to guide the stem cells in regeneration. The ultimate goals are to eliminate symptoms, enhance bone healing, and potentially increase root length, though complete regeneration of the original pulp-dentine complex is difficult to achieve.
This case report describes a 52-year-old female patient with hypertension who presented with gingival bleeding during toothbrushing. Clinical examination revealed poor oral hygiene, gingivitis, deposits, and generalized chronic periodontitis. Radiographs showed horizontal and vertical bone loss throughout the mouth. The treatment plan included nonsurgical scaling and root planing followed by possible periodontal surgery and extractions. The patient underwent supragingival scaling initially and was medically cleared for nonsurgical SRP, which was performed under local anesthesia. Follow up nonsurgical and possible surgical treatment was planned.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - ...rightmanforbloodline
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
nursing management of patient with Empyema pptblessyjannu21
prepared by Prof. BLESSY THOMAS, SPN
Empyema is a disease of respiratory system It is defines as the accumulation of thick, purulent fluid within the pleural space, often with fibrin development.
Empyema is also called pyothorax or purulent pleuritis.
It’s a condition in which pus gathers in the area between the lungs and the inner surface of the chest wall. This area is known as the pleural space.
Pus is a fluid that’s filled with immune cells, dead cells, and bacteria.
Pus in the pleural space can’t be coughed out. Instead, it needs to be drained by a needle or surgery.
Empyema usually develops after pneumonia, which is an infection of the lung tissue. it is mainly caused due in infectious micro-organisms. It can be treated with medications and other measures.
The facial nerve, also known as cranial nerve VII, is one of the 12 cranial nerves originating from the brain. It's a mixed nerve, meaning it contains both sensory and motor fibres, and it plays a crucial role in controlling various facial muscles, as well as conveying sensory information from the taste buds on the anterior two-thirds of the tongue.
Enhancing Hip and Knee Arthroplasty Precision with Preoperative CT and MRI Im...Pristyn Care Reviews
Precision becomes a byword, most especially in such procedures as hip and knee arthroplasty. The success of these surgeries is not just dependent on the skill and experience of the surgeons but is extremely dependent on preoperative planning. Recognizing this important need, Pristyn Care commits itself to the integration of advanced imaging technologies like CT (Computed Tomography) and MRI (Magnetic Resonance Imaging) into the surgical planning process.
The story of Dr. Ranjit Jagtap's daughters is more than a tale of inherited responsibility; it's a narrative of passion, innovation, and unwavering commitment to a cause greater than oneself. In Poulami and Aditi Jagtap, we see the beautiful continuum of a father's dream and the limitless potential of compassion-driven healthcare.
Hypertension and it's role of physiotherapy in it.Vishal kr Thakur
This particular slides consist of- what is hypertension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is summary of hypertension -
Hypertension, also known as high blood pressure, is a serious medical condition that occurs when blood pressure in the body's arteries is consistently too high. Blood pressure is the force of blood pushing against the walls of blood vessels as the heart pumps it. Hypertension can increase the risk of heart disease, brain disease, kidney disease, and premature death.
Digital Health in India_Health Informatics Trained Manpower _DrDevTaneja_15.0...DrDevTaneja1
Digital India will need a big trained army of Health Informatics educated & trained manpower in India.
Presently, generalist IT manpower does most of the work in the healthcare industry in India. Academic Health Informatics education is not readily available at school & health university level or IT education institutions in India.
We look into the evolution of health informatics and its applications in the healthcare industry.
HIMMS TIGER resources are available to assist Health Informatics education.
Indian Health universities, IT Education institutions, and the healthcare industry must proactively collaborate to start health informatics courses on a big scale. An advocacy push from various stakeholders is also needed for this goal.
Health informatics has huge employment potential and provides a big business opportunity for the healthcare industry. A big pool of trained health informatics manpower can lead to product & service innovations on a global scale in India.
R3 Stem Cell Therapy: A New Hope for Women with Ovarian FailureR3 Stem Cell
Discover the groundbreaking advancements in stem cell therapy by R3 Stem Cell, offering new hope for women with ovarian failure. This innovative treatment aims to restore ovarian function, improve fertility, and enhance overall well-being, revolutionizing reproductive health for women worldwide.
2024 Media Preferences of Older Adults: Consumer Survey and Marketing Implica...Media Logic
When it comes to creating marketing strategies that target older adults, it is crucial to have insight into their media habits and preferences. Understanding how older adults consume and use media is key to creating acquisition and retention strategies. We recently conducted our seventh annual survey to gain insight into the media preferences of older adults in 2024. Here are the survey responses and marketing implications that stood out to us.
Emotional and Behavioural Problems in Children - Counselling and Family Thera...PsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Solution manual for managerial accounting 18th edition by ray garrison eric n...rightmanforbloodline
Solution manual for managerial accounting 18th edition by ray garrison eric noreen and peter brewer_compressed
Solution manual for managerial accounting 18th edition by ray garrison eric noreen and peter brewer_compressed
The Importance of Black Women Understanding the Chemicals in Their Personal C...bkling
Certain chemicals, such as phthalates and parabens, can disrupt the body's hormones and have significant effects on health. According to data, hormone-related health issues such as uterine fibroids, infertility, early puberty and more aggressive forms of breast and endometrial cancers disproportionately affect Black women. Our guest speaker, Jasmine A. McDonald, PhD, an Assistant Professor in the Department of Epidemiology at Columbia University in New York City, discusses the scientific reasons why Black women should pay attention to specific chemicals in their personal care products, like hair care, and ways to minimize their exposure.
NURSING MANAGEMENT OF PATIENT WITH EMPHYSEMA .PPTblessyjannu21
Prepared by Prof. BLESSY THOMAS, VICE PRINCIPAL, FNCON, SPN.
Emphysema is a disease condition of respiratory system.
Emphysema is an abnormal permanent enlargement of the air spaces distal to terminal bronchioles, accompanied by destruction of their walls and without obvious fibrosis.
Emphysema of lung is defined as hyper inflation of the lung ais spaces due to obstruction of non respiratory bronchioles as due to loss of elasticity of alveoli.
It is a type of chronic obstructive
pulmonary disease.
It is a progressive disease of lungs.