Aging and perio
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The document discusses the relationship between ageing, the gingiva (gums), and the periodontium (tissues that surround and support the teeth). It covers how ageing impacts the gingiva and periodontium, as well as how systemic diseases can affect the periodontium. Finally, it addresses the role of saliva on the periodontium.
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Treatment of gingival enlargement
This document discusses different types and treatments of gingival enlargement. Chronic inflammatory enlargement is treated with scaling, root planing, or surgery. Drug-induced enlargement is caused by medications and treated by discontinuing the drug, substituting it, or surgery. Surgical treatments for enlargement include gingivectomy and gingivoplasty/flap procedures. Leukemic enlargement requires medical treatment and antibiotics before periodontal work. Enlargement in pregnancy is treated by eliminating local factors and surgery for tumor-like cases. Recurrence is common if the underlying cause is not addressed.
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2. During pregnancy, progesterone levels reach 100ng/ml which suppresses the immune system. This along with higher levels of estrogen can lead to pregnancy gingivitis and increase the risk of preterm birth if periodontitis is present.
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- Advanced diagnostic techniques include assessing gingival bleeding, temperature, probing depths, and microbiology to provide more information on disease activity, progression, and host susceptibility.
- Generations of probes have improved from manual to automated and aim to standardize force and precision while making measurements electronic and digitally accessible. The Florida probe system was an early automated probe but newer probes aim to improve tactile sensitivity and account for variability between sites.
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- Maintenance therapy through frequent cleanings and home care is important to control the disease long term. Some severe cases may be refractory to standard treatment and require further testing and customized therapies.
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- Treatment involves scaling, root planing, surgery, and adjunctive antibiotics like amoxicillin with metronidazole. Regenerative therapies and local drug delivery aim to regenerate bone and treat pathogens.
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Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
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