Gingival Recession
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The document discusses gum recession, which is the exposure of the root surface of the tooth due to destruction of the marginal gingiva and junctional epithelium, causing them to re-establish at a more apical position. Key factors that can cause gum recession include bacterial plaque, trauma from improper toothbrushing techniques or materials, iatrogenic factors like overhanging fillings or appliances, and habits like fingernails or foreign objects that cause trauma. Symptoms of recession caused by gingivitis may include bleeding gums, bad breath, and sensitivity to hot or cold.
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Pathologic migration
Pathologic tooth migration (PTM) refers to tooth displacement resulting from a disturbance in factors that maintain normal tooth position. PTM is common in periodontal patients, with prevalence studies finding rates of 30-55%. The primary factor in PTM is periodontal bone loss resulting from periodontal disease. Other factors include occlusal changes from tooth loss, soft tissue pressures, oral habits, and periapical or gingival inflammation. Treatment involves periodontal therapy, sometimes with adjunctive orthodontics or prosthodontics, while prevention focuses on periodontal disease control and management of predisposing occlusal and habit factors.
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PRESENTER
DR. REBICCA RANJIT
IIIrd YEAR RESIDENT
Furcation involvement
This document discusses furcation involvement and its treatment. It defines furcation as the area of division between roots in multi-rooted teeth. Furcation involvement occurs when periodontal disease invades this area. Factors that can lead to furcation involvement include long-term plaque, local anatomy like root length and shape, and trauma. Furcation involvement is classified using systems like Glickman or Tarnow & Fletcher based on severity and depth of invasion. Treatment depends on the grade of involvement and may include non-surgical approaches like scaling and root planing or surgical options like root resection, hemisection, or bicuspidization to eliminate furcation involvement.
Furcation ppt
The document discusses furcation, which refers to the anatomical area where tooth roots divide. It defines furcation as a complex area that is difficult to clean. Factors like root anatomy, length, and enamel projections can influence furcation involvement. Furcation involvement is graded on a scale from I-IV based on probing depth and bone loss. Nonsurgical treatments include scaling and root planing while surgical options range from osseous resection to hemisection depending on the grade. Prognosis is best when thorough diagnosis and treatment are combined with good oral hygiene.
Periodontal abscess
This document provides an overview of periodontal abscesses. It defines a periodontal abscess as a localized collection of pus within the periodontal tissues. Periodontal abscesses are classified based on duration, number, location and etiology. The main causes are periodontitis, trauma from foreign objects, and certain dental procedures. Microbiologically, periodontal abscesses involve anaerobic bacteria normally found in the oral cavity like P. gingivalis, P. intermedia and F. nucleatum. Clinical features include pain, swelling and exudate from the gingiva. Management involves incision and drainage of the acute lesion along with antibiotics and treatment of the underlying condition like scaling or surgery.
Gingival recession
This document discusses gingival recession, including its causes, classification, symptoms, and treatment options. It begins with an introduction that defines gingival recession and reports on its prevalence. It then covers the main causes of recession, including anatomical factors, trauma, smoking, aging, and biotype. Treatment options are separated into non-surgical approaches like prevention and desensitizing agents, and surgical options like free gingival grafts, pedicle flaps, and guided tissue regeneration. Two case reports demonstrate surgical treatments using subepithelial connective tissue grafts and Emdogain. The document concludes with a discussion of factors affecting surgical outcomes and the need for long-term maintenance.
Trauma from occlusion
INTRODUCTION
DEFINITION
TYPES OF TRAUMA FROM OCCLUSION
GLICKMAN CONCEPT
WAERHAUG CONCEPT
STAGES OF TISSUE RESPONSE TO INJURY
CLINICAL AND RADIOGRAPHIC FEATURES OF TFO
CLINICAL DIAGNOSIS OF TFO
TFO AND IMPLANTS
TREATMENT OF TFO
CONCLUSION
REFRENCES
Periodontal Medicine: Impact of periodontal disease on systemic health
Periodontal medicine is an emerging branch of periodontology that focuses on relationship of periodontal health/ disease and systemic health/ disease.
Recommended
Pathologic migration
Pathologic tooth migration (PTM) refers to tooth displacement resulting from a disturbance in factors that maintain normal tooth position. PTM is common in periodontal patients, with prevalence studies finding rates of 30-55%. The primary factor in PTM is periodontal bone loss resulting from periodontal disease. Other factors include occlusal changes from tooth loss, soft tissue pressures, oral habits, and periapical or gingival inflammation. Treatment involves periodontal therapy, sometimes with adjunctive orthodontics or prosthodontics, while prevention focuses on periodontal disease control and management of predisposing occlusal and habit factors.
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PRESENTER
DR. REBICCA RANJIT
IIIrd YEAR RESIDENT
Furcation involvement
This document discusses furcation involvement and its treatment. It defines furcation as the area of division between roots in multi-rooted teeth. Furcation involvement occurs when periodontal disease invades this area. Factors that can lead to furcation involvement include long-term plaque, local anatomy like root length and shape, and trauma. Furcation involvement is classified using systems like Glickman or Tarnow & Fletcher based on severity and depth of invasion. Treatment depends on the grade of involvement and may include non-surgical approaches like scaling and root planing or surgical options like root resection, hemisection, or bicuspidization to eliminate furcation involvement.
Furcation ppt
The document discusses furcation, which refers to the anatomical area where tooth roots divide. It defines furcation as a complex area that is difficult to clean. Factors like root anatomy, length, and enamel projections can influence furcation involvement. Furcation involvement is graded on a scale from I-IV based on probing depth and bone loss. Nonsurgical treatments include scaling and root planing while surgical options range from osseous resection to hemisection depending on the grade. Prognosis is best when thorough diagnosis and treatment are combined with good oral hygiene.
Periodontal abscess
This document provides an overview of periodontal abscesses. It defines a periodontal abscess as a localized collection of pus within the periodontal tissues. Periodontal abscesses are classified based on duration, number, location and etiology. The main causes are periodontitis, trauma from foreign objects, and certain dental procedures. Microbiologically, periodontal abscesses involve anaerobic bacteria normally found in the oral cavity like P. gingivalis, P. intermedia and F. nucleatum. Clinical features include pain, swelling and exudate from the gingiva. Management involves incision and drainage of the acute lesion along with antibiotics and treatment of the underlying condition like scaling or surgery.
Gingival recession
This document discusses gingival recession, including its causes, classification, symptoms, and treatment options. It begins with an introduction that defines gingival recession and reports on its prevalence. It then covers the main causes of recession, including anatomical factors, trauma, smoking, aging, and biotype. Treatment options are separated into non-surgical approaches like prevention and desensitizing agents, and surgical options like free gingival grafts, pedicle flaps, and guided tissue regeneration. Two case reports demonstrate surgical treatments using subepithelial connective tissue grafts and Emdogain. The document concludes with a discussion of factors affecting surgical outcomes and the need for long-term maintenance.
Trauma from occlusion
INTRODUCTION
DEFINITION
TYPES OF TRAUMA FROM OCCLUSION
GLICKMAN CONCEPT
WAERHAUG CONCEPT
STAGES OF TISSUE RESPONSE TO INJURY
CLINICAL AND RADIOGRAPHIC FEATURES OF TFO
CLINICAL DIAGNOSIS OF TFO
TFO AND IMPLANTS
TREATMENT OF TFO
CONCLUSION
REFRENCES
Periodontal Medicine: Impact of periodontal disease on systemic health
Periodontal medicine is an emerging branch of periodontology that focuses on relationship of periodontal health/ disease and systemic health/ disease.
SUPRAGINGIVAL AND SUBGINGIVAL IRRIGATION
This document discusses supragingival and subgingival irrigation. It defines irrigation as using a pulsating stream of water to remove debris and reduce bacteria from the gums and root surfaces. Irrigation can be done personally at home using devices like a Waterpik or professionally in a dental office. Different solutions can be used for irrigation and it helps treat gingivitis as an adjunct to conventional periodontal therapy.
Non surgical periodontal therapy
Scaling and root planing (SRP) is a non-surgical treatment for periodontitis that aims to remove dental plaque and calculus from tooth surfaces. It involves scaling to remove deposits and root planing to smooth root surfaces. The goals are to eliminate periodontitis by removing irritants and restoring a healthy environment for tissue healing. The long-term effectiveness depends on factors like patient compliance, disease severity, and anatomical challenges. Overhanging restorations can interfere with cleaning and disturb the ecological balance, allowing disease-causing bacteria to proliferate.
furcation involvement
This document discusses furcation involvement, including classifications, diagnosis, treatment options, and prognosis. It notes that furcation involvement indicates advanced periodontitis and poorer prognosis. Treatment depends on the grade of involvement and may include nonsurgical therapy like scaling and root planing, surgical approaches like furcation plasty, regenerative techniques like GTR, or extraction. Prognosis is best for grade I and II furcations treated nonsurgically or with furcation plasty, and poorer for grade III and IV furcations. Long-term success requires eliminating plaque, establishing anatomy to facilitate cleaning, and preventing further attachment loss.
Rationale for periodontal treatment
This document discusses the rationale for periodontal treatment and the healing process after treatment. Local periodontal therapy aims to remove bacterial plaque and calculus that cause gum disease. Systemic therapy may also be used as an adjunct to treat infections or diseases that affect the periodontal condition. Healing after treatment involves regeneration of gingival epithelium, connective tissue, bone, and cementum. The key to new attachment is regeneration of the periodontal ligament, which provides continuity between the bone and cementum. The sequence in which different cell types repopulate the treated area determines the healing outcome and possibility of new attachment.
4.furcation involvement and its treatment
This document discusses furcation involvement in multi-rooted teeth. It begins with introductions and definitions, then describes the anatomy of furcated teeth. Several classifications of furcation involvement are presented based on horizontal and vertical bone loss. Potential etiologies include dental plaque, local anatomic factors like furcation dimensions and root concavities, developmental anomalies, trauma, caries, and pulpal pathology. Diagnosis and various treatment options are also covered, along with prognostic factors and conclusions.
Trauma from occlusion
- Trauma from occlusion occurs when occlusal forces exceed the adaptive capacity of the periodontium, causing injury. It can be acute or chronic.
- The magnitude, direction, duration, and frequency of forces impact the periodontium's ability to adapt. Excessive pressure or tension can damage tissues.
- Primary trauma from occlusion is caused by changes in occlusal forces, while secondary trauma occurs when reduced bone support impairs the tissues' resistance to normal forces.
- The periodontium responds to trauma in three stages - injury, repair through new tissue formation, and adaptive remodeling to better withstand forces. Trauma can cause reversible damage if forces are reduced, or lead to irreversible injury if
clinical features of gingivitis
This document discusses the clinical features of gingivitis. It begins by defining gingivitis as inflammation of the gingiva and describes how plaque bacteria can damage gingival tissues. It then covers the different types of gingivitis based on duration and distribution. Key signs of gingivitis that are discussed include gingival bleeding, color changes, changes in consistency, size, surface texture, position and contour. Specific conditions like gingival recession are also explained in terms of definition, classification, etiology and clinical significance.
Pericoronitis
Pericoronitis is defined as inflammation of the oral soft tissues surrounding the crown of a partially erupted tooth. its treatment- operculectomy i.e. removal of the inflammed operculum
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REFERENCES TAKEN FROM CARRANZA'S TEXTBOOK OF CLINICAL PERIODONTOLOGY AND LINDHE'S TEXTBOOK OF CLINICAL PERIODONTOLOGY AND IMPLANT DENTISTRY. CONTAINS ENOUGH AND MORE DETAILS OF THIS TOPIC FOR BDS STUDENTS.HOPE THIS PRESENTATION WILL HELP U GAIN SOME KNOWLEDGE ABOUT PERIODONTAL PLASTIC AND ESTHETIC DENTISTRY.
Periodontal flap
This document discusses various flap techniques used in periodontal surgery. It defines flaps as sections of gingiva and mucosa surgically separated from underlying tissues to provide access to bone and roots. Full and partial thickness flaps are classified based on the depth of tissue reflection. Techniques include the modified Widman flap, undisplaced flap, apically displaced flap, papilla preservation flap, and techniques for distal molar surgery. Healing after flap surgery is described in stages from initial clot formation to establishment of new connective tissue attachment after 4 weeks.
Gingivectomy and Gingivoplasty
This document discusses gingivectomy and gingivoplasty periodontal procedures. Gingivectomy involves excising soft tissue from periodontal pockets to eliminate them, while gingivoplasty reshapes gingiva that has lost its normal contours without removing pockets. Surgical gingivectomy involves making incisions and removing pocket walls with knives and nippers. Laser and electrosurgery are alternative techniques. Gingivoplasty reshapes gingiva through thinning, tapering, and sculpting to create a scalloped margin. Both procedures aim to develop healthy tissue and contours, though gingivectomy is rarely used now due to inability to visualize bone and greater post-op discomfort compared to flap surgery.
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A detailed description of various non surgical and surgical procedures in managing periodontal diseases
Gingival enlargment and its treatment
Gingival enlargement can result from chronic or acute inflammation, drugs, or systemic conditions. Drug-induced enlargement is common with anticonvulsants like phenytoin and presents as a painless, bead-like enlargement of the papillae that progresses to cover tooth crowns. Histologically, there is pronounced hyperplasia of connective tissue and epithelium. While the enlargement is caused by the drug, secondary inflammation from plaque complicates the condition, adding to the size and producing redness. Approximately 50% of patients on phenytoin experience gingival overgrowth.
Dry socket
Dry socket, also known as alveolar osteitis, is a painful condition that can occur after a dental extraction. It results from the premature disintegration of a blood clot within the extraction socket, preventing normal healing. Risk factors include difficult extractions, oral contraceptive use, smoking, and poor oral hygiene. Clinically, patients experience severe pain localized to the socket starting 2-3 days after extraction along with bad breath. Two main theories propose either a fibrinolytic or bacterial cause that disrupts the blood clot formation and healing. Management focuses on irrigation, placement of medicated dressings, analgesics, and potentially topical anti-inflammatory treatments to reduce pain and promote socket healing.
Host modulation therapy
Periodontitis is a complex infection initiated by bacteria –tissue destruction.
Host: the organism from which a parasite obtains its nourishment/ an individual who receives a graft
Modulation: the alteration of function or status of something in response to a stimulus or an altered physical or chemical environment
Splinting of teeth in periodontics
Splinting involves joining two or more teeth together to provide support and stabilization. It has been used in dentistry for thousands of years to treat injuries and mobility. Modern splinting uses various materials like wires, resins, and fibers placed intracoronally or extracoronally. Splints are indicated to stabilize mobile teeth from trauma, reduce forces during healing, or maintain arch integrity. They come in many forms like direct bonding splints, wire splints, night guards, and occlusal splints. The goal is to evenly distribute forces across multiple teeth while allowing function and hygiene.
Periodontal Flap
This document discusses periodontal flaps, which are sections of gingiva surgically separated from underlying tissues to provide access to bone and roots. It defines different types of flaps classified by bone exposure, placement, and papilla design. Indications and contraindications for various flaps are outlined. Procedures for modified Widman, undisplaced, apically displaced, and regenerative flaps are described. Distal molar surgery techniques and use of periodontal packs are also summarized.
Prognosis in periodontics
This document discusses prognosis in periodontal disease. Prognosis is the prediction of the probable course and outcome of a disease based on knowledge of pathogenesis and risk factors. It is determined before treatment based on disease characteristics and previous experience. Prognosis can be excellent, good, fair, poor, questionable or hopeless depending on factors like bone loss, furcation involvement, and patient compliance. Systemic factors like smoking and diabetes can affect prognosis. Anatomical root characteristics also influence prognosis. The relationship between diagnosis and prognosis is discussed.
Emdogain by dr. maryam salman
Emdogain is a gel containing enamel matrix proteins that has been shown to regenerate hard and soft tissues lost to periodontal disease. It works by attracting mesenchymal cells to the root surface, promoting attachment, proliferation, and differentiation which results in new cementum, bone, and periodontal ligament formation. Over 20 years of clinical studies involving over 2 million patients have demonstrated its effectiveness and safety in treating intra-bony and gingival recession defects.
FURCATION INVOLVEMENT AND ITS MANAGEMENT
DEEP DESCRIPTION OF FURCATION OF TOOTH ..CLASSIFICATION AND ITS CORRESPONDING MANAGEMENT HAVE BEEN DESCRIBED IN THIS PPT
Periodontal plastic surgery
This document discusses soft tissue grafting procedures used in periodontal plastic surgery. It provides an overview of common grafting techniques like free gingival grafts and connective tissue grafts used to treat mucogingival defects. Details are given on the indications, surgical protocols, advantages/disadvantages of each technique. Post-operative healing times and expectations are reviewed. The goal is to understand how and when these procedures can be used to correct mucogingival defects and improve periodontal health and aesthetics.
Gingival recession classifications
In periodontology, classifications are widely used to categorize defects due to periodontitis according to their etiology, diagnosis, treatment and prognosis.
Several classifications have been proposed in the literature in order to facilitate the diagnosis of gingival recessions.
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SUPRAGINGIVAL AND SUBGINGIVAL IRRIGATION
This document discusses supragingival and subgingival irrigation. It defines irrigation as using a pulsating stream of water to remove debris and reduce bacteria from the gums and root surfaces. Irrigation can be done personally at home using devices like a Waterpik or professionally in a dental office. Different solutions can be used for irrigation and it helps treat gingivitis as an adjunct to conventional periodontal therapy.
Non surgical periodontal therapy
Scaling and root planing (SRP) is a non-surgical treatment for periodontitis that aims to remove dental plaque and calculus from tooth surfaces. It involves scaling to remove deposits and root planing to smooth root surfaces. The goals are to eliminate periodontitis by removing irritants and restoring a healthy environment for tissue healing. The long-term effectiveness depends on factors like patient compliance, disease severity, and anatomical challenges. Overhanging restorations can interfere with cleaning and disturb the ecological balance, allowing disease-causing bacteria to proliferate.
furcation involvement
This document discusses furcation involvement, including classifications, diagnosis, treatment options, and prognosis. It notes that furcation involvement indicates advanced periodontitis and poorer prognosis. Treatment depends on the grade of involvement and may include nonsurgical therapy like scaling and root planing, surgical approaches like furcation plasty, regenerative techniques like GTR, or extraction. Prognosis is best for grade I and II furcations treated nonsurgically or with furcation plasty, and poorer for grade III and IV furcations. Long-term success requires eliminating plaque, establishing anatomy to facilitate cleaning, and preventing further attachment loss.
Rationale for periodontal treatment
This document discusses the rationale for periodontal treatment and the healing process after treatment. Local periodontal therapy aims to remove bacterial plaque and calculus that cause gum disease. Systemic therapy may also be used as an adjunct to treat infections or diseases that affect the periodontal condition. Healing after treatment involves regeneration of gingival epithelium, connective tissue, bone, and cementum. The key to new attachment is regeneration of the periodontal ligament, which provides continuity between the bone and cementum. The sequence in which different cell types repopulate the treated area determines the healing outcome and possibility of new attachment.
4.furcation involvement and its treatment
This document discusses furcation involvement in multi-rooted teeth. It begins with introductions and definitions, then describes the anatomy of furcated teeth. Several classifications of furcation involvement are presented based on horizontal and vertical bone loss. Potential etiologies include dental plaque, local anatomic factors like furcation dimensions and root concavities, developmental anomalies, trauma, caries, and pulpal pathology. Diagnosis and various treatment options are also covered, along with prognostic factors and conclusions.
Trauma from occlusion
- Trauma from occlusion occurs when occlusal forces exceed the adaptive capacity of the periodontium, causing injury. It can be acute or chronic.
- The magnitude, direction, duration, and frequency of forces impact the periodontium's ability to adapt. Excessive pressure or tension can damage tissues.
- Primary trauma from occlusion is caused by changes in occlusal forces, while secondary trauma occurs when reduced bone support impairs the tissues' resistance to normal forces.
- The periodontium responds to trauma in three stages - injury, repair through new tissue formation, and adaptive remodeling to better withstand forces. Trauma can cause reversible damage if forces are reduced, or lead to irreversible injury if
clinical features of gingivitis
This document discusses the clinical features of gingivitis. It begins by defining gingivitis as inflammation of the gingiva and describes how plaque bacteria can damage gingival tissues. It then covers the different types of gingivitis based on duration and distribution. Key signs of gingivitis that are discussed include gingival bleeding, color changes, changes in consistency, size, surface texture, position and contour. Specific conditions like gingival recession are also explained in terms of definition, classification, etiology and clinical significance.
Pericoronitis
Pericoronitis is defined as inflammation of the oral soft tissues surrounding the crown of a partially erupted tooth. its treatment- operculectomy i.e. removal of the inflammed operculum
Periodontal plastic and esthetic surgery
REFERENCES TAKEN FROM CARRANZA'S TEXTBOOK OF CLINICAL PERIODONTOLOGY AND LINDHE'S TEXTBOOK OF CLINICAL PERIODONTOLOGY AND IMPLANT DENTISTRY. CONTAINS ENOUGH AND MORE DETAILS OF THIS TOPIC FOR BDS STUDENTS.HOPE THIS PRESENTATION WILL HELP U GAIN SOME KNOWLEDGE ABOUT PERIODONTAL PLASTIC AND ESTHETIC DENTISTRY.
Periodontal flap
This document discusses various flap techniques used in periodontal surgery. It defines flaps as sections of gingiva and mucosa surgically separated from underlying tissues to provide access to bone and roots. Full and partial thickness flaps are classified based on the depth of tissue reflection. Techniques include the modified Widman flap, undisplaced flap, apically displaced flap, papilla preservation flap, and techniques for distal molar surgery. Healing after flap surgery is described in stages from initial clot formation to establishment of new connective tissue attachment after 4 weeks.
Gingivectomy and Gingivoplasty
This document discusses gingivectomy and gingivoplasty periodontal procedures. Gingivectomy involves excising soft tissue from periodontal pockets to eliminate them, while gingivoplasty reshapes gingiva that has lost its normal contours without removing pockets. Surgical gingivectomy involves making incisions and removing pocket walls with knives and nippers. Laser and electrosurgery are alternative techniques. Gingivoplasty reshapes gingiva through thinning, tapering, and sculpting to create a scalloped margin. Both procedures aim to develop healthy tissue and contours, though gingivectomy is rarely used now due to inability to visualize bone and greater post-op discomfort compared to flap surgery.
Curettage, gingivectomy & gingivoplasty
A detailed description of various non surgical and surgical procedures in managing periodontal diseases
Gingival enlargment and its treatment
Gingival enlargement can result from chronic or acute inflammation, drugs, or systemic conditions. Drug-induced enlargement is common with anticonvulsants like phenytoin and presents as a painless, bead-like enlargement of the papillae that progresses to cover tooth crowns. Histologically, there is pronounced hyperplasia of connective tissue and epithelium. While the enlargement is caused by the drug, secondary inflammation from plaque complicates the condition, adding to the size and producing redness. Approximately 50% of patients on phenytoin experience gingival overgrowth.
Dry socket
Dry socket, also known as alveolar osteitis, is a painful condition that can occur after a dental extraction. It results from the premature disintegration of a blood clot within the extraction socket, preventing normal healing. Risk factors include difficult extractions, oral contraceptive use, smoking, and poor oral hygiene. Clinically, patients experience severe pain localized to the socket starting 2-3 days after extraction along with bad breath. Two main theories propose either a fibrinolytic or bacterial cause that disrupts the blood clot formation and healing. Management focuses on irrigation, placement of medicated dressings, analgesics, and potentially topical anti-inflammatory treatments to reduce pain and promote socket healing.
Host modulation therapy
Periodontitis is a complex infection initiated by bacteria –tissue destruction.
Host: the organism from which a parasite obtains its nourishment/ an individual who receives a graft
Modulation: the alteration of function or status of something in response to a stimulus or an altered physical or chemical environment
Splinting of teeth in periodontics
Splinting involves joining two or more teeth together to provide support and stabilization. It has been used in dentistry for thousands of years to treat injuries and mobility. Modern splinting uses various materials like wires, resins, and fibers placed intracoronally or extracoronally. Splints are indicated to stabilize mobile teeth from trauma, reduce forces during healing, or maintain arch integrity. They come in many forms like direct bonding splints, wire splints, night guards, and occlusal splints. The goal is to evenly distribute forces across multiple teeth while allowing function and hygiene.
Periodontal Flap
This document discusses periodontal flaps, which are sections of gingiva surgically separated from underlying tissues to provide access to bone and roots. It defines different types of flaps classified by bone exposure, placement, and papilla design. Indications and contraindications for various flaps are outlined. Procedures for modified Widman, undisplaced, apically displaced, and regenerative flaps are described. Distal molar surgery techniques and use of periodontal packs are also summarized.
Prognosis in periodontics
This document discusses prognosis in periodontal disease. Prognosis is the prediction of the probable course and outcome of a disease based on knowledge of pathogenesis and risk factors. It is determined before treatment based on disease characteristics and previous experience. Prognosis can be excellent, good, fair, poor, questionable or hopeless depending on factors like bone loss, furcation involvement, and patient compliance. Systemic factors like smoking and diabetes can affect prognosis. Anatomical root characteristics also influence prognosis. The relationship between diagnosis and prognosis is discussed.
Emdogain by dr. maryam salman
Emdogain is a gel containing enamel matrix proteins that has been shown to regenerate hard and soft tissues lost to periodontal disease. It works by attracting mesenchymal cells to the root surface, promoting attachment, proliferation, and differentiation which results in new cementum, bone, and periodontal ligament formation. Over 20 years of clinical studies involving over 2 million patients have demonstrated its effectiveness and safety in treating intra-bony and gingival recession defects.
FURCATION INVOLVEMENT AND ITS MANAGEMENT
DEEP DESCRIPTION OF FURCATION OF TOOTH ..CLASSIFICATION AND ITS CORRESPONDING MANAGEMENT HAVE BEEN DESCRIBED IN THIS PPT
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Periodontal plastic surgery
This document discusses soft tissue grafting procedures used in periodontal plastic surgery. It provides an overview of common grafting techniques like free gingival grafts and connective tissue grafts used to treat mucogingival defects. Details are given on the indications, surgical protocols, advantages/disadvantages of each technique. Post-operative healing times and expectations are reviewed. The goal is to understand how and when these procedures can be used to correct mucogingival defects and improve periodontal health and aesthetics.
Gingival recession classifications
In periodontology, classifications are widely used to categorize defects due to periodontitis according to their etiology, diagnosis, treatment and prognosis.
Several classifications have been proposed in the literature in order to facilitate the diagnosis of gingival recessions.
JOURNAL CLUB ON CORONALLY ADVANCED FLAP vs THE POUCH TECHNIQUE COMBINED WITH ...
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Successful root coverage for single or multiple teeth can be achieved with a minimally invasive tunneling technique and acellular derail matrix (Alloderm®).
Presentation given by Dr. Edward Gottesman, periodontist in New York, New York at the American Academy of Periondontology Meeting in San Francisco in September, 2014.
Visit http://perionyc.com for more information.
Gingival recession
1. Gingival recession is the exposure of root surface caused by an apical shift in gingival position. It can be classified as visible, hidden, localized, or generalized.
2. Miller and Atkin & Sullivan classified gingival recession defects based on their location and amount of bone loss. Common causes of recession include age, faulty brushing technique, tooth malposition, gingival inflammation, abnormal frenal attachment, and masochistic habits.
3. Recession can be treated non-surgically through modifying risks or surgically through pedicle or free soft tissue grafts to cover exposed root surfaces and reduce sensitivity.
Root planing
This document discusses various techniques for non-surgical periodontal therapy, focusing on root planing. It defines root planing as the removal of plaque, calculus, and contaminated cementum and dentin from root surfaces. It discusses the rationale for root planing, including the removal of diseased cementum that may contain toxins. It evaluates different root planing instruments like curettes and ultrasonic scalers. While some studies found root smoothness and cementum removal were unnecessary, most support root planing to remove toxins and prepare the surface for new attachment. The document analyzes debates around techniques and their role in resolving inflammation and facilitating healing.
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Bài giảng SHTB của Trường ĐH KHoa Học Tự Nhiên - ĐH Quốc Gia TP.HCM
Nhân đôi ADN và tổng hợp ARN
cũng khá ổn! nhưng 1 số máy không hiển thị đước hết các dạng vdeo trong đó!
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Ban tin noi bo Nguoi ADN so thang10/2013
Bản tin nội bộ Người ADN là ấn phẩm đặc sắc phản ánh một cách gần gũi và chân thực nhịp sống của đại gia đình ADN, một công ty truyền thông có bề dày 11 năm trong lĩnh vực thiết kế đồ họa. Thông qua mỗi hình ảnh, mỗi hoạt động hay trao đổi, chúng ta sẽ cùng cảm nhận sâu sắc hơn về văn hóa ADN mang đậm bản sắc " đoàn kết - hợp tác - sáng tạo".
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This document discusses dentin hypersensitivity. It defines dentin hypersensitivity as short, sharp pain from exposed dentin in response to stimuli like heat, cold, tactile pressure or osmotic changes. It discusses the prevalence, distribution, etiology and theories of the condition. The key theory proposed is the hydrodynamic theory, which suggests that fluid movement in dentinal tubules in response to stimuli activates nerve endings and causes pain. Proper management of dentin hypersensitivity aims to occlude dentinal tubules to block this fluid movement.
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This document discusses several acquired abnormalities of teeth including attrition, abrasion, erosion, resorption, secondary dentin formation, pulp stones, and hypercementosis. Attrition is the wearing down of teeth due to normal function and presents as wear facets. Abrasion is non-physiological wearing caused by external agents like toothbrushes and presents as notching. Erosion is chemical wearing by acids and presents as smooth lesions. Resorption can be internal, external, or a combination and is caused by trauma, pressure or tumors. Secondary dentin formation occurs with aging or stimuli and decreases pulp size. Pulp stones are calcifications within the pulp that are common in older people. Hypercementosis
Non carious lesions
This document discusses various causes of non-carious tooth destruction and disfigurement including attrition, abrasion, abfraction, erosion, enamel hypoplasia, hypocalcification, dentin hypoplasia, hypocalcification, discoloration, malformation, amelogenesis imperfecta, dentinogenesis imperfecta, and trauma. For each cause, signs and symptoms and treatment modalities are described. Endodontic therapy and restorative treatments like composite resin, glass ionomer cement, and metallic restorations are commonly used to address the defects and restore form and function.
Impactions -orthodontics way
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
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Regressive alterations of teeth
This document discusses various dental conditions including attrition, abrasion, erosion, abfraction, fractures, enamel hypoplasia, and discoloration. It provides details on the causes, clinical features, and characteristics of each condition. Attrition is defined as wear from tooth-to-tooth contact, while abrasion is caused by direct friction from external objects. Erosion involves chemical dissolution of tooth structure from acids. Abfraction results from biomechanical forces causing flexure and fatigue away from the point of loading. Enamel hypoplasia occurs when enamel formation is disrupted, resulting in pits or grooves in the enamel surface.
Iatroenic factors in periodontits
This document discusses various iatrogenic factors in dentistry that can affect the periodontium. Careless procedures, improper use of instruments and chemicals, and negligent treatment planning by dentists can cause traumatic injuries to supporting periodontal tissues. Violations of the biological width, poor restoration margins, overhangs, and improper contouring of restorations can lead to plaque retention and inflammation, resulting in gingivitis, periodontal pocket formation, attachment loss, and bone loss. To prevent iatrogenic periodontal disease, dentists must have thorough knowledge and expertise to avoid harming the patient during treatment.
pre prosthetic mouth preparation
Preprosthetic mouth preparation involves procedures done prior to prosthetic treatment to facilitate treatment. This includes relieving pain and infection through extractions or fillings, correcting occlusal planes through orthodontics or splinting, and conditioning abused tissues through periodontal therapy or alveoplasty. The goal is to remove any hindrances to prosthetic treatment by managing dental and periodontal issues, extracting problematic teeth, and shaping tissues.
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The document discusses various types of failures that can occur with dental prostheses. It outlines biological failures such as caries, pulpal degeneration, and periodontal breakdown. Mechanical failures like loss of retention, connector failure, and tooth fracture are also covered. The document provides details on porcelain fractures, esthetic failures, maintenance issues, and ways to diagnose and treat different types of prosthesis failures.
Occlusion diseases
1) Occlusal disease is a deformation or disturbance of the structures within the masticatory system, including the teeth, TMJs, and muscles, that are out of equilibrium.
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3) Occlusal disease results from stress, friction, and corrosion on the teeth from factors like bruxism, exogenous agents like acid, and occlusal interferences that overload the teeth. It often goes undiagnosed until severe damage occurs.
Detection and diagnosis of dental caries
Here's a presentation about how we can detect and diagnose the carious lesion.
Uploaded by; Dr. Ghaith Abdulhadi Al-Otaibi
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Class on regresive altrations of teeth (RAOT)
The document discusses various regressive alterations of teeth (RAOT) that result from wear and tear over time rather than developmental abnormalities or infection. It describes several types of RAOT including attrition from tooth contact during chewing, abrasion from external abrasives, erosion from acid exposure, and abfraction from biomechanical forces. It provides details on the etiology, clinical features, and appearance of each type of RAOT. Treatment involves identifying and addressing the underlying causes as well as restorative measures to protect the tooth structure.
Abnormalities of teeth
The document discusses various abnormalities and developmental alterations that can occur in teeth. It covers defects in enamel formation like enamel hypoplasia and fluorosis. It also discusses post-developmental structural loss through processes like attrition, abrasion, and erosion. Other topics include discoloration of teeth from extrinsic and intrinsic factors, localized disturbances in eruption, and developmental defects affecting tooth number, size, shape and structure. Specific conditions discussed in more depth include dentinogenesis imperfecta, amelogenesis imperfecta, and dental fluorosis. Treatment options for some of these conditions are also mentioned.
Local predisposing factor of periodontal disease
Local predisposing factors can increase an individual's risk of developing periodontal disease by contributing to plaque buildup and tissue damage. Key local factors discussed include dental plaque, calculus, dental stains, factors related to dental procedures like overhanging restorations, and anatomical anomalies. Conditions like malocclusion, missing teeth, and parafunctional habits can also make plaque control more difficult and directly damage tissues. The document provides details on how several common local factors specifically influence plaque levels and periodontal health.
Non carious lesions of teeth
This document discusses various physiologic and pathologic processes that can affect teeth, including attrition, abrasion, erosion, abfraction, pulp calcification, tooth resorption, hypercementosis, and cementicles. It defines each term and describes the clinical and radiographic presentation of each condition. It also discusses the etiology, histopathology, and characteristics of different types of resorption and cementum abnormalities like hypercementosis and cementicles.
CALCULUS kinjal - Copy.pptx
This document discusses various iatrogenic and local factors that can contribute to periodontal disease. It outlines factors such as improper dental procedures, overhanging restorations, plaque-retentive crowns and fillings, problematic orthodontic appliances, impacted tooth extractions, malocclusions, oral habits, mouth breathing, tongue thrusting, factitious injuries, radiation therapy, and xerostomia. All of these can cause mechanical trauma, inflammation, and changes to the oral environment that promote growth of disease-causing bacteria and inhibit plaque removal. Careful dental work and treatment of any underlying issues are necessary to control periodontal disease.
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Gingival Recession
- 3. Exposition of the radicular surface of the tooth due to destruction of the marginal gingiva and of the juntional epithelium that will be re-established at a more apical position.
- 7. `
- 9. Shallow narrow Deep narrow Shallow wide Deep wide
- 10. DETERMINANT FACTORS •Bacterial Plaque O`Leary et al found direct correlation between the increase of plaque index and the increase of marginal tissue recession •Trauma from toothbrushing Improper technique Wrong toothbrush •Iatrogenic Factors Amalgam or prosthetic overhang Clamps Orthodontic appliances •Habits Fingernails or any foreign object
- 12. Buccally displaced teeth or rotated tooth due to altered tooth- bone relationship High frenum insertion Shallow buccal fold that produce tension on the marginal gingiva
- 13. STILLMAN’S CLEFT
- 15. :
- 16. SYMPTOMS: If the gum recession is caused by GINGIVITIS, the following symptoms may also be present