JOURNAL CLUB 4.pptx
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Periodontitis and diabetes have a two-way relationship. The study included men and women aged 20-60 with type 2 diabetes for over 3 months, an HbA1c under 8, stable diabetic drug use, no other health issues impacting diabetes or periodontitis, and moderate to severe periodontitis. Patients had to have at least 16 natural teeth and no periodontal treatment in the last 6 months. Exclusion criteria included insulin use, extensive dental work needed, oral infections, smoking, life-threatening diabetes issues, low or high BMI, pregnancy, and recent antibiotic/immunosuppressant use.
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Comparative Evaluation of the Effect of Doxycycline As An Adjunct to Non-Surg...
Background: The association between diabetes and periodontal disease has long been discussed with conflicting conclusions. Earlier studies demonstrating the relationship between diabetes and severity of periodontal disease has been equivocal. However, recent studies have clearly proven that diabetes increases the risk of periodontal disease progression. Less clear is the impact of periodontal disease on diabetes. It has been hypothesised that periodontal therapy may improve the metabolic control of diabetes. Aim: To determine the effect of doxycycline as an adjunct to non-surgical periodontal therapy in improving the metabolic control of poorly controlled type 2 diabetic subjects with chronic generalized periodontitis. Method: 30 poorly controlled type 2 diabetic subjects with chronic generalized periodontitis and receiving antidiabetic therapy were selected for the study. The subjects were randomly allotted to either of two treatment groups containing 15 subjects each: Group 1 (scaling and root planing(SRP)+ 15 days Doxycycline) or Group 2 (scaling and root planing(SRP). The Glycated haemoglobin (HbA1c) values, Gingival Index(GI), and Probing pocket depth of both the groups were assessed at baseline and after 3 months. Results: Both the treatment groups exhibited reductions in HbA1c, G I and Probing pocket depth compared to baseline over time. The amount of reduction in the glycated haemoglobin and gingival parameters was higher in Group I compared to group 2 after 3 months. Conclusion: Both treatments improved glycemic control in patients with type 2 diabetes; however, the reduction in HbA1c values reached statistical significance only in the group receiving doxycycline as an adjunct to scaling and root planing.
THE EFFECTS OF PERIODONTAL TREATMENT ON DIABETIC PATIENTS: THE DIAPERIO RANDO...
While many systemic diseases have been considered to be associated with periodontitis, the link between diabetes and periodontitis has been the subject of the most intensive research over the past decades.
Both periodontitis and diabetes are highly prevalent in modern societies and have a negative impact on quality of life.
Periodontal therapy might help to reduce local inflammation, and consequently, the putative systemic entry of bacterial by- products (e.g., lipopolysaccharides from Gram - negative bacterial walls) and pro- inflammatory molecules.
Relationship between Severity of Periodontal Disease and Control of Diabetes ...
Background: Both diabetes mellitus (DM) and periodontitis
are chronic diseases affecting large number of the population
worldwide. Changes in human behavior and lifestyle over the
last century have resulted in a dramatic increase in the incidence
of diabetes in the world. This study was designed to evaluate the
relationship between severity of periodontal disease and control of
diabetes (glycated hemoglobin [HBA1c]) in patients with Type 1
DM in a hospital based study.
Materials and Methods: Fifty patients (n = 50) with Type 1
diabetes were enrolled in the study. They were divided into three
groups based on the degree of glycemic control by measuring
HbA1c levels as: “Good” (HBA1c ≤7) Group A, fair (HBA1c = 7-8)
Group B and poor (HBA1c >8) Group C. All enrolled patients
underwent detailed history and dental checkup. Evaluation for
periodontal disease was done by measuring dental plaque (plaque
index), inflammation of gums (gingival index), probing pocket
depth (PPD), and clinical attachment level.
Results: Type 1 diabetics with poor glycemic control had
increased gingival inflammation (P < 0.05), more dental plaque
(P < 0.05), increased PPDs (P < 0.05) and attachment loss
(P < 0.05) as compared to those with fair and good glycemic
control, respectively.
Conclusion: Severity of periodontal disease increases with poor
glycemic control in patients with Type 1 DM.
Key Words: Glycated hemoglobin levels, periodontal disease,
Type 1 diabetes mellitus
journal
The document summarizes three studies on controlling oral health in diabetic patients with chronic periodontitis. The studies found that regular dental visits, nonsurgical periodontal therapy, and proper oral hygiene care like brushing and flossing can significantly improve oral health conditions and metabolic markers. Compliant patients saw reductions in plaque, probing depths, cholesterol, triglycerides, and HbA1c levels. The document concludes dental hygienists should educate clients on the importance of daily oral hygiene and frequent dental visits to help diabetics better manage their overall health.
Study on Role of Clinical Pharmacist in counselling of Diabetic Patients
This study assessed the impact of clinical pharmacist counseling on knowledge, attitudes, and practices of diabetic patients in India. 120 diabetic inpatients were enrolled and counseled by clinical pharmacists during their hospital stay using oral counseling, pamphlets, and visual aids. Patients completed a questionnaire assessing knowledge, attitudes, and practices regarding diabetes before and after counseling. Results showed counseling significantly improved scores for knowledge (mean increase of 3 points), attitudes (mean increase of 0.5 points), and practices (mean increase of 0.6 points). The study concluded that clinical pharmacist counseling can effectively educate diabetic patients and play a vital role in diabetes management.
Periodontal disease and diabetes a study.
Periodontal disease is a chronic inflammatory condition characterized by destruction of the periodontal tissues, resulting in loss of connective tissue attachment and alveolar bone. Diabetes can exacerbate periodontal disease through mechanisms like altered host response, microangiopathy, changes in sub-gingival microflora, and hyperglycemia promoting inflammation and impaired tissue repair. This study examined 170 diabetic patients and found that those with poorly controlled diabetes or long-standing diabetes had more severe periodontitis, as measured by increased probing depths, clinical attachment loss, and tooth mobility requiring extractions. The study also found high rates of xerostomia in the patients, another factor worsening periodontal disease. In conclusion, diabetes increases the
Long term clinical and bacterial effetcx of xylitol on paitnets with fixed or...
Background: The objective of this study was to evaluate long-term clinical and bacterial effects of using 6 g of
xylitol per day for 3 months on patients with full fixed orthodontic appliances.
Methods: The study was a pilot clinical trial that included 41 subjects who were undergoing orthodontic
treatment. The subjects were randomly divided into three groups. Group A received xylitol chewing gum, group B
received xylitol dissolvable chewable tablets, and Group C served as the control group and did not receive xylitol
gums or tablets. Clinical examination and the collection of plaque and saliva samples were carried out at baseline
and 3, 6, and 12 months. All three groups were given oral hygiene instruction and were put on a 6-month cleaning
and topical fluoride schedule. Plaque scores and bacterial counts were used to evaluate the effectiveness of the
different approaches at reducing the caries risk.
Results: Xylitol groups did not experience any more reduction in plaque score, plaque MS counts, or salivary MS
counts than the control group nor did they have lower values at any of the time points. Chewing gum did not
significantly increase the incidence of debonded brackets over the other groups.
Conclusions: Xylitol does not have a clinical or bacterial benefit in patients with fixed orthodontic appliances. Oral
hygiene instructions and 6-month topical fluoride application were effective at reducing plaque scores and bacterial
counts in patients with full fixed appliances regardless of whether or not xylitol was used.
Scientific Journal of Research in Dentistry
Background: Oral Health (OH) is an essential component of general health, oral diseases have a negative social impact and
adverse consequences on the quality of life, while their treatment places a considerable economic burden on individuals, communities and countries. Oral diseases are related to a number of risk factors and determinants that are common to Diabetes Mellitus (DM) which have oral implications. This study aimed to know DMFT index among type 2 diabetic patients attending UNRWA health centers in Gaza Governorates. Method: An analytical cross-sectional study of 406 patients with type 2 DM selected through systematic random sampling from 5 UNRWA health centers. The World Health Organization’s basic methods tools were used to collect data and assess OH.
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Background: The association between diabetes and periodontal disease has long been discussed with conflicting conclusions. Earlier studies demonstrating the relationship between diabetes and severity of periodontal disease has been equivocal. However, recent studies have clearly proven that diabetes increases the risk of periodontal disease progression. Less clear is the impact of periodontal disease on diabetes. It has been hypothesised that periodontal therapy may improve the metabolic control of diabetes. Aim: To determine the effect of doxycycline as an adjunct to non-surgical periodontal therapy in improving the metabolic control of poorly controlled type 2 diabetic subjects with chronic generalized periodontitis. Method: 30 poorly controlled type 2 diabetic subjects with chronic generalized periodontitis and receiving antidiabetic therapy were selected for the study. The subjects were randomly allotted to either of two treatment groups containing 15 subjects each: Group 1 (scaling and root planing(SRP)+ 15 days Doxycycline) or Group 2 (scaling and root planing(SRP). The Glycated haemoglobin (HbA1c) values, Gingival Index(GI), and Probing pocket depth of both the groups were assessed at baseline and after 3 months. Results: Both the treatment groups exhibited reductions in HbA1c, G I and Probing pocket depth compared to baseline over time. The amount of reduction in the glycated haemoglobin and gingival parameters was higher in Group I compared to group 2 after 3 months. Conclusion: Both treatments improved glycemic control in patients with type 2 diabetes; however, the reduction in HbA1c values reached statistical significance only in the group receiving doxycycline as an adjunct to scaling and root planing.
THE EFFECTS OF PERIODONTAL TREATMENT ON DIABETIC PATIENTS: THE DIAPERIO RANDO...
While many systemic diseases have been considered to be associated with periodontitis, the link between diabetes and periodontitis has been the subject of the most intensive research over the past decades.
Both periodontitis and diabetes are highly prevalent in modern societies and have a negative impact on quality of life.
Periodontal therapy might help to reduce local inflammation, and consequently, the putative systemic entry of bacterial by- products (e.g., lipopolysaccharides from Gram - negative bacterial walls) and pro- inflammatory molecules.
Relationship between Severity of Periodontal Disease and Control of Diabetes ...
Background: Both diabetes mellitus (DM) and periodontitis
are chronic diseases affecting large number of the population
worldwide. Changes in human behavior and lifestyle over the
last century have resulted in a dramatic increase in the incidence
of diabetes in the world. This study was designed to evaluate the
relationship between severity of periodontal disease and control of
diabetes (glycated hemoglobin [HBA1c]) in patients with Type 1
DM in a hospital based study.
Materials and Methods: Fifty patients (n = 50) with Type 1
diabetes were enrolled in the study. They were divided into three
groups based on the degree of glycemic control by measuring
HbA1c levels as: “Good” (HBA1c ≤7) Group A, fair (HBA1c = 7-8)
Group B and poor (HBA1c >8) Group C. All enrolled patients
underwent detailed history and dental checkup. Evaluation for
periodontal disease was done by measuring dental plaque (plaque
index), inflammation of gums (gingival index), probing pocket
depth (PPD), and clinical attachment level.
Results: Type 1 diabetics with poor glycemic control had
increased gingival inflammation (P < 0.05), more dental plaque
(P < 0.05), increased PPDs (P < 0.05) and attachment loss
(P < 0.05) as compared to those with fair and good glycemic
control, respectively.
Conclusion: Severity of periodontal disease increases with poor
glycemic control in patients with Type 1 DM.
Key Words: Glycated hemoglobin levels, periodontal disease,
Type 1 diabetes mellitus
journal
The document summarizes three studies on controlling oral health in diabetic patients with chronic periodontitis. The studies found that regular dental visits, nonsurgical periodontal therapy, and proper oral hygiene care like brushing and flossing can significantly improve oral health conditions and metabolic markers. Compliant patients saw reductions in plaque, probing depths, cholesterol, triglycerides, and HbA1c levels. The document concludes dental hygienists should educate clients on the importance of daily oral hygiene and frequent dental visits to help diabetics better manage their overall health.
Study on Role of Clinical Pharmacist in counselling of Diabetic Patients
This study assessed the impact of clinical pharmacist counseling on knowledge, attitudes, and practices of diabetic patients in India. 120 diabetic inpatients were enrolled and counseled by clinical pharmacists during their hospital stay using oral counseling, pamphlets, and visual aids. Patients completed a questionnaire assessing knowledge, attitudes, and practices regarding diabetes before and after counseling. Results showed counseling significantly improved scores for knowledge (mean increase of 3 points), attitudes (mean increase of 0.5 points), and practices (mean increase of 0.6 points). The study concluded that clinical pharmacist counseling can effectively educate diabetic patients and play a vital role in diabetes management.
Periodontal disease and diabetes a study.
Periodontal disease is a chronic inflammatory condition characterized by destruction of the periodontal tissues, resulting in loss of connective tissue attachment and alveolar bone. Diabetes can exacerbate periodontal disease through mechanisms like altered host response, microangiopathy, changes in sub-gingival microflora, and hyperglycemia promoting inflammation and impaired tissue repair. This study examined 170 diabetic patients and found that those with poorly controlled diabetes or long-standing diabetes had more severe periodontitis, as measured by increased probing depths, clinical attachment loss, and tooth mobility requiring extractions. The study also found high rates of xerostomia in the patients, another factor worsening periodontal disease. In conclusion, diabetes increases the
Long term clinical and bacterial effetcx of xylitol on paitnets with fixed or...
Background: The objective of this study was to evaluate long-term clinical and bacterial effects of using 6 g of
xylitol per day for 3 months on patients with full fixed orthodontic appliances.
Methods: The study was a pilot clinical trial that included 41 subjects who were undergoing orthodontic
treatment. The subjects were randomly divided into three groups. Group A received xylitol chewing gum, group B
received xylitol dissolvable chewable tablets, and Group C served as the control group and did not receive xylitol
gums or tablets. Clinical examination and the collection of plaque and saliva samples were carried out at baseline
and 3, 6, and 12 months. All three groups were given oral hygiene instruction and were put on a 6-month cleaning
and topical fluoride schedule. Plaque scores and bacterial counts were used to evaluate the effectiveness of the
different approaches at reducing the caries risk.
Results: Xylitol groups did not experience any more reduction in plaque score, plaque MS counts, or salivary MS
counts than the control group nor did they have lower values at any of the time points. Chewing gum did not
significantly increase the incidence of debonded brackets over the other groups.
Conclusions: Xylitol does not have a clinical or bacterial benefit in patients with fixed orthodontic appliances. Oral
hygiene instructions and 6-month topical fluoride application were effective at reducing plaque scores and bacterial
counts in patients with full fixed appliances regardless of whether or not xylitol was used.
Scientific Journal of Research in Dentistry
Background: Oral Health (OH) is an essential component of general health, oral diseases have a negative social impact and
adverse consequences on the quality of life, while their treatment places a considerable economic burden on individuals, communities and countries. Oral diseases are related to a number of risk factors and determinants that are common to Diabetes Mellitus (DM) which have oral implications. This study aimed to know DMFT index among type 2 diabetic patients attending UNRWA health centers in Gaza Governorates. Method: An analytical cross-sectional study of 406 patients with type 2 DM selected through systematic random sampling from 5 UNRWA health centers. The World Health Organization’s basic methods tools were used to collect data and assess OH.
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This document discusses personalized periodontology and precision medicine approaches in periodontal treatment. It makes the following key points:
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2. Various genetic and inflammatory biomarkers can predict risk, diagnose disease severity, and monitor treatment effectiveness. Combinations of multiple biomarkers are more accurate than single biomarkers.
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Periodontal disease is considered
as a serious complication of Diabetes Mellitus. Both diseases have
a bidirectional adverse association. Patient’s self-care of oral hygiene and awareness of periodontal complications of diabetes is an
important factor in controlling complications of diabetes.
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COMMUNICATION WITH GERIATRIC PATIENT
Dr.MM HOUSE CLASSIFICATION
AGE & NUTRITION
FACTORS AFFECTING NUTRITION
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2. SPT consists of examination and evaluation of periodontal health, maintenance treatment such as scaling and oral hygiene reinforcement, and scheduling future visits. Regular SPT at intervals of 3-4 times per year or less has been shown to effectively maintain periodontal health and limit further attachment loss.
3. Compliance with the SPT regimen is important for achieving positive outcomes. Factors like education, simplified instructions, and positive reinforcement can help improve patient compliance.
protocol ppt
This document describes a proposed study on the impact of treatment noncompliance among patients with type 2 diabetes. The study aims to evaluate how adherence affects clinical outcomes. It will assess medication adherence, complications, and HbA1c levels in around 100 patients over 6 months. Statistical analysis will evaluate the relationship between non-adherence and glycemic control. The results could help identify strategies to improve adherence and patient outcomes.
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- It found that 65% of patients had good knowledge of oral health risks but only 7.5% had good oral health practices.
- Factors like education level, occupation, and income were associated with both better knowledge and practices.
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1) FMD resulted in slightly greater reductions in probing depth and clinical attachment loss compared to SRP-Q in some cases, but differences were minor.
2) One study found a statistically significant difference in bleeding on probing favoring FMD, while the other found no significant differences between the treatments.
3) Due to limitations and heterogeneity between studies, the review could not draw clear conclusions about the comparative effectiveness of FMD versus SRP-Q for treating aggressive periodontitis
Oral disease burden amongst adults in india
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2. Various genetic and inflammatory biomarkers can predict risk, diagnose disease severity, and monitor treatment effectiveness. Combinations of multiple biomarkers are more accurate than single biomarkers.
3. A study by Giannobile stratified over 5,000 patients by risk factors like smoking and diabetes to predict tooth loss outcomes over 16 years. High-risk patients had worse outcomes.
4. Personalized approaches show promise
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1) The study evaluated the oral hygiene status and prevalence of periodontal disease in HIV-positive and AIDS patients.
2) A prevalence of periodontal disease of 35% was found, with periodontal disease being more related to oral hygiene status than CD4+ count.
3) While there was no significant correlation between CD4+ count and periodontal condition, maintaining good oral hygiene is important for periodontal health regardless of CD4+ count.
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This study assessed the knowledge, attitudes, and practices of 612 diabetic patients in Abha City, Saudi Arabia regarding their oral health. The results showed that over half of patients were unaware of their increased risk of oral diseases as diabetics. Less than half knew that diabetes can cause dental caries and gingivitis. While patients' oral hygiene practices were generally good, their knowledge about the oral health risks of diabetes was deficient. The study highlights the need for better patient education on maintaining oral health and the link between diabetes and oral diseases.
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INTRODUCTION
DEFINITIONS
CLASSIFICATIONS
COMMUNICATION WITH GERIATRIC PATIENT
Dr.MM HOUSE CLASSIFICATION
AGE & NUTRITION
FACTORS AFFECTING NUTRITION
Spt ppt
1. Supportive periodontal therapy (SPT) involves procedures performed at regular intervals to help patients maintain oral health after initial periodontal treatment. The goals of SPT include preventing recurrence of periodontal disease and reducing tooth loss through ongoing monitoring.
2. SPT consists of examination and evaluation of periodontal health, maintenance treatment such as scaling and oral hygiene reinforcement, and scheduling future visits. Regular SPT at intervals of 3-4 times per year or less has been shown to effectively maintain periodontal health and limit further attachment loss.
3. Compliance with the SPT regimen is important for achieving positive outcomes. Factors like education, simplified instructions, and positive reinforcement can help improve patient compliance.
protocol ppt
This document describes a proposed study on the impact of treatment noncompliance among patients with type 2 diabetes. The study aims to evaluate how adherence affects clinical outcomes. It will assess medication adherence, complications, and HbA1c levels in around 100 patients over 6 months. Statistical analysis will evaluate the relationship between non-adherence and glycemic control. The results could help identify strategies to improve adherence and patient outcomes.
dept of peeriodontolgy and research center
This document provides an introduction and background to a proposed cross-sectional study assessing the relationship between anxiety, metabolic syndrome, and periodontal disease in smokers and non-smokers. The study aims to evaluate and compare anxiety levels and various periodontal parameters like probing pocket depth, clinical attachment level, plaque index, gingival index, and radiographic bone loss among patients with metabolic syndrome who smoke versus those who do not smoke. A sample size of 150 patients divided into three groups will be examined. Various clinical measurements and the Zung Self-Rating Anxiety Scale will be used to assess participants. Results will be statistically analyzed to understand the relationships between anxiety, metabolic syndrome, and periodontal disease in smokers compared to non-smokers.
Knowledge and practice on oral health among diabetic patients
- The study assessed the knowledge and oral health practices of 120 diabetic patients in Bangladesh through interviews.
- It found that 65% of patients had good knowledge of oral health risks but only 7.5% had good oral health practices.
- Factors like education level, occupation, and income were associated with both better knowledge and practices.
Is periodontal disease a silent epidemic?
Periodontitis is considered a silent epidemic in Malaysia, as it meets the criteria of being both an epidemic and a silent disease. Nearly half the adult population in Malaysia has periodontitis, placing a huge economic burden on the country. Periodontitis patients with diabetes face double jeopardy, as the two diseases exacerbate each other. However, most people are unaware of the relationship between oral and systemic health, and periodontitis often goes undetected until it significantly impacts quality of life. There is an urgent need for education about periodontitis to address this silent epidemic.
SELF MEDICATION PRACTICES FOR ORAL HEALTH PROBLEMS AMONG DENTAL PATIENTS IN B...
This study examined self-medication practices for oral health problems among dental patients in Bangalore, India. The study found that 100% of the 175 dental patients surveyed practiced self-medication. Toothache was the most common triggering factor reported. Analgesics and herbal remedies were commonly used for self-treatment. Most participants consulted pharmacists for advice on self-medication and would see a dentist only if problems persisted after self-medicating. The high prevalence of self-medication indicates a need for education programs to increase awareness of risks.
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This presentation compares the traditional model that focuses on compliance of the patient, with the new model which focuses on empowering the patient. The presentation will also focus elaborately on empowerment as an intervention for improved medical adherence in diabetic patients.
Explore and analyse concordance as a concept and empowerment as a strategic intervention to improve patient outcomes in diabetes.
Full Mouth Disinfection Versus Scaling and Root Planing per Quadrant in Agg...
This document summarizes a systematic review comparing the effectiveness of full-mouth disinfection (FMD) versus scaling and root planing by quadrant (SRP-Q) for treating aggressive periodontitis. The review included two studies that found:
1) FMD resulted in slightly greater reductions in probing depth and clinical attachment loss compared to SRP-Q in some cases, but differences were minor.
2) One study found a statistically significant difference in bleeding on probing favoring FMD, while the other found no significant differences between the treatments.
3) Due to limitations and heterogeneity between studies, the review could not draw clear conclusions about the comparative effectiveness of FMD versus SRP-Q for treating aggressive periodontitis
Oral disease burden amongst adults in india
This document discusses the oral disease burden in India. It provides definitions of oral health and major oral diseases like dental caries, periodontal diseases, and oral cancer. It summarizes findings from the National Oral Health Survey in India from 2002-2003 which found high prevalences of dental caries (affecting around 60% of the population) and periodontal diseases. Efforts to address the disease burden through programs like the National Oral Health Care Programme are discussed, as well as ongoing barriers.
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The document outlines principles of instrumentation in periodontal procedures, including positioning of the operator and patient, maintaining visibility through retraction and illumination, proper instrument handling techniques like grasping and finger rests, and factors such as instrument activation and maintaining a clean field. Key points covered are appropriate chair and body positions, methods of retraction, grasps for instrument control, and techniques to optimize visibility and access in the oral cavity.
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Aggregatibacter actinomycetemcomitans is a gram-negative, facultative anaerobic bacterium associated with aggressive periodontitis. It was first described in 1912 and has undergone several name changes before being classified in its current genus. A. actinomycetemcomitans can cause both oral and non-oral infections. It possesses virulence factors like leukotoxin A that enable it to invade tissues and has been linked to periodontitis, endocarditis, and rheumatoid arthritis. A. actinomycetemcomitans is considered an important pathogen in aggressive periodontitis.
gen path.pptx
This document discusses various types of anemia including pernicious anemia, aplastic anemia, sideroblastic anemia, and megaloblastic anemia. Pernicious anemia is caused by a vitamin B12 deficiency due to a lack of intrinsic factor leading to neurological and gastrointestinal symptoms. Aplastic anemia results from bone marrow failure causing pancytopenia and bleeding. Sideroblastic anemia causes iron accumulation in red blood cells despite sufficient iron levels. Megaloblastic anemia is caused by folic acid or B12 deficiencies inhibiting DNA synthesis during erythropoiesis leading to large immature red blood cells.
THE ROLE OF MACROPHAGE IN PERIODONTICS.pptx
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This document discusses the use of systemic antibiotics as an adjunct to scaling and root planing in the treatment of periodontal disease. It provides information on types of antibiotic therapy, current understanding of the microbial etiology of periodontal disease, and guidelines for periodontal therapy. Systematic reviews have found additional benefits of adjunctive antibiotics including improved clinical attachment level gains and reduced risk of further attachment loss. However, questions remain about which specific antibiotics or combinations are most appropriate for different forms of periodontal infections. The document also discusses the rationale for using systemic antibiotics as well as their limitations when biofilms are present. It provides criteria for an ideal antibiotic for periodontal therapy and discusses various antibiotic options and their administration.
Final - Cementum - Basics and Applied Aspects (Dr. Sabitha Sudarsan)1.pptx
This document provides an overview of cementum, a specialized connective tissue that covers tooth roots. It discusses the development, physical characteristics, composition, and microscopic structure of cementum. There are two main types - acellular cementum which covers the cervical third of roots and lacks cells, containing mineralized Sharpey's fibers, and cellular cementum which forms after tooth eruption and contains cementocytes in lacunae. The document outlines the roles of cementoblasts, cementocytes, and various proteins involved in cementogenesis.
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This document discusses the history, structure, formation, properties and role of biofilms. Some key points:
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This document reviews novel techniques for preserving the entire papilla during periodontal regeneration surgeries for isolated intrabony defects. It discusses three approaches: entire papilla preservation (EPP), nonincised papillae surgical approach (NIPSA), and modified vestibular incision subperiosteal tunnel access (M-VISTA). While randomized control trials are limited, case series show these techniques achieve primary wound closure without papilla dissection. EPP and NIPSA appear to have better outcomes for reducing probing depth and clinical attachment level gain compared to existing papilla preservation techniques. Further research is still needed to confirm the benefits of completely preserving the papilla.
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This document provides information on various periodontal instruments used in dental procedures. It describes periodontal probes that are used to measure pocket depth and explore tooth surfaces to detect calculus and lesions. Scaling instruments like sickle scalers, curettes, and hoes are discussed for removing supragingival and subgingival deposits. Gracey curettes and extended shank curettes are detailed as area-specific instruments for root planing. The document also mentions ultrasonic and sonic scalers as well as polishing tools like cups, brushes and tape for cleaning teeth. Surgical knives and gingivectomy knives are listed as incisional instruments.
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3) Cross-matching tests for compatibility between donor and recipient blood to prevent transfusion reactions from antibodies.
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This document provides information on bleeding disorders (haemorrhagic diatheses). It discusses investigations carried out for assessing abnormalities in haemostatic functions, including screening tests and specific tests. It covers haemorrhagic diatheses related to vascular abnormalities, platelet abnormalities, coagulation factor disorders, and fibrinolytic defects. Common causes of bleeding disorders like idiopathic thrombocytopenic purpura and thrombotic thrombocytopenic purpura are explained. The document provides an overview of evaluating and diagnosing bleeding disorders.
JOURNAL WATCH.pptx
This document summarizes a case report on using periodontally accelerated osteogenic orthodontics (PAOO) to protract the mandibular second molar in a 14-year old patient. PAOO combines selective decortication and alveolar augmentation to accelerate tooth movement 2-3 times faster than traditional orthodontics. In this case, corticotomies and decortication were performed around the mandibular second molar using piezosurgery. Bone grafting and orthodontic forces were then used to protract the molar into the extraction space in 10 months, achieving complete space closure. The case report discusses the advantages of PAOO in reducing treatment time and risk of root resorption
Implant Site Development Using Titanium Mesh in the.pptx
The document presents a retrospective study of 58 titanium mesh procedures used for implant site development in the maxilla of 48 patients, finding a mean horizontal bone gain of 4.7 mm. While titanium mesh resulted in significant bone regeneration, the risk of mesh exposure increased with patient age, and about 56% of implants required additional contour grafting for adequate bone thickness. This study demonstrates that titanium mesh can allow implant placement after ridge augmentation but discusses the need to inform patients of exposure risks and potential for further grafting.
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This randomized controlled trial compared new bone formation in alveolar bone sockets following tooth extraction when treated with platelet-rich fibrin (PRF) versus normal wound healing. Thirty-three patients underwent minimally traumatic tooth extractions, with 18 sockets treated with PRF placed in the socket and 15 sockets left to heal naturally. Bone specimens were taken 2 months post-extraction and analyzed histomorphometrically. The study found a higher percentage of new bone formation with PRF treatment compared to the control, but the difference was not statistically significant. The use of PRF in alveolar socket preservation did not enhance new bone formation compared to normal wound healing.
Local anesthesia IN PERIODONTICS DR.ANIZ.pptx
This document provides information on local anesthesia techniques used in periodontics. It defines local anesthesia and describes the composition, classification, and mechanism of action of local anesthetic drugs. It discusses various local anesthesia techniques for the maxillary and mandibular arches, including nerve block techniques and infiltration. Potential complications are outlined as well as maximum recommended doses. Recent advances in local anesthesia delivery methods are also mentioned.
TREATMENT OF PERI-IMPLANT SOFT TISSUE DEHISCENCE AROUND IMPLANTS.pptx
This document summarizes a case report of treating peri-implant soft tissue dehiscence around implants placed 20 years ago using bone grafts.
The treatment involved using an apically positioned partial-thickness flap combined with a free gingival graft to increase keratinized mucosa width around implants in the maxilla. For an implant with tension from a frenum in the maxilla, the flap was followed by a delayed graft. This resulted in increased keratinized mucosa and reduced bleeding and inflammation.
The report concludes that for multiple implant soft tissue dehiscence, an apically positioned flap with a free gingival graft can improve keratinized mucosa width and stabilize soft tissue,
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This document summarizes a randomized clinical trial comparing the bone quality of free autogenous bone grafts harvested from two mandibular donor sites (chin and retromolar region) for maxillary alveolar ridge augmentation. 14 patients received either chin (n=7) or retromolar (n=7) shell grafts fixed with screws. 6 months post-op, 42 core biopsies were analyzed and found the chin shells had a higher bone area percent (52.53% vs 47.97%) indicating better bone quality and stability compared to retromolar grafts.
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This randomized controlled clinical trial evaluated the effectiveness of different treatment modalities for true combined endodontic-periodontal lesions. 120 patients were randomly assigned to 4 treatment groups: conventional endodontic treatment with gutta-percha filling (control), conventional treatment with MTA filling, conventional treatment with gutta-percha filling plus bone grafting, and conventional treatment with MTA filling plus bone grafting. Clinical parameters including pocket depth, clinical attachment level, bone level, and periapical healing were assessed at baseline and 3, 6, and 12 months. The results showed that MTA filling combined with bone grafting resulted in significantly greater periapical healing and periodontal regeneration compared to other treatment modalities.
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