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.
The future of dentistry and periodontics lies in regeneration. The goals of periodontal therapy lies in not only the arrest of periodontal disease progression but also regeneration of the lost periodontal structures. This presentation provides a review of the current understanding of the regeneration of the periodontium and the procedures involved to restore the periodontal tissues around the teeth.
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.
The future of dentistry and periodontics lies in regeneration. The goals of periodontal therapy lies in not only the arrest of periodontal disease progression but also regeneration of the lost periodontal structures. This presentation provides a review of the current understanding of the regeneration of the periodontium and the procedures involved to restore the periodontal tissues around the teeth.
Furcation involvement is a common sequela of severe chronic periodontal disease. Its effective management has a profound influence on the outcome of periodontal therapy.
mucogingival surgery or plastic surgery of muco-gingival tissue is a surgical procedure targeted to correct and eliminate anatomic, developmental and traumatic alterations of gingiva.
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
The periodontal examination should be systematic, starting in the molar region in either maxilla or mandible and proceeding around the arch. It is important to detect the earliest signs of gingival and periodontal disease.
Certains medications have been associated with gingival enlargement.
the seminar gives a complete analysis of etilogy and pathogenesis involved in digo as well as sequlae of it
Platelet Rich Fibrin (PRF) in Dentistry, What is PRF ? , What are the difference between PRP,PRGF and PRF ?, Preparation of PRF , shapes of PRF, Role of PRF in wound healing, APPLICATIONS OF PRF, Applications of PRF In Oral and Maxillofacial Surgery, Applications of PRF In Periodontics, Applications of PRF In Endodontics, Applications of PRF In Tissue Engineering
Periodontal plastic surgery is defined as the surgical procedures performed to correct deformities of the gingiva or alveolar mucosa. It includes widening of attached gingiva,
deepening of shallow vestibules, resection of the aberrant frena, depigmentation of gingiva.In all of these procedures, blood supply is the most significant concern and must be the underlying issue for all decisions regarding the individual surgical procedure.
Furcation involvement is a common sequela of severe chronic periodontal disease. Its effective management has a profound influence on the outcome of periodontal therapy.
mucogingival surgery or plastic surgery of muco-gingival tissue is a surgical procedure targeted to correct and eliminate anatomic, developmental and traumatic alterations of gingiva.
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
The periodontal examination should be systematic, starting in the molar region in either maxilla or mandible and proceeding around the arch. It is important to detect the earliest signs of gingival and periodontal disease.
Certains medications have been associated with gingival enlargement.
the seminar gives a complete analysis of etilogy and pathogenesis involved in digo as well as sequlae of it
Platelet Rich Fibrin (PRF) in Dentistry, What is PRF ? , What are the difference between PRP,PRGF and PRF ?, Preparation of PRF , shapes of PRF, Role of PRF in wound healing, APPLICATIONS OF PRF, Applications of PRF In Oral and Maxillofacial Surgery, Applications of PRF In Periodontics, Applications of PRF In Endodontics, Applications of PRF In Tissue Engineering
Periodontal plastic surgery is defined as the surgical procedures performed to correct deformities of the gingiva or alveolar mucosa. It includes widening of attached gingiva,
deepening of shallow vestibules, resection of the aberrant frena, depigmentation of gingiva.In all of these procedures, blood supply is the most significant concern and must be the underlying issue for all decisions regarding the individual surgical procedure.
This presentation includes brief history, classification and definition of overdentures and explains in details about the various tooth supported overdentures. It explains about bar attachments, ball attachments, telecsopic dentures etc.
Relining rebasing and repair of complete denture/ dental coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Presentation describing important values to be understood in periodontology. Helpful for dental graduate students and periodontology post graduate students and also for neet mds exams.
Chronic periodontitis, formerly known as “adult periodontitis” or “chronic adult periodontitis” is the most prevalent form of periodontitis.
Chronic periodontitis has been defined as “an infectious disease resulting in inflammation within the supporting tissues of the teeth, progressive attachment loss, and bone loss”.
This definition outlines the major clinical and etiological characteristics of the disease:
Microbial plaque formation.
Periodontal inflammation.
Loss of attachment and alveolar bone.
Flap surgery, also called pocket reduction surgery. Your periodontist makes cuts in your gums to carefully fold back the tissue. This exposes the tooth roots for more effective scaling and root planning. Because periodontitis often causes bone loss, the underlying bone may be reshaped before the gum tissue is stitched back in place. After you heal, it's easier to clean the areas around your teeth and maintain healthy gum tissue.
Soft tissue grafts. When you lose gum tissue, your gumline gets lower, exposing some of your tooth roots. You may need to have some of the damaged tissue reinforced. This is usually done by removing a small amount of tissue from the roof of your mouth or using tissue from another donor source and attaching it to the affected site. This can help reduce further gum loss, cover exposed roots and give your teeth a better appearance.
Bone grafting. This procedure is performed when periodontitis destroys the bone around your tooth root. The graft may be made from small bits of your own bone, or the bone may be made of artificial material or donated. The bone graft helps prevent tooth loss by holding your tooth in place. It also serves as a platform for the regrowth of natural bone.
Guided tissue regeneration. This allows the regrowth of bone that was destroyed by bacteria. In one approach, your dentist places a special type of fabric between existing bone and your tooth. The material prevents unwanted tissue from growing into the healing area, allowing bone to grow back instead.
Tissue-stimulating proteins. Another approach involves applying a special gel to a diseased tooth root. This gel contains the same proteins found in developing tooth enamel and stimulates the growth of healthy bone and tissue.
Host modulatory therapy does not shut off the normal defence mechanism of inflammation instead, they ameliorate excessive or pathologically elevated inflammatory process to enhance the opportunities for wound healing and periodontal stability.
Pharmacological agents are used to stop the progression of periodontitis by intervention of the pathogenic mechanism.
It is used as an adjunct with conventional periodontal disease treatment.
It offers the opportunity for modulating or reducing destruction by treating chronic inflammatory response.
The concept was introduced by William and Golub in 1990.
Initially adjunctive therapies were solely anti-microbial such as use of antibiotics and antiseptics.
New approaches include modulation of host response.
Host modulatory therapy is considered as a BENCH-MARK in the treatment of patients with periodontal diseases.
Also, Useful in the following patients :
Diabetes & immunocompromised situations
peri-implant dis-ease (local and systemic efficiency of host modulatory therapy are used as an adjunct to conventional local disinfection treatment)
Although the efficacy and usefulness of host modulating agents have improved the treatment in several folds still, more research is required to make treatment response faster and to increase periodontal stability.
In the 18th century CAROLUS LINNAEUS called Carl von Linné, revolutionized the field of natural history by introducing a formalized system of naming organisms, what we call a taxonomic nomenclature.
He divided the natural world into 3 kingdoms and used five ranks : Class, Order, Genus, Species & Variety.
FROM 1977 TO 1989, THE AMERICAN ACADEMY OF PERIODONTOLOGY (AAP) WENT FROM 2 MAIN PERIODONTAL DISEASE CATEGORIES TO 5.
The 1989 Classification Had It’s Short-comings Including :
Lack of a category for strictly gingival diseases
Overlap between disease categories
Difficulty in fitting certain patients into any of the existing categories.
Similarity of microbiological and host response features.
A New Periodontal Disease Classification System Was Recommended By The 1999 International Workshop For A Classification Of Periodontal Disease And Conditions.
Periodontal abscesses, combined periodontic-endodontic problems, mucogingival deformities and occlusal trauma all remain unchanged except that they have been ordered in the classification system.
NUG and NUP were combined under the category of necrotizing periodontal diseases with no changes to their definitions.
One of the most significant changes included the addition of a detailed section on gingival diseases and lesions. Another important change was the discontinuation of terms related to age of presentation and rate of progression of the diseases.
The criteria for chronic periodontitis remain similar to those used for adult periodontitis but the age-dependent terminology has been removed.
All syndromes and systemic diseases which predispose a patient to periodontal disease would be classified under the category of “PERIODONTITIS AS A MANIFESTATION OF SYSTEMIC DISEASE”
Refractory periodontitis (low plaque scores and low responsiveness to periodontal therapy) is no longer considered a specific disease.
The 1999 classification system has been approved by the AAP, is now official terminology for that organization, and will be used in accredited graduate periodontal programs and board examinations.
The Parameters of Care approved by the AAP have adopted the new classification and future publications will use it as their standard. Since many of the 1999 workshop participants were from Europe and Asia as well as North America, it is anticipated that the proposed classification will be adopted in most parts of the world.
All of my Lectures are based on information purposes.
It is based on the viva explanation and understanding basis.
Basically for 4th BDS Professional Year.
All of my Lectures are based on information purposes.
It is based on the viva explanation and understanding basis.
Basically for 4th BDS Professional Year.
All of my Lectures are based on information purposes.
It is based on the viva explanation and understanding basis.
Basically for 4th BDS Professional Year.
A MAGNIFICENT ORTHODONTIC TREATMENT CAN BE DESTROYED BY POOR PERIODONTAL SUPPORT. EVALUATION AND MAINTENANCE OF PERIODONTAL HEALTH BEFORE, DURING AND AFTER TREATMENT IS VERY IMPORTANT.
Dr. Abhishek Gaur
BDS, MDS
Some of the slides may appear Blank/White/Black, those are the Videos that I added in the presentation.
Kindly Ignore those slides.
Dental Calculus: Short Presentation
Dr. Abhishek Gaur
BDS, MDS
Some of the slides may appear Blank/White/Black, those are the Videos that I added in the presentation.
Kindly Ignore those slides.
Dr. Abhishek Gaur
BDS, MDS
Some of the slides may appear Blank/White/Black, those are the Videos that I added in the presentation.
Kindly Ignore those slides.
Reconstructive periodontal therapy
Some of the slides may appear Blank/White/Black, those are the Videos that I added in the presentation.
Kindly Ignore those slides.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
2. Periodontal Plastic Surgery
Presented By :
Dr. Abhishek Gaur
BDS, MDS, (Ph.D)
Department of Periodontics
R. R. Dental College & Hospital
Umarda, Udaipur (RAJ.)
3.
4. Miller (1993)
Periodontal plastic surgery, treatment
of problems associated with the
amount of gingiva and recession type
defects to also include correction of
ridge form and soft tissue esthetics.
Miller (1993)
Periodontal plastic surgery, treatment
of problems associated with the
amount of gingiva and recession type
defects to also include correction of
ridge form and soft tissue esthetics.
5. PERIODONTAL PLASTIC
SURGERY
(WORKSHOP 1996 )
•Gingival augmentation
•Root coverage
•Correction of mucosal defects at implants
•Crown lengthening
•Gingivectomy
•Removal of aberrant frenulum
•Prevention of ridge collapse associated with tooth
extractions.
•Augmentation of the edentulous ridge
PERIODONTAL PLASTIC
SURGERY
(WORKSHOP 1996 )
•Gingival augmentation
•Root coverage
•Correction of mucosal defects at implants
•Crown lengthening
•Gingivectomy
•Removal of aberrant frenulum
•Prevention of ridge collapse associated with tooth
extractions.
•Augmentation of the edentulous ridge
6. Objectives
1.To understand some of the different types of grafts used
in Periodontal Plastic Surgery (Mucogingival Surgery)
2.To understand the indications for the different types of
mucogingival surgeries.
3.To show some examples of one of the most common
grafting procedures, the FGG and CTG.
4.To understand when a condition would not benefit from
Mucogingival Surgery
ObjectivesObjectives
1.To understand some of the different types of grafts used
in Periodontal Plastic Surgery (Mucogingival Surgery)
2.To understand the indications for the different types of
mucogingival surgeries.
3.To show some examples of one of the most common
grafting procedures, the FGG and CTG.
4.To understand when a condition would not benefit from
Mucogingival Surgery
8. When is Grafting Needed ?
How much keratinised gingiva is needed ?
• Bowers 1963 – felt that gingival health could be maintained with a
narrow zoned of KG (<1mm) but some was required for healing.
• Lang & Loe 1968 – suggested 2mm.
• Maynard and Wilson 1979 – 5mm of KG with 3mm attached
when sub-gingival restorations are planned.
• Kennedy 1985 – over a 6 year period, patients with inconsistent
OH saw recession with thin tissue.
Bottom Line : some attached gingiva is necessary for health, but
patients with good OH can maintain thin AG.
When is Grafting Needed ?When is Grafting Needed ?
How much keratinised gingiva is needed ?
• Bowers 1963 – felt that gingival health could be maintained with a
narrow zoned of KG (<1mm) but some was required for healing.
• Lang & Loe 1968 – suggested 2mm.
• Maynard and Wilson 1979 – 5mm of KG with 3mm attached
when sub-gingival restorations are planned.
• Kennedy 1985 – over a 6 year period, patients with inconsistent
OH saw recession with thin tissue.
Bottom Line : some attached gingiva is necessary for health, but
patients with good OH can maintain thin AG.
9. •Is the recession progressing ?
•Is the tooth treatment planned for orthodontic care or
prosthetic treatment ?
•Is there root sensitivity ?
•Is there difficulty cleaning the root surface by the
patient ?
•Is there an esthetic concern ?
When is Grafting Needed ?When is Grafting Needed ?When is Grafting Needed ?
10. Free Gingival Auto-Grafts
Indications
• To increase keratinised tissue around teeth, implants or crowns.
• To increase keratinised tissue under removable prostheses.
• To increase vestibular depth.
Disadvantages
• Difficult to achieve root coverage.
• High esthetic demand.
• Large, uncomfortable donor site.
• Graft site, slow uncomfortable healing.
Free Gingival Auto-GraftsFree Gingival Auto-Grafts
15. Connective Tissue
Graft
Advantages
• Very predictable for root
coverage
• Smaller donor site (than FGG)
• Smaller recipient site (than FGG)
• Less soreness overall (than FGG)
• Uses patient’s own tissue
• Excellent esthetics
• Can cover multiple, large
recessions even on teeth with a
previous restorations
Disadvantages
• Two surgical sites
• Technique sensitive
• Bleeding from palate (potential)
Connective Tissue
Graft
Advantages
• Very predictable for root
coverage
• Smaller donor site (than FGG)
• Smaller recipient site (than FGG)
• Less soreness overall (than FGG)
• Uses patient’s own tissue
• Excellent esthetics
• Can cover multiple, large
recessions even on teeth with a
previous restorations
Disadvantages
• Two surgical sites
• Technique sensitive
• Bleeding from palate (potential)
30. CTG ? Not-Indicated ?
•All exposed dentin is gingival recession.
•Abfraction.
•Tissue at or near the CEJ.
•Gingival hyperplasia adjacent to normal gingival
contours.
CTG ? Not-Indicated ?
•All exposed dentin is gingival recession.
•Abfraction.
•Tissue at or near the CEJ.
•Gingival hyperplasia adjacent to normal gingival
contours.
33. Not really….
•Tooth-brushing and gingival recession. Litonjua, LA, et al. Int
Dent J 2003 53(2) a literature review showed no direct
relationship between toothbrushing and gingival recession.
•Trauma from toothbrushing may contribute to recession in
a minor way, but other more important factors should be
treated first.
•Abrasion of the hard surfaces of the teeth are likely caused
by abrasives in the toothpaste.
Not really….
•Tooth-brushing and gingival recession. Litonjua, LA, et al. Int
Dent J 2003 53(2) a literature review showed no direct
relationship between toothbrushing and gingival recession.
•Trauma from toothbrushing may contribute to recession in
a minor way, but other more important factors should be
treated first.
•Abrasion of the hard surfaces of the teeth are likely caused
by abrasives in the toothpaste.
34.
35.
36. Does It Hurt ???
• The common perception is that Connective Tissue
Grafting is VERY PAINFUL!!
• This is often the patient’s perception.
• This perception is usually the result of hearsay from
friends and relatives.
• The origins probably go back to the days of the Free
Gingival Grafts.
Does It Hurt ???
• The common perception is that Connective Tissue
Grafting is VERY PAINFUL!!
• This is often the patient’s perception.
• This perception is usually the result of hearsay from
friends and relatives.
• The origins probably go back to the days of the Free
Gingival Grafts.
37. Reality
•In 20 years of performing CT grafts, very few patients ever
complain about significant pain afterwards.
•Most are pleasantly surprised at how little pain they had.
•Very little post-opp. bleeding, swelling or bruising.
Of course, everyone’s pain threshold is different…
Does It Hurt ???Does It Hurt ???
Reality
•In 20 years of performing CT grafts, very few patients ever
complain about significant pain afterwards.
•Most are pleasantly surprised at how little pain they had.
•Very little post-opp. bleeding, swelling or bruising.
Of course, everyone’s pain threshold is different…
