short attention span and multiple appointments makes it necessary to treat young child under general anesthesia. pediatric dentist would find it very helpful
An Assessment on the Clinical Performance of Non-carious Cervical Restorationsasclepiuspdfs
This study evaluated the clinical performance of non-carious cervical lesion restorations placed at a university dental clinic over a 7-year period. A total of 121 restorations in 34 patients were assessed based on materials used (glass ionomer cement, resin composite, resin-modified glass ionomer cement) and clinical handling technique (with vs without cavity preparation). Glass ionomer cement restorations showed significantly better retention and less secondary caries compared to the other materials, but there were no differences in marginal integrity, discoloration, or anatomic form based on material. The clinical performance did not differ based on whether cavity preparation was used.
Effect of Calcium Hydroxide on Deep Caries Dentin: A Clinical Studyasclepiuspdfs
Objective: The aim of this study was to evaluate the clinical efficacy of calcium hydroxide on arresting deep carious lesions in permanent teeth. Methods: A total of 190 patients aged between 15 and 55 years old were selected for this clinical study. Calcium hydroxide was applied to fully matured permanent anterior or posterior teeth clinically and radiographically after 2 weeks, 3–4 weeks, 3 months, 6 months, and 1-year follow-up. Results: The overall survival rate was 89.4%. The findings of this study showed that calcium hydroxide is effective in arresting deep carious lesions and formation tertiary dentine as well as preservation teeth vitality. Conclusion: Calcium hydroxide is effective in reducing the risk of pulp exposure in deep carious lesion.
This document summarizes two studies on treating crowding in the mixed dentition. The first study found that simply maintaining arch length through the transition to the permanent dentition would provide adequate space to resolve crowding in 72% of cases. The second study clinically confirmed this, finding 68% of patients had adequate space after using passive lingual arches to maintain arch length. Both studies suggest that in most cases, simple arch length preservation can provide enough space to align teeth without more invasive early treatment.
This document summarizes a presentation on early treatment for Class III malocclusion patients. It discusses what has been learned about treating Class III patients with maxillary expansion and facemask therapy. Specifically, it notes that successful treatment can be achieved in these patients to correct the overjet within 6-9 months. However, long-term stability is only achieved in 50-60% of patients after pubertal growth due to variability in mandibular growth. The document also reviews several methods that have been proposed to predict mandibular growth and the likelihood of treatment success or failure, but notes accuracy has been limited to around 70%. Factors like overbite, growth pattern, and remaining growth are discussed as indicators for treatment.
2 Stage Crown Lengthening VS 1 Stage Journal PresentationDr. B.V.Parvathy
This randomized controlled trial aimed to assess the efficacy of a two-
stage crown lengthening intervention (SCL) in the aesthetic zone
compared with a one-stage crown lengthening procedure (CCL).
This document summarizes research on different treatment approaches for patients with arch length deficiency in the mixed dentition. It discusses the outcomes of: 1) doing nothing, which typically leads to worsening crowding over time; 2) arch expansion, which often results in significant relapse without lifelong retention; 3) early premolar extraction followed by treatment, which shows similar long-term instability as extraction in the permanent dentition; and 4) using passive lingual arches to preserve arch length via the "leeway space", which has demonstrated good long-term stability in maintaining anterior alignment without extractions or arch expansion.
This document discusses the biological rationale for early treatment of dentofacial deformities. It addresses the growth potential of sutures and condylar cartilage, implications for modifying facial growth, and future directions. Specifically:
1) Sutures and condylar cartilage have stem cells that allow growth throughout life and can be influenced by biomechanical factors, making modification of facial growth possible.
2) The best time to intervene is debated, but growth is most modifiable early in development. Treatment effects depend on available stem cells and growth factor expression, which vary over time.
3) Future work will integrate developmental biology principles with treatment, using genetics to assess growth potential and possibly targeting growth factors for more
This study examined the effectiveness and efficiency of early treatment versus late treatment for Class II malocclusions. The researchers conducted a randomized controlled trial comparing early treatment using headgear or functional appliances to a control group receiving no early treatment. Results showed that while early treatment produced small changes to jaw growth, this initial advantage was not sustained. There were no differences found between the groups in final skeletal or dental measurements, need for extractions, treatment time, or quality of dental occlusion after treatment. Therefore, the study concluded that early treatment was generally no more effective than conventional late treatment for most cases of Class II malocclusion.
An Assessment on the Clinical Performance of Non-carious Cervical Restorationsasclepiuspdfs
This study evaluated the clinical performance of non-carious cervical lesion restorations placed at a university dental clinic over a 7-year period. A total of 121 restorations in 34 patients were assessed based on materials used (glass ionomer cement, resin composite, resin-modified glass ionomer cement) and clinical handling technique (with vs without cavity preparation). Glass ionomer cement restorations showed significantly better retention and less secondary caries compared to the other materials, but there were no differences in marginal integrity, discoloration, or anatomic form based on material. The clinical performance did not differ based on whether cavity preparation was used.
Effect of Calcium Hydroxide on Deep Caries Dentin: A Clinical Studyasclepiuspdfs
Objective: The aim of this study was to evaluate the clinical efficacy of calcium hydroxide on arresting deep carious lesions in permanent teeth. Methods: A total of 190 patients aged between 15 and 55 years old were selected for this clinical study. Calcium hydroxide was applied to fully matured permanent anterior or posterior teeth clinically and radiographically after 2 weeks, 3–4 weeks, 3 months, 6 months, and 1-year follow-up. Results: The overall survival rate was 89.4%. The findings of this study showed that calcium hydroxide is effective in arresting deep carious lesions and formation tertiary dentine as well as preservation teeth vitality. Conclusion: Calcium hydroxide is effective in reducing the risk of pulp exposure in deep carious lesion.
This document summarizes two studies on treating crowding in the mixed dentition. The first study found that simply maintaining arch length through the transition to the permanent dentition would provide adequate space to resolve crowding in 72% of cases. The second study clinically confirmed this, finding 68% of patients had adequate space after using passive lingual arches to maintain arch length. Both studies suggest that in most cases, simple arch length preservation can provide enough space to align teeth without more invasive early treatment.
This document summarizes a presentation on early treatment for Class III malocclusion patients. It discusses what has been learned about treating Class III patients with maxillary expansion and facemask therapy. Specifically, it notes that successful treatment can be achieved in these patients to correct the overjet within 6-9 months. However, long-term stability is only achieved in 50-60% of patients after pubertal growth due to variability in mandibular growth. The document also reviews several methods that have been proposed to predict mandibular growth and the likelihood of treatment success or failure, but notes accuracy has been limited to around 70%. Factors like overbite, growth pattern, and remaining growth are discussed as indicators for treatment.
2 Stage Crown Lengthening VS 1 Stage Journal PresentationDr. B.V.Parvathy
This randomized controlled trial aimed to assess the efficacy of a two-
stage crown lengthening intervention (SCL) in the aesthetic zone
compared with a one-stage crown lengthening procedure (CCL).
This document summarizes research on different treatment approaches for patients with arch length deficiency in the mixed dentition. It discusses the outcomes of: 1) doing nothing, which typically leads to worsening crowding over time; 2) arch expansion, which often results in significant relapse without lifelong retention; 3) early premolar extraction followed by treatment, which shows similar long-term instability as extraction in the permanent dentition; and 4) using passive lingual arches to preserve arch length via the "leeway space", which has demonstrated good long-term stability in maintaining anterior alignment without extractions or arch expansion.
This document discusses the biological rationale for early treatment of dentofacial deformities. It addresses the growth potential of sutures and condylar cartilage, implications for modifying facial growth, and future directions. Specifically:
1) Sutures and condylar cartilage have stem cells that allow growth throughout life and can be influenced by biomechanical factors, making modification of facial growth possible.
2) The best time to intervene is debated, but growth is most modifiable early in development. Treatment effects depend on available stem cells and growth factor expression, which vary over time.
3) Future work will integrate developmental biology principles with treatment, using genetics to assess growth potential and possibly targeting growth factors for more
This study examined the effectiveness and efficiency of early treatment versus late treatment for Class II malocclusions. The researchers conducted a randomized controlled trial comparing early treatment using headgear or functional appliances to a control group receiving no early treatment. Results showed that while early treatment produced small changes to jaw growth, this initial advantage was not sustained. There were no differences found between the groups in final skeletal or dental measurements, need for extractions, treatment time, or quality of dental occlusion after treatment. Therefore, the study concluded that early treatment was generally no more effective than conventional late treatment for most cases of Class II malocclusion.
The document summarizes a journal club presentation on a 3-year study evaluating the clinical performance of short expandable dental implants in highly atrophic alveolar bone. The study found a 94.7% implant success rate in the mandible and 83.6% in the maxilla over a mean follow-up of 42.6 months, with median 3-year crestal bone changes demonstrating maintenance of peri-implant alveolar bone. The conclusion was that the short expandable implant system provided reliable oral rehabilitation, especially for elderly patients with difficult implantation conditions.
1) The document summarizes research on early orthodontic intervention for patients with tooth-size discrepancies. It focuses on using rapid maxillary expansion (RME) in the mixed dentition stage to correct crowding issues.
2) Long-term studies found that RME followed by fixed appliances resulted in clinically significant increases in maxillary and mandibular arch width even 5+ years post-treatment. RME also had benefits like improving nasal breathing.
3) For patients with mild-moderate crowding, RME combined with other approaches like Schwarz appliances in early treatment resulted in increased arch widths that were maintained long-term. RME was found to be an effective option for treating mixed dentition patients
The document summarizes discussions from an early treatment symposium regarding the treatment of skeletal open bite malocclusions. It addresses questions about defining early treatment, the differences between dental and skeletal open bites, benefits of early treatment for hyperdivergent open bites, and appropriate treatment approaches. The optimal treatment is said to be beginning between ages 7-8 and includes rapid maxillary expansion, headgear, and light muscle exercises to control vertical growth and encourage counterclockwise mandibular rotation. Early intervention is advocated to modify growth and prevent needing future surgery.
The document discusses the principles and techniques of minimal invasive dentistry for diagnosing and treating dental caries, including identifying patients' caries risk factors, using remineralization methods to prevent or control non-cavitated caries, and employing restorative techniques that minimize removal of healthy tooth structure. It outlines the goals of preserving tooth structure, stopping disease progression, and restoring function with minimal intervention. The approach focuses on changing the disease process through dietary and lifestyle modifications rather than solely operative treatment.
journal club on Progressive Root Resorption Associatedwith the Treatment of ...Shilpa Shiv
This case report describes progressive root resorption that occurred after treatment of a deep gingival recession using scaling and root planing, tetracycline root conditioning, and connective tissue grafting. At 20 months post-operatively, external root resorption was observed without symptoms. Root resorption is an uncommon complication that can occur despite initially achieving the desired outcome of treating recession and creating healthy periodontal tissues. Tetracycline root conditioning may cause late root resorption, so this risk should be considered when developing treatment plans.
Surgical v/s Non surgical periodontal therapy Achi Joshi
Both surgical and nonsurgical therapy produced improvement in the periodontal health.
Treatment approach was based on the comfort level of the practitioner.
In the late 60’s and continuing into the 70’s and 80’s, many series of longitudinal studies were conducted, aimed to document the immediate and most importantly long term clinical results following several types of periodontal therapy.
The document discusses the stability of open bite treatment. It finds that:
1) Relatively few scientific studies have evaluated the stability of open bite treatment. The studies that do exist show that 35-60% of non-surgically treated patients experience a relapse of their open bite.
2) Various therapies have been proposed to improve stability, such as crib therapy and myofunctional therapy, but no long-term studies conclusively prove their effectiveness.
3) While early treatment is generally indicated for open bites depending on severity, age, etc., stability remains a clinical problem as about 20-40% of patients, both surgically and non-surgically treated, will experience a relapse.
journal club on Combined Surgical Resective and Regenerative Therapy forAdva...Shilpa Shiv
JC on Combined Surgical Resective and Regenerative Therapy forAdvanced Peri-implantitis with Concomitant Soft Tissue Volume Augmentation: A Case Report. IJPRD 2014.
Light-Emitting Diode Irradiation Promotes Donor Site Wound Healing of the F...Shilpa Shiv
This document summarizes a study that investigated the effects of LED light irradiation on wound healing of free gingival grafts in rats. The study found that LED light irradiation at 10-20 J/cm2 promoted fibroblast viability and wound closure in vitro, and accelerated wound healing in vivo by promoting re-epithelialization, reducing inflammation and sequestrum formation, and increasing collagen deposition. LED light facilitated healing, likely by reducing reactive oxygen species and promoting angiogenesis and tissue remodeling, though additional research is still needed to validate the optimal LED conditions for clinical use.
Non-surgical periodontal therapy involves procedures like manual debridement, machine-driven debridement, supra/subgingival irrigation, local drug delivery, lasers, systemic drugs and host modulation therapy to reduce probing depth and bleeding and improve clinical attachment levels. Surgical therapy involves flap procedures to access root surfaces and eliminate deep pockets. Systematic reviews found that both non-surgical and surgical periodontal therapy are effective in treating periodontitis, with no significant differences in clinical outcomes between the two approaches. The choice of treatment depends on the initial probing depth, with non-surgical therapy used for shallower pockets and surgery for deeper pockets above a critical threshold.
The document summarizes a clinical study that compared the performance of a two-step self-etching adhesive system (Clearfil Protect Bond) and a one-step self-etching adhesive system (Xeno III) over one year. 163 restorations were placed in noncarious cervical lesions in 35 patients using the two adhesive systems. The restorations were evaluated at baseline and 3, 6, 9, and 12 months using criteria such as color matching, marginal adaptation, retention, etc. At one year, the retention rate was 100% for the two-step system and 96% for the one-step system. Both systems showed excellent performance during the one-year clinical trial, though the two-step system
This case series examines a new surgical technique for regenerating interimplant papillae using subepithelial connective tissue grafts. 10 patients with missing papillae between implant restorations received the new procedure involving buccal and palatal incisions made away from the papilla to preserve blood supply, and tunneling performed with a specialized instrument. The papillae scores improved on average from 0.8 to 2.4 after 16 months, demonstrating regeneration of the papillae over 11-30 months. However, long-term studies are still needed to validate the technique and outcomes.
Journal club on Connective tissue graft associated or not with low laser ther...Shilpa Shiv
Connective tissue graft associated or not with low laser therapy to treat gingival recession: randomized clinical trial, Fernandes-Dias SB, de Marco AC, Santamaria Junior M et al.
JCP 2015.
This document discusses minimal intervention dentistry and focuses on preserving tooth structure and using the least invasive dental treatments possible. It describes how the field has evolved from prioritizing surgical tooth removal to incorporating concepts of caries prevention, detection, and remineralization. The document outlines the components of a minimal intervention treatment plan, including assessing caries risk factors, detecting early lesions, implementing preventive measures, and only performing restorative treatments when necessary using minimally invasive techniques.
Treatment of severe sinus infection after sinus lift procedure a case reportdroliv
This case report describes a patient who developed a severe sinus infection after undergoing a sinus lift and grafting procedure. Two weeks postoperatively, the patient reported pain, drainage from the nasal cavity, and yellow mucus discharge from the right nostril. A CT scan revealed thickening of the Schneiderian membrane and scattered graft material, as well as ostium stenosis (narrowing of the sinus opening). Management included endoscopic nasal examination and ostium enlargement by an otolaryngologist, along with antibiotic treatment and full removal of the graft and diseased tissue. The report concludes that the patency of the sinus ostium should be carefully evaluated before sinus lift procedures using CT scans, and otolaryngology consultations
The document summarizes the key phases and techniques involved in nonsurgical periodontal therapy (NSPT). It discusses the goals of NSPT to eliminate pathogens and halt disease progression. Techniques include scaling and root planing to remove calculus, contaminated cementum, and bacterial toxins. Studies found that aggressive root planing is not needed and that clinical improvements result from scaling alone or with root planing. The effects of NSPT on subgingival microflora and selection of instrumentation techniques are also summarized.
The document summarizes a journal club presentation on a 3-year study evaluating the clinical performance of short expandable dental implants in highly atrophic alveolar bone. The study found a 94.7% implant success rate in the mandible and 83.6% in the maxilla over a mean follow-up of 42.6 months, with median 3-year crestal bone changes demonstrating maintenance of peri-implant alveolar bone. The conclusion was that the short expandable implant system provided reliable oral rehabilitation, especially for elderly patients with difficult implantation conditions.
1) The document summarizes research on early orthodontic intervention for patients with tooth-size discrepancies. It focuses on using rapid maxillary expansion (RME) in the mixed dentition stage to correct crowding issues.
2) Long-term studies found that RME followed by fixed appliances resulted in clinically significant increases in maxillary and mandibular arch width even 5+ years post-treatment. RME also had benefits like improving nasal breathing.
3) For patients with mild-moderate crowding, RME combined with other approaches like Schwarz appliances in early treatment resulted in increased arch widths that were maintained long-term. RME was found to be an effective option for treating mixed dentition patients
The document summarizes discussions from an early treatment symposium regarding the treatment of skeletal open bite malocclusions. It addresses questions about defining early treatment, the differences between dental and skeletal open bites, benefits of early treatment for hyperdivergent open bites, and appropriate treatment approaches. The optimal treatment is said to be beginning between ages 7-8 and includes rapid maxillary expansion, headgear, and light muscle exercises to control vertical growth and encourage counterclockwise mandibular rotation. Early intervention is advocated to modify growth and prevent needing future surgery.
The document discusses the principles and techniques of minimal invasive dentistry for diagnosing and treating dental caries, including identifying patients' caries risk factors, using remineralization methods to prevent or control non-cavitated caries, and employing restorative techniques that minimize removal of healthy tooth structure. It outlines the goals of preserving tooth structure, stopping disease progression, and restoring function with minimal intervention. The approach focuses on changing the disease process through dietary and lifestyle modifications rather than solely operative treatment.
journal club on Progressive Root Resorption Associatedwith the Treatment of ...Shilpa Shiv
This case report describes progressive root resorption that occurred after treatment of a deep gingival recession using scaling and root planing, tetracycline root conditioning, and connective tissue grafting. At 20 months post-operatively, external root resorption was observed without symptoms. Root resorption is an uncommon complication that can occur despite initially achieving the desired outcome of treating recession and creating healthy periodontal tissues. Tetracycline root conditioning may cause late root resorption, so this risk should be considered when developing treatment plans.
Surgical v/s Non surgical periodontal therapy Achi Joshi
Both surgical and nonsurgical therapy produced improvement in the periodontal health.
Treatment approach was based on the comfort level of the practitioner.
In the late 60’s and continuing into the 70’s and 80’s, many series of longitudinal studies were conducted, aimed to document the immediate and most importantly long term clinical results following several types of periodontal therapy.
The document discusses the stability of open bite treatment. It finds that:
1) Relatively few scientific studies have evaluated the stability of open bite treatment. The studies that do exist show that 35-60% of non-surgically treated patients experience a relapse of their open bite.
2) Various therapies have been proposed to improve stability, such as crib therapy and myofunctional therapy, but no long-term studies conclusively prove their effectiveness.
3) While early treatment is generally indicated for open bites depending on severity, age, etc., stability remains a clinical problem as about 20-40% of patients, both surgically and non-surgically treated, will experience a relapse.
journal club on Combined Surgical Resective and Regenerative Therapy forAdva...Shilpa Shiv
JC on Combined Surgical Resective and Regenerative Therapy forAdvanced Peri-implantitis with Concomitant Soft Tissue Volume Augmentation: A Case Report. IJPRD 2014.
Light-Emitting Diode Irradiation Promotes Donor Site Wound Healing of the F...Shilpa Shiv
This document summarizes a study that investigated the effects of LED light irradiation on wound healing of free gingival grafts in rats. The study found that LED light irradiation at 10-20 J/cm2 promoted fibroblast viability and wound closure in vitro, and accelerated wound healing in vivo by promoting re-epithelialization, reducing inflammation and sequestrum formation, and increasing collagen deposition. LED light facilitated healing, likely by reducing reactive oxygen species and promoting angiogenesis and tissue remodeling, though additional research is still needed to validate the optimal LED conditions for clinical use.
Non-surgical periodontal therapy involves procedures like manual debridement, machine-driven debridement, supra/subgingival irrigation, local drug delivery, lasers, systemic drugs and host modulation therapy to reduce probing depth and bleeding and improve clinical attachment levels. Surgical therapy involves flap procedures to access root surfaces and eliminate deep pockets. Systematic reviews found that both non-surgical and surgical periodontal therapy are effective in treating periodontitis, with no significant differences in clinical outcomes between the two approaches. The choice of treatment depends on the initial probing depth, with non-surgical therapy used for shallower pockets and surgery for deeper pockets above a critical threshold.
The document summarizes a clinical study that compared the performance of a two-step self-etching adhesive system (Clearfil Protect Bond) and a one-step self-etching adhesive system (Xeno III) over one year. 163 restorations were placed in noncarious cervical lesions in 35 patients using the two adhesive systems. The restorations were evaluated at baseline and 3, 6, 9, and 12 months using criteria such as color matching, marginal adaptation, retention, etc. At one year, the retention rate was 100% for the two-step system and 96% for the one-step system. Both systems showed excellent performance during the one-year clinical trial, though the two-step system
This case series examines a new surgical technique for regenerating interimplant papillae using subepithelial connective tissue grafts. 10 patients with missing papillae between implant restorations received the new procedure involving buccal and palatal incisions made away from the papilla to preserve blood supply, and tunneling performed with a specialized instrument. The papillae scores improved on average from 0.8 to 2.4 after 16 months, demonstrating regeneration of the papillae over 11-30 months. However, long-term studies are still needed to validate the technique and outcomes.
Journal club on Connective tissue graft associated or not with low laser ther...Shilpa Shiv
Connective tissue graft associated or not with low laser therapy to treat gingival recession: randomized clinical trial, Fernandes-Dias SB, de Marco AC, Santamaria Junior M et al.
JCP 2015.
This document discusses minimal intervention dentistry and focuses on preserving tooth structure and using the least invasive dental treatments possible. It describes how the field has evolved from prioritizing surgical tooth removal to incorporating concepts of caries prevention, detection, and remineralization. The document outlines the components of a minimal intervention treatment plan, including assessing caries risk factors, detecting early lesions, implementing preventive measures, and only performing restorative treatments when necessary using minimally invasive techniques.
Treatment of severe sinus infection after sinus lift procedure a case reportdroliv
This case report describes a patient who developed a severe sinus infection after undergoing a sinus lift and grafting procedure. Two weeks postoperatively, the patient reported pain, drainage from the nasal cavity, and yellow mucus discharge from the right nostril. A CT scan revealed thickening of the Schneiderian membrane and scattered graft material, as well as ostium stenosis (narrowing of the sinus opening). Management included endoscopic nasal examination and ostium enlargement by an otolaryngologist, along with antibiotic treatment and full removal of the graft and diseased tissue. The report concludes that the patency of the sinus ostium should be carefully evaluated before sinus lift procedures using CT scans, and otolaryngology consultations
The document summarizes the key phases and techniques involved in nonsurgical periodontal therapy (NSPT). It discusses the goals of NSPT to eliminate pathogens and halt disease progression. Techniques include scaling and root planing to remove calculus, contaminated cementum, and bacterial toxins. Studies found that aggressive root planing is not needed and that clinical improvements result from scaling alone or with root planing. The effects of NSPT on subgingival microflora and selection of instrumentation techniques are also summarized.
This document reviews the clinical application and performance of pit and fissure sealants. It finds that placement of resin-based sealants on children's and adolescents' permanent molars is effective for caries reduction, with reductions ranging from 58.6% to 86% over 1 to 4 years. Sealants are also effective in reducing caries when reapplied and remain retained on primary molars at rates of 70.6% to 96.3% over 1 to 2.8 years. The use of sealants is associated with reductions in subsequent restorative dental services.
Treatment of class ii non compliant /certified fixed orthodontic courses b...Indian dental academy
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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.
Treatment of gingival recession using coronally advanced flapShruti Maroo
This document describes a case study evaluating the efficacy of the coronally advanced flap technique for treating gingival recession. A 27-year old male patient presented with Miller's Class I gingival recession on teeth 22 and 23, along with sensitivity. The coronally advanced flap procedure was performed, involving incisions and elevation of a partial-thickness flap. One month and three months post-operatively, the patient showed uneventful healing and 100% root coverage, with reduction in sensitivity and no probing defects. The coronally advanced flap technique alone can successfully treat gingival recession when residual gingiva is thick and wide, resulting in good esthetic and functional outcomes.
This randomized controlled study compared clinical outcomes of flapless implant surgery to traditional flap implant placement. 24 patients received implants in the maxillary anterior or premolar region, with 12 receiving flapless implants and 12 receiving traditional flap implants. Both groups had high success rates of around 92% after 15 months. The flapless group had slightly higher plaque scores initially but scores were similar after 15 months. The flapless group experienced less loss of keratinized gingiva. While both groups reported satisfaction, the flapless approach may provide benefits such as reduced treatment time and discomfort. Larger studies are still needed to confirm these results.
This document discusses conservative strategies for managing dental caries, including mechanical, chemico-mechanical, and physical approaches. Mechanical approaches include ART, indirect pulp capping, stepwise excavation, and selective removal to soft dentine. Chemico-mechanical caries removal uses chemical agents to soften infected dentin before excavation. Physical approaches include photodynamic antimicrobial chemotherapy, which uses photosensitizing agents activated by light to kill bacteria. The document compares the pros and cons of these different conservative caries management techniques.
This study examined 86 children aged 15 or younger who received osseointegrated implants for bone-anchored hearing aids (BAHA) or bone-anchored epistheses (BAE) over a 17-year period. Of 129 implants installed, 6.2% failed, and skin reactions occurred in 7.6% of patients. Revision surgery was required in 30% of patients due to bone growth. While implant failures and skin reactions were comparable to adults, revision surgery was more common in children due to bone growth. Nevertheless, osseointegrated implants can provide good functional and aesthetic outcomes for children with hearing or ear abnormalities.
1) The document reviews gingival augmentation procedures and aims to answer 5 common clinical questions through a systematic review of literature.
2) It finds a lack of in-depth comparative studies and randomized clinical trials to draw strong conclusions but makes recommendations based on case reports and series.
3) For question 1, it finds that maintaining adequate gingiva, such as 2mm, is important for restorations with intracrevicular margins based on clinical observations.
This research article compares graft uptake and resorption between chin and ramal bone grafts used to reconstruct atrophic maxillary ridges for dental implant placement. 5 patients received chin grafts and 5 received ramal grafts. Cone beam CT scans after 5 months found mean resorption of 16.8% for ramal grafts and 18% for chin grafts. Ramal grafts had advantages of a minimally invasive approach, more graft volume, and less postoperative morbidity compared to chin grafts. Patient compliance was also better with ramal grafts due to less immediate postoperative pain. The survival of ramal grafts was better than chin grafts due to the higher resorption rate of chin grafts.
Luận Văn Surgical Research Applications Using Subepithelial Connective Tissue...tcoco3199
Luận Văn Surgical Research Applications Using Subepithelial Connective Tissue Graft For Recovering Exposed Tooth Root Surface., các bạn tham khảo thêm tại tài liệu, bài mẫu điểm cao tại luanvantot.com
Luận Văn Surgical Research Applications Using Subepithelial Connective Tissue...mokoboo56
Luận Văn Surgical Research Applications Using Subepithelial Connective Tissue Graft For Recovering Exposed Tooth Root Surface.doc
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This study evaluated the clinical performance of a self-etching adhesive system (Clearfil SE Bond) and a one-bottle adhesive system (Prime&Bond NT) in non-carious Class V restorations over 2 years. 98 restorations were placed in 32 patients using the two adhesive systems. At 2 years, the retention rates were 93% for Clearfil SE Bond and 91% for Prime&Bond NT, showing very good clinical performance for both systems with no statistically significant differences in failure rates. A few restorations showed slight marginal discoloration or adaptation issues, but no restorations exhibited postoperative sensitivity, recurrent caries or changes in anatomical form.
The document describes a modified neutral zone technique for improving the stability of mandibular complete dentures. The technique involves making an acrylic resin base with posterior occlusal rims, applying a thermoplastic denture adhesive, and having patients wear it for 2 days to record the neutral zone. The base is then used to make an acrylic resin complete denture. Most patients reported improved denture stability and reduced pressure sores. However, the technique is complex and not recommended for routine use.
This document discusses several studies that evaluated the survival and performance of restorations and sealants placed using the ART (Atraumatic Restorative Treatment) approach. Some key findings from the studies include:
- ART restorations caused less discomfort for patients compared to conventional treatments. Survival rates of newer ART restorations placed with glass ionomers were comparable to single-surface conventional amalgam restorations after 3 years.
- Studies found ART restorations to be an effective treatment for a large proportion of dental caries lesions. ART preparations were typically smaller in size than conventional preparations.
- A 6-year study found no significant differences in success rates between occlusal amalgam, glass ionomer, and ART
This document provides a 3-sentence summary of the key points:
The document discusses management strategies for furcation involvement, including non-surgical approaches like scaling and root planing as well as surgical options such as osseous resection, regeneration procedures, tunneling, and root resection. Nonsurgical therapy can provide good long-term results if furcation involvement is detected early and patients maintain good oral hygiene, but more advanced cases may require surgical interventions to improve access and cleanability. The selection of a treatment approach depends on factors like the severity of furcation invasion and the amount of remaining bone support.
This document summarizes a study that evaluated two nanocomposite resins (Grandio and Filtek Supreme) used with an antibacterial adhesive system (Clearfil Protect Bond) for posterior restorations over 18 months. Ninety-six restorations were placed in 64 molars and 32 premolars of 30 patients. At baseline and follow-ups of 6, 12, and 18 months, restorations were evaluated based on criteria like color, margins, anatomy, and sensitivity. After 18 months, all restorations were clinically satisfactory except Grandio showed more surface roughness. The study concluded that posterior restorations with these nanocomposites and adhesive demonstrated satisfactory results relative to evaluation criteria over 18 months.
Similar to treatment outcome of early childhood caries treated under general anesthesia (20)
Giloy in Ayurveda - Classical Categorization and SynonymsPlanet Ayurveda
Giloy, also known as Guduchi or Amrita in classical Ayurvedic texts, is a revered herb renowned for its myriad health benefits. It is categorized as a Rasayana, meaning it has rejuvenating properties that enhance vitality and longevity. Giloy is celebrated for its ability to boost the immune system, detoxify the body, and promote overall wellness. Its anti-inflammatory, antipyretic, and antioxidant properties make it a staple in managing conditions like fever, diabetes, and stress. The versatility and efficacy of Giloy in supporting health naturally highlight its importance in Ayurveda. At Planet Ayurveda, we provide a comprehensive range of health services and 100% herbal supplements that harness the power of natural ingredients like Giloy. Our products are globally available and affordable, ensuring that everyone can benefit from the ancient wisdom of Ayurveda. If you or your loved ones are dealing with health issues, contact Planet Ayurveda at 01725214040 to book an online video consultation with our professional doctors. Let us help you achieve optimal health and wellness naturally.
Breast cancer: Post menopausal endocrine therapyDr. Sumit KUMAR
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...Université de Montréal
“Psychiatry and the Humanities”: An Innovative Course at the University of Montreal Expanding the medical model to embrace the humanities. Link: https://www.psychiatrictimes.com/view/-psychiatry-and-the-humanities-an-innovative-course-at-the-university-of-montreal
How to Control Your Asthma Tips by gokuldas hospital.Gokuldas Hospital
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
Travel Clinic Cardiff: Health Advice for International TravelersNX Healthcare
Travel Clinic Cardiff offers comprehensive travel health services, including vaccinations, travel advice, and preventive care for international travelers. Our expert team ensures you are well-prepared and protected for your journey, providing personalized consultations tailored to your destination. Conveniently located in Cardiff, we help you travel with confidence and peace of mind. Visit us: www.nxhealthcare.co.uk
Travel vaccination in Manchester offers comprehensive immunization services for individuals planning international trips. Expert healthcare providers administer vaccines tailored to your destination, ensuring you stay protected against various diseases. Conveniently located clinics and flexible appointment options make it easy to get the necessary shots before your journey. Stay healthy and travel with confidence by getting vaccinated in Manchester. Visit us: www.nxhealthcare.co.uk
Summer is a time for fun in the sun, but the heat and humidity can also wreak havoc on your skin. From itchy rashes to unwanted pigmentation, several skin conditions become more prevalent during these warmer months.
treatment outcome of early childhood caries treated under general anesthesia
1. Success rate of treatments provided for early
childhood caries under general anesthesia: A
Retrospective Cohort Study
Presented by:
Dr A.K.Zalan
PGR MDS
Pediatric Dentistry
2. ABSTRACT:
The purpose of this study was to assess the success rate of
various treatments provided under general anesthesia for early
childhood caries (ECC) over three-year follow-up period.
METHODS:
ECC children no older than 72 months at the time of dental
surgery, who had completed a 3 year follow-up, were included.
3. RESULTS:
A total of 818 children were included.
Of these, 33 % had restored teeth that required further
treatment during the three-year follow-up.
Amalgam restorations and stainless crowns showed
significantly longer survival than composite restorations in all
types of restorations.
The survival rates of both indirect pulp capping and
pulpotomies were the same and significantly higher then
pulpectomies.
4. RESULTS ( continued)
The lower lingual holding arch had a significantly lower survival
rate than other space maintainers.
CONCLUSIONS:
SSCs and amalgam restorations were clinically more successful
and had better survival times than composite restorations.
The survival rate for the LLHA was low compared to other space
maintainers.
5.
6. Plan for different types of space maintainers.
Plan for prosthetic rehabilitations.
Plan to attain the aesthetics and self esteem after
extractions.
Plan for short and long term of oral rehabilitation before
undergoing procedures in GA.
IF NOT???
7.
8.
9. Early childhood caries is the most common chronic childhood
disease.
Comprehensive full-mouth dental treatment under General
anesthesia is a common approach in ECC management that
aims to control the disease in a single visit.
Restorative treatment options include fillings with various
dental materials, stainless steel crowns and different types of
space maintainers.
10. New caries development after comprehensive dental
treatments under GA has been reported to affect
approximately 22 – 52 % of children after six months.
The need for new restorations and extractions or even
another comprehensive treatment under GA was reported in
17 – 23 % of children within two years of initial treatment.
Few reports evaluated the success rate of individual
procedures performed on patients under GA.
A long-term comprehensive evaluation of treatments
commonly provided undergoing GA may help with decisions
concerning appropriate treatment modalities to improve
treatment outcomes and reduce relapse.
11. METHODS:
Data were collected from dental records of patients at two
private pediatric dental practices.
Eligible participants were children no older than 72 months at
the time of GA.
At each recall appointment, these patients received a dental
examination , dental prophylaxis, topical flouride and other
dental treatments as needed.
Treatment completed at GA were considered to have failed if the
tooth received new treatment any time after the one month
postoperative visit.
12. The success rate of every individual treatment, type of
retreatment rendered on failed cases, and time to failure were
evaluated.
RESULTS:
All treatment was done in primary dentition
LLHA was given only in patients with permanents centrals
erupted.
33 % had restored teeth that required further treatment during
3-year follow-up period.
13. Success and survival rates of individual treatments done at
General anesthesia:
PREVENTIVE TREATMENTS:
The success rate for fissure sealant was 92.8 % over the 3
year period.
No difference in the success rate between maxillary and
mandibular molars was noted.
22 % of failed sealed primary molars were resealed and 24%
had occlusal composite restorations.
More then half retreated received SSCs.
14. PULPAL TREATMENTS ( indirect pulp cappings, pulpotomies
and pulpectomies )
The success rates for indirect pulp capping, pulpotomies and
pulpectomies were 96 %, 93% and 75% respectively, over
three years follow up.
Posterior teeth where pulpotomies and pulpectomies were
done were restored with SSCs, Class I and II restorations,
anterior teeth were restored with composite crowns.
Pulpotomies restored with SSC were more successful then
with Class 1 or II restorations.
Pulpotomies done in posterior teeth were more successful
then in the anterior teeth.
Pulpectomies were significantly more successful in primary
second molar then in primary first molar.
15. Pulpectomies done on primary first molars were seven times
more at risk to fail then pulpectomies performed on primary
second molars during three years follow up.
The survival rates of IPC and pulpotomies were significantly
higher than for pulpectomies with no significant difference
between survival rates of pulpotomies and IPC.
Pulpectomies were twice at risk to fail compare to IPCs and
eight times more than pulpotomies.
16. RESTORATIVE TREATMENTS:
( resin composite restorations, amalgam restorations, SSCs)
Anterior Restorations:
The succcess rate of buccal and lingual anterior resin composite
restorations was 92.4% .
Most of the failed anterior RCRs needed replacement.
Anterior two surface RCRs had a 90% success over three years
follow up.
Almost half of two surface failed RCRs were replaced while less
then quarter were extracted.
Multi-surface anterior RCRs and anterior resin composite crowns
were successful 91 and 88% of time respectively.
For anterior RCRs, no significant difference was found between
single-surface, two-surface, multi-surface or strip crowns over
three years of follow-up.
17. Posterior restorations :
The success rate of class 1 RCR was 93%.
During recall visits, 18% of failed class I RCR required
replacement, while 68% were restored with SSCs.
11% of failed Class I RCRs required pulp treatments.
The success rate of Class II RCRs was 84%.
Quarter of failed restorations were redone and 39% were
restored with SSCs
18. Multi-surface RCRs were successful in 89% of cases.
Half of failed RCRs were redone and 21% restored with SSCs.
There was no significant difference between Class I, II or multi-
surface RCRs between maxillary and mandibular molars.
The success rates of posterior amalgam restorations were 98.5%
for Class I, 98.8% for Class II and 100% for multi-surface amalgam
restorations.
SSCs were successful in 97% of cases over three years.
36% of failed SSCs were recemented, 20% redone, 43%
extracted.
No significant difference was found between maxillary and
mandibular SSCs
19. The survival of both Class II amalgam restoration and SSCs
was significantly higher than that of Class II RCRs.
Class II RCRs were nine times more at risk to fail than class
II amalgam and 5 times more then SSC during the first three
years of follow up.
20. SPACE MAINTAINERS:
Chairside made and lab-fabricated band and loop SMs were
the most successful SMs with 93% and 85% success rates,
respectively.
Less then two third of lab-fabricated distal shoe SMs failed
compared to only 23% chairside made distal shoes.
61% LLHA failed over three years and two third of the failed
required re-fabrication.
21. DISCUSSION:
The purpose of the present study was to evaluate the success
rate of individual treatments provided to children undergoing
treatment under GA over a three-year follow up period.
The success rates of most provided treatment was high- with
SSCs and amalgam being the most successful restorative
treatments.
Despite the high success rate of composite restorations,
amalgam showed superiority over composite in all types of
posterior restorations.
Previous reports on the success rate of SSCs were generally
high, ranging from 90% to 100% over an evaluation period up
to 10 years.
22. Our results also confirmed the high success for SSCs
performed under GA.
In this study, SSCs were more successful than Class II and
multi-surface composite restorations yet comparable to
amalgam restorations.
As new carious lesions were one of the main reasons for most
failures, full coverage with SSCs may play a better protective
role.
The extracted cases of SSCs can be due to the failure of
pulpal treatments rather than the failure of SSCs themselves.
23. Fissure sealants showed a high success rate.
Both IPCs and pulpotomies showed very high success rates in
the present study as well as many other studies.
Despite the low success rate, the rationale behind
pulpectomies of primary teeth was to avoid extraction and
keep the tooth sypmtom-free until natural exfoliation.
Most of the Space maintainers , with the exception of lab-
made distal shoes and LLHAs, had a half life of more than
three years.
In this study , as well as in the previous reports, unilateral
appliances had greater survival times than bilateral ones.
24. CONCLUSIONS:
One third of patients who underwent comprehensive dental
treatment under general anesthesia had a treatment failure
within three years following GA.
SSCs and amalgam restorations were clinically more successful
and had better survival times than resin composite restorations
in children treated under GA.
Pulpotomies restored with SSCs were significantly more
successful than those restored with Class I or Class II
restorations.
LLHA and lab-made distal shoe space maintainers showed
lower survival rates compared to other types of space
maintainers.