Case Study On Periodontitis

When a procedure as basic as scaling and root planning and the sight of reduced post-operative inflammation – seeing the gingiva turn to a benign pink from red gives you a sense of fulfillment and satisfaction that is incomparable, you know that being a Periodontist is everything you have ever wanted. Holding a scalpel, incising the gingival and periodontal tissues and raising a flap almost perfectly for the very first time, is perhaps one of the most exhilarating experiences I have ever had and, at the risk of sounding too dramatic, the clockwise and anti-clockwise turning of the wrist during suturing is nothing short of sheer poetry in motion to me.

The author concluded that with regular periodontal maintenance, removal of root surface accretion for better periodontal tissue attachment was more important than any surgical procedures.

The main goal of endodontic treatment is to prevent or heal apical periodontitis. The cleaning and shaping procedures are adversely affected by the highly variable root canal anatomy. The presence of additional canals needs to be detected in to avoid incomplete instrumentation and preservation of bacteria and their toxins, which can compromise the outcome of the root canal treatment. Therefore, the knowledge of the internal anatomy of teeth is a prerequisite for successful endodontic therapy(1).

Consequently, I was involved in the mechanical testing of bioceramic endodontic materials with regards to their physical properties and hydration behavior. Also, I am participating in an ongoing Micro-CT study to evaluate the quality of root filling using different filling techniques and sealers.

A root planing and scaling procedure could help or stop these problems at any stage. It cannot undo the damage caused by these progressive stages. Recent studies show scaling and root planning may help address chronic periodontitis. This is a promising development, as surgery was one of the only methods to slow the progression of chronic

If prevention is already too later and you¡¯ve been diagnosed with periodontal disease there are ways to encourage healing. It is important to start or maintain daily flossing and brushing. Most dentists will prescribe an antibiotic rinsing agent. You may get a referral to see a periodontist. This is a professional trained in the

As individual’s age, one becomes more susceptible to several different types of ailments as the immune system becomes less able to fight infections. One of these ailments also includes periodontitis, which is inflammation of the gingival tissue caused by bacterial infection.

The goal of endodontic treatment is to promote the healing by prevention of apical periodontitis (AP) and to re-establish healthy periapical tissue 1. In spite of advances in endodontics, there are numerous factors contribute to endodontic treatment failure which includes residual necrotic pulp tissue, root canal over fillings, presence of periradicular lesions and periodontal disease. When root canal therapy fails, treatment options include orthograde re-treatment, periradicular surgery or extraction. Nonsurgical endodontic retreatment procedures are performed as the first choice to eliminate or reduce the microbial infection when the initial root canal therapy fails. The main goal of nonsurgical endodontic retreatment is to completely remove

Periodontitis is an inflammatory disease involving a complex interaction between oral microbial challenge and host response that results in destruction of surrounding connective tissue matrix of the teeth, periodontal damage and eventual tooth loss (if left untreated) [1]. Porphyromonas gingivalis (P.g), a pathogenic bacterium is one of the most important microbes implicated in the aetiology of this oral condition [2]. Saliva, among other oral fluids captures aggregate of P.g and other periodontal bacteria [3, 4] because they are constantly washed into it from periodontal pockets [5]. These bacteria are relatively stable within an individual and different across individuals [6]. Moreover, saliva P.g content reflects an

Periodontitis is defined as "an inflammatory disease of the supporting tissues of the teeth caused by specific microorganisms or groups of specific microorganisms, resulting in progressive destruction of the periodontal ligament and alveolar bone with pocket formation, recession or both."1 Periodontal diseaseisan ubiquitous infection in humans displaying the classic hallmarks of the inflammatory response. Late sequelaeof periodontal diseases are the loss of alveolar bone,,mobile teeth leading to a demolished periodontium. Therefore, earlier detection and treatment leads to improved outcomes for patients.2

The sequence of care for a periodontal maintenance appointment would start with updating the medical status because we always want to know what medications, allergies, or medical problems the patient might have to provide the best standard of care. The next step would be the patient interview which would include any social status issues, review of dental care, and clarification of the patient’s perceptions of their own oral status. Next would be the clinical assessment which would include comparing new data to baseline data, extraoral and intraoral examination, dental examination, radiographs, and periodontal examination. For this case study patient, I would recommend that 4 vertical bitewings are taken at the periodontal maintenance appointment and a full mouth series be taken every 3-5 years. The next step in the appointment should be an evaluation of the effectiveness of self-care which would be done by calculating the patient’s plaque score. During this step of the appointment, I would tell the patient where they brush well and where they can improve brushing. Identification of treatment needs is the next step in the appointment when the clinician would indicate the needs the patient would have patient such as restorations and reinstitution of active periodontal therapy. The patient may need professional biofilm removal. For periodontal instrumentation, I would use the Cavitron to

Studies show that half of Americans suffer from chronic gum disease. In today’s society, half of the issue with periodontal disease is learning how to address it. It has been proven that the same pathogens that are the root of periodontal disease can also contribute to other health factors that can affect the body. Many of the health factors that come with having periodontal disease consist of; diabetes mellitus,

Based on this patient s history, how would you educate this patient about periodontal disease and the factors contributing to the disease (identify the factors that are contributing to the disease process).

Aggressive periodontitis is a rapidly progressing disease which affects the otherwise systemically healthy individuals. It is characterized by a marked episodic and rapid destruction of periodontal tissues that results in early tooth loss. It is a challenge for the periodontists to treat this disease as there are no established protocols and guidelines for the efficient control of the disease. Photodynamic therapy (PDT) or Laser assisted pocket therapy could become new methods of antibacterial treatment and may be used as adjunct to conventional therapy for treating aggressive periodontitis. The study aims at finding a treatment modality that will be free of side-effects of currently used modalities for the treatment of aggressive periodontitis

Tobacco smoking causes many interactions within the oral cavity that leads to periodontal disease, such as diminishing the supportive functions of periodontal tissues causing deeper pockets and more clinical attachment loss, immunologic reactions, and vascular impairment that hinders healing processes, and systemic diseases that generates further progression of periodontitis; therefore, with tobacco cessation the disease can be reversible or maintained. Periodontal disease is a leading factor among patients who smoke tobacco. Evidence proposes that more than half of patient cases diagnosed with chronic periodontitis in the United States are attributed to tobacco smoking. Research indicates that patients who smoke are four to six times greater