Guided Tissue Regeneration Essay

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.

tissue regrow in the attachment site will be hard connective tissue. Don't forget about the rewiring of

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.

A medical device? They remove the dead tissue that impedes healing "mechanically," FDA determined. It's called chewing.

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A frequently cited study for the justification of the 3-month interval is Stanton et al (1969) time series study investigating the rate of wound healing of human gingivae by measuring hydroxyproline present in gingival collagen against time (N= 99). Their results yielded a 50% regeneration of collagen after 25 days. Through regression analysis their existing data, they extrapolated full connective tissue repair would require at least 49 days. Weaknesses with this study include inadequate follow up necessitating them to estimate their findings and their small sample size. As well, it did not relate directly to periodontal therapy, as their study only investigated wound healing following a gingivectomy. Canton et al (1982) investigated the maintenance of healed pockets following root planning to evaluate clinical stability of 128 periodontal pockets over the course of 3 months. They observed that across 4 to 16 weeks following root planning there was a

Bone Graft – Adds bone mass to areas that need reinforcement to support successful dental implants.

Experimental study made by Hämmerle et al. reported that guided bone regeneration involving xenogeneic bone graft secured by a membrane provided more bone formation than the use of graft only. Therefore, xenogeneic bone graft guided by Resorb-x membrane was used in this study for guided bone regeneration.

Bone regeneration is a complex, well-orchestrated physiological process of bone formation, which can be seen during normal fracture healing, and is involved in continuous remodelling throughout adult life. However, there are complex clinical conditions in which bone regeneration is required in large quantity, such as for skeletal reconstruction of large bone defects created by trauma, infection, tumour resection and skeletal abnormalities, or cases in which the regenerative process is compromised, including avascular necrosis, atrophic non-unions and osteoporosis. Currently, there is a plethora of different strategies to augment the impaired or 'insufficient' bone-regeneration process, including the 'gold standard' autologous bone graft, free

If you lost a tooth due to gum disease, trauma, or cavities, it can eventually cause bone loss in the area of the missing tooth. This will make getting dental implants complicated, because your jawbone will lack the proper amount of bone depth and width required to support your new implant. When this happens, a dentist will need to perform a bone augmentation procedure. It will help add stability to what will eventually be the foundation for your dental implant and the false tooth that attaches to it.

Throughout the years there have been many important advancements in cosmetic dentistry. Two of those important advancements are the methods used to treat periodontal disease. The names of those two treatments are plastic surgery and laser treatment for periodontal disease. The first method which is periodontal plastic surgery is the main method dental surgeons tend to go towards because it has been used more than the laser treatment. Plastic surgery of this disease begins with cleaning the deep areas

First stage gingival depigmentation procedure was carried out after performing complete extra oral and intraoral mouth disinfection with 5 % Betadine solution, local anesthesia (2% lignocaine hydrochloride with 1:1,00000 adrnaline) was infiltrated from maxillary right second premolar to maxillary left second premolar. Scalpel technique was used to remove entire pigmented epithelium along with a thin layer of connective tissue and the surgical area was covered with periodontal dressing (Figure 2 a-d). After one week periodontal dressing was removed and healing at the surgical area was uneventful. Patient recalled after one month for second stage lip repositioning procedure (Figure 3 a-i) to treat excessive gingival display as described by Rosenblatt and Simon.[12] The surgical area was demarcated by marking pencil after thorough disinfection and infiltration of local anesthesia. A partial-thickness incision was made at the mucogingival junction from the mesial line angle of the right first molar to the mesial line angle of the left first molar. A second partial thickness incision, parallel to the first, was made in the

Infection can gradually wear away the connection to the point where the bone is no longer in contact with the stapes bone. This is called ossicular discontinuity. Reconstruction of this type of ossicular discontinuity can be performed at the time of tympanoplasty surgery through several options. If the gap is small, it can be bridged by inserting a small piece of bone or cartilage taken from the patient at another site (septum cartilage)4. If there is a larger gap, then the incus bone is removed and modelled into a tooth-like prosthesis, using the operating microscope. This is then reinserted between the stapes and the malleus in order to re-establish continuity of the ossicular

The use of autographs, allographs, xenographs, and alloplasts are alternative bone-grafting materials with various advantages and disadvantages.2 DCBB, which was utilized in this case, is processed chemically to remove proteins and other organic substances. The chemical

Ttissue engineering has advanced dramatically in the last 10 years, offering the potential for regenerating almost every tissue and organ of the human body. Tissue engineering and regenerative medicine remain a flourishing area of research with many new potential treatments for many disease and amputations. The advances involve researchers in a multitude of disciplines, including cell biology, biomaterials science, and Injectable Tissue Engineering of cell material interactions. Tissue