How Muscular Forces Exerted By The Masticatory Muscles

Having succeeded in the pursuit of my DMD as one of the top students in my class both clinically and didactically, my immediate goal was to broaden my horizons in understanding dental medicine. This understanding encompassed the multifaceted and dynamic collaboration of specialties- both of which share the goal of comprehending biomechanics concerning maxillofacial complexion and the proper treatment of various malfunctions.

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.

Drugs might be utilized with treatment that incorporates scaling and root planing, yet they can't generally replace surgery. Contingent upon the seriousness of gum illness, the dental practitioner or periodontist may in any case recommend surgical treatment. Long haul studies will be expected to figure out if utilizing meds lessens the requirement for surgery and whether they are powerful over a drawn out stretch of time. At the point when gingivitis is not treated, it can progress to "periodontitis" (which signifies "aggravation around the tooth.") In periodontitis, gums pull far from the teeth and structure "pockets" that are tainted. The body's insusceptible framework battles the microscopic organisms as the plaque spreads and develops underneath the gum line. Bacterial poisons and the body's chemicals battling the disease really begin to separate the bone and connective tissue that hold teeth set up. If not treated, the bones, gums, and connective tissue that backing the teeth are devastated. The teeth may in the long run turn out to be free and must be

From the Minnesota group, Pihlstrom et al., studied on 453 teeth, including molar teeth, of 17 patients with moderate to advanced periodontitis. In the study, scaling and root planing was done, and one maxillary and one mandibular quadrant of each patient received modified Widman flap. Patients were under regular periodontal maintenance for a follow up to 6 ½ years. They found that in shallow pockets (1-3mm depth), there was loss of clinical attachments, and this is consistent with other studies; For pockets with 4-6mm depth, both non-surgical and surgical methods were equally effective in pocket depth reduction, although scaling and root planing had slightly greater clinical attachment level gain; in deep (>7mm) pockets, scaling and root planing showed pocket depth reduction for 3 years, modified Widman flap showed longer reduction for up to 6 ½ years, and both treatments showed effective attachment gain. Although the non-molar teeth tended to respond more favorable, the results indicated that both treatments were effective in treating periodontitis and maintenance of clinical attachment levels on molar and non-molar teeth.

An orofacial examination was performed to assess the structural and functional integrity of the oral mechanism. The exam did not reveal anything of clinical significance.

A bridge is considered radical treatment as adjacent tooth structure must be drastically reduced in this process. The bridge has been regarded as the standard of care for some time in the replacement of single and multiple missing teeth. However, in order to obtain optimal functional and aesthetic results for full-veneer bridges, a significant reduction in the amount of tooth structure is necessary, occasionally predisposing to endodontic, periodontal, and structural complications. The abutment teeth often become carious and thus have an increased rate of those individuals needing a root canal procedure. If one of the abutment teeth are lost a longer span bridge would be required. The implant procedure is more conservative and has a better prognosis. Implants have a high rate of success, do not require procedures on adjacent teeth and are not susceptible to caries.

I decided to use oraqix because the patient had a few pockets depths between 6-7 mm, and was very sensitive during the power instrumentation. It helped me to effectively remove the plaque and the calculus from the pockets with the hand instruments, but I found that it was not as effective when I used the Cavitron. After the removal of plaque and calculus I reviewed OHI with my patient Evelyn and reinforced the proper use of dental floss and have the patient practice in her mouth. During the afternoon section, I worked on the mandibular arch and as before I started with the power instrumentation. However, I was not able to use it in all the mandibular teeth because some of them had recession, and the patient was extra-sensitive. The good thing was the mandibular arch had only one area with 6-7 mm of pocket depth. I also used Oraqix in this area, but did not help with the recession because the pain was related to the pulp and not to the gingiva, in where Oraqix works. After finishing with debridement, my patient expressed having pain on the distal surface of tooth # 17. We decided to take a PA of the area because that part of the tooth was not visible in the HBW I

Open bite malocclusion is either inherited or due to habits, that may persist for a long period. Treating an open bite malocclusion is challenging, as it requires a high patient compliance and good orthodontist knowledge and experience, which could be decisive in choosing a suitable treatment plan. After treating open bite patients, for example, using a palatal crib and a chin cup, only a significant extrusion of the incisors, as well as an increase in the overbite and the exposure of the maxillary incisors will be gained, and no significant changes in the level of eruption of the molars, with no real or relative intrusion of these teeth, skeletal changes, or a significant growth inhibition of the lower anterior face height, closure of the

WookHeo, Dong-SeokNahm, and Seung-HakBaek (2007)32performed study to compare the amount of anchorage loss of the maxillary posterior teeth and amountof retraction of the maxillary anterior teeth between en masse retraction and two-step retraction of the anterior teeth.30 female adult patients with Class I malocclusion and lip protrusion were included in the study. The sample was subdivided into group 1 (en masse retraction) and group 2 (two-step retraction). Lateral cephalograms were taken before (T1) and after treatment (T2). Nine skeletal and 10 anchorage variables were measured, and independent t-test was used for statistical analysis.The amount of horizontal retraction of the maxillary anterior teeth was not different between the two groups, there was mild labial movement of the root apices of the upper incisors in group 2 at T2. No significant difference in the degree of anchorage loss of the maxillary posterior teeth was observed between the two groups. Bodily and mesial movements of the upper molars occurred in both groups. A 4 mm of the retraction of the upper incisal edges resulted from 1 mm of anchorage loss in the upper molars in both groups.

In a study of 34 patients aged 75 years or over who depended on assistance for daily living activities, patients were randomly assigned to receive two mandibular implants to support an overdenture or a relined conventional mandibular denture. In the patients who received the mandibular implant overdenture treatment, an increased oral health-related quality of life was reported; however, chewing efficiency was no different between the groups. The insertion of the mandibular implant overdenture was noted as problematic for some patients and their caregivers due to the nature of the Locator attachments, and in two cases the attachments were replaced by attachments that permitted easier insertion . This is an important consideration for

The dental implants have completely changed the foundation of the oral rehabilitation due to their well demonstrated success rates(95%) and high predictability (Esposito et al,2011).As an increasing number of people are receiving implants2,9,10,11,12,13,14 ,there has been ,simultaneously ,a growing interest in identifying the components that can predispose individuals to lower rates of success and cause a significant loss to both the dental practitioner and the patient14,17,18.Broadly ,these factors may be classified as ;patient, clinician or implant associated15,16.

Once the child has at least four permanent teeth in the mouth, the third and final treatment begins with a device used to accommodate the incoming adult teeth. This is a vital stage in our treatment process because as the adult teeth are forming, the gum tissue fibers are beginning to anchor these teeth in the mouth. When using this third phase of treatment, the Perfect Start System ensures the adult teeth erupt into their proper position and the natural fiber bundles are able to form, therefore locking them into the correct alignment. This method works to prevent any new erupting

Non-surgical treatment like SRP, oral hygiene instruction, chlorhexidine mouthwash was chosen for the patient. Even in the article non-surgical treatment was chosen as first option for most of the patients and it was required to reduce inflammatory component in the gingival tissue.

Gingival enlargement Distinctive by the collocate of extracellular matrix in gingival connective tissues, mainly collagenous components

notice a lot of inflammation and/or discharge coming from the area(s) treated during your dental crown lengthening procedure;