Recent Advancement Of Periodontal Treatment

The purpose of the case study is to outline the aetiology, pathology, progression and presentation of dental caries and periodontal disease. The patient chosen from the author has periodontal disease and is at high risk of caries.

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.

better the process and the causes of periodontal disease ( I talked to the patient

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.

Some studies have been conducted but the World Workshop on Periodontics stated that controlled clinical trials that evaluated the role that occlusion had on the progression of periodontal disease in humans, was unethical. To avoid unethical situations, patient records from a private practice facility were collected and studied to see if there was a connection between occlusal discrepancies and the progression of periodontal disease. The records that were studied were from patients that had periodontal evaluations as well as occlusal assessments. All of the patients studied had periodontal disease but only some of them had occlusal decencies. After a twelve month period some patients returned and had another periodontal evaluation and occlusal assessment and the data was compared to the data that was collected twelve months prior. The data collected was compared. Patients without occlusal discrepancies and patients with occlusal discrepancies both had worsening periodontal disease after twelve months of no treatment but, the progression of periodontal disease and increased pocket probing depths

If you suffer from advanced periodontal disease, when discussing treatment options with your dentist, make sure that you also talk about the different recovery times that go with each procedure. Make sure that you are able to set aside the proper amount of time for your mouth to heal based on the treatment option you

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

Apical periodontitis occurring after Root Canal Treatment presents a more complex etiologic & therapeutic situation than Primary Apical Periodontitis. There is a universal consensus that intra-radicular infection is an essential cause of primary as well as a major contributor of post treatment apical periodontitis. Enterococcus faecalis is the most commonly implicated microorganism in asymptomatic persistent infections1,2.

Periodontitis is an infectious disease that affects all organs of the tooth structure: gums, root surface, bone and ligaments that tooth is attached to the bone. Periodontitis begins inconspicuously as gingivitis, which is manifested mainly by bleeding. Later, the inflammation spreads to the depth and results in a progressive loss of bone. Gums begin to recede, the roots of the teeth is exposed arise periodontal swelling and pus. Teeth start to wobble, spacing and release. The decisive factor is the quality of oral hygiene, not

The dosage and duration of the antibiotic regime used along with surgical procedures vary greatly in the literature. However it is important that antibiotics should be taken in a minimum bactericidal concentration and for a minimum duration to limit the risk of side effects, especially the development of microbial antibiotic resistance. Apart from the traditional diagnostic procedures, the use of biochemical markers in assessing the progression of the disease activity and risk for periodontitis has gained a great importance. It can be detected in serum, whole saliva or gingival crevicular fluid. They represent as inflammatory mediators, collagen degradation and bone turnover related molecules. In inflamed periodontal tissues along with the breakdown of periodontal structures, it may also lead to resorption of alveolar bone. The factors involved in bone destruction are bacterial and host-mediated. Bacterial plaque products induce the differentiation of bone progenitor cells into osteoclasts and stimulate gingival cells to release mediators that have the same effect. They can also act directly on osteoblasts or their progenitors, inhibiting bone formation and reducing their

Endodontically-treated teeth restorations are still a big challenge in Dentistry. There is a need to properly replace

the study of restorative dentistry. It also includes rehabilitation of the dentition to aesthetic and

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

Although two recent meta-analysis have been published on this topic(38,39), they did not assess the entire spectrum of regenerative periodontal therapy techniques. Furthermore, none of these reviews meta-analyzed the safety profile of such procedures and only one admitted comparisons between different types of interventions.(38) Thus, a new systematic review and meta-analysis of randomized controlled trials (RCTs) investigating the efficacy and safety of all possible regenerative techniques may add further information.

). Note that all RA patients receive the same anti- rheumatic drugs during the whole coarse of periodontal therapy.