Removal Of The Lower Impacted Third Molars Case Study

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.

The extraction of third molars, also referred to as wisdom teeth is one of the most debated topics among dental professionals and accounts for a large portion of dental revenue. Just about everyone develops third molars and if they erupt into the oral cavity, they function as the most distal grinding teeth in the oral cavity. However it is very common for these teeth to develop in an irregular pattern also referred to as impaction. If this happens it is highly recommended that the patient have them removed before they cause pain or damage to the surrounding teeth. Other common reasons for extraction include symptoms of pathological findings as well as prevention of future problems further down the road. Due to the fact that there are many different issues that could potentially develop due to third molars it is

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

With all these results, many variations among materials, operators, and patients can contribute to these clinical failures. Therefore, further clinical research and studies are necessary to evaluate the performance of the restorative materials and to determine the factors related to the failures as many conditions cannot be reproduced in the labatory. In previous studies, evaluations of the studies showed that in a period of 5-12 years, the success was 85 to 98 percent. In the longest follow-up mentioned by Dr.

Periodontal disease is characterised by inflammation of tissues surrounding the teeth, damage to the supporting structures of teeth and the creation of pockets prone to bacterial infection (AIHW, 2015; Gehrig & Willmann, 2016). Periodontal disease is comprised of two main diagnostic categories: gingivitis and periodontitis. Gingivitis is characterised by inflammation, redness, oedema, and bleeding upon probing (Australian Research Centre for Population Oral Health, 2009; Gehrig & Willmann, 2016). Chronic untreated gingivitis can often lead to periodontitis (Gehrig & Willmann, 2016; Van der Weijden & Slot, 2015), which presents as a loss of attachment between the supporting structures of the teeth such as bones, gums and ligaments. The greatest contributing factor to periodontal disease is the chronic build up of plaque - a sticky film that adheres to the teeth, which is composed of microorganisms, microbial waste products and food debris (Australian Research Centre for Population Oral Health, 2009). Regular and effective oral hygiene practices such as frequent tooth brushing (Zimmermann et al., 2015), using a manual or power toothbrush (Van der Weijden & Slot, 2015) and interdental cleaning (Crocombe, Brennan, Slade, &

A re-evaluation appointment should be conducted four to six weeks after treatment has concluded, to determine tissue response (PERIO BOOK PG 385). This time frame is not exact for every patient, but a minimum of one month allows the tissues time to heal, permitting the clinician to evaluate tissue changes, and eliminate any local factors that may have been overlooked during the initial appointment. Like any other appointment, the first step of a re-evaluation appointment is to conduct a medical history update to confirm that there had been no changes in health or medications. Next, a complete periodontal assessment will be performed, reassessing pocket depths, recession, bleeding on probing index, mobility, and furcation involvement. Once

New attachment apparatus forms in infrabony defects through differential tissue response, increasing functional periodontal support. This functional periodontal support results in reduced pocket probing depths, reduced crestal bone loss, increased bone level, and increased clinical attachment levels (Trombelli, et al., 1997. P. 367). In one case study, treatment sites revealed a minimal mean bone level gain, and demonstrated an increased bone level from the baseline with regeneration of periodontal ligament and cementum in a span of 56 days (Vercellotti et al, 2005. P. 546-547). Although not all constructive surgery is eventful, osseous surgery proves to support the dentition and overall oral

infection.(1–3) Students and clinicians need to understand that long-term clinical success of these teeth requires

(178) published a paper in the form of a clinical trial in order to examine the effect of periodontal treatment on the biological and clinical parameters of RA. Their proposed study was randomized controlled trial including participants with both RA and periodontitis. The investigators plan to involve a total of 40 individuals into two groups (intervention group including full-mouth SRP, followed by systemic antibiotics, amoxicillin or clindamycin, if allergic to penicillin, for seven days, oral hygiene instructions, and rinsing with 0.12 % chlorhexidine gluconate for 10 days after periodontal treatment). Patients will be followed for three months, and the same intervention will then be applied to the control group. The primary outcome of this study was a change in DAS28 score by decreasing RA activity. A major drawback of this study is the use of amoxicillin or clindamycin adjunctive to SRP. This antimicrobial approach should not be used as periodontal pathogens have been shown to be resistant to these

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

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

Inflammation that extends deep into the tissues and causes loss of supporting connective tissue and alveolar bone is known as periodontitis. Periodontitis results in the formation of soft tissue pockets or deepened crevices between the gingiva and tooth root. Severe periodontitis can result in loosening of teeth, occasional pain and discomfort, impaired mastication, and eventual tooth loss. Although prevalence estimates differ on the basis of how the disease is defined, the prevalence, severity, and rate of disease progression clearly varies worldwide.4,5. Periodontitis is generally more prevalent in developing countries,6 although disease may not necessarily be extensive or severe in indigenous populations 7.

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