Restorative Dentistry Dichotomy

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

Treatment of periodontal disease can be broadly divided into two, non-surgical and surgical. Longitudinal comparison between non-surgical and surgical therapy had been studied extensively by groups of researchers, namely the Gothenburg, the Michigan, the Minnesota, the Nebraska, and the Arizona group. There are some heterogeneities between studies from different groups. Some studies focused on single rooted teeth, while others included molars. Majority of the studies are done in a university setting, while the Arizona study was done in private practices.

Periodontal disease can lead you to lose all of your teeth. The mouth is the gateway to the rest of the body; it can be the entering passage between healthy and sick. The moment an infection grows in the mouth, the entire body automatically starts to try to fight it. “…due to significant findings supporting the association between periodontal disease and systemic conditions such as cardiovascular disease, type 2 diabetes mellitus, adverse pregnancy outcomes, and osteoporosis” (Amar and Kim). It has been suggested that the bacteria of this infection may enter the bloodstream and attach themselves to the blood vessels which then increase clot formation. These clots then lower the blood flow to the heart indicating that a heart attack is a common consequence of gum

Patients were selected according to the following inclusion criteria: 1) no periodontal treatment within the previous 12 months; 2) no use of antibiotics within the previous 6 months; 3) no systemic disease that could influence the outcome or progression of periodontal therapy; 4) no use of anti-inflammatory drugs within the past 3 months; 5) no pregnancy; 6) no use of hormonal contraceptives; and 7) no smokers, alcohol drinkers, or drug users. Patients with <16 teeth, partial dentures, or fixed prosthodontic appliances were excluded from the study. Teeth with mobility grade III or periodontal pockets deeper than 10 mm in the studied areas were not evaluated. All selected patients signed an informed consent form before undergoing the research

However, the gingival margin indicated that Mr. Jay-jay has recession on tooth # 5, 6,7,8,9,10,11,12,13,14&15, all in the direct facial aspect of the tooth. The gingival margin of the upper arch range from 1mm to 4mm. Not as much recession on the lingual aspect of those teeth it there were only 1mm shown on the direct lingual of those teeth.

It’s become an accepted standard to have the lower jaw gums, follow the smile line of the lower lip, with no distinction between the size and shape of the smile. In recent years, the dental and oral health industry has seriously focused on the principles of smile analysis for determining orthodontic diagnostics and treatment planning. The smile analysis determines the esthetic conditions that exist pertaining to the smile’s curve and shape corresponding with the tooth’s length and gum margins.

Esthetic restorations are in vogue today and their demand is increasing day by day. Composites represent two major advances in restorative dentistry. Composite resins have been introduced into the field of conservative dentistry to minimise the drawbacks of the acrylic resins that replaced silicate cements (the only aesthetic materials previously available) in the 1940s. In 1955, Buonocore used orthophosphoric acid to improve the adhesion of acrylic resins to the surface of the

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

This is a type of surgical procedure utilized to aid in the elimination of inflammation and infection, thus restoring the tissues and preventing tooth loss (Bhide & Lai, N.d.). The goal of any periodontal treatment is the reduction and/or elimination of pocket depth. Osseous resective surgery is no exception. There are many types of treatment methods that can be utilized to assist in such. Some of the procedures are more invasive than others. For example, scaling and root planning is a routine procedure that requires little post-operative healing. However, osseous resective surgery is a more complex procedure that requires the assistance of a specialist. In the world of dentistry, it is known that periodontal disease destroys bone and surrounding tissues in the oral cavity. Management of a patient with periodontal disease can sometimes be too complex thus requiring the patient be referred to a specialist such as a periodontist. The gingival and periodontal tissues must be treated in order for the patient to be able to maintain proper oral hygiene. Osseous resective surgery is considered to be highly effective in the management and treatment of periodontal disease (Bhide & Lai, N.d.). Once the procedure has been completed and the gingival and periodontal tissues are restored back to health, the patient is much more able to effectively maintain their oral hygiene. In fact, completion of this procedure has been shown to minimize the chance of a periodontal pocket reforming (Osseous resective surgery, N.d). Reduction and/or elimination of periodontal pockets are crucial for the treatment and management of periodontal

The morphological features and the mineral amounts and allocations of primary teeth are unlike the permanent teeth. That means that variances can exist amid the restorative handlings for primary and permanent teeth(13). There are slight dissimilarities between primary and permanent teeth in relations to dentin structure and shape. Study of SEM of resin dentin boundary in primary and permanent teeth exposed that the hybrid layer formed withinn etch-and rinse adhesive structures was thicker in primary than permanent teeth, and therefore lower bond to primary dentin. Primary tooth dentin is more sensitive to acid media, so

Clinical assessments Periodontal parameters including plaque index (PI) (15), papillary bleeding index (PBI) (16), probing pocket depth (PPD), clinical attachment level (CAL) and gingival recession parameters including recession depth (RD), recession width (RW), keratinized tissue width (KTW) and gingival thickness (GT) were assessed using William’s graduated periodontal probe (Hu Friedy, Chicago, IL, USA) and rounded up to the nearest 0.5 millimeter. RD was measured from the CEJ to

The main problem in distal extension cases is the absence of a posterior abutment. The Viscoelastic behavior of the gingiva due to application of

Periodontitis is one of the most common diseases affecting the population with 10-15% incidence rate among

Individual tooth is the unit of the study in this trial. 120 patients [450 teeth] including between the age group of 16 and 600 years are to be recruited without any gender bias.