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Periodontology 2000

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https://www.readbyqxmd.com/read/28758305/revisiting-the-page-schroeder-model-the-good-the-bad-and-the-unknowns-in-the-periodontal-host-response-40%C3%A2-years-later
#1
REVIEW
George Hajishengallis, Jonathan M Korostoff
In their classic 1976 paper, Page & Schroeder described the histopathologic events and the types of myeloid cells and lymphocytes involved in the initiation and progression of inflammatory periodontal disease. The staging of periodontal disease pathogenesis as 'initial', 'early', 'established' and 'advanced' lesions productively guided subsequent research in the field and remains fundamentally valid. However, major advances regarding the cellular and molecular mechanisms underlying the induction, regulation and effector functions of immune and inflammatory responses necessitate a reassessment of their work and its integration with emerging new concepts...
October 2017: Periodontology 2000
https://www.readbyqxmd.com/read/28758304/subgingival-debridement-end-point-methods-and-how-often
#2
REVIEW
Isabelle Laleman, Simone Cortellini, Senne De Winter, Esteban Rodriguez Herrero, Christel Dekeyser, Marc Quirynen, Wim Teughels
Subgingival debridement is the part of nonsurgical therapy which aims to remove the biofilm without intentionally removing the cementum or subgingival calculus. The objective of this review was to describe the end point of this therapy, the different methods used and how often it should be carried out. The literature shows that several methods are currently available for subgingival debridement, namely hand instrumentation, (ultra)sonic instrumentation, laser, photodynamic therapy and air-polishing. None of these methods seems superior to any other regarding clinical benefits or microbiological differences...
October 2017: Periodontology 2000
https://www.readbyqxmd.com/read/28758303/the-periodontal-war-microbes-and-immunity
#3
REVIEW
Jeffrey L Ebersole, Dolph Dawson, Pinar Emecen-Huja, Radhakrishnan Nagarajan, Katherine Howard, Martha E Grady, Katherine Thompson, Rebecca Peyyala, Ahmad Al-Attar, Kathryn Lethbridge, Sreenatha Kirakodu, Octavio A Gonzalez
Maintenance of periodontal health or transition to a periodontal lesion reflects the continuous and ongoing battle between the vast microbial ecology in the oral cavity and the array of resident and emigrating inflammatory/immune cells in the periodontium. This war clearly signifies many 'battlefronts' representing the interface of the mucosal-surface cells with the dynamic biofilms composed of commensal and potential pathogenic species, as well as more recent knowledge demonstrating active invasion of cells and tissues of the periodontium leading to skirmishes in connective tissue, the locality of bone and even in the local vasculature...
October 2017: Periodontology 2000
https://www.readbyqxmd.com/read/28758302/periodontitis-epidemiology-is-periodontitis-under-recognized-over-diagnosed-or-both
#4
REVIEW
Panos N Papapanou, Cristiano Susin
Currently, two principal forms of destructive periodontal disease are recognized - chronic periodontitis and aggressive periodontitis - but their distinction in epidemiologic studies has been rather problematic because of substantial overlap of their primary features. This review critically appraises some key features relevant to the epidemiology of human periodontitis that underlie its core 'identity' as a bacterial biofilm-induced, inflammatory disease and discusses its impact within the larger context of aging populations...
October 2017: Periodontology 2000
https://www.readbyqxmd.com/read/28758301/periodontal-plastic-surgery-of-gingival-recessions-at-single-and-multiple-teeth
#5
REVIEW
Francesco Cairo
This manuscript aims to review periodontal plastic surgery for root coverage at single and multiple gingival recessions. Techniques are assessed based on biological principles, surgical procedures, prognosticative factors and expected clinical and esthetic outcomes. The use of coronally advanced flap, laterally sliding flap, free gingival graft, the tunnel grafting technique, barrier membranes, enamel matrix derivative, collagen matrix and acellular dermal matrix are evaluated. The clinical scenario and practical implications are analyzed according to a modern evidence-based approach...
October 2017: Periodontology 2000
https://www.readbyqxmd.com/read/28758300/nonsurgical-and-surgical-treatment-of-periodontitis-how-many-options-for-one-disease
#6
REVIEW
Filippo Graziani, Dimitra Karapetsa, Bettina Alonso, David Herrera
Treatment of periodontitis aims at preventing further disease progression with the intentions to reduce the risk of tooth loss, minimize symptoms and perception of the disease, possibly restore lost periodontal tissue and provide information on maintaining a healthy periodontium. Therapeutic intervention includes introduction of techniques to change behavior, such as: individually tailored oral-hygiene instructions; a smoking-cessation program; dietary adjustment; subgingival instrumentation to remove plaque and calculus; local and systemic pharmacotherapy; and various types of surgery...
October 2017: Periodontology 2000
https://www.readbyqxmd.com/read/28758299/host-modulation-controlling-the-inflammation-to-control-the-infection
#7
REVIEW
P Mark Bartold, Thomas E Van Dyke
Historically, periodontal disease (gingivitis and periodontitis) has been recognized as being primarily of bacterial origin. However, recent evidence indicates that while bacteria are necessary for disease development they are not sufficient for the clinical manifestation of the many and varied forms of periodontal disease. It is becoming increasingly apparent that it is the host inflammatory response to the subgingival bacteria that is responsible for the tissue damage and, most likely, progression of the disease...
October 2017: Periodontology 2000
https://www.readbyqxmd.com/read/28758298/quo-vadis-what-is-the-future-of-periodontics-how-will-we-get-there
#8
REVIEW
Kenneth S Kornman, William V Giannobile, Gordon W Duff
Approximately 40 years ago periodontists began systematically developing the evidence to treat predictably and prevent gingivitis and periodontitis. More recently, periodontists have been among a small group of skilled dental-implant surgeons leading that revolution in dentistry. Today, much of the mild/localized moderate periodontitis is not treated by periodontists, and an increasing number of implants are placed by dentists with limited surgical training. The current field of periodontics includes a broad range of surgical skills and technologies to regenerate predictably destroyed tissues and manage complex interdisciplinary treatment that may, in some way, involve the tissues that support teeth and implants...
October 2017: Periodontology 2000
https://www.readbyqxmd.com/read/28758297/what-exactly-distinguishes-aggressive-from-chronic-periodontitis-is-it-mainly-a-difference-in-the-degree-of-bacterial-invasiveness
#9
REVIEW
Ubele Van der Velden
At the International Workshop for Classification of Periodontal Diseases and Conditions in 1999, the classification of aggressive and chronic periodontitis that is presently used was introduced. A literature review of papers published in 2015 and having aggressive periodontitis in the title revealed that most studies use this terminology but it is questionable whether all established criteria were really applied correctly. Review of the literature showed no qualitative differences between aggressive and chronic periodontitis regarding bacterial and viral aspects...
October 2017: Periodontology 2000
https://www.readbyqxmd.com/read/28758296/failing-to-meet-the-goals-of-periodontal-recall-programs-what-next
#10
REVIEW
Giles McCracken, Abisola Asuni, Mark Ritchie, Christopher Vernazza, Peter Heasman
Supportive periodontal care is a crucial aspect of the management of chronic periodontitis and peri-implantitis and is inevitably a long-term commitment for both the clinician and the patient. The principal goals of supportive care are to achieve a high standard of plaque control, minimize bleeding and maintain pockets at less than 6 mm. Gain of attachment around natural teeth during supportive periodontal care has been reported, although gain of attachment and of bone during supportive care may be a more pragmatic and aspirational aim in the longer term...
October 2017: Periodontology 2000
https://www.readbyqxmd.com/read/28758295/lasers-and-the-treatment-of-periodontitis-the-essence-and-the-noise
#11
REVIEW
Charles M Cobb
The dental literature contains 25 years of accumulated reports and clinical studies addressing the utility of lasers in the treatment of periodontitis, both as a monotherapy or as an adjunct to surgical and nonsurgical therapy. Yet, the evidence from the 118 human clinical studies cited in this narrative review remains conflicted and insufficient to suggest that integration of a laser in a periodontal treatment protocol will provide antimicrobial and healing outcomes superior to those achieved by traditional therapy...
October 2017: Periodontology 2000
https://www.readbyqxmd.com/read/28758294/periodontitis-facts-fallacies-and-the-future
#12
REVIEW
Jørgen Slots
This volume of Periodontology 2000 represents the 25th anniversary of the Journal, and uses the occasion to assess important advancements in periodontology over the past quarter-century as well as the hurdles that remain. Periodontitis is defined by pathologic loss of the periodontal ligament and alveolar bone. The disease involves complex dynamic interactions among active herpesviruses, specific bacterial pathogens and destructive immune responses. Periodontal diagnostics is currently based on clinical rather than etiologic criteria, and provides limited therapeutic guidance...
October 2017: Periodontology 2000
https://www.readbyqxmd.com/read/28429488/interdisciplinary-periodontics-the-multidisciplinary-approach-to-the-planning-and-treatment-of-complex-cases
#13
REVIEW
Karl M Lyons, Ivan Darby
Periodontics cannot be practiced in isolation as frequently many patients have multiple dental needs or medical health issues requiring management. In addition, pathology may manifest in the periodontal tissues, and the onset and progression of periodontitis can be affected by systemic conditions, such as diabetes, and vice versa. The focus of this volume of Periodontology 2000 is interdisciplinary periodontics, and the articles included discuss the interactions and the interrelationshipbetween periodontal tissues/periodontal diseases and endodontics, fixed prosthodontics, implant dentistry, esthetics, gerodontology, radiology, orthodontics, pediatric dentistry, oral and maxillofacial surgery, oral pathology, special needs dentistry and general medicine...
June 2017: Periodontology 2000
https://www.readbyqxmd.com/read/28429487/effect-of-orthodontic-treatment-on-the-periodontal-tissues
#14
REVIEW
Joseph S Antoun, Li Mei, Kelsi Gibbs, Mauro Farella
Reduced periodontal support is a challenge that clinicians often face during rehabilitation of compromised dentition. The close and intricate relationship between the periodontal tissues and the processes of tooth movement suggest that adjunct orthodontic therapy may play an important role in overcoming these problems. On the other hand, excessive movement of teeth beyond the anatomic boundaries of the alveolar process is commonly believed to contribute to further destruction of the periodontal tissues. This review evaluates the clinical effects of various orthodontic tooth movements on the surrounding periodontal soft tissues and alveolar bone...
June 2017: Periodontology 2000
https://www.readbyqxmd.com/read/28429486/chronic-periodontitis-and-implant-dentistry
#15
REVIEW
Michael M Smith, Ellie T Knight, Latfiya Al-Harthi, Jonathan W Leichter
Dental implants are regularly placed in patients with a history of periodontitis, even though peri-implant tissues are susceptible to the same host-modulated plaque-induced factors that initiate and sustain periodontitis. This article endeavors to clarify the evidence regarding the history of periodontitis as a risk factor for implant success and survival, and the role of supportive periodontal therapy in maintaining implants for individuals with a history of periodontitis.
June 2017: Periodontology 2000
https://www.readbyqxmd.com/read/28429485/the-place-of-periodontal-examination-and-referral-in-general-medicine
#16
REVIEW
Samuel Chan, Graham M Pasternak, Malcolm J West
In many countries, dental services, unlike other health-care services, are not covered by the principle of universal access. It is only in the last couple of decades that there has been a greater interaction between medicine and dentistry. Various health-care systems worldwide may provide public dental services to the young and the disadvantaged, but few provide access to all. Public policy does not appear to appreciate the vast economic, health and social implications of poor oral health on the overall health of an individual...
June 2017: Periodontology 2000
https://www.readbyqxmd.com/read/28429484/interaction-between-endodontics-and-periodontics
#17
REVIEW
Ilan Rotstein
Endodontic-periodontal lesions present challenges to the clinician regarding diagnosis, treatment planning and prognosis. Etiologic factors, such as bacteria and viruses, as well as contributing factors, such as trauma, root resorptions, perforations, cracks and dental malformations, play an important role in the development and progression of such lesions. Treatment and prognosis of endodontic-periodontal lesions vary, depending on the etiology, pathogenesis and correct diagnosis of each specific condition...
June 2017: Periodontology 2000
https://www.readbyqxmd.com/read/28429483/management-of-periodontal-health-in-children-pediatric-dentistry-and-periodontology-interface
#18
REVIEW
Bernadette K Drummond, Michael G Brosnan, Jonathan W Leichter
The oral health of children and adolescents mirrors their general health. Because oral health care is often delivered in isolation from general health care, oral signs and symptoms do not always alert practitioners to their significance beyond the mouth. An important example of this is the association of a higher risk of dental caries and periodontal disease in children and adolescents with overweight, obesity and prediabetic conditions. Oral-health practitioners need to consider the health conditions that their patients may have...
June 2017: Periodontology 2000
https://www.readbyqxmd.com/read/28429482/the-periodontal-restorative-interface-esthetic-considerations
#19
REVIEW
Vincent Bennani, Hadeel Ibrahim, Latfiya Al-Harthi, Karl M Lyons
Esthetic considerations are a significant contributing factor in the management of prosthodontic cases and an interdisciplinary approach is often necessary to achieve an optimal result. The visible soft-tissue architecture plays a key role in developing an esthetic smile. Furthermore, an understanding of the relationship between the restorative margin and the gingiva is important for long-term stability of the result. The gingival architecture and gingival health are important for ensuring optimal esthetics following prosthodontic work and close attention to both soft and hard tissues around the teeth, before, during and after restorative procedures, will greatly improve the likelihood of a successful outcome...
June 2017: Periodontology 2000
https://www.readbyqxmd.com/read/28429481/interdisciplinary-interface-between-fixed-prosthodontics-and-periodontics
#20
REVIEW
Jaafar Abduo, Karl M Lyons
Although periodontal factors do not usually have a direct effect on the survival of a fixed prosthesis, harmony between the prosthesis and the periodontium is critical otherwise esthetics, the longevity of the prosthesis and the periodontium will be compromised. A close interdisciplinary relationship between periodontics and prosthodontics is therefore necessary to avoid an unsatisfactory treatment outcome, requiring extensive and expensive retreatment. The design of the prosthesis, the number and quality of the abutment teeth, the preparation and the pontic, the occlusion and the material need to be considered when planning prosthodontic treatment...
June 2017: Periodontology 2000
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