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Periodontal therapy

Konstantinos Karamesinis, Efthimia K Basdra
Jaw discrepancies and malrelations affect a large proportion of the general population and their treatment is of utmost significance for individuals' health and quality of life. The aim of their therapy is the modification of aberrant jaw development mainly by targeting the growth potential of the mandibular condyle through its cartilage, and the architectural shape of alveolar bone through a suture type of structure, the periodontal ligament. This targeted treatment is achieved via external mechanical force application by using a wide variety of intraoral and extraoral appliances...
February 14, 2018: Biochimica et Biophysica Acta
Avital Kozlovsky, Alex Rapaport, Zvi Artzi
OBJECTIVES: The aim of this study is to evaluate the effect of operators experience and skill on treatment results of initial non-surgical periodontal therapy. MATERIALS AND METHODS: Initial periodontal treatment was carried out by either second-year periodontal residents (PR) or last year dental students (DS). From the treatment records of patients in each group, plaque and bleeding indices, and pocket depth (PD) at baseline and at re-evaluation were collected retrospectively on each tooth at six locations...
February 15, 2018: Clinical Oral Investigations
Stuart J Froum, Paul S Rosen, Wendy Cw Wang, Scott H Froum, Shalin Vinayak
The aim of this retrospective study was to examine the histories of 100 patients with 170 implants that were consecutively treated and reported in a previous study to identify which patient and implant factors might have affected the outcomes of therapy. Patient factors included history of periodontitis, hypertension, cardiac problems, rheumatoid arthritis, smoking, and penicillin allergy. Implant factors included whether the prosthesis was cemented or screw retained and initial bone loss (≤ 50% or > 50% of implant length)...
March 2018: International Journal of Periodontics & Restorative Dentistry
Kanakamedala Anil Kumar, Muppalla Chakravarthy, Shalini Selvarajan, Theyagarajan Ramakrishnan, Geetha Ari
The chief goal of combination therapy using guided tissue regeneration along with bone grafts is to optimally and predictably regenerate the periodontal attachment apparatus. The evolution of regenerative therapy along with careful patient selection and treatment planning can have positive results even in cases which are not ideal. The present case report describes a tooth with a questionable prognosis treated successively by endodontic then periodontal therapy using an amniotic membrane along with a bone graft to treat an intrabony defect...
May 2017: Journal of Indian Society of Periodontology
Enrico Spinas, Antonello Mameli, Luca Giannetti
Background: Traumatic dental injuries (TDIs) represent 18-30% of all oral pathologies and a considerable number of these are sports related. It is very important to treat sports-related injuries and prevent complications. However, very few studies investigate the most expedient therapeutic strategies for the treatment of dental trauma correlated to sports. Objective: The aim of this work was to focus on the average recovery time for different lesions, to assess adequate times for each athlete, to identify any association with complications and to investigate whether or not the use of mouth-guards interfered with a full recovery to normal health...
2018: Open Dentistry Journal
Keith V Krell, Daniel J Caplan
INTRODUCTION: Long-term studies examining the treatment outcomes of "cracked teeth" that received orthograde root canal treatment in the United States do not exist. The purpose of the present study was to examine the distribution and 1-year treatment outcomes of cracked teeth receiving orthograde root canal treatment in 1 private endodontic practice over a 25-year period. METHODS: A total of 3038 cracked teeth were initially examined, and data from 2086 unique patients were analyzed...
February 8, 2018: Journal of Endodontics
Daichi Kita, Takashi Kinumatsu, Atsushi Yokomizo, Miki Tanaka, Masahiro Egawa, Asako Makino-Oi, Sachiyo Tomita, Atsushi Saito
OBJECTIVE: This study aimed to evaluate clinically the effect of a novel dentifrice containing three kinds of bactericidal ingredients on periodontal disease. RESULTS: This was a single-arm, prospective clinical study that enrolled patients with periodontitis undergoing supportive periodontal therapy. Periodontal examination, microbiological testing of saliva samples, and evaluation of inflammatory markers (IL-1β, IL-6, IL-8, TNF-α) in gingival crevicular fluid were performed...
February 9, 2018: BMC Research Notes
Archika Sudhanshu, Urvi Sharma, H S Vadiraja, Rakesh Kumar Rana, Richa Singhal
Background: Yoga is considered to be one of the most important, effective, and valuable tools available for man to overcome various physical and psychological problems. Stress contributes significantly to the pathogenesis of periodontal diseases; hence, it becomes important to reduce the level of stress for prevention and management of diseases. Aims and Objectives: The present study was aimed: (1) To understand and analyze the possibilities of employing yogic practices in the treatment of periodontal disease along with conventional dental therapy, (2) to understand the effect of stress on periodontal treatment outcome, (3) to evaluate the efficacy of yoga in the management of periodontal disease with reference to stress...
September 2017: International Journal of Yoga
Deepak Kumar Roy, Stephen Cohen, Varun Pratap Singh, Vinay Marla, Siddharth Ghimire
BACKGROUND: In general, mandibular canines have a single root and a single canal. The occurrence of two roots and two canals is a rare entity ranging from 1 to 5%. The anatomy of root canal morphology plays a decisive role in determining the conditions under which endodontic treatment can be performed effectively. Successful endodontic treatment comprises proper diagnosis, meticulous cleaning and shaping followed by three dimensional obturation. Failure to do so may lead to postoperative diseases, pain and further complications...
February 8, 2018: BMC Research Notes
Di Wu, Hai Jing Yang, Yan Zhang, Xiu E Li, Yu Rong Jia, Chun Mei Wang
AIM: This study examined the predictors of loss to follow-up in long-term supportive periodontal therapy in patients with chronic periodontitis. METHODS: A total of 280 patients with moderate to severe chronic periodontitis in a tertiary care hospital in China were investigated and followed over the course of study. Questionnaires on clinical and demographic characteristics, self-efficacy for oral self-care and dental fear at baseline were completed. Participants were followed to determine whether they could adhere to long-term supportive periodontal therapy...
2018: PloS One
H G Pirebas, M K Hendek, U Kisa, M Yalim, E O Erdemir
AIM: The aim of this double-blinded, randomized, controlled clinical study was to investigate the effect of titanium-prepared platelet-rich fibrin (T-PRF) treatment on the angiogenic biomarkers in gingival crevicular fluid (GCF) in infrabony defects of patients with chronic periodontitis. MATERIALS AND METHODS: Twenty five systemically healthy participants who complied with inclusion criteria with periodontal infrabony defects were recruited. In each patient, the infrabony defect of one side of arch was designated as control group (allograft), whereas the infrabony defect on the contralateral side of same arch was designated as test group (allograft + T-PRF)...
January 2018: Nigerian Journal of Clinical Practice
Pedro J Almiñana-Pastor, Marta Segarra-Vidal, Andrés López-Roldán, Francisco M Alpiste-Illueca
Background: According to the Spanish Society of Cardiology, 700,000 patients receive oral anticoagulants, and in these cases bleeding on probing (BOP) could be altered. However, no studies have analyzed the periodontal status of these patients and the effects anticoagulants may have upon BOP. A study was made of the possible relationship between plaque index, probing depth, INR (International Normalized Ratio) and acenocoumarol dose versus the clinical signs of BOP in a sample of anticoagulated patients...
December 2017: Journal of Clinical and Experimental Dentistry
Saeed Asgary, Raheleh Hassanizadeh, Hassan Torabzadeh, Mohammad Jafar Eghbal
INTRODUCTION: Vital pulp therapy (VPT) is a biological approach to minimally invasive endodontics. This randomized clinical trial aimed to evaluate and compare clinical and radiographic success of 4 VPTs (indirect pulp capping [IPC], direct pulp capping [DPC], miniature pulpotomy [MP], and full pulpotomy [FP]) using calcium-enriched mixture cement for deep caries management of mature permanent molars including teeth with clinical signs of irreversible pulpitis and the presence of apical periodontitis...
January 31, 2018: Journal of Endodontics
Francisco Wilker Mustafa Gomes Muniz, Keity Taminski, Juliano Cavagni, Roger Keller Celeste, Patrícia Weidlich, Cassiano Kuchenbecker Rösing
OBJECTIVE: This study aimed to systematically review clinical trials about the effect of statins as adjunct to mechanical periodontal therapy, on probing pocket depth, clinical attachment level, and intrabony defects, in comparison to mechanical periodontal therapy alone or in association with placebo. MATERIAL AND METHODS: Three databases were searched for controlled clinical trials that used any locally delivered or systemically statin as a sole adjunctive therapy to mechanical periodontal treatment...
February 2, 2018: Clinical Oral Investigations
Shaik Sameera, Pavuluri Aravind Kumar, Medandrao Nagasri, Pantareddy Indeevar, Kalapala Raviraj
Laser-assisted new attachment procedure (LANAP) is a new protocol that has been proposed for the treatment of periodontitis. However, there is little evidence regarding the rate of revascularization and the clinical efficacy of LANAP over conventional periodontal therapies. Hence, this study is done to evaluate and compare the clinical efficacy of LANAP vs Excisional new attachment procedure (ENAP) and also to assess the blood flow in both the techniques using ultrasound Doppler flowmetry. A split-mouth double-blinded controlled clinical trial was carried out in 15 subjects with chronic periodontitis...
February 1, 2018: Lasers in Medical Science
Yue Wang, Weiwei Li, Li Shi, Fengqiu Zhang, Sun Zheng
BACKGROUND: The erbium-doped yttrium, aluminum, and garnet (Er:YAG) laser is thought to be the most promising laser for periodontal treatment; however, its application is still under consideration. The aim of this study was to compare Er:YAG laser monotherapy with conventional scaling and root planing (SRP) for chronic periodontitis using clinical parameters, the detection rate of periodontal pathogens, and the calprotectin level in gingival crevicular fluid. METHODS: Twenty-seven participants with moderate-to-advanced chronic periodontitis were included...
December 2017: Medicine (Baltimore)
Jeff H Bynum
Achieving successful long-term esthetic outcomes in implant dentistry requires that the height and width of the facial or buccal alveolar bone wall and, subsequently, the peri-implant tissues be maintained. Partial extraction therapy (PET) can be used to reduce the risk of facio-lingual collapse after tooth loss and improve the preservation of alveolar bone height and blood supply. This article demonstrates the use of PET for treatment of a hopeless tooth in the esthetic zone. After removal of the fractured maxillary central incisor, an implant was placed and restored with excellent esthetic, functional, and periodontal results...
February 2018: Compendium of Continuing Education in Dentistry
Sonal Raikar, Pratim Talukdar, Sarala Kumari, Sangram Kumar Panda, Vinni Mary Oommen, Arvind Prasad
Aims and Objectives: Dental implants have emerged as new treatment modality for the majority of patients and are expected to play a significant role in oral rehabilitation in the future. The present study was conducted to assess various factors affecting the survival rate of dental implants. Materials and Methods: The present retrospective study was conducted in the Department of Prosthodontics. In this study, 5200 patients with dental implants which were placed during June 2008-April 2015 were included...
November 2017: Journal of International Society of Preventive & Community Dentistry
Tung-Sheng Chen, Chia-Hua Kuo, Sarnai Battsengel, Lung-Fa Pan, Cecilia Hsuan Day, Chia-Yao Shen, Li-Chin Chung, V Vijaya Padma, Chen-Kai Yao, Yueh-Min Lin, Chih-Yang Huang
Heart failure is one of the complications related to periodontal disease. In addition to drugs or herbal medicines, stem cell therapy shows potential in the treatment of cardiomyopathy. This study investigates if stem cells exhibit beneficial effects on cardiomyocyte damage induced by porphyromonas gingivalis endotoxin (Pg-LPS). From the experimental results we find that Pg-LPS reduce cardiomyocyte viability via the activation of apoptosis, hypertrophy, fibrosis and MAPK signaling. Pg-LPS damaged cardiomyocytes co-cultured with adipose-derived stem cells (ADSC) increases cardiomyocyte viability through suppressing the pathological markers described above...
January 31, 2018: Environmental Toxicology
Jamal M Stein, Christian Hammächer, Sareh Said-Yekta Michael
BACKGROUND: The aim of this study is to evaluate clinical outcomes of a concept for non-surgical peri-implantitis combining stepwise mechanical debridement measures with adjuvant povidone-iodine application with and without systemic antibiotics. METHODS: Forty-five patients with chronic periodontitis and a total of 164 screw-typed implants with peri-implantitis were included. Peri-implantitis was defined as radiographic bone loss of > 2 mm, probing depth (PD) ≥5 mm with bleeding on probing (BOP)...
December 5, 2017: Journal of Periodontology
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