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https://www.readbyqxmd.com/read/29164183/removal-of-a-severely-impacted-mandibular-third-molar-minimizing-the-risks-of-compromised-periodontium-nerve-injury-and-mandibular-fracture
#1
Christos Tsamis, Stylianos Rodiou, Athanasios Stratos, Nikolaos Gkantidis
A technique is presented for severely impacted and dentigerous-cyst-related mandibular third molar removal, avoiding any associated risks. CASE PRESENTATION: A healthy patient complained about unpleasant smell and taste in the mouth and unilateral extraoral palpation of a protuberance, at the right corner of the mandible. Restricted field CBCT showed a severely impacted third molar, which penetrated the inferior cortical bone of the mandibular corner and was associated with a dentigerous cyst that had resorbed considerable bone in the region...
November 21, 2017: Quintessence International
https://www.readbyqxmd.com/read/29161952/reduced-antibiotic-prescription-rates-following-physician-targeted-interventions-in-a-dental-practice
#2
Hyesung Kim, Jeong Kyu Oh, Myeng Ki Kim, Kwanghak Bae, Hyungkil Choi
BACKGROUND: The prescription rate for antibiotics in dental clinics is not declining despite the increase in the antibiotic resistance problem. In this study, we observed the change in antibiotic prescription rates by dentists in a Korean dental hospital for various treatments after conducting interventions targeting dentists. METHODS: The first intervention was to distribute guidelines. The second intervention was to remove the bundled prescription button containing antibiotics from the Electronic Medical Record system...
November 21, 2017: Acta Odontologica Scandinavica
https://www.readbyqxmd.com/read/29142862/three-dimensional-printing-for-craniomaxillofacial-regeneration
#3
REVIEW
Laura Gaviria, Joseph J Pearson, Sergio A Montelongo, Teja Guda, Joo L Ong
Craniomaxillofacial injuries produce complex wound environments involving various tissue types and treatment strategies. In a clinical setting, care is taken to properly irrigate and stabilize the injury, while grafts are molded in an attempt to maintain physiological functionality and cosmesis. This often requires multiple surgeries and grafts leading to added discomfort, pain and financial burden. Many of these injuries can lead to disfigurement and resultant loss of system function including mastication, respiration, and articulation, and these can lead to acute and long-term psychological impact on the patient...
October 2017: Journal of the Korean Association of Oral and Maxillofacial Surgeons
https://www.readbyqxmd.com/read/29103446/miniscrew-assisted-multidisciplinary-orthodontic-treatment-with-surgical-mandibular-advancement-and-genioplasty-in-a-brachyfacial-class-ii-patient-with-mandibular-asymmetry
#4
Vanessa Paredes-Gallardo, Verónica García-Sanz, Carlos Bellot-Arcís
This article describes the complex dental treatment of a 43-year-old man with skeletal Class II, mandibular asymmetry, severe brachyfacial pattern, Class II Division 2, canting of the occlusal plane, and an increased curve of Spee. To achieve optimal results, we adopted a multidisciplinary approach to treatment, involving periodontics, oral surgery, orthodontics, maxillofacial surgery, and prosthetics specialists. After periodontal treatment, miniscrews were placed to correct the occlusal plane canting and the excessive curve of Spee with orthodontic treatment...
November 2017: American Journal of Orthodontics and Dentofacial Orthopedics
https://www.readbyqxmd.com/read/29093979/respiratory-epithelium-lined-cyst-of-the-maxilla-differential-diagnosis
#5
C P Martinelli-Kläy, S Chatelain, F Salvado, T Lombardi
Maxillary cysts, including the cysts lined by respiratory epithelium, can present a diagnostic challenge. We report an unusual case of a maxillary cyst on an endodontically treated tooth #16, in which the cavity was totally lined by a respiratory epithelium. The patient, a 35-year-old male, presented with a generalized chronic periodontitis and complained of a pain in the tooth #16 region. A periodontal pocket extending to the root apices with pus coming out from the gingival was found. A combined endodontic periodontal was observed on a panoramic radiography...
2017: Case Reports in Pathology
https://www.readbyqxmd.com/read/29093283/effect-of-adjunctive-use-of-systemic-antioxidant-therapy-n-acetylcysteine-on-soluble-receptor-activator-nuclear-factor-%C3%AE%C2%BAb-ligand-levels-in-gingival-crevicular-fluid-following-surgical-periodontal-treatment-for-chronic-periodontitis
#6
Baleegh Alkadasi, Saleem Abdulrab, Soheir Gaafer, Butchibabu Kalakonda, Manal Hosny, Olfat Shaker, Mohamed Hosny
N-acetylcysteine (NAC) is an anti-oxidant drug that has been used as a mucolytic agent and a paracetamol antidote for many years. This study was designed to determine the efficacy of the adjunctive use of NAC for periodontal treatment. Thirty subjects with moderate-to-severe chronic periodontitis were randomized to surgery with NAC (600 mg; S-NAC), surgery only (S-nonNAC), and healthy control groups. Gingival crevicular fluid (GCF) samples were obtained from all patients and sRANKL levels were determined by enzyme-linked immunosorbent assay at baseline, and 1, 3, and 7 months post-surgery...
October 31, 2017: Journal of Oral Science
https://www.readbyqxmd.com/read/29076281/human-periodontal-ligament-and-gingiva-derived-mesenchymal-stem-cells-promote-nerve-regeneration-when-encapsulated-in-alginate-hyaluronic-acid-3d-scaffold
#7
Sahar Ansari, Ivana M Diniz, Chider Chen, Patricia Sarrion, Ali Tamayol, Benjamin M Wu, Alireza Moshaverinia
Repair or regeneration of damaged nerves is still a challenging clinical task in reconstructive surgeries and regenerative medicine. Here, it is demonstrated that periodontal ligament stem cells (PDLSCs) and gingival mesenchymal stem cells (GMSCs) isolated from adult human periodontal and gingival tissues assume neuronal phenotype in vitro and in vivo via a subcutaneous transplantation model in nude mice. PDLSCs and GMSCs are encapsulated in a 3D scaffold based on alginate and hyaluronic acid hydrogels capable of sustained release of human nerve growth factor (NGF)...
October 27, 2017: Advanced Healthcare Materials
https://www.readbyqxmd.com/read/29070950/periodontal-ligament-injection-versus-routine-local-infiltration-for-nonsurgical-single-posterior-maxillary-permanent-tooth-extraction-comparative-double-blinded-randomized-clinical-study
#8
Mohammad H Al-Shayyab
AIM: The aim of this study was to evaluate the efficacy of, and patients' subjective responses to, periodontal ligament (PDL) anesthetic injection compared to traditional local-anesthetic infiltration injection for the nonsurgical extraction of one posterior maxillary permanent tooth. MATERIALS AND METHODS: All patients scheduled for nonsurgical symmetrical maxillary posterior permanent tooth extraction in the Department of Oral and Maxillofacial Surgery at the University of Jordan Hospital, Amman, Jordan over a 7-month period were invited to participate in this prospective randomized double-blinded split-mouth study...
2017: Therapeutics and Clinical Risk Management
https://www.readbyqxmd.com/read/29064770/managing-titanium-mesh-exposure-with-the-partial-removal-of-the-exposed-site-a-case-series-study
#9
Aladdin Al-Ardah, Abdulaziz AlHelal, Periklis Proussaefs, Bader AlBader, Abdulakareem A Al Humaidan, Jaime Lozada
This case series report aimed at evaluating the efficacy of addressing exposure of the Titanium mesh by sectioning the exposed portion of the mesh and allowing the remaining portion in place while bone maturation is complete. The use of Titanium mesh for localized alveolar ridge augmentation was evaluated with clinical and radiographic analysis. Materials and methods in the current case series report includes four consecutively treated patients where a titanium mesh was utilized as a barrier for localized alveolar ridge augmentation and exposure of the mesh occurred after the alveolar ridge augmentation procedure...
October 24, 2017: Journal of Oral Implantology
https://www.readbyqxmd.com/read/29061357/saving-natural-teeth-intentional-replantation-protocol-and-case-series
#10
Derek Grzanich, Gabriella Rizzo, Renato Menezes Silva
INTRODUCTION: Intentional replantation is a reliable and predictable treatment for cases in which nonsurgical endodontic retreatment failed or is impractical and endodontic surgery is hampered because of anatomic limitations. METHODS AND RESULTS: This article presents a protocol for intentional replantation illustrated with some interesting cases. The cases presented here are from patients (average age, 61 years) with no contributing medical history. The cases are molars with previous failed endodontic treatment/retreatment and diagnosed with apical periodontitis...
October 20, 2017: Journal of Endodontics
https://www.readbyqxmd.com/read/29042732/comparative-evaluation-of-cone-beam-computed-tomography-versus-direct-surgical-measurements-in-the-diagnosis-of-mandibular-molar-furcation-involvement
#11
Shyam Padmanabhan, Ahila Dommy, Sanjeela R Guru, Ajesh Joseph
AIM: Periodontists frequently experience inconvenience in accurate assessment and treatment of furcation areas affected by periodontal disease. Furcation involvement (FI) most commonly affects the mandibular molars. Diagnosis of furcation-involved teeth is mainly by the assessment of probing pocket depth, clinical attachment level, furcation entrance probing, and intraoral periapical radiographs. Three-dimensional imaging has provided advantage to the clinician in assessment of bone morphology...
July 2017: Contemporary Clinical Dentistry
https://www.readbyqxmd.com/read/29040148/long-term-effects-of-bone-morphogenetic-protein-2-loaded-calcium-phosphate-on-maxillary-sinus-lift-surgery-for-delayed-and-simultaneous-dental-implantation
#12
Yuefeng Ding, Xuejuan Wang
Maxillary sinus lift surgery (MSLS) is considered to be a useful treatment method for patients with atrophic alveolar bone. Choosing a suitable surgical procedure to simultaneously decrease graft absorption and obtain long-term survival of dental implants is still a challenge. In this study, 20 patients received MSLS with graft of bone morphogenetic protein 2 (BMP2)-loaded calcium phosphate. Dental implants were placed simultaneously in 10 patients receiving MSLS (1-stage group), and in 10 patients receiving dental implants with a 3 to 6 months delay (2-stage group)...
October 16, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29038632/evaluation-of-post-surgical-bacteremia-with-use-of-povidone-iodine-and-chlorhexidine-during-mandibular-third-molar-surgery
#13
Anil Managutti, Sunita A Managutti, Jigar Patel, Nagaraj Y Puthanakar
BACKGROUND: Microorganisms may invade the blood stream by oral routes through surgical procedures like extractions, fractured teeth and periodontal pockets. The incidence of bacteremia is 70-80 % following tooth extraction, sub gingival scaling and intra ligament injection. AIMS AND OBJECTIVES: Aim of study was to evaluate and compare the efficacy of two topical antimicrobial agents for the prevention of post-surgical bacteremia during mandibular third molar surgery...
December 2017: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/29038624/comparing-the-efficiency-of-two-different-extraction-techniques-in-removal-of-maxillary-third-molars-a-randomized-controlled-trial
#14
Joseph Edward, Mubarak A Aziz, Arjun Madhu Usha, Jyothi K Narayanan
INTRODUCTION: Extractions are routine procedures in dental surgery. Traditional extraction techniques use a combination of severing the periodontal attachment, luxation with an elevator, and removal with forceps. A new technique of extraction of maxillary third molar is introduced in this study-Joedds technique, which is compared with the conventional technique. METHODS AND MATERIAL: One hundred people were included in the study, the people were divided into two groups by means of simple random sampling...
December 2017: Journal of Maxillofacial and Oral Surgery
https://www.readbyqxmd.com/read/29023614/virtual-simulation-of-periodontal-surgery-including-presurgical-cad-cam-fabrication-of-tooth-colored-removable-splints-on-the-basis-of-cbct-data-a-case-report
#15
Jan-Frederik Güth, Ana Elisa Colle Kauling, Josef Schweiger, Jan Kühnisch, Michael Stimmelmayr
Innovative digital diagnostic, design, and manufacturing technologies combined with high-performance polymers offer new possibilities to facilitate complex interdisciplinary treatment procedures. This article reports on the interaction of different digital technologies, from presurgical digital simulation of periodontal surgery to final prosthodontic rehabilitation, in a case of amelogenesis imperfecta in a 17-year-old girl. The aim was to digitally determine the treatment outcome by three-dimensional simulation of the soft tissue removal and to create computer-aided design/computer-assisted manufacture tooth-colored splints before the clinical treatment...
November 2017: International Journal of Periodontics & Restorative Dentistry
https://www.readbyqxmd.com/read/29023613/comparative-study-of-rhpdgf-bb-plus-equine-derived-bone-matrix-versus-rhpdgf-bb-plus-%C3%AE-tcp-in-the-treatment-of-periodontal-defects
#16
Ji-Young Lee, Hei-Jin Na, Hyun-Min Kim, Sang-Cheol Lee, Jue-Yeon Lee, Chong-Pyoung Chung, Yang-Jo Seol, Yoon Jeong Park
The purpose of this study was to evaluate the efficacy and safety of equine-derived bone matrix as a carrier for recombinant human platelet-derived growth factor BB (rhPDGF-BB) versus beta-tricalcium phosphate (β-TCP) for the treatment of intraosseous periodontal defects in adult patients. This study was performed on 32 adults with advanced periodontal disease. Eligible subjects were randomized in 1:1 ratio into a test (rhPDGF-BB-coated equine-derived bone matrix) or control group (rhPDGF-BB-coated β-TCP)...
November 2017: International Journal of Periodontics & Restorative Dentistry
https://www.readbyqxmd.com/read/29022844/laser-biophotomodulation-in-patients-with-neurosensory-disturbance-of-the-inferior-alveolar-nerve-after-sagittal-split-ramus-osteotomy-a-2-year-follow-up-study
#17
Daniela Guarini, Benjamín Gracia, Valeria Ramírez-Lobos, Alfredo Noguera-Pantoja, Pedro Solé-Ventura
OBJECTIVES: To evaluate the effect of the application of photobiomodulation in a 2-year follow-up period in patients who have been intervened with a sagittal ramus split osteotomy and present neurosensory disturbance of the inferior alveolar nerve. BACKGROUND: Photobiomodulation is a common clinical tool in dentistry, for its beneficial effects have been shown in surgical and periodontal wound healing, reducing of swelling and pain, neurosensory recovery, and treatment of temporomandibular joint disorders...
October 12, 2017: Photomedicine and Laser Surgery
https://www.readbyqxmd.com/read/28990126/effectiveness-and-predictability-of-titanium-prepared-platelet-rich-fibrin-for-the-management-of-multiple-gingival-recessions
#18
Bilge Cansu Uzun, Esra Ercan, Mustafa Tunalı
OBJECTIVE: Titanium-prepared platelet-rich fibrin (T-PRF) is activated with titanium, which results in a more mature and aggregated form than PRF. In our previous studies, we established that the fibrin carpet formed with titanium had a firmer network structure, and longer resorption time in the tissue than the fibrin carpet formed with glass. The purpose of this randomized controlled clinical trial is to compare the effects of autogenous T-PRF and connective tissue graft (CTG). MATERIALS AND METHODS: A total of 114 Miller Class I/II gingival recessions with abrasion defects were treated either T-PRF (63 teeth) or CTG (51 teeth) using a modified tunnel technique...
October 8, 2017: Clinical Oral Investigations
https://www.readbyqxmd.com/read/28983530/ceramic-laminate-veneers-clinical-procedures-with-a-multidisciplinary-approach
#19
Marco Veneziani
Complex cases with high esthetic needs represent a challenge for clinicians. A multidisciplinary approach is vital to achieve the planned result. New technological devices are needed to facilitate the collaboration between the clinical team members and to develop a fluent and effective diagnostic and therapeutic pathway. This article describes a well-defined protocol for the treatment of complex esthetic cases with the use of ceramic laminate veneers. The protocol involves different branches of dentistry: periodontal therapy, mucogingival surgery, restorative dentistry, orthodontics, and prosthodontics...
2017: International Journal of Esthetic Dentistry
https://www.readbyqxmd.com/read/28979575/implantology-and-periodontal-disease-the-panacea-to-problem-solving
#20
Giovanni Matarese, Luca Ramaglia, Luca Fiorillo, Gabriele Cervino, Floriana Lauritano, Gaetano Isola
INTRODUCTION: The specialty of periodontology has changed dramatically in recent years. With the long-standing goal of retaining teeth in a functional and esthetical state, the periodontology has developed a high level of expertise in the regeneration of bone and connective tissues that support the teeth. However, periodontists have also joined maxillofacial surgeons as the primary providers of implant surgery. METHODS: The tremendous innovations of periodontists induced also by the marketplace resulted in predictable periodontal treatment outcomes for most patients by the implants led to a dramatically different marketplace in which many patients with periodontitis can be treated by the implants rather than the traditional periodontal treatment...
2017: Open Dentistry Journal
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