Periodontal Flap Surgery Continous Sling Suture

Distal Wedge Perio Flap

I i j 60-19 The continuous, independent sling suture is used to adapt the buccal and lingual flaps without tying the buccal flap to the lingual flap. The teeth are used to suspend each flap against the bone. It is important to anchor the suture on the two teeth at the beginning and end ol the Map so that the suture will not pull the buccal llap to the lingual flap. Fitj. 60-20 A to D, Distal wedge suture. This suture is also used to close flaps that are mesial or dislal to a lone-standing...

Healing After Periodontal Therapy

The bask healing processes are the same following all forms of periodontal therapy. They consist of the removal of degenerated tissue debris and the replacement of tissues destroyed by disease. Regeneration, repair, and new attachment are aspects of periodontal healing that have a special bearing on the results obtainable by treatment. Regeneration is the growth and differentiation of new cells and intercellular substances to form new tissues or parts. Regeneration takes place by growth from...

Pathologic Tooth Migration

Labialy Inclined Maxillary Incisor

Pathologic migration refers to tooth displacement that results when the balance among the factors that maintain physiologic tooth position is disturbed by periodontal disease. Pathologic migration is relatively common and may he an early sign of disease, or it ma occur in association with gingival inflammation and pocket formation as the disease progresses. Perunlontul Response to lixtenuil lanes I IAN IK 24 379 Pathologic migration occurs most frequently in the anterior region, hut posterior...

Periodontal Treatment After Radiotherapy

Sextants Dentitions

I'AIt I 5 I'reatnient of I'critnlanUil I disease to dental health personnel.''4' 4 The extent and severity ol mucositis, dermatitis, xerostomia, dysphagia, gustatory alteration, radiation caries, vascular changes, trismus, temporomandibular joint degeneration, and periodontal change depend on a myriad of radiation factors the type of radiation used, fields ol irradiation, number of ports, types ot tissues in the fields, and dosage. Patients scheduled to receive head and neck radiation therapy...

Oral And Periodontal Manifestations Of Hiv Infection

Hairy Leukoplakia

Oral lesions are very common in HIV-infected patients, although geographic and environmental variables may exist. Previous reports indicate that most AIDS patients have head and neck lesions, - while oral lesions are quite common in HIV positive individuals who do not yet have AIDS.1' Several reports have identified a strong correlation between HIV infection and oral candidiasis, oral hairy leukoplakia, atypical periodontal diseases, oral Kaposi's sarcoma, and oral non-1 lodgkin's...

Bone Destruction Patterns In Periodontal Disease

One Wall Alveolar Bone Defect

Periodontal disease alters the morphologic features of the bone in addition to reducing bone height. An understanding of the nature and pathogenesis of these alterations is essential for effective diagnosis and treatment. Horizontal bone loss is the most common pattern ol bone loss in periodontal disease. I he bone is reduced in height, but the bone margin remains roughly perpendicular to the tooth surface. The interdental septa and facial and lingual plates are affected, but not necessarily to...

Factors To Consider When Determining A Prognosis

Types Periodontal Prognosis Hopeless

Please refer to Fable .CM during the following discussion. Overall Clinical Factors Patient Age. For two patients with comparable levels of remaining connective tissue attachment and alveolar bone, the prognosis is generally better in the older of the two. lor the younger patient, the prognosis is not as good because of the shorter time frame in which the periodontal destruction has occurred. In some cases this may be because the younger patient suffers from an aggressive type of periodontitis...

Nidcr Protocol For Periodontal Disease Assessment

Ram fjord's technique for measuring pocket depth and periodontal attachment loss has heen used in national surveys such as the National Health and Nutritional Examination Surveys. Extent and Severity Index. Ihe PI and the PHI yield scores that represent the severity of periodontal disease in individuals or populations, hut these scores do not provide information on the extent of disease. The extent and severity index ESI of periodontal disease was developed...

Developmental Or Acquired Deformities And Conditions

Localized Tooth-Related Factors That Modify or Predispose to Plaque-Induced Gingival Diseases or Periodontitis In general, these factors arc considered to be those local factors that contribute to the initiation and progression of periodontal disease through an enhancement of plaque accumulation or the prevention ol eltective 72 PARI 2 liis gt ifuiitiwi uml bpidcmutlogy V l ii lt hlonttil Discuses plaque removal hv normal oral hygiene measures see Box 4-4 . I hese factors fall inlo three...

Treatment Of Acute Herpetic Gingivostomatitis

Acute Herpetic Gingivostomatitis

Primary infection with herpes simplex virus in the oral cavity results in 1 condition known as acute herpetic gingivostomatitis, which is an oral infection often, accompanied by systemic symptoms see Chapter 19 . This infection typically occurs in c hildren, but it can and does occur in adults as well. It runs a 7- to 10-day course and heals without scars. A recurrent herpetic episode may he precipitated in individuals with a history of herpes virus infections and by respiratory infections,...

Influence Of Trauma From Occlusion On Progression Of Marginal Periodontitis

I he c linical impressions of early investigators and clinicians assigned an important role to trauma from occlusion in the etiology of periodontal lesions. Numerous studies have since been performed attempting to deter mine the mechanisms by which trauma from occlusion may affect periodontal disease. Initial studies involved the placement of high crowns or restorations on the teeth of dogs or monkeys, resulting in a continuous or intermittent force in one direction.-''' These investigations...

Periodontitis As A Manifestation Of Systemic Diseases

Down Syndrome Periodontal Disease

Many systemic conditions assoc iated with or predisposing to periodontal attachment loss have defective numbers of neutrophils or defective neutrophil function is a common finding. Ihis underscores the importance of the neutrophil in the protection ol the periodontium against infection. Severe periodontitis has been observed in individuals with primary neutrophil disorders including agranulocytosis, neutropenia. Chediak-Higashi syndrome. and lazy leukocyte syndrome In addition, more frequent...

Bone Destruction Caused By Extension Of Gingival Inflammation

Histologic View Periodontal Ligament

I he most common cause of bone destruction in periodontal disease is the extension of inflammation from the marginal gingiva into the supporting periodontal tissues. I he inflammatory invasion of the bone surface and the initial bone loss that follows mark the transition from gingivitis to periodontitis. Periodontitis is always preceded by gingivitis, but not til gingivitis progresses to periodontitis. Some cases of gingivitis apparently never become periodontitis, and others go through a brief...

Risk Factors For Aggressive Periodontitis

Although several specific microorganisms frequently are detected in patients with localized aggressive periodontitis A. actinomycetemconntans, Atpnocytophaga sp., Tikcncllu corrodens, Prevotella intermedia, and Campylobacter rectus , A. actinomycetemcomitans has been implicated as the pri mary pathogen associated with this disease. As summarized by Tonetti and Mombelli,4'' this link is based on the following evidence 1 A. actinomycetcmcomitans is found in high frequency approximately 90 in...

Host-bacterial Interaction In The Sulcus Gingiva

Sulcus Gingival

Macrophages Monocytes Macrophages Gingival fibroblasts Adapted from Socransky SS, Halfajee AD Microbial mechanisms in ihe pathogenesis ol destructive periodontal diseases A critical assessment Periodontal Res 1991 76 195 and data compiled from references''1 1 m.w ters IS and 21 i regarding periodontal diseases. Phe paradigm is tlnii in I espouse to bacterial infection I innate factors si tili lis complement, resident leukocyte.s, and especially iihisi cells p u tm important role in signaling...