Fibrotic Gingiva

1. Barries II . Schallei I-VI: Subgingival root planing: \ vomp*iri-SOil using tiles, hoes, and curets I I'eriodontol I960; t|;tno

2. (iarnick JJ. Dent 1: \ scanning electron micrographical study of root surfaces and subgingival bacteria alter baud scaling and Ultrasonic instrumentation. I Periodontal loso 60:441.

(iarrett Is Kffecls ol non-surgical periodontal Iheraps on periodontitis in humans. A review. I < lui I'eriodontol PJK.t; 10:515.

4. Green I. Ramtjord SR: Tooth roughness altei subgingival root planing. I I'eriodontol 1966; <7:!W6.

Non Surgical Periodontal Therapy

S. tireenstein (i Nonsurgical periodontal therapy in 2000: \ literature review. J Am Dent Assoc 2000: 131(1 11 >: 1580.

<>. Kerry (¡J: Roughness ol root surlaces after use ol ultrasonic instruments and hand < nrets. J Periodontol 1967; 38:340.

7. Landry C l ong R. Singer P. et al: Comparison between a short and a conventional blade periodontal curet: an in vitro study. I Clin I'eriodontol 1990: 26<8»:548.

8. Orban B, Manilla V: Macroscopic and microscopic study ol instruments designed for root planing. | I'eriodontol 1956; 27:120.

9. Otero-C agide I I, Long BA: Comparative In vitro effectiveness (it closed root debridement with fine instruments on sped fit areas ol mandibular first molar furcations. I. Root trunk and furcation entrance. J Periodontol 1997; d8( 11): 1093.

10. Otero-i agide II, l ong BA: Comparative in vitro ellcctiye* ness of closed root debridement with line instruments on specific areas of mandibular first molar furcations. I lunation area. J Periodontol 1997; 68cil):l098.

11 Pattison AM: The use of hand instruments in supportive periodontal treatment. Periodontol 2000 1996; 12:71

12. Schlageter !.. Raleitschak-I'luss I M. Schvvar/ IP: Root surface smoothness or roughness loltovving open debridement. An in vivo study. I cTin Periodontol 1996; 23(S):4f>0.

I Schaffer I M: Histologic results of root curettage on human teeth. J Periodontol 1956; 27:269.

14. Van Volkinburg I. < »recti I . \rmitage (¡: I he nature of root surlaces after curette, cavitron, and alpha-sonic instrumentation. I Periodont Res I97<>; 1 1:374.

15. Wilkinson RF, Maybury J; Scanning electron microscopy of the root surface following instrumentation. 1 I'eriodontol 1973; 44:559.

Gingival Stippling

Color Fig. 30 1 A, Incipient marginal gingivitis. Note the slight puffiness and bleeding (arrow) around the upper right lateral incisor B. Edematous type of gingival inflammation. Note the loss of stippling, increase in size, abundant plaque and materia alba, and change in color. C, Close-up view of edematous type of gingival inflammation. Note the red, shiny, smooth gingiva D, Fibrocytic type gingival inflammation. Pockets of moderate depth are present, but the gingiva retains its stippling in some areas. E, Severe generalized gingival inflammation and inflammatory gingival enlargement. F, Fibrotic gingival inflammation. Note the abundant calculus and the gingival recession The patient has pockets of modéra te-to-severe depth in the mandibular anterior teeth and more shallow pockets in the maxillary teeth

Fibrotic Pocket PeriodontalAnterior Lingual CalculusModerate Chronic PeriodontitisGeneralized Chronic Periodontitis

Color Fig 48 1 Results of Phase I therapy. A and B, Severe chronic periodontitis. A, Severe chronic periodontitis characterized by deep pockets, attachment loss, and severe swelling and redness ol the gingiva. B, Healing results, 3 weeks after elimination ol irritants. Tissue has returned to a more normal contour with redness and swelling dramatically reduced. C to H, Moderate chronic periodontitis. C, Patient presenting with moderate attachment loss and probe depths in the 4- to 6-mm range. Note the gingiva appears pink because it is fibrotic and the inflammation is deep in the periodontal pockets. D, Lingual view pretreatment with more visible inflammation and heavy deposits of calculus E and F, The same areas with significant improvement in gingival health 18 months after scaling, root planing, and plaque control therapy were provided; the patient returned for regular maintenance visits. G, Presenting radiograph of the lower anterior teeth. H, Radiograph taken 18 months alter Phase I therapy and maintenance. The follow-up radiograph shows no increase in bone loss during the 18 months.

Sonic and Ultrasonic Instrumentation

Cregor \. Petersilka and Thomas F. Flemmig

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Responses

  • diamond
    Is gingival fibrosis the same as fibrotic gingiva?
    4 years ago
  • Jose
    What is fibrotic gum tissue?
    1 year ago

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