[Splinting in the periodontally damaged dentition].
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Biomedical subjects
Publications and source records attributed to H Erpenstein.
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Various X-ray techniques (panorama views and intraoral plates) were contrasted and evaluated for diagnostic use in periodontal lesions. In addition the Status X-unilateral technique (Durner, Meyer) was compared to intraoral right angle roentgen states (Updergrave) in the examination of 20 patients.
After 8 years' use of the periodontal status, recommendations for alterations to it are put forward for discussion, based on our own experience and on the evaluation of 218 analysed parodontal statuses. The headings "previous history", "function" and "diagnosis" are discussed in greater detail. Because of the significance of plaques as aetiological factors, it is recommended that a headling of plaque diagnosis should be added to the status.
Caries incidence and gingival irritation were studied in 245 teeth with partial crowns of 62 patients of a dental practice after an average 3.24 years of wearing such crowns. At the beginning of the treatment, the group of patients tested showed an average caries incidence with a DMFT index of 14.9 +/- 4.0. In the follow-up, the mean value of the simplified OH index was 1.16 +/- 0.34. None of the partial crowns had to be re-cemented because of insufficient retention in the period covered by this study. Secondary marginal caries developed in only 0.4%, primary caires in 6.1% of the teeth with partial crowns. Marginal inflammation was significantly more frequent in teeth with partial crowns than in teeth without crowns. When evaluating the individual sections of the crowns, the highest degree of inflaterproximal region.
Muco-periosteal pedicle flaps, free mucosal transplants as well as a combination of these two methods may be used for treating gingival recessions. The method selected and the therapeutical success depend on whether or not the interdental gingiva is also affected. From this viewpoint, three different types of recessions can be distinguished. Type I recessions with intact interdental gingiva on both sides can successfully be treated by all methods. In type II recessions with partial loss of the interdental gingiva on one side, free transplants as well as their combination with sliding flaps show the best results. Recessions at two adjacent teeth with loss of the interdental gingiva (type III) can only be treated with free mucosal transplants. Prognosis of successful treatment diminished from type I to type III.
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