Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “GINGIVECTOMY”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 271 records · Page 15Linked to original sources
PubMed2003

Reliability of bleeding and non-bleeding on probing to gingival histological features.

Given the extensive use in periodontal diagnosis of the clinical sign of bleeding on probing, the reliability of the technique in relation to gingival histological features and the need for a better understanding of its significance was investigated. Bleeding (B) and non-bleeding (NB) buccal gingival tissues, were measured through manual probing during gingivectomy procedures. The histological evidence of inflammation was used as the gold standard. The established histological descriptive patterns showed statistically significant differences between B and NB sites (chi2 = 20.842, p < 0.05). The reliability scores were found to be of high sensitivity (90.9%) and negative predictive value (89.5%) as well as of fair specificity (77.3%) and positive predictive value (80%). The accuracy was found to be 84.1%. The histological quantitative analysis showed no statistically significant difference for any HGI (Histological Gingival Index). B sites presented HGI = 1 in 72.8%, close to the NB sites, which showed 63.4% for the same histological score. Furthermore, Pearson's analysis showed a low correlation between the studied clinical signs and the histological quantitative analysis (r = 0.265, p > 0.05). We conclude that the clinical parameter of bleeding on probing is a reliable tool for diagnosing gingival inflammation, whereas the clinical sign of non-bleeding on probing is not a safe criteria for evaluating gingival health.

Adult↗
PubMed2004

Amelogenesis imperfecta: the multidisciplinary approach. A case report.

Amelogenesis imperfecta is a hereditary developmental disorder of the dental enamel, in both primary and permanent dentition. The main clinical characteristics are extensive loss of tooth tissue, poor esthetics, and tooth sensitivity. Transmission of the gene takes place by either autosomal, dominant X-linked, or recessive modes. This clinical report describes a treatment sequence based on a multidisciplinary approach. A 21-year-old girl with hypoplastic amelogenesis imperfecta was referred to the Ege University School of Dentistry clinic. She was concerned about the poor appearance and sensitivity of her teeth. The patient presented with an anterior open bite, although orthodontic treatment had been completed previously. Periodontal gingivectomy of her posterior teeth followed by endodontic treatment where indicated was proposed. The prosthodontic treatment consisted of metal ceramic fixed partial dentures of precious alloy. At the end of treatment, function and esthetics were improved to a level acceptable to both the patient and the dental team.

Adult↗
PubMed2005

Gingival fibromatosis, short stature, border-line IQ, facial dysmorphism and hepatomegaly.

Gingival fibromatosis, short stature, border-line IQ, facial dysmorphism and hepatomegaly: Gingival fibromatosis is a rare and benign disorder. The enlarged gingivae are firm and may interfere with speech, closure of the lips, and mastication. We report a thirteen years old girl, with gingival fibromatosis referred to the periodontics clinics. Full mouth gingivectomy and gingivoplasty were performed. Medical investigation showed short stature, low-borderline IQ, facial dysmorphism, and hepatomegaly. Histological analysis revealed hyperplasia in the epithelial area and fibrotic appearance of gingival connective tissue with dense collagen fibre clusters. Pedigree analysis confirmed that mode of inheritance is autosomal recessive. According to the combination of clinical findings, this case report may represent a previously unreported syndrome.

Adolescent↗
PubMedDate not supplied

Hospital periodontal surgery.

Phenytoin-induced gingival overgrowth is a recognized side effect in many cerebral palsy patients using diphenyl hydantoin for the control of seizures. Severe gingival overgrowth in these patients can affect normal masticatory function, lead to poor occlusal development, and compromise esthetics. This report addresses the complex nature of treating phenytoin-induced gingival overgrowth in a mentally retarded 20-year-old female patient. For this patient, full-mouth gingivectomy procedure was performed under general anesthesia in a single session. Post operative follow-up was uneventful. This article discusses major indications, contraindications, and protocols to be followed for periodontal surgical procedures done under general anesthesia.

Adult↗
PubMed1991

[Methods aimed at lengthening the clinical crown: a review].

This review deals with the different methods of lengthening the clinical crown and discusses the advantages and/or disadvantages of each method. Different flap procedures, including ostectomy and osteoplasty, reduce the height of the alveolar crest aiming at a distance of about 3 mm to a future reconstruction margin. Root planing may avoid reattachment of surgically separated fibers. Other methods like gingivectomy, electrosurgery, intra-alveolar transplantation, and forced eruption might contain considerable biological disadvantages. However, if the extrusion is combined with regular fiberotomy, this method becomes the most conservative with respect to the periodontal tissues of neighboring teeth. On the other hand, not all situations which require lengthening of the clinical crown can be solved by orthodontic extrusion and fiberotomy. Therefore, depending on the clinical problem, either the surgical lengthening of the clinical crown or the orthodontic extrusion with separation of the fibers are the recommended procedures.

Alveolectomy↗
PubMedDate not supplied

[Gingival melanotic macule: a case report].

This case report deals with 17-year old female who was diagnosed as having gingival melanotic macule at the gingiva of the tooth number 21, 22 and 23 on labial and palatal aspects. Gingival melanotic macule is pathological condition of melanin pigment accumulation or melanin pigment production. The black area was enlarging, although the gingival architecture was in physiologic condition. It was treated by the method of free autogenous gingival graft on the labial side and gingivectomy by flap on the palatal side.

Adolescent↗
PubMedDate not supplied

[Idiopathic gingival fibromatosis: a case report].

A rare case of large idiopathic gingival fibromatosis of right maxilla and mandible with extensive osseous destruction is presented. Following examination and definitive diagnosis the patient was treated by gingivectomy and tooth extraction. A denture was substituted at a subsequent time. The patient has been followed for a period of 1 year with satisfactory results.

Adult↗
PubMed1990

[Case of gingival hyperplasia due to mouth breathing].

In this article, a severe gingival hyperplasia case which was seen in maxilla and mandible of a 13 years old male patient who has mouth breathing was presented and some knowledges about this subject were reviewed. It was observed that the patient has nasal obstruction and he was called for nasal operation after he finishes the age of eighteen. His luxe primary teeth were extracted. For the time being to provide esthetic and function, gingivectomy was performed on upper and lower jaw.

Adolescent↗
PubMed1990

[Gingival fibromatosis. A clinical, therapeutic and histopathological study of a new case].

The aetiopathogenesis, histology and clinical treatment of a rare case of familial gingival fibromatosis are analysed with particular emphasis on the relationship between the histological picture and the pathogenesis of the condition. In tackling the problem of treatment, the paper recommends the use of gingivectomy with an internal rather than the classic external chamfer.

Adult↗
PubMed1989

[Root caries--a rat model].

A increasing alveolar bone loss and typical root surface caries were reproduced after defined co-inoculation of germfree Wistar rats with S. mutans and A. viscosus. The gnotobiotic rats were re-conventionalized and performed a gingivectomy on the right upper jaw at the beginning of the 12 week experiment.

Actinomyces↗
PubMed1989

[Clinical study of gingival hyperplasia in epilepsy patient].

Diphenylhydantoin, which was first introduced in clinic by Meritt and Putnam in 1938, has been in wide use for the treatment of epilepsy because of its excellent antispasmodic action. On the other hand, Diphenylhydantoin induced gingival hyperplasia has been examined by many authors in the dental field since gingival hyperplasia was reported by Kimball as its side effect. Recently, we had an opportunity for performing gingivectomy on hypertrophic gingivitis in an epileptic with mental retardation and visual disturbance, on Phenytoin (5,5-Diphenylhydantoin) medication. Some information obtained is reported, together with its therapeutic course.

Adult↗
PubMed1989

[Surgical and non-surgical approach to deep periodontal pockets].

Deepened pockets are a challenge because they offer an anaerobic niche and because of their inaccessibility to personal plaque control measures. Scaling and root planing followed by regular professional plaque removal are effective in arresting the progress of most chronic adult periodontitis. Only when pockets remain inflamed after repeated thorough professional treatment during several months can a surgical pocket elimination technique be used. The results will depend on the type of attachment loss (horizontal vs. irregular) the root anatomy (furcations) and the training level of the operator, general practitioner or periodontologist. There is an increasing trend in the anterior parts of the oral cavity (monoradicular teeth easily accessible for plaque control) to use the Widman technique. Long-term data concerning the stability of this new attachment are lacking. Gingivectomy is less elaborate, does not imply a high-level sterile environment like for mucoperiosteal flap surgery, but leads to phonetic and esthetic side-effects when used in frontal areas. In the distal areas the apically displaced and the shortened repositioned flap techniques are effective in a long-term perspective if regular postoperative monitoring is respected. Discussion remains concerning the stability of a new connective tissue attachment vs. a long epithelial attachment. A recent breakthrough is the so-called Guided Tissue Regeneration where by means of a submucosally membrane the periodontal ligament cells are allowed to regenerate the different periodontal tissue compartments. Preliminary results are very encouraging but need further evaluation.

Dental Plaque↗
PubMed1980

Treatment of phenytoin-induced gingival hyperplasia by electrosurgery.

Many medications and combinations of medications are available for the control of epilepsy, but phenytoin continues to be the most effective agent for most patients. A common side effect of this drug is the development of moderate to severe gingival hyperplasia in tooth-bearing areas, which can contribute to problems of function, oral hygiene, appearance, and, eventually, loss of teeth. Excision by conventional means is technically difficult, time-consuming, may be associated with considerable loss of blood, and requires postoperative care, such as periodontal packing, that is impractical if not impossible for many patients, especially the severely mentally handicapped. We have described a technique of gingivectomy using an electrosurgical device in the hospital with the patient under general anesthesia that has produced good results for more than 15 years. This procedure has virtually eliminated the problems of conventional surgical excision with little or no postoperative sequelae.

Connective Tissue↗
PubMed1994

Use of the CO2 laser in soft tissue and periodontal surgery.

The use of laser energy is by now established in some areas of the medical and dental professions. This article reviews the history of the carbon dioxide laser and discusses the advantages, indications, and contraindications of laser in soft tissue and periodontal surgery. Four clinical cases are presented to illustrate laser techniques in excisional biopsy, gingivectomy, coagulation of graft donor site, and a frenectomy procedure. The learning objective of this article is to familiarize the reader with this relatively new addition to oral surgical procedures.

Adolescent↗
PubMed1993

Resective surgery: an esthetic application.

The esthetic influence of gingival architecture on symmetry and tooth length as they relate to the "smile line" can be altered through periodontal surgical techniques. An internal bevel gingivectomy can be utilized, with some modifications in technique, to increase the beauty of a smile. The practitioner can influence the appearance of the smile by correcting tooth length problems as they relate to upper lip line and correction of right-to-left asymmetries. The surgical techniques are described in detail for various clinical situations.

Esthetics, Dental↗
PubMed1993

Familial gingival fibromatosis: a report of two patients.

This report describes two patients with familial gingival fibromatosis. Treatment for both patients involved gingivectomies to provide acceptable gingival function and appearance. The first patient has been monitored for only a short period, the second patient for 11 years. Neither patient has shown any recurrence of the condition.

Child↗