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At least 487 records · Page 27Linked to original sources
PubMed2001

Mandibular and maxillary furcation tunnel preparations--literature review and a case report.

AIM: The objective of this literature review and subsequent case report is to discuss and illustrate the tunnel preparation procedure as a treatment alternative for furcation-involved molars. REVIEW OF THE LITERATURE: Furcation tunnel preparation, i.e., the creation of access for plaque control between periodontally diseased roots, has not been discussed in the literature as comprehensively as root resective therapy, though success rates appear to fall within the same range. A short root trunk and a wide furcation entrance diameter are prerequisites for the indication of the tunnel preparation procedure. Although accessory canals in the furcation area are frequent findings on extracted teeth, endodontic complications have not been reported to be major complications after tunnel preparation. Caries developed at tunneled teeth even under proper maintenance, but did not necessarily lead to the loss of an affected tooth. CASE REPORT: In the case presented to illustrate the indication for the tunnel preparation procedure, periodontal disease was almost entirely restricted to the furcation sites of molar teeth. Affected teeth were either extracted or left intact and subjected to tunneling procedures. Periodontal health could be established and maintained at both single and double tunnels over a period of 2 years of periodontal supportive therapy.

Adult↗
PubMed2000

Using absorbable collagen membranes for guided tissue regeneration, guided bone regeneration, and to treat gingival recession.

This article reviews the role of barrier membranes in guided tissue regeneration (GTR) and guided bone regeneration (GBR), including the advantages of using absorbable barrier membranes in GTR and GBR and the unique properties of collagen membranes. The indications and contraindications for using collagen membranes for these procedures are examined, and successful cases are presented. Finally, the role of collagen membranes in the future of regenerative therapy is considered.

Absorbable Implants↗
PubMed2000

Dynamics of dental implants and orthodontics in today's periodontal prosthesis.

Periodontal prosthesis refers to multidisciplinary efforts to stop disease progression, correct deformities created by dental diseases, and establish a therapeutic occlusion to restore the form and function of the masticatory system. These efforts are critical for the long-term prognosis and maintenance of the guarded teeth and the overall prosthesis. This article presents a functionally and esthetically challenging case, which illustrates a multidisciplinary approach--specifically implantology and orthodontics--and how they impact on each other during treatment. The role and importance of dental implants and orthodontics in setting up a case is illustrated in this article.

Alveolar Bone Loss↗
PubMed2000

Combined periodontal-prosthodontic treatment of early-onset periodontitis--an alternative to implant therapy.

A variety of treatment systems should be available for patients whose dentitions are seriously compromised so that they may select customized treatment modalities that satisfactorily restore occlusal function, consider systemic conditions, and lessen the surgical and financial burdens. These requirements become more demanding when clinicians are faced with advanced cases of rapidly progressive periodontitis. Therefore, it is critical to establish sophisticated multidisciplinary treatment modalities for the successful management of these compromised patients. Obviously, because of various limitations, implant therapy cannot be the only solution. This article reports on the successful long-term management of seriously compromised early-onset periodontitis by a combined periodontal-prosthetic treatment as an alternative to implant therapy.

Adult↗
PubMed1999

Appropriate selection of GTR therapy.

The appropriate application of guided tissue regeneration (GTR) therapy demands both diagnostic and technical acumen. This article discusses the presurgical considerations that must be evaluated before surgical entry and treatment. A diagnostic system for the evaluation of maxillary molar furcation involvements also is presented.

Alveolar Bone Loss↗
PubMed1999

Special considerations, treatment selection criteria, and case reports.

As understanding of the diagnostic and technical prerequisites for maximizing therapeutic results after guided tissue regeneration (GTR) therapy matures, the applications of such treatment have been expanded. This article discusses the use of GTR therapy in the esthetic zone, beneath pontics, and in combination with resective treatment modalities. A hierarchy of appropriate treatment selection is presented.

Alveolar Bone Loss↗
PubMedDate not supplied

Guided tissue regeneration in periodontal therapy.

In teeth where continued function requires additional periodontal support, optimal treatment requires not only controlling periodontal infection, but also regeneration of periodontal support lost to periodontal disease. Today, guided tissue regeneration (GTR) is a technique with significant clinical and histologic documentation of periodontal regeneration. This paper will address GTR barriers and clinical indications for using these materials to successfully regenerate the periodontium.

Absorbable Implants↗
PubMed2001

Root reshaping: an integral component of periodontal surgery.

It is the aim of this article to present a surgical option to the traditional method of returning lost biologic width where invasion of the junctional and/or connective tissue attachment associated with a tooth has occurred. The alternative to conventional osseous resection involves reshaping the existing tooth surface in combination with conservative removal of the supporting alveolar bone to create the width needed for the restoration to be biologically acceptable. This procedure accomplishes several goals: (1) minimum supporting bone is removed; (2) deleterious root surface anatomy, such as grooves, concavities, and cementoenamel projections, is diminished; (3) a smooth root surface that is more biologically acceptable to soft tissue is created; (4) Class I and II furcation lesions may be decreased or eliminated; and (5) improved gingival contours and space for restorative materials can be created in situations in which close root proximity is present. This article will present a step-by-step approach to using root reshaping as an alternative to traditional crown lengthening.

Alveolectomy↗
PubMed2001

Computer assisted image analysis methods for evaluation of periodontal wound healing.

The aims of this study were to determine the accuracy of the computer assisted image analysis method and to evaluate its application for the assessment of periodontal wound healing in dogs. Histological material was analyzed with an optic microscope connected to a CCD color camera which transmitted the image to a frame grabber converting the light signals into pixels from which the measurements could be obtained. Twenty sections were read to assess the intra- and inter-examiner reproducibility for the parameters of area filled by new tissue, area of epithelium, area of bone and linear measurements of the cementum. The data were statistically analyzed using the t-test to test the hypothesis that there was no difference between and within examiners. No statistically significant differences were noted (with a confidence interval of 95%) for any parameter when intra-examiner reproducibility was assessed. Similar results were achieved for surface areas when the inter-examiner readings were computed. However, values of linear measurements for cementum showed statistically significant differences between recorders (p < 0.05). Results were consistently uniform and the method demonstrated high accuracy when intra-examiner readings were evaluated.

Alveolar Process↗
PubMed2001

Rationale for the application of the GTR principle using a barrier membrane in endodontic surgery: a proposal of classification and literature review.

Periradicular surgery has become an established treatment option in endodontic surgery. The major objective of this surgery is to obtain periradicular tissue regeneration, including the formation of a new attachment apparatus, by exclusion of any potentially noxious agent within the physical confines of the affected root. However, in a substantial number of cases, the endodontic lesion has a concomitant marginal periodontal lesion that may complicate the healing success. In periodontology, the guided tissue regeneration (GTR) principle using a barrier membrane has been extensively studied and successfully used, and thus may become an adjunct in endodontic surgery. This article presents a classification system of endodontic and periodontal lesions with respect to the application of the membrane technique and reviews the pertinent literature based upon this classification system.

Alveolar Bone Loss↗
PubMed2002

Therapeutic choices in the molar region.

Treatment of the damaged molar often presents a set of challenges unique to the posterior dentition. Traditional dental treatments continue to be refined to improve the prognosis when treating the posterior dentition. Daily treatment-planning decisions include whether to treat with conventional dental or implant therapeutic approaches, and involve consideration of local host factors as well as limitations in specific therapeutic approaches. This article will review some of the factors to consider in these treatment-planning decisions.

Crown Lengthening↗
PubMed2002

Comprehensive treatment concept in a young adult patient with severe periodontal disease: a case report.

This case report describes the comprehensive treatment of generalized, advanced periodontal disease in a young patient. In view of the necessary reconstruction, the extensive destruction of the periodontal tissues required a systematic approach to determine the possibilities and the expectations of the patient. The subsequent oral rehabilitation was accomplished with fixed prosthodontics. In the mandible, strategically important anchor teeth were replaced with implants, allowing smaller units to be inserted. The long-term treatment result, however, can only be ensured with the full cooperation of the patient and consistent periodontal maintenance care.

Adult↗