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At least 505 records · Page 28Linked to original sources
PubMed1976

Reason and remedy for conflicting reports on comparative effects of steel scalpel and electrosurgical cutting on gingival tissues and alveolar bone.

The fact that electrosurgical cutting is governed by factors that have no influence on steel scalpel cutting is responsible for discrepancies among the results of investigations of the modalities. The investigator's equal expertise in the use of both modalities is a prerequisite for accurate comparative investigations of the effects of electrosurgical and steel scalpel cutting. Eleven specific factors that govern the efficacy and quality of electrosurgical cutting and that can, therefore, ensure consistently reliable histologic results and accurate conclusions have been mentioned.

Alveolectomy↗
PubMed1977

Supracrestal fiberotomy.

Details of a surgical technique to divide the free gingival and transseptal fibers around rotated teeth that have been corrected orthodontically are outlined. The rationale of the procedure, its applications, indications, and contraindications are discussed. Supracrestal fiberotomy is not a substitute but an adjunct to normal retention procedures.

Anesthesia, Dental↗
PubMed1978

Rationale and methods for crown lengthening.

Surgical crown lengthening should not be attempted when tooth fractures extend into the middle third of the root. Excessive bone reduction on the fractured tooth and necessary blending of osseous contours over adjacent teeth may result in mobility or furcation involvement. In addition, the necessary osseous surgery may create precipitous changes in the bony architecture that will be bridged by soft tissues. This results in increased pocket depth and an unhealthy situation. If the tooth in question has a hopeless prognosis or the osseous surgical procedure would create a poor crown-root ratio, furcation involvement, mobility, or esthetic problems, crown lengthening should be avoided. In cases such as these, extraction may be indicated.

Alveolectomy↗
PubMed1990

Lengthening clinical crowns.

Finding a solution to the short clinical crown is based on an appreciation of the biological width of attachment plus the dimensional requirements of sound restorative procedures. The collective talents of restorative dentist, orthodontist, and periodontist often are needed to cope with the problem.

Dental Restoration, Permanent↗
PubMed1998

Case report. Use of an argon laser to treat drug-induced gingival overgrowth.

This article explores the use of an argon laser to treat severe drug-induced gingival overgrowth. The patient was being treated with phenytoin (Dilantin, Parke-Davis), cyclosporine and a calcium channel blocker. He had undergone a kidney transplantation and had insulin-dependent diabetes mellitus. He had severe gingival overgrowth, which prevented him from wearing his removable prostheses, and a superimposed Candida albicans infection. An argon laser was used to excise the gingival overgrowth so new maxillary and mandibular prostheses could be fabricated.

Anticonvulsants↗
PubMed2006

Osteonecrosis of the jaw and oral bisphosphonate treatment.

BACKGROUND: Bisphosphonates are becoming recognized increasingly as having a significant impact on dental therapies. This case report describes adverse clinical sequelae and successful treatment following periodontal surgery in a dental patient receiving bisphosphonate treatment. CASE DESCRIPTION: A 78-year-old woman experienced a nonhealing interproximal wound subsequent to a minor periodontal procedure performed to facilitate restoration of an adjacent tooth. Her medical history revealed that she had been taking an oral bisphosphonate every day for the previous five years for treatment of osteoporosis. After three months of periodic débridement and meticulous oral home care, one of the authors recovered a large piece of necrotic bone. The wound healed after the author performed surgery at the site. CLINICAL IMPLICATIONS: Dentists should exercise caution when considering surgical procedures for patients with a history of oral bisphosphonate use. Thorough treatment of nonhealing wounds in these patients can lead to favorable outcomes.

Administration, Oral↗
PubMed2003

Manipulation of the peri-implant tissue for better maintenance: a periodontal perspective.

Enhancement of peri-implant soft tissue is an essential factor in implant survival. As in periodontal tissue, the integrity of the attached gingiva, plus gingival contour, color, shape, size, consistency, and bleeding upon probing, is an indicator of bacterial activity that will eventually lead to gingivitis and periodontitis. The trajectory of peri-implant tissue is different from that of periodontal tissue because of periodontal ligament fibers, the absence of which makes the implant-bone interface weaker than that of natural dentition. The destruction of peri-implant tissue can be a faster and more devastating process, so maintenance of the peri-implant tissue is a must in implant therapy to avoid a potentially massive destruction of the understructure. The treatment of inadequately attached gingiva, gingiva hyperplasia, and peri-implant gingivitis is discussed with techniques that can alleviate these problems.

Dental Implantation, Endosseous↗
PubMed1993

New technique for creating permanent experimental alveolar clefts in a rabbit model.

Alveolar bone grafting is an adjunctive procedure that has become increasingly popular in the rehabilitation of patients with cleft lip and palate. A histologic basis of the performance of bone grafts is required to evaluate properly different grafting materials. This, however, cannot be provided by clinical studies on humans. Therefore, an animal model with a simulated alveolar cleft is needed. A number of animal models has been previously proposed by other investigators. The problems associated with each model are presented and a surgical technique for the creation of permanent alveolar clefts in rabbits is described. Clinical and histologic findings 6 weeks postoperatively confirm the establishment of a 1-cm wide defect with oronasal communication and healthy epithelial lining. This animal model can be efficiently used for the testing of various bone grafting materials.

Alveolar Process↗
PubMed2000

Hereditary gingival fibromatosis: report of three cases.

Three cases of generalized and severe HGF in young patients of the same family without other features are reported. The purpose of this article is to present documented cases and discuss the identification, treatment, and control of the disease. The histopathological characteristics of HGF are emphasized.

Child↗
PubMed2001

Clinical management of ectodermal dysplasia with long term follow up: two case reports.

The present study describes the characteristics and clinical management of two patients with ectodermal dysplasia with long term follow-up. Dental treatments depend on the severity of disorder, therefore, treatment varies according to the age, growth and development of the stomatognathic system of the patient. It is important that the patient and dentist understand continued monitoring for dental problems is necessary. This provides improved aesthetics, function and emotional development.

Adult↗
PubMed2003

Cyclosporin-induced gingival overgrowth in a child treated with CO2 laser surgery: a case report.

A case of a 10 year-old boy with gingival overgrowth due to cyclosporin therapy after heart transplantation is described. Different treatment approaches are discussed and the surgical effect of CO2 laser is illustrated. The critical role of routine professional cleaning and good oral health maintenance for the healthy status of the gingival tissue is also emphasized in this paper. Replacement of cyclosporin by tacrolimus, another immunosuppressive agent associated with minimal to none gingival overgrowth, might be considered in cases with reported recurrences.

Carbon Dioxide↗
PubMed2004

Gummy smile: clinical parameters useful for diagnosis and therapeutical approach.

In the analysis of the characteristics of a pleasant smile, a gummy smile has negative components, which most affect the esthetics of non-verbal communication. For this purpose a proposed classification based upon etiopathogenetic criteria as useful indications for a therapeutical approach is given. The nature of a high smile line can be: dento-gingival, connected to an abnormal dental eruption, which is revealed by a short clinic crown; muscular, caused by an hyperactivity of the elevator muscle of the upper lip; dento-alveolar (skeletal), due to an excessive protuberance or vertical growth of the jawbone (maxillary); lastly, a mixed nature, in the presence of more than one of the above described factors The diagnosis of gummy smile must be precocious and based, with reference to specific parameters, upon a careful analysis of the etiopathogenetic factors and the degree of seriousness of the alteration. A correct treatment plan must contemplate the possibility of an orthognatodontic, orthopedic and/or surgical therapeutic resolution considering the seriousness and complexity of the gums exposures (high smile line) in connection with the age of the subject.

Child↗