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Measurements of probing velocity with an automated periodontal probe and the relationship with experimental periodontitis in the Cynomolgus monkey (Macaca fascicularis).

The Toronto Automated Periodontal Probe allows simultaneous measurements of gingival attachment level and probing velocity. The efficacy of probing velocity in measuring the integrity of the dento-gingival junction was studied and compared with loss of gingival attachment level, gingival inflammation, tooth mobility and gingival crevicular fluid collagenolytic activity. The gingiva around the maxillary and mandibular incisor teeth of 2 monkeys were first brought to clinical health by daily prophylaxis. Baseline measurements were made and inflammation was then induced around the maxillary incisors by withdrawing plaque control and by placing silk ligatures subgingivally. The mandibular incisors served as controls. After 10 weeks, the ligatures were removed and the teeth scaled and polished daily for 1 week. The plaque index and gingival index reached maximum values within 1 week; crevicular fluid flow was significantly increased at 1 and 3 weeks but mobility did not change significantly. There was progressive loss of the gingival attachment level, which peaked at 10 weeks on experimental teeth; there was no significant loss on control teeth. Probing velocity around experimental teeth exhibited large and significant increases above controls between 1 and 3 weeks, coinciding with the largest weekly losses of the gingival attachment level. Thus probing velocity may be a useful clinical method for the ancillary measurement of early loss of the gingival attachment level. It can also detect biophysical changes in the dento-gingival junction of progressive inflammatory lesions.

Animals↗

Veterans Administration Cooperative Dental Implant Study--comparisons between fixed partial dentures supported by blade-vent implants and removable partial dentures. Part I: Methodology and comparisons between treatment groups at baseline.

This study was conducted to determine whether fixed partial dentures supported by dental implants provide an acceptable alternative to conventional removable partial dentures in patients with Kennedy class I or class II edentulous conditions. The acceptability of the new treatment will be based on success rates, impact on the health of the remaining dentition, masticatory performance, patient satisfaction, and maintenance care and cost. The study was planned also to provide comparisons between two designs commonly used by dentists for fabricating removable partial dentures. The designs differed only in terms of the type of the retainer (clasp type) and tooth support (rest location). A total of 272 patients with Kennedy class I and class II edentulous conditions were assigned on a random basis to one of the treatment groups, 134 to receive a removable partial denture and 138 a fixed partial denture supported by a blade-vent implant. All of the patients were medically screened and met prespecified criteria for oral hygiene, bone support for abutment teeth, and size of the residual ridge. Thirty-four patients were eliminated from the study before completion of their treatment. An additional six patients with early implant failures were reentered in the study and followed up as a separate group. The remaining 232 patients received comprehensive dental care, including removable partial dentures for 118 and fixed partial dentures for 114 patients. A series of examinations, radiographs, masticatory performance tests, patient satisfaction, food selection questionnaires, and dietary history were completed before initiation of the treatment, 16 weeks after the insertion of an RPD or an implant, and thereafter at 6-, 18-, 36-, and 60-month intervals. In addition, patients were seen at 6-month intervals for a recall dental examination, oral prophylaxis, plaque instructions, radiographic survey of the implant, and any needed dental treatment. The randomization stratification approach produced two treatment groups with comparable age, number of remaining maxillary and mandibular teeth, type of opposing dentition, and percent of patients with Kennedy class I and class II edentulous conditions. The mean scores of bone support, tooth mobility, and sulcular depths of abutment teeth were also similar. Significant but comparable improvements in oral hygiene and sulcular depth occurred in the two groups after treatment. The periodontal health scores at the 16-week interval serve as the baseline to measure subsequent changes in periodontal health.(ABSTRACT TRUNCATED AT 400 WORDS)

Adult↗

Pleasants' disease.

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Alveolar Process↗

Oral manifestations of an arteriovenous anastomosis.

Described is the case of a healthy 30-year-old Caucasian man who presented with marked unilateral loss of alveolar bone and tooth mobility on the left side. The history and clinical signs and symptoms were consistent with the diagnosis of congenital arteriovenous anastomosis.

Adult↗

Intentional replantation of periodontally involved and endodontically mistreated tooth.

This article presents a case in which a tooth was intentionally replanted after it was endodontically mistreated; there was also a severe periodontal involvement. The unusually long period of time that the tooth survived might be attributed to a different approach to the replantation technique, such as occlusion adjustment prior to replantation, preoperative reduction of oral cavity bacteria and of the harmful aerosols commonly found in the dental operatory, placement of a noneugenol periodontal packing under the acrylic splint to prevent residual liquid monomer from seeping into the periodontal space, use of the patient's own blood and no other material to moisten the root while it was out of the socket, a short extraoral period, loose splinting, complete isolation of the operative site in the oral cavity, and completion of periodontal therapy before intentional replantation.

Adult↗

Reconstruction of parodontal tissue with chitosan.

Chitosan ascorbate, obtained by mixing chitosan with ascorbic acid and sodium ascorbate, was produced in a gel form suitable for the treatment of periodontitis according to current dental surgery. While chitosan ascorbate underwent degradation in vitro, especially in the presence of atmospheric oxygen and at pH 6.0, the protection from oxygen offered by the surgical cements and the physiological pH value permitted chitosan ascorbate to play an important biological role in vivo, where it kept a honeycomb structure, as indicated by SEM on biopsies taken on 10 patients. The proliferation and organization of the cells were thus favoured with a subsequent enhanced capability of reconstructing a histoarchitectural tissue. Chitosan was progressively reabsorbed by the host, with very satisfactory clinical recoveries of the 52 defects treated, for which tooth mobility and pocket depths were significantly reduced.

Adult↗

Primary intraosseous carcinoma involving the anterior mandible.

A case is reported of a primary intraosseous carcinoma arising in the anterior mandible with metastasis to the submandibular lymph node in a 69 year-old Caucasian female. The patient initially presented with a burning sensation in the oral cavity in 1983, when no obvious pathological finding was noted; she returned 2 years later with a firm buccal swelling which had increased in size after the extraction of a mobile tooth. The tumour proved to be a primary intraosseous intraosseous carcinoma; extensive investigation did not reveal a primary carcinoma elsewhere.

Aged↗

Long-term occlusal guidance of a severely intoxicated patient with yusho (PCB poisoning): a case report.

The peculiar dentoorofacial characteristics and 12 years of interdisciplinary management of a patient who was severely intoxicated with the man-made chemical polychlorinated biphenyls (PCBs) are described in this case report. Cephalometric measurements showed that the SNA and SNB angles were reduced but that the developments in height and skeletal maturity were in normal ranges. Gingival hyperpigmentation that was caused by high blood PCB concentration was extremely slow to fade. A cystic mass, diffused trabeculae, and irregular calcification, which were shown on the radiograph and which were caused by high blood levels of PCB, changed gradually. However, the patient had periodontal disease because of horizontal alveolar bone resorption and a deep periodontal pocket, despite good plaque control. After the PCB poisoning the tooth roots were hypoplastic and dilacerated. One root was extracted because of chronic periodontitis. Some teeth were impacted, malposed, or ankylosed.

Adolescent↗