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Results for “Tooth Mobility”

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At least 757 records · Page 42Linked to original sources
PubMed1995

Guided tissue regeneration demineralized freeze-dried bone allograft: treatment of furcation defects in mandibular molars.

The present study evaluated the effects of combined guided tissue regeneration (GTR) and demineralized freeze-dried bone allograft (DFDBA) therapy on the healing of grade III furcation lesions in mandibular molars of seven periodontitis patients. De novo surgical debridement of furcation roofs by fine diamond bur was introduced. Routine presurgical preparation of teeth and a strict plaque control program were performed for at least six weeks before surgery. A papillary conserved full thickness mucoperiosteal flap was used in all cases. In addition to conventional debridement, odontoplasty was performed on the furcation areas with a diamond bur to eradicate inaccessible fissures or grooves and ensure calculus-free root surfaces. Following debridement, the bony defects were filled with DFDBA and covered with polytetrafluoroethylene (ePTFE) membranes. The flaps were then closed by interproximal sutures coronally positioned through the contact point. The ePTFE membranes were removed 6 to 7 weeks after operation. Clinical parameters such as probing depth (PD), gingival recession (GR), probing attachment level (PAL), tooth mobility (TM), and periapical x-ray were recorded at the baseline and 0, 3, 6, 9, and 12 months after removal of the ePTFE membrane. The results showed a significant increase in the probing attachment level and radiographic evidence of bone fill at the furcation sites. Thus, the addition of fine diamond bur debridement on the furcation in the GTR procedure with DFDBA grafting may be effective in the treatment of grade III furcation involvement.

Adult↗
PubMed1995

Implants and the periodontium.

This paper compares the morphology and function of the natural periodontium with peri-implant tissues and tissue reactions. The comparison serves as a base for observations about the practical application of oral endosseous implants. The main conclusion is that the touch sensitivity of natural teeth at lower biting and chewing loads, that is in the phase of primary tooth mobility, during which only the soft parts of the periodontium are deformed, cannot be substituted by ankylotic retained implants.

Adaptation, Physiological↗
PubMedDate not supplied

Orthodontic correction of maxillary flaring using provisional restorations.

An unconventional orthodontic correction can be accomplished by using preexisting provisional restorations, which can be modified for use in active tooth movement or splinted together for orthodontic anchorage. This technique has an advantage over conventional fixed appliance orthodontic therapy because it can accomplish tooth movement concurrently with restorative and periodontal therapy. Consequently, the timing or sequencing of periodontal and restorative treatment is optimal, and the overall treatment is more efficient. The learning objective of this article is to describe the minor tooth movement necessary to achieve the optimum occlusal scheme, crown form, and tooth position for the forces of occlusion to be displaced down the long axis of the periodontally compromised teeth. Once the occlusion, periodontal health, and crown contours for the provisional splinted restoration are acceptable, the final splinted restoration can be similarly fabricated, and it becomes an excellent orthodontic retainer.

Acrylic Resins↗
PubMed1993

Maintenance care and supportive periodontal therapy.

This paper presents a review of the literature and clinical observations concerning the long-term professional care of all dental patients. Gingivitis, ubiquitous in the adult population, is often without significant consequences to the dentition; however, gingivitis may develop into periodontitis. Patients with gingivitis, therefore, should be monitored professionally, especially those patients with other risk factors (attachment loss, age, smoking, and abnormal tooth mobility). In patients without substantial attachment loss, professional examination, prophylaxis, and oral hygiene instruction should be provided once or twice a year, depending on the presence of other risk factors. All patients who have been treated for periodontitis should be recalled, after completion of treatment and a healing phase, every 3 to 4 months. Sites with active periodontitis should be re-treated. Topical use of fluorides is recommended.

Dental Prophylaxis↗
PubMed1993

The applicability of osseointegrated implants in the treatment of partially edentulous patients: three-year results of a prospective multicenter study.

Nine clinical centers using the Brånemark System participated in a prospective study of 159 partially edentulous patients between 18 and 70 years of age. Clinical parameters evaluated were Plaque Index, gingivitis, pocket depth, Bleeding Index, tooth mobility, prosthesis stability, and stomatognathic function. Change in bone height around fixtures was measured radiographically. After 3 years, 460 loaded fixtures, supporting 174 prostheses in 139 patients, remain in the study. The complications, failures, and technical problems are presented. After 3 years of this 5-year study, results suggest that implant-based treatment of partially edentulous patients may achieve a success rate comparable to that obtained in edentulous patients.

Adolescent↗
PubMed1993

Initial therapy for the periodontally diseased patient.

The crucial first steps in periodontal therapy often are neglected. In initial therapy must include oral hygiene instruction; scaling and root planing; caries control, endodontic therapy, occlusal adjustments, reduction or elimination of tooth mobility, provisionalization, extraction and/or specialty consultation as warranted; and re-evaluation.

Dental Calculus↗