[Therapy of inflammatory periodontal disease: muco-gingival surgery].
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341 cases of surgery on patients with difficulties in hemostasis are reported. Therapy was the use of fibrine fixation technique, a simple and riskless method. Tooth extractions and other surgical interventions oin anticoagulated patients may be performed without interruption of the anticoagulant therapy, also patients with hemorrhages and other complications need not be expected, if the material is properly handled.
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A double-blind evaluation of the clinical effectiveness of a single dose of naproxen, ibuprofen, and acetaminophen was performed on 98 patients who had undergone periodontal surgery. A statistically significant difference was found when the effect of these medications was compared with that of a placebo, but no statistically significant difference was found among these three drugs. No side effects resulted from the use of these medications.
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The elimination of etiological factors and the correction of periodontal abnormalities are often a necessary preliminary phase of oral reconstruction. The development of optimal gingival and bony qualities using the surgical procedures outlined when indicated improves the prognosis of prospective abutment teeth and additionally may improve esthetics, retention, and maintenance of a fixed restoration.
Cyclosporine, substituted Dihydropyridines and Phenytoin are three drugs that are often correlated with gingival overgrowth. Differences in incidence and histology are reviewed. Due to the large range of illnesses for which these drugs are prescribed, we can only anticipate a high increase in the number of patients who seek treatment for their enlarged gums. Contemporary treatment modalities are changing towards increased usage of these pharmaceutics which will lead to a high frequency of patients which have drug induced alterations of their gingival structures. The dental practitioners will also need to be consulted prior to drug treatment so that preventive measures can be taken. Treatment of gingival overgrowth is discussed.
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Discoloration of the oral mucosa may cause embarrassment to sufferers. In this case report, the author describes a simple, versatile and relatively non-invasive technique for treating unsightly racial pigmentation of the oral mucosa.