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At least 1,207 records · Page 67Linked to original sources
PubMed1996

The aesthetic guidelines of the mucogingival complex for fixed prosthodontics.

Until the 1980s, aesthetic dentistry focused its attention primarily on the replication and improvement of tooth structure by developing modifications of porcelain-fused-to-metal crown restorations, incorporated in porcelain systems in combination with adhesive technology. The introduction of new, improved, or modified periodontal surgical techniques addresses nearly all mucogingival challenges, except for the loss of papillae. Therefore, it is of critical importance to develop and define aesthetic guidelines for treatment of the mucogingival complex. In these guidelines, the aesthetic analysis of a treatment is divided into an evaluation of the mucogingiva and that of the tooth structure. Correction of mucogingival discrepancies is a prerequisite for aesthetic success in dental treatment. The learning objective of this article is to review the mucogingival discrepancies and examine a variety of potential solutions.

Adolescent↗
PubMed1997

Gingival hyperplasia: interaction between cyclosporin A and nifedipine? A case report.

Treatment with either cyclosporin A or nifedipine may induce gingival hyperplasia. A case report is presented which describes a patient medicated simultaneously with both drugs and who subsequently developed extreme hyperplasia. Could such a severe gingival pathology have resulted from an additive interaction between the two drugs?

Calcium Channel Blockers↗
PubMed1997

Periodontal manifestations and treatment of Sturge-Weber syndrome--report of two cases.

Encephalotrigeminal angiomatosis (Sturge-Weber syndrome) is a rather uncommon congenital condition characterized by the combination of venous angioma of the leptomeninges over the cerebral cortex with ipsilateral angiomatous lesions of the face and sometimes, the skull, jaws and oral soft tissues. Two patients came to the Kaohsiung Medical College Hospital's dental clinic with complaints of localized gingival enlargement or tumor-like swelling. Based on the presence of facial nevus flammeus, examinations of angiography, radiological evidence of calcific densities, and ipsilaterally intraoral vascular hyperplasia in the lip, cheek and gingiva, encephalotrigeminal angiomatosis was diagnosed. Dental management included plaque control instructions, scaling, root planing and periodontal surgery. Recurrence of gingival enlargement in both cases was noted, so periodontal surgery was performed a second time. Close follow up and complete plaque control have kept the periodontal condition fairly well under control in these two cases. We introduce the oral manifestations and the experience of treatments in these two cases.

Adolescent↗
PubMed1997

Treatment of gingival Crohn's disease with laser therapy.

Crohn's disease is an inflammatory disease of unknown etiology. Oral manifestations appear most frequently on the lips, gingival tissue and buccal mucosa. The case presented here shows how a patient with oral lesions resulting from Crohn's disease can be treated by laser therapy and obtain optimal esthetic results.

Adolescent↗
PubMed1997

Severe bleeding from a pregnancy tumor. A case report.

BACKGROUND: Hyperplastic gingivitis and gingival hyperplasia accompanying gestation have been termed "pregnancy gingivitis" and "pregnancy tumor." The condition is benign but, rarely, is complicated by severe bleeding that is difficult to manage. A single case of a pregnancy tumor is reported. CASE: A 28-year-old woman in the third trimester was evaluated for treatment of a pregnancy granuloma with recurrent episodes of severe bleeding for two weeks. Conservative management by firm pressure on gauze packs was applied to control the bleeding, but in vain. Induction of labor was conducted at 37 weeks partially because of term pregnancy and uncontrollable bleeding from the gingiva. An emergency cesarean section was done because of acute fetal distress during induction of labor. A healthy infant was delivered. The gingival bleeding stopped spontaneously five days afterwards. The patient was given thorough dental prophylaxis and oral hygiene instructions. The buccal granulomatous tumor was decreased in size four weeks postpartum. CONCLUSION: Careful oral dental hygiene, removal of dental plaque and debris, and use of soft toothbrushes are important during pregnancy to avoid occurrence of a pregnancy tumor. If uncontrolled bleeding occurs, management should be based on the individual condition and should range from supportive therapy--such as desiccation of bleeders; local, firm compression and oral hygiene to blood transfusion--as well as medication to accelerate fetal lung maturity or even termination of pregnancy to save the patient's life, as with treatment of uncontrollable eclampsia.

Adult↗
PubMed1996

Diagnostic use of composite in anterior aesthetics.

The success of anterior restorative procedures is in direct proportion to the ability of the practitioner to master new techniques and materials, which constantly improves the level of aesthetics and ultimately the final results achieved. However, unless a harmonious integration is achieved involving the two "bioaesthetic" parameters-the gingival architectural design and the dental architectural design-the final result will not be satisfactory. The learning objective of this article is to illustrate the use of composite resin as an "architect" to build predictable and successful anterior restorations through more reliable diagnostics of natural aesthetics and function. Freedom of composite build-up is outlined, and the use of composite in moving and opening of the gingival crest is described. Direct and indirect diagnostic use of composite in dental procedures is outlined in a detailed clinical procedure.

Composite Resins↗
PubMedDate not supplied

Gingival overgrowth with valproic acid: a case report.

A case of a nine-year-old epileptic girl with severe gingival overgrowth who had been taking valproic acid since two months of age is presented. A review of the literature and possible mechanisms for drug-induced gingival overgrowth is outlined.

Anticonvulsants↗
PubMed1995

Comparative study on gingival retraction using mechanochemical procedure and pulsed Nd = YAG laser irradiation.

The aim of the present study was to study the tissue reaction and gingival healing in pulsed laser gingival retraction in comparison with chemico-mechanical gingival retraction technique. This work was applied on six patients recommended for orthodontic extraction of first premolars upper and lower. The patients were divided into three groups (two patients each). -One group with laser tissue retraction. -Another group with ferric sulphate (13.3%). -Third group with aluminium chloride (25%). The present histologic findings revealed that with the application of pulsed Nd: YAG laser the gingival tissues showed faster healing with less hemorrhage and less inflammatory reaction in comparison with the other two groups. In conclusion it was evident that pulsed laser is a surgical device increasingly important to dentistry. The present study can support with the clinical application of laser in gingival retraction as a simple convenient, painless method.

Administration, Topical↗
PubMed1997

The diagnosis and treatment of the gummy smile.

The diagnosis and treatment of the "gummy smile" (altered passive eruption, excessive gingival display) help the periodontist to provide the most beautiful smiles possible for patients. This article describes diagnosis, surgical planning, and case reports that show the benefits of treatment of this common clinical problem for the patient and restorative dentist who can now provide ideal cosmetic results for their patients.

Adolescent↗
PubMed1997

Esthetic crown lengthening for maxillary anterior teeth.

In the maxillary anterior region, the gingival labial margin position is an important parameter in the achievement of an ideal smile. The relationship between the periodontium and the restoration is critical if gingival health and esthetics are to be achieved. Periodontal therapy is a necessary and useful adjunct when any anterior restoration is undertaken. Anterior surgical crown lengthening may be undertaken to avoid restorative margin impingement on the biologic width. Crown lengthening is also used to alter the gingival labial profiles. This article discusses the esthetic parameters of ideal gingival labial positions and presents a classification of crown-lengthening procedures and the procedure for a two-stage crown-lengthening technique. The two-stage crown-lengthening technique is surgically precise because healing is predictable.

Crown Lengthening↗
PubMed1997

Successful management of the gingival tissues for aesthetic restorative procedures.

A sage advisor once said, "Why is it that we (dentists) never seem to have the time to do all steps the first time around, but then find the time when something goes amiss?" Many of us are caught up in a prison called time that directly dictates our every move. We must be released from this mindset and rediscover the importance of patience and devotion to technique. That same wise man added, "The definition of a short cut is the longest distance between two points." The moral is time spent to gain tissue health will be returned a thousand fold. Cases will be completed with greater patient comfort and doctor satisfaction.

Crown Lengthening↗
PubMed1998

[Conditions of the successful outcome of mucogingival surgery during orthodontic treatment].

For the last twenty years the mucogingival surgical technics, particularly displaced flaps, have brought gingival tissue when it is missing improving the periodontic outcome of orthodontic treatment. The displaced flaps are indicated where is a deficient attached gingiva or for uncovering retained cuspids. This state of the art is done both for the surgical and orthodontic care that are necessary as well as for the possible problems and complications after surgery.

Child↗
PubMed1997

Can surgery be justified for patients with periodontitis?

There is a debate concerning the role that surgical procedures should play in the treatment of inflammatory periodontal diseases. This review details some of the situations in which surgery can be of benefit. Benefits include obtaining shallower probing depths and therefore reducing the areas that are hospitable to pathogenic bacteria associated with disease. Also, removal of tooth-accumulated materials such as plaque and calculus in probing depths greater than 5 mm is more predictable with surgery. In some forms of aggressive periodontitis, elimination of potentially pathogenic bacteria is found more frequently with surgical procedures. Regeneration of lost bone and attachment apparatus are predictable only with surgery.

Gingivectomy↗