scholarly journals Clinical Evaluation of Periodontal Tissue Status in Prosthodontic Treatment of Patients with Partial Tooth Loss and Generalized Periodontitis

2018 ◽  
Vol 24 (4) ◽  
Author(s):  
A. Kushlyk ◽  
Z. Ozhogan ◽  
M. Melnychuk

The problem of selection and application of dental prostheses in periodontal disease is especially relevant in case of severe generalized periodontitis, which is accompanied by mobile tooth removal resulting in overloading the periodontium of the remaining teeth as well as the increase in tooth mobility. Therefore, in generalized periodontitis, it is important to apply the method of direct dental prosthetic rehabilitation since, in case of partial tooth loss, it will prevent the development of generalized periodontitis complications.The objective of the research was to improve the effectiveness of combination therapy for patients with generalized periodontitis and partial tooth loss applying the developed method of direct fixed dental prosthetic rehabilitation based on the study of the periodontal status.Materials and methods. The study included 129 patients with general periodontitis, II-III degree and partial tooth loss over the age of 45 years. According to prosthodontic treatment, all the patients were divided into three groups: Group I consisted of 42 (20 women and 22 men) patients who immediately after tooth extraction were rehabilitated with the application of direct plastic laminar immediate prosthesis and selective tooth grinding; permanent dental prosthetic rehabilitation was performed 6 weeks after tooth extraction; Group II included 43 (21 women and 22 men) patients who underwent traditional permanent dental prosthetic rehabilitation using fixed dental bridges 6 weeks after mobile tooth removal and wound healing; Group III comprised 44 (21 women and 23 men) patients who immediately after mobile tooth removal were rehabilitated with the application of direct fixed sectional dental bridge (Ukrainian patent UA 20995. 2007 Feb 15) and selective tooth grinding; permanent dental prosthetic rehabilitation was performed 6 months after tooth extraction. The control group consisted of 26 people with intact dentitions over the age of 45 years.Results and discussion. The application of direct dental prosthetic rehabilitation method after mobile tooth removal in combination treatment of generalized periodontitis allows stabilizing degenerative and inflammatory processes in the periodontium in the initial stages, as well as increasing the resistance of the capillaries and bone mineral density of the interdental septa. The obtained data indicated that the application of the proposed direct fixed sectional dental bridge was more effective as compared to conventional prosthetics methods.Conclusions. 1. Direct fixed prosthodontics using direct fixed sectional dental bridge is essential in combination treatment of generalized periodontitis, especially if mobile tooth extraction is needed. It allows increasing the effectiveness of treatment in comparison with direct removable prosthodontics using direct plastic laminar immediate prosthesis (Group I) and traditional treatment methods (Group II). 2. We have proved the advantages of direct fixed prosthodontics in treatment of patients with generalized periodontitis, II-III degree based on the improvement of oral hygiene indices, the gingival bleeding index, the papillary-marginal-alveolar index, the periodontal index and the depth of periodontal pockets 6-12 months after treatment.

2008 ◽  
Vol 65 (10) ◽  
pp. 755-757 ◽  
Author(s):  
Marija Igic ◽  
Ljiljana Kesic ◽  
Mirjana Apostolovic ◽  
Ljiljana Kostadinovic

Background/Aim. Gingivitis is a frequent phenomenon in children considered to be a risk factor for the occurrence and progression of paradontal tissue disease. So, it is necessary not only to identify inflammation, but also to react in due time and adequately in order to avoid further disease spread and the beginning of periodontitis. The aim of this study was to determine the efficiency of a low-level laser application in the therapy of chronic gingivitis in children. Methods. The study a included hundred of children with permanent dentition suffering from chronic gingivitis. All the examinees were divided into two groups: group I - 50 examinees with chronic gingivitis, who underwent the basic therapy; group II - 50 examinees with chronic gingivitis, who underwent the basic therapy and also a therapy with a low-level laser. Evaluation of the condition of oral hygiene, the health of gingiva and periodontium were done using appropriate index before and after the therapy. Results. For the plaque index (PI) following results were obtained: in the group I PI = 1.94, and in the group II PI = 1.82. After the therapy in both groups PI was 0. In the group I sulcus plaque index (SPI) was 2.02 before the therapy and 0.32 after the therapy. In the group II SPI was 1.90 before the therapy, and 0.08 after the therapy. In the group I Community Periodontal Index of Treatment Needs (CPITN) was 1.66 before the therapy, and 0.32 after the therapy, and in the group II CPITN was 1.60 before the therapy, and 0.08 after the therapy. Conclusion. Chronic gingivitis in children can be successfully cured by the basic treatment. The use of a low-level laser can significantly improve this effect.


2017 ◽  
Vol 8 (1) ◽  
pp. 1-6
Author(s):  
Madhumati Singh ◽  
G Madhan

ABSTRACT Introduction The preservation of bone volume immediately after tooth removal is necessary to optimize the success of implant placement in terms of esthetics and function. The objectives of this study were to compare the ability of Choukroun's platelet-rich fibrin (PRF) versus CollaPlug (Zimmer) in maintaining the buccal bone height of sockets following extractions in patients. Materials and methods Twenty patients who required tooth extraction and implant placement were enrolled in this study. The patients were randomly divided into two groups. They are group I PRF group and group II CollaPlug group. The vertical buccal crestal bone heights were measured immediately after extraction and 4 months postextraction and implants were placed. Results The buccal crestal bone level in the CollaPlug group had a baseline mean of 4.67 ± 0.54 and a postmean of 6.98 ± 0.60, whereas in the PRF group baseline mean was 5.43 ± 0.47 and postmean was 6.93 ± 0.55. The bone resorption was found in both the groups (2.31 mm for CollaPlug and 1.5 mm for PRF), in agreement with previous studies. However, there was increased bone loss in CollaPlug group compared with PRF group, which was found statistically significant. Conclusion In conclusion, within the limits of the present study, the two tested socket preservation materials seem to be effective in the treatment of extraction sockets, even though the design of the study did not allow us to evaluate to what extent the clinical improvement could be attributed to the PRF per se, since a negative control was not included in this investigation. However, preparation of PRF is not very cumbersome and inexpensive, which makes it a better socket preservation material than CollaPlug. How to cite this article Madhan G, Singh M. Comparison of Ability of Platelet-rich Fibrin vs CollaPlug in maintaining the Buccal Bone Height of Sockets following Extractions in 20 Patients. J Health Sci Res 2017;8(1):1-6.


2011 ◽  
Vol 68 (12) ◽  
pp. 1021-1025
Author(s):  
Marija Igic ◽  
Dragan Mihailovic ◽  
Ljiljana Kesic ◽  
Mirjana Apostolovic ◽  
Ljiljana Kostadinovic ◽  
...  

Introduction/Aim. Gingivitis is a common occurrence in children and may well be thought as a risk factor for the appearance and progression of the diseases of parodontal tissues. It is thus necessary to react in a timely and adequate fashion to prevent the disease to become serious and produce parodontopathy. The aim of the study was to establish the efficacy of hyaluronic acid in the treatment of chronic gingivitis in children. Methods. The study enrolled 130 children with permanent dentition. All of the examinees were divided into three groups: group I - 50 patients with chronic gingivitis in which only the basic treatment was applied; group II - 50 patients with chronic gingivitis in which hyaluronic acid was applied in addition to basic treatment; group III - 30 examinees with healthy gingiva (control group). Assessment of oral hygiene and status of the gingiva and parodontium was done using the appropriate indexes before and after the treatment. Inflammation of the gingiva was monitored by way of cytomorphometric studies. Results. The pretreatment values of the plaque index (PI) were high: in the group I PI was 1.94; in the group II PI was 1.68. After the treatment, the PI value was reduced to null in both groups (PI = 0). In the group III PI was 0.17. The bleeding index (BI) in the group I was 2.02 before and 0.32 after the treatment; the BI value in the group II was 1.74 before and 0.16 after the treatment. In the group III BI was 0. In the group I, the Community Periodontal Index of Treatment Needs (CPITN) was 1.66 before and 0.32 after the treatment; in the group II, the CPITN value was 1.5 before and 0.24 after the treatment. In the group III, the CPITN value was 0. In the group I, the size of the nuclei of the stratified squamous epithelium of the gingiva was reduced, although not so much as the nuclear size in the group II of examinees. Conclusion. Basic treatment is able to successfully treat chronic gingivitis in children. The use of hyaluronic acid together with the basic treatment can markedly improve the treatment effect.


2017 ◽  
Vol 8 (1) ◽  
pp. 1-6
Author(s):  
Madhumati Singh ◽  
G Madhan

ABSTRACT Introduction The preservation of bone volume immediately after tooth removal is necessary to optimize the success of implant placement in terms of esthetics and function. The objectives of this study were to compare the ability of Choukroun’s platelet-rich fibrin (PRF) versus CollaPlug (Zimmer) in maintaining the buccal bone height of sockets following extractions in patients. Materials and methods Twenty patients who required tooth extraction and implant placement were enrolled in this study. The patients were randomly divided into two groups. They are group I PRF group and group II CollaPlug group. The vertical buccal crestal bone heights were measured immediately after extraction and 4 months postextraction and implants were placed. Results The buccal crestal bone level in the CollaPlug group had a baseline mean of 4.67 ± 0.54 and a postmean of 6.98 ± 0.60, whereas in the PRF group baseline mean was 5.43 ± 0.47 and postmean was 6.93 ± 0.55. The bone resorption was found in both the groups (2.31 mm for CollaPlug and 1.5 mm for PRF), in agreement with previous studies. However, there was increased bone loss in CollaPlug group compared with PRF group, which was found statistically significant. Conclusion In conclusion, within the limits of the present study, the two tested socket preservation materials seem to be effective in the treatment of extraction sockets, even though the design of the study did not allow us to evaluate to what extent the clinical improvement could be attributed to the PRF per se, since a negative control was not included in this investigation. However, preparation of PRF is not very cumbersome and inexpensive, which makes it a better socket preservation material than CollaPlug. How to cite this article Madhan G, Singh M. Comparison of Ability of Platelet-rich Fibrin vs CollaPlug in maintaining the Buccal Bone Height of Sockets following Extractions in 20 Patients. J Health Sci Res 2017;8(1):1-6.


2021 ◽  
Vol 6 (5) ◽  
pp. 302-308
Author(s):  
O. O. Pompii ◽  
◽  
T. M. Kerimova ◽  
E. S. Pompii

The article presents the study results of clinical effectiveness of orthopedic rehabilitation for patients with dentition defects with different designs of implant-supported dental bridges. The work describes and analyzes complications that occurred during the operation of dental bridges and identifies the optimal design with the most predictable prognosis. The purpose of the study was to evaluate the results of prosthetics in patients with dentition defects with various implant-supported dental bridge designs in different observation terms. Materials and methods. For the clinical investigation we selected 90 patients with dentition free-end defects, who were divided into three groups, 30 patients in each group. Group I patients had dental bridges with cobalt-chromium alloy, faced with feldspar ceramic made, patients of II group – prosthetic constructions on the basis of zirconium dioxide with feldspar ceramic coating, patients of III group – zirconium dioxide framework with following press-ceramic coating. Oral hygiene index OHI-S and Leus comprehensive periodontal index, compliance of the fabricated dental bridges with clinical requirements, and the most common complications that occurred during the use of these fixed prostheses were evaluated for all patients. Results. After 36 months, we found that the highest mean value of OHI-S index was in patients of group I, specifically 1.24±0.19 points. Significantly (p<0.05) lower this index was in patients of group II – 0.64±0.09 points. Minimal OHI-S index was found in group III patients, being at 0.43±0.04 points, it was significantly (p<0.05) different from indicators of group I and group II patients. The mean values of comprehensive periodontal index also differed significantly (p<0.05) in all groups, their indices ranged between 1.24±0.21 points, 0.35±0.03 points and 0.24±0.02 points, respectively. Group II patients' orthopedic constructions turned out to be the most effective, with 96.7% of the prostheses having no malfunctions after 3 years of use. The only violation that occurred in this group was full fracture of intermediate part of one dental bridge. The number of dental bridges that functioned without complications in groups I and III during the same term was 70.0% and 90.0%, respectively. Among the complications, the most frequently observed were chipping of the aesthetic coating of the prosthesis, integrity and retention violations of the dental bridges in different terms. The worst hygienic and comprehensive periodontal indexes were recorded in patients with metal-ceramic dental bridges. Conclusion. The use of zirconium dioxide frameworks and veneered feldspar ceramics provides the most reliable functioning of fixed implant-supported dental bridges and the minimum number of complications in the observation period of 36 months


Molecules ◽  
2021 ◽  
Vol 26 (5) ◽  
pp. 1331
Author(s):  
Anna Avetisyan ◽  
Marina Markaryan ◽  
Dinesh Rokaya ◽  
Marcos Roberto Tovani-Palone ◽  
Muhammad Sohail Zafar ◽  
...  

The objective of the present study was to investigate the effects of various types of fixed prostheses on periodontal tissues and explore the association of gingival biotype and gum recession in relation to prosthesis types. The study participants (N = 95) were divided into three groups based on the type of dental prosthesis: Group-I: cobalt-chrome (Co-Cr) ceramic prosthesis fabricated by the conventional method (n = 35); Group-II: consisted of patients with Co-Cr ceramic prostheses fabricated by a computer-aided design and computer aided manufacturing (CAD/CAM) technique (n = 30); and Group-III: zirconia-based prostheses fabricated by the CAD/CAM technique (n = 30). Following the use of prostheses, periodontal examinations were performed using the Community Periodontal Index (CPI) and Modified Approximal Plaque Index (MAPI). In addition, the gingival biotype was examined using a probe transparency method. The Statistical Package for the Social Sciences (SPSS), Version 20 (IBM Company, Chicago, IL, USA), was used to analyze the results, and the significance level was set at p = 0.05. It showed the MAPI results after the use of prosthetic rehabilitation for 12 months of periodontitis in 87.9% ± 15.4 of patients in Group-I, in 80.6% ± 17.97 in those in Group-II, and in 62.5% ± 21.4 in those in Group-III (p < 0.01). The CPI index results indicated a high prevalence of periodontal disease in all groups. The number of people with healthy periodontium constituted 17.1% of patients in Group-I, 24.2% in Group-II, and 37.1% in Group-III. Our study concluded that prosthetic treatment with periodontal diseases showed better outcomes while using dental prostheses fabricated by the CAD/CAM technique compared to the conventionally fabricated dental prostheses. The thin gingival biotype is more often associated with gingival recession than the thick biotype.


2018 ◽  
Vol 2 (3) ◽  
pp. 282-286
Author(s):  
Manish Agrawal ◽  
Quazi Billur Rahman ◽  
Deependra Naulakha ◽  
Riwaj Karki

Introduction: Third molar extraction is the most commonly performed procedure by oral and maxillofacial surgeons and most of the extraction leads to minimum pre and post operative difficulties if proper preoperative planning is done and if surgical principles are strictly followed.Objective: This study evaluated whether pre and post operative pain and trismus were related to difficulty of surgery.Methodology: Total number of patients included in this study were 266 (male 135 and female 131), age range from 18 to 34 years. Preoperative diagnosis was made by clinical examination and radiographs. Clinical examination was done to determine pain, swelling and mucosal coverage of tooth whereas OPG and RVG were taken to assess the angulations, level of tooth impaction and bony coverage of tooth. Standardized technique was used for tooth extraction; buccal guttering, adequate elevation, reflection of mucoperiosteal flap, crown sectioning and ostectomy. Evaluation of pain and trismus was done preoperatively, on first and third post operative day. SPSS version 16 was used to analyse the data. Chi square (x²) test and unpaired 't' test were done. Modified Parant Scale was used to evaluate the difficulty of tooth extraction; Group I: forceps extraction; Group II: ostectomy; Group Ill: ostectomy and crown sectioning; Group IV: difficult extraction.Results: When both preoperative and postoperative results were compared after data analysis, pain was significantly reduced and significant inter incisal opening was achieved, in both the groups P > 0.05. The results were statistically not significant.Conclusion: Postoperative pain and trismus was minimum in (Group I) then in (Group II to IV). The incidence of postoperative pain and trismus among all the groups were more or less similar. Hence, no significant difference was found. Birat Journal of Health SciencesVol.2/No.3/Issue 4/Sep- Dec 2017, Page: 282-286


2018 ◽  
Vol 25 (1) ◽  
Author(s):  
Zinovii Ozhohan ◽  
Andrii Biben

The objective of the research was to study and assess the quality of prosthetic treatment using aesthetic fixed restorations.Materials and methods. The study included 79 patients without a comorbidity who underwent prosthetic rehabilitation. All the patients were divided into 3 groups: Group I included 25 patients with metal-plastic restorations; Group II comprised 34 patients with porcelain-fused-to-metal restorations; Group III consisted of 20 patients with a combined occlusal surface of prosthetic restorations. The patients were observed 6 months after prosthetic repair. Only patients with single molar and premolar crowns were examined. Bridge prostheses were not taken into account in order to eliminate the effect of masticatory force redistribution on the abutment crowns.Results. In Group I, 11 (44%) patients were satisfied with the results of prosthetic treatment. In Group II, 25 (78.12%) patients reported that they were satisfied with their treatment. In Group III, there were 17 (85%) patients satisfied with their outcome. However, the patients’ complaints are often subjective and do not fully reflect the objective state of the dentoalveolar system. An objective examination revealed that in indirect restorations, marginal periodontium pathology is typical. Conclusions. Aesthetic fixed restorations with a combined occlusal surface have demonstrated good clinical results, even at long-term follow-up. Combining positive properties of two different construction materials, namely zirconium dioxide and ceramics, they reduce the risk of complications such as marginal periodontium pathology and chipping along the occlusal surface as well as contribute to minimal abrasion of the occlusal surfaces of the antagonistic teeth. We cannot recommend metal-plastic restorations due to their low clinical effectiveness, poor aesthetic qualities as well as a high level of marginal periodontium pathology.


2021 ◽  
Vol 64 (3) ◽  
pp. 170-173
Author(s):  
Тetiana М. Kanishyna ◽  
Liudmila I. Shkilniak

Aim: Purpose of the study. The study was dedicated to assessment of the effect of photon physiotherapeutic therapy combined with the use of PRF clot on the course of regeneration processes in a socket of extracted tooth in DM patients. materials and methods: Thirty patients with confirmed diabetes mellitus aged 40 - 60 referred to the Pirogov Memorial Clinical Hospital (Vinnytsia) that required tooth extraction were engaged in the study. Patients were assigned into two groups: Group I patients with spontaneously healed post-extraction wounds, and Group II patients subjected to physiotherapy in combination with the PRF. The physiotherapeutic effect was achieved by using a multispectral photon physiological system. Platelet-rich fibrin (PRF) was produced immediately before tooth extraction from the patients` venous blood. The efficacy of the photon physiotherapeutic therapy combined with the use of PRF clot was studied by the morphological methods. Results: The study of pathomorphological features of the post-extraction wound regeneration revealed differences in patients of Groups I and II. In Group II patients, the treatment was characterized by an anti-inflammatory effect (less abundant inflammatory infiltrate with fewer polymorphonuclear leukocytes in bioptic samples), accelerated regeneration process, as evidenced by a larger number of fibroblasts on Day 3 and Day 7 of follow-up, and faster development of fibrous structures in the granular tissue. Group II patients demonstrated earlier post-extraction wound epithelialization and more active angiogenesis. Conclusions: The study of pathomorphological features of post-extraction wound regeneration proved the therapeutic efficacy of the photon effect combined with the transport of PRF to the extracted tooth socket in two DM patient groups (Group I patients with spontaneously-healed post-extraction wounds, and Group II patients subjected to physiotherapy in combination with PRF).


2021 ◽  
pp. 22-23
Author(s):  
Gargi Sharma ◽  
Hemendra parashar ◽  
Guljot singh

Introduction: Diabetes mellitus is known to compromise the various aspects of homeostasis, including the immune response and the composition of oral microora. One of the oral manifestations of diabetes mellitus is tooth loss and the survival rate of dental implants chosen as a treatment modality for its rehabilitation is controversial. The present study was conducted to assess failure rate of dental implant in Diabetics and healthy subjects. Materials & methods: 54 Diabetics (group I) and equal number of healthy subjects (group II) who received dental implant in last 5 years of both genders were recruited. Amount of bone loss around the implant over 1mm of bone loss in the rst year and over 0.3 mm bone loss every subsequent year were considered as failures. Results: Group I consisted of 54 patients (Diabetics) with 76 dental implants. Group II consisted of 54 patients (healthy subjects) with 78 implants. In group I, there were 16 and in group II, there were 3 dental implant failures. At rst year, in group I, mean bone loss around implant was 1.21 mm and 0.5 mm in group II. Unto 5 years, in group I, mean bone loss around implant was 2.7 mm and 1.4 mm in group II. The difference was signicant (p< 0.05). Conclusion: Diabetics had higher dental implant failure rates as compared to healthy subjects.


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