scholarly journals Terapi Bedah Flep dan Cangkok Tulang pada Periodontitis Agresif di Regio Gigi Anterior Mandibula

2012 ◽  
Vol 19 (1) ◽  
pp. 67
Author(s):  
Levina Mulya ◽  
Sri Lelyati C Masulili
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Alveolar Bone ◽  
Periodontal Regeneration ◽  
Bone Destruction ◽  
Aggressive Periodontitis ◽  
Flap Surgery ◽  
Pocket Depth ◽  
Anterior Teeth ◽  
Hereditary Factors

Background: Aggressive periodentitis is a multifactorial disease that usuallyOccurs at a young age with the disease spreading fast and found the bacteria. Commonly aggressive periodontitis associated with hereditary factors and lack of immune system so as to reveal any family history with the same disease, and found savere alveolar bone destruction that may ultimately lead to tooth loss. Aggressive periodontitis and generalized aggressive periodontitis. The development of aggressive periodontitis is difficult to predict, so the mechanical therapy is not sufficient, and required antibiotic therapy or surgical therapy. Aim: the purpose of this case report is to explain the procedures and result of surgical treatment of the flap surgery with bone graft in anterior teeth of the patients with generalized aggressive periodontitis. Case report: Cases one and two with complaints of anterior teeth mobility. On clinical examination teeth mobility two and three degree, absolute pocket depth 4-6 mm. Radiograpic examination bone loss reached one third apical in all region. The diagnosis of both cases in generalized aggressive periodontitis. Treatment: After initial theraphy heve been evaluated, flap surgery with bone graft done in booth cases. Control evaluation after 6 month from surgery, in clinically reduced pocket depth 1-2m and tooth mobility, in radiographically increased bone height and bone fill. Conclusion: Flap surgery with bone graft in generalized aggressive periodontitis can assist periodontal regeneration.

Augmentation in Two Stages of Atrophic Alveolar Bone Prior to Dental Rehabilitation: A Case Report

2007 ◽  
Vol 8 (6) ◽  
pp. 57-63 ◽  
Author(s):  
Ahmed A. Zahrani
Keyword(s):  
Case Report ◽  
Soft Tissue ◽  
Bone Graft ◽  
Bone Grafting ◽  
Alveolar Bone ◽  
Alveolar Ridge ◽  
Implant Placement ◽  
Anterior Teeth ◽  
Dental Rehabilitation ◽  
Two Stages

Abstract Aim The aim of this report is to describe a significantly deficient case of alveolar bone that was managed by alveolar bone augmentation using a technique of distraction osteogensis and onlay bone grafting prior to dental implant placement. Background Injury to the teeth and alveolar ridge of the maxillary anterior region can cause a severe alveolar ridge deficiency resulting in ridge atrophy and maxillary retrognathism. The loss of these teeth and alveolar bone together with fibrotic scar formation can result in adverse changes of the interarch space, occlusal plane, arch relationship, and arch form which complicates rehabilitation and can compromise the esthetic outcome. While implant dentistry has become a new paradigm in oral reconstruction and replacement of missing teeth, ideal implant positioning can be compromised by inadequate alveolar bone in terms of bone height, width, and quality of the bone itself. Correction of osseous deficiencies with ridge augmentation allows ideal implant placement and creates a more natural soft tissue profile which influences crown anatomy and esthetics. Report A 20-year-old female presented with a complaint of poor esthetics resulting from oral injuries incurred in a traffic accident six years previously. In addition to a mandibular parasymphyseal fracture, five maxillary anterior teeth and the most of the alveolar ridge were lost. Clinical examination revealed severe loss of bone in the maxillary anterior region, an absence of a labial sulcus, loss of upper lip support, and a slight over eruption of the mandibular anterior teeth. In preparation for dental implants a distraction osteogenesis surgical procedure was done to lengthen the height of the alveolar ridge. After a three-month healing period, the width of the residual ridge was found to be insufficient for implant placement. To correct this deficiency, a bone graft of a cortiocancellous block was harvested from the chin and fixed to the labial aspect of the ridge. To facilitate revascularization, small perforations were made in the cortical bone of the alveolar ridge at the recipient site before cancellous bone retrieved from the donor site was gently placed between the bone block and the ridge. The patient was then appropriately medicated and healing was uneventful. After three months, the width of the residual ridge was assessed to be adequate for endosseous implants. Summary The clinical result reported here has shown several procedures may be necessary for the rehabilitation of a trauma patient. Distraction osteogenesis per se may not always satisfactorily improve the anatomical alveolar anatomy but it has advantages over other methods of augmentation. It can improve the height and also expand the soft tissue for further bone grafting. Augmentation of the alveolar bone with an onlay bone graft often provides the desired gain of bone, allows for the ideal placement of dental implants, and improves any discrepancy between the upper and lower arches. Citation Zahrani AA. Augmentation in Two Stages of Atrophic Alveolar Bone Prior to Dental Rehabilitation: A Case Report. J Contemp Dent Pract 2007 September;(8)6:057-063.

scholarly journals Periodontal Manifestations in a Patient with Haim-Munk Syndrome

2010 ◽  
Vol 04 (03) ◽  
pp. 338-340
Author(s):  
Kamile Erciyas ◽  
Serhat Inaloz ◽  
A. Fuat Erciyas
Keyword(s):  
Autosomal Recessive ◽  
Alveolar Bone ◽  
Bone Destruction ◽  
Autosomal Recessive Disorder ◽  
Aggressive Periodontitis ◽  
Pes Planus ◽  
Rare Autosomal Recessive Disorder ◽  
Rare Anomaly ◽  
Palmoplantar Hyperkeratosis

Haim-Munk syndrome is an extremely rare autosomal recessive disorder characterized clinically by palmoplantar hyperkeratosis, aggressive periodontitis with severe alveolar bone destruction, onychogryphosis, pes planus, arachnodactyly, and acro-osteolysis. Consanguinity seems a notable prerequisite. The aim of this study was therefore to report one case of this syndrome and to focus on the periodontal manifestations, in order to attract the attention of dental clinicians to this rare anomaly. (Eur J Dent 2010;4:338-340)

scholarly journals Non-Healing Ulcer Due to Bone Wax in Alveolar Bone Graft Donor Site- A Case Report

2019 ◽  
Vol 3 (35) ◽  
pp. 192-194
Author(s):  
Moumita De ◽  
Rakesh Dawar ◽  
Maneesh Singhal ◽  
Ashish Bichpuriya ◽  
Ravikiran Nalla
Keyword(s):  
Case Report ◽  
Bone Graft ◽  
Alveolar Bone ◽  
Donor Site ◽  
Healing Ulcer ◽  
Graft Donor

scholarly journals Regeneration of the Periodontal Apparatus in Aggressive Periodontitis Patients

2019 ◽  
Vol 7 (1) ◽  
pp. 29 ◽  
Author(s):  
Zvi Artzi ◽  
Shiran Sudri ◽  
Ori Platner ◽  
Avital Kozlovsky
Keyword(s):  
Periodontal Regeneration ◽  
Gingival Recession ◽  
Clinical Results ◽  
Aggressive Periodontitis ◽  
Pocket Depth ◽  
Probing Pocket Depth ◽  
Group 12 ◽  
Enamel Matrix Derivatives ◽  
Pre Treatment

The purpose of this study is to evaluate and compare, retrospectively, the outcome of two different periodontal regeneration procedures in patients suffering from aggressive periodontitis (AgP). Twenty-eight patients were diagnosed with AgP, suffering from several intra-bony defects (IBD); that were treated by one of two periodontal regeneration techniques randomly assigned to each patient: a. guided tissue regeneration (GTR) or b. an application of extracted enamel matrix derivatives (EMD) combined with demineralized bone xenograft particles (DBX). Probing pocket depth (PPD), clinical attachment level (CAL), and gingival recession were recorded. Pre-treatment and follow-up (up to 10 years from the surgery) recordings were analyzed statistically within and between groups. A significant reduction was shown at time on PPD and CAL values, however, not between subject groups. CAL values decreased in all sites. At the EMD group (44 sites), CAL gain was 1.92 mm (±1.68) from pre-treatment to follow-up (p < 0.001) and at the GTR group (12 sites) CAL gain of 2.27 (±1.82) mm. In conclusion, 1–10 years observations have shown that surgical treatment of AgP patients by either GTR or by application of EMD/DBX results in similar successful clinical results.

Reimplantation of Accidentally Avulsed Permanent Maxillary Anterior Teeth in a 10-Year-Old Girl

2017 ◽  
Vol 7 (3) ◽  
pp. 165-169
Author(s):  
Md Abdul Hannan Sheikh
Keyword(s):  
Case Report ◽  
Normal Saline ◽  
Alveolar Bone ◽  
Tooth Avulsion ◽  
Anterior Teeth ◽  
Long Term Prognosis

Accidental tooth avulsion is a grievous injury and common among the children. Management of avulsed tooth within alveolar socket by reimplantation becomes a challenge for the clinician due to extraoral time and media of transportation. Although the long-term prognosis of reimplantation is poor, the time during which the tooth remain within the arch will guide the development of alveolar bone completely. Moreover, reimplantation will maintain anatomical, functional and esthetic rehabilitation of the patient. In this case report, we present a case of accidental avulsion where teeth were gently rinsed of any debris and placed in normal saline during the examination and preparation of the reimplantation sockets. The teeth were then reimplanted, functionally splinted followed by endodontical treatment. After 12 months follow-up the periodontal space was healed perfectly without any resorption or ankylosis.J Enam Med Col 2017; 7(3): 165-169

scholarly journals Salivary Osteocalcin as Potential Diagnostic Marker of Periodontal Bone Destruction among Smokers

Biomolecules ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. 380
Author(s):  
Betsy Joseph ◽  
Mukhatar Ahmed Javali ◽  
Mohasin Abdul Khader ◽  
Saad M. AlQahtani ◽  
Amanullah Mohammed
Keyword(s):  
Type I Collagen ◽  
Alveolar Bone ◽  
Diagnostic Marker ◽  
Bone Destruction ◽  
Alveolar Bone Loss ◽  
Youden Index ◽  
Type I ◽  
Healthy Controls ◽  
Pocket Depth ◽  
Probing Pocket Depth

The objective of the study was to assess the levels and diagnostic accuracy of salivary osteocalcin (OC), osteonectin (ON), and deoxypyridinoline-containing degradation fragment of the C-terminal telopeptide region of type I collagen (CTX) in adult smokers with periodontal bone destruction. Towards this, ninety systemically healthy patients (groups I: healthy, II: periodontitis with non-smokers, and III: periodontitis with current smokers) were included in the study. The results showed a positive correlation (weak to moderate) was observed for OC, ON, and CTX with probing pocket depth (PPD; r = 0.40, 0.32, and 0.36) and alveolar bone loss (BL; r = 0.58, 0.38, and 0.51) (p < 0.01). Smoker periodontitis was best discriminated from healthy controls using 15.25 ng/mL of OC (AUC: 0.870; 95% CI: 0.757–0.943; YI (Youden Index): 0.693; p < 0.0001). However, with a cut-off of BL at 33.33%, 19.24 ng/mL of salivary OC gave the best discrimination (AUC: 0.809; 95% CI: 0.686–0.900; Se: 80.0%; Sp: 73.47%, and YI: 0.534). A 16.45 ng/mL amount of OC gave excellent discrimination (AUC: 0.811; 95% CI: 0.688–0.901; Se: 92.31%; Sp: 65.22%, and YI: 0.575) among healthy and smoker periodontitis when PD at 6mm was considered as cut-off. Conclusion: The best discrimination between healthy controls and smoker periodontitis was obtained at 15.25 ng/mL of salivary OC.

scholarly journals Periodontal regeneration with 0.3% basic fibroblast growth factor (FGF-2) for a patient with aggressive periodontitis: a case report

2016 ◽  
Vol 58 (1) ◽  
pp. 137-140
Author(s):  
Naoto Yoshinuma ◽  
Ryosuke Koshi ◽  
Kazuhiro Kawamoto ◽  
Masataka Idesawa ◽  
Naoyuki Sugano ◽  
...  
Keyword(s):  
Case Report ◽  
Growth Factor ◽  
Fibroblast Growth Factor ◽  
Basic Fibroblast Growth Factor ◽  
Periodontal Regeneration ◽  
Aggressive Periodontitis ◽  
Fibroblast Growth

scholarly journals The Use of Antimicrobial Photodynamic Therapy to Maintain a Hopeless Tooth With a PeriodonticEndodontic Lesion: A Case Report

2020 ◽  
Vol 11 (3) ◽  
pp. 355-360
Author(s):  
Nahid Derikvand ◽  
Masoud Hatami ◽  
Nasim Chiniforush ◽  
Seyedeh Sara Ghasemi
Keyword(s):  
Photodynamic Therapy ◽  
Case Report ◽  
Root Canal ◽  
Alveolar Bone ◽  
Antimicrobial Photodynamic Therapy ◽  
Pocket Depth ◽  
Clinical Attachment Loss ◽  
Tooth Number ◽  
End Stage ◽  
Grade Iii

Background: In spite of some advances in periodontal generative methods, it is impossible to stop progressive Loss of supporting alveolar bone in some end-stage periodontitis. The aim of this study is to report a kind of treatment modality which was seemed to be successes full in maintaining teeth. In this case-report, a hopeless tooth was saved by combined non-surgical periodontalendodontal treatment and antimicrobial photodynamic therapy (aPDT). Case Report: A 58-year-old male presented with a chief complaint of pain and mobility of tooth number 38. Clinical examinations revealed a periodontic-endodontic lesion with clinical attachment loss exceeding 10 mm and grade III mobility. To preserve the tooth, we operated nonsurgical periodontal treatment including scaling and root planning (SRP) plus root canal therapy (RCT) combined with intra-root canal non-aPDT laser decontamination. Then we applied laser pocket therapy with and without aPDT. Following 6 months of the aPDT treatment, the mobility and pocket depth of the tooth improved from grade III to I and from 10 to 3 millimeters respectively. Conclusion: aPDT is a novel adjunctive therapy that can be used for various conditions with microbial etiology. This case report demonstrated that aPDT might be effective in the treatment of periodontic-endodontic lesions in a hopeless tooth.

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