scholarly journals Tulang alveolar pasca perawatan jembatan ditinjau dari radiografi periapikalAlveolar bone after bridge treatment in terms of periapical radiography

Author(s):  
Celine Hestiana ◽  
Ria Noerianingsih Firman ◽  
Deddy Firman

Pendahuluan: Radiografi periapikal dapat digunakan untuk mendeteksi tulang alveolar pada perawatan gigi tiruan jembatan. Pembuatan gigi tiruan jembatan harus memenuhi syarat-syarat biologis. Apabila adaptasi marginal buruk, penempatan margin intracrevicular terlalu dalam, permukaan restorasi yang kasar dan restorasi yang overkontur dapat menyebabkan peradangan lokal seperti inflamasi gingiva, peningkatan kedalaman probing dan kehilangan tulang alveolar. Tujuan penelitian ini untuk mengetahui bagaimana deskripsi tulang alveolar pasca perawatan jembatan di RSGM UNPAD ditinjau dari radiografi periapikal. Metode: Jenis penelitian deskriptif dengan populasi adalah seluruh hasil radiograf periapikal pada pasien sebelum dan sesudah perawatan jembatan posterior yang datang ke RSGM Unpad dan sampel adalah radiograf sebelum dan sesudah perawatan jembatan posterior sebanyak 17 pasien setelah insersi 1 minggu dan 2 pasien setelah insersi 4 minggu. Pengukuran ketinggian tulang alveolar menggunakan Metode Proksimal RABL (Radiographic Alveolar Bone Loss) yang dihitung memakai jangka sorong. Hasil : Kehilangan tulang alveolar setelah insersi 1 minggu pada mesial dan distal yaitu 0,003 mm, setelah insersi 2 minggu 0,007 mm pada mesial dan 0,025 pada distal,setelah insersi 3 minggu 0,025 mm pada mesial dan 0,019 mm pada distal, setelah insersi 4 minggu 0,075 mm mesial dan 0,063 mm distal. Simpulan: Pasca perawatan jembatan, ditinjau dari radiografi periapikal, terdapat kehilangan tulang alveolar ringan berdasarkan metode proksimal RABL.Kata kunci : Gigi tiruan jembatan, radiograf periapikal, tulang alveolar. ABSTRACTIntroduction: Periapical radiography can be used to detect alveolar bone in bridge denture treatment. The making of bridge denture must fulfil biological requirements. Poor marginal adaptation will lead to deeper intracrevicular margin placement, rough surfaces, over contour restoration can cause local inflammation such as gingival inflammation, increased probing depth and alveolar bone loss. The purpose of this research was to know the description of alveolar bone after bridge denture treatment reviewed through periapical radiography. Methods: This research was descriptive with the population of all radiograph periapical treatment of posterior bridge in Universitas Padjadjaran Dental Hospital and the sample was radiograph periapical before and after bridge treatment of as much as 17 patients after 1-week insertion and 2 patients after 4-weeks insertion.  Alveolar bone height measurements was carried out using the RABL (Radiographic Alveolar Bone Loss) proximal method calculated using the Vernier callipers. Results: The results indicated that alveolar bone loss occurred after 1-week insertion on the mesial and distal was 0.003 mm; after 2-weeks insertion was 0.007 mm on the mesial and 0.025 mm on the distal; after 3-weeks insertion was 0.025 mm on the mesial and 0.019 mm on the distal; and after 4-weeks insertion was 0.075 mm on the mesial and 0.063 mm on the distal. Conclusion: Post bridge treatment, in terms of periapical radiography, found a mild alveolar bone loss based on the proximal RABL method.  Keywords: Bridge denture, periapical radiograph, alveolar bone.

2017 ◽  
Vol 43 (4) ◽  
pp. 283-290 ◽  
Author(s):  
Tamir H Shalev ◽  
Gregori M Kurtzman ◽  
Alon H Shalev ◽  
Deborah K Johnson ◽  
Mark Elias M Kersten

Alveolar bone loss occurs after extraction with loss of a premolar or anterior tooth; the residual supporting alveolar bone loss averages 1.53 mm of crestal bone height and 3.87 mm of buccolingual width, with most of the bone loss occurring at the facial plate. Socket preservation does not completely preserve the original ridge contours but can be an effective means of reducing bone loss following extraction. Attempts to rebuild the alveolar ridge structure after tooth loss often employ the concept of guided bone regeneration, a technique-sensitive procedure that routinely involves placement of particulate bone with or without fixation screws and either a resorbable or a nonresorbable membrane. We present a novel technique for stabilizing a resorbable membrane and underlying particulate graft allowing for predictable bone grafting across multiple edentulous sites.


2021 ◽  
Vol 2 (3) ◽  
pp. 23-27
Author(s):  
Guey-Lin Hou

The aim of the present study was to assess the cumulative radiographic alveolar bone loss (CRABL) and yearly radiographic periodontal attachment loss (YRABL) of periodontal disease groups over 5 years or more. A total of 53 subjects, who had taken two sets of full-mouth standardized paralleling radiographs with separated periods of 5 years or more in Kaohsiung Medical University Hospital during 1981-2001, were collected for the past 20 years. The radiographic alveolar bone levels at mesial and distal aspects of teeth were assessed by measuring the distance between cemento-enamel junction and alveolar bone crest using an electronic digimatic caliper (EDC) under a 3.5X magnified radiographs. The results revealed that 1) patients with a periodic recall (3-4 times/yr.) showed a significantly lower loss rate than patients without periodic recalls; 2) mean CRPAL was highest in the generalized aggressive periodontitis (GAgP) group (5.52±3.27mm), then the chronic periodontitis (CP) group (4.82±3.47mm), and the localized aggressive periodontitis (LAgP) group (4.47±3.47mm) followed, and lowest in the periodontal healthy (PH) group (1.05±0.59mm); 3) mean YRPAL was the highest in the LAgP group (0.26±0.25mm/yr.), then the GAgP group (0.20±0.13 mm/yr.), and the CP group (0.12±0.09 mm/yr.) followed, and lowest in the periodontal healthy group (0.07±0.06 mm/yr.). It was concluded that: 1) sites with more advanced alveolar bone loss are more likely to undergo further breakdown; 2) patients with a periodic recall showed a significantly lower alveolar bone loss rate and bone gain, irrespective disease groups; 3) mean CPBLs was highest in the GAgP group; mean YRABLs was highest in the LAgP.


2014 ◽  
Vol 5 (4) ◽  
pp. 199-203
Author(s):  
Harshal Liladhar Chaudhari ◽  
Nipun Ashok ◽  
Veena Kalburgi ◽  
Haziel Dina Jenifer

ABSTRACT Introduction Tobacco in the form of Gutkha is commonly used in India. The present study was done to analyze the extent and pattern of alveolar bone loss (ABL) among gutkha chewers who were having chronic periodontitis. Materials and methods A total of 55 habitual gutkha chewers within the age range of 18 to 35 years with chronic periodontitis, who were otherwise healthy were recruited for the study. Fourteen full mouth intraoral periapical (IOPA) radiographs were taken for each individual (a total of 770 radiographs) with the help of radiovisiography. Kodak dental software was used to analyze and measure the alveolar bone loss at each proximal site and data were computed as percentage alveolar bone loss. Results Almost all the subjects had poor oral hygiene status. Clinical parameters of periodontal examination represented by clinical attachment level, probing depth, gingival bleeding index had positive correlation with frequency and duration of gutkha chewing. The study population had a mean alveolar bone loss of 17%. Mean bone loss was more severe in mandible 18.3% ± 2.6, when compared with maxillary arch 15.7% ± 3.7. Conclusion Maximum bone loss was observed with molars and incisors. Alveolar bone loss was more frequently found in mandibular arch as compared to maxillary arch. How to cite this article Warad S, Chaudhari HL, Ashok N, Kalburgi V, Kalburgi NB, Jenifer HD. Clinical Evaluation of Gutkha chewing and Pattern of Bone Loss in Periodontitis. World J Dent 2014;5(4):199-203.


2020 ◽  
Vol 35 (6) ◽  
pp. 569-578
Author(s):  
Chun Yao ◽  
Qingqing Zhang ◽  
Jun Li ◽  
Peng She ◽  
Fanzhi Kong ◽  
...  

The effect of implantable Zoledronate-PLGA microcapsules (PLGA-ZOL) in periodontitis remains unclear. In this study, we aimed to explore the potential role of PLGA-ZOL in protecting periodontitis and elucidate the underlying mechanism. A rat model of periodontitis was established by ligation the mandibular first molars, then PLGA-ZOL was implanted. The healing volume was scanned by cone-beam computed tomography. Cytokine levels in the gingival tissues were determined by ELISA and RT-PCR. Oxidative stress was indicated by detecting superoxide dismutase concentration and catalase activity. After periodontitis model was successfully established in rats, PLGA-ZOL treatment significantly attenuated alveolar bone loss, as indicated by the increased total healing volume, bone volume/tissue volume and osteoprotegerin level, as well as decreased sRANKL level. PLGA-ZOL treatment also suppressed the inflammatory activities by inhibiting pro-inflammatory cytokine production (TNF-α, IL-1β) but increasing anti-inflammatory cytokine secretion (IL-10). Furthermore, PLGA-ZOL was found to ameliorate oxidative stress in gingival tissues. In conclusion, PLGA-ZOL microcapsules ameliorate alveolar bone loss, gingival inflammation and oxidative stress in an experimental rat model of periodontitis.


2018 ◽  
Vol 89 (5) ◽  
pp. 577-585 ◽  
Author(s):  
Cüneyt Asım Aral ◽  
Kübra Aral ◽  
Arzu Yay ◽  
Özge Özçoban ◽  
Afig Berdeli ◽  
...  

2019 ◽  
Vol 54 (4) ◽  
pp. 444-452 ◽  
Author(s):  
Lorenzo P. Menzel ◽  
Willam Ruddick ◽  
Mobaswar H. Chowdhury ◽  
David C. Brice ◽  
Ryan Clance ◽  
...  

2020 ◽  
Vol 20 (6) ◽  
pp. 1-1
Author(s):  
Shengdan Zhang ◽  
Yulong Niu ◽  
Zhuo Yang ◽  
Yuwei Zhang ◽  
Qiang Guo ◽  
...  

2014 ◽  
Vol 93 (11) ◽  
pp. 1095-1100 ◽  
Author(s):  
Y. Zhang ◽  
L. Wei ◽  
R.J. Miron ◽  
Q. Zhang ◽  
Z. Bian

Semaphorin 4d (Sema4d) has been proposed as a novel target gene for the treatment of osteoporosis. Recently, we fabricated a site-specific bone-targeting system from polymeric nanoparticles that demonstrates an ability to prevent bone loss in an osteoporotic model by interfering with Sema4d gene expression using small interference RNA (siRNA) molecules. The aim of the present investigation was to determine the effects of this targeting system on the periodontium, an area of high bone turnover. We demonstrated, by single photon emission computed tomography, that intravenous injection of this molecule in ovariectomized Balb/C mice is able to target alveolar bone peaking 4 hr post-injection. We then compared, by histological analysis, the bone volume/total volume (BV/TV), alveolar bone height loss, immunohistochemical expression of Sema4d, and total number of osteoclasts in mandibular alveolar bone. Four treatment modalities were compared as follows: (1) sham-operated, (2) OVX-operated, (3) OVX+estrogen replacement therapy, and (4) OVX+siRNA-Sema4d animals. The results from the present study demonstrate that an osteoporotic condition significantly increases alveolar bone height loss, and that the therapeutic effects via bone-targeting systems featuring interference of Sema4d are able to partly counteract alveolar bone loss caused by osteoporosis. While the future therapeutic demand for the large number of patients suffering from osteoporosis faces many challenges, we demonstrate within the present study an effective drug-delivery moiety with anabolic effects on the bone remodeling cycle able to locate and target alveolar bone regeneration.


2016 ◽  
Vol 4 (4) ◽  
pp. 947-955
Author(s):  
Sneha R Bhat ◽  
◽  
Aravind R Kudva ◽  
Dhoom S Mehta ◽  
◽  
...  

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