scholarly journals MICROBIOLOGICAL ASPECTS OF APPLYING CLINICAL DIAGNOSTIC COMPLEX OF ORTHODONTIC METHODS FOR RESTORING DESTROYED CORONAL PART OF TEETH

Author(s):  
I.O. Kinash

Improving the quality of restoration of the destroyed coronal part of the teeth by orthopaedic methods has led to significant scientific and clinical interest and has been discussed in numerous reports, but the issues on reparative regeneration and restoration of the gingival margin relief in the area of ​​the anterior group of teeth after reconstructive orthodontic measures in the case of restoration of destroyed tooth crowns and deep subgingival carious destruction have not been sufficiently studied yet. The purpose of this study was to investigate the microbiological peculiarities of applying a clinical diagnostic complex of manipulations designed to restore anterior teeth with cast posts to provide the grounds for long-term favourable outcomes of further orthopaedic treatment in order to obtain aesthetic appearance, taking into account the state of the surrounding soft tissues. To carry out high-quality preparation of periodontal tissues around the abutment tooth, patients underwent gingivectomy using a scalpel with a disposable blade, diode laser electrocoagulation and coagulation. The effectiveness of each method of the preparation of the marginal gingiva was evaluated by the findings of clinical and microbiological studies. We have found out all three tested methods of forming a new gum relief in the root area of ​​a preserved tooth can significantly improve the qualitative and quantitative composition of the microflora in the stump area. A significant decrease in the frequency of biotope colonization by pathogenic and transient microorganisms and the improvement of the species composition in the local oral microbiocenosis can be achieved by cutting the hypertrophied epithelial edge of the cervical area with a microsurgical scalpel and using laser coagulation. Clinical and microbiological studies have confirmed the effectiveness of the clinical diagnostic complex of techniques for preparing the marginal gum around the root of the tooth, which is planned for orthodontic treatment with a post and an inlay. The use of a diode laser has been found to show the highest efficiency compared to other presented methods. All of the above techniques can be used in dental practice as methods of choice.

Author(s):  
N. V Semennikova ◽  
E. S Tukenov ◽  
Vladimir Ivanovich Semennikov

An important aspect of enhancing the effectiveness of the treatment is the minimum operational invasion, ensuring the safety of organs and tissues in the area of the pathological and the recovery ofpatients and as soon as possible. Goal is to develop safe mode effects of diode laser on the wrapper of the cyst in the experiment and clinic at transfistula and perforation cystectomy. The authors developed a way to remove the cyst shell carried out by deleting the contents of the cyst as cystic fluid using a vacuum aspirator through previously made in the wall of the cyst perforation holes 1.1-2.0 mm in one or two places, koag-uljacions cyst shell diode laser through the holes and then, after drying in the field than the roots of the teeth, protruding into the cysts, and permanent hermetic sealing channels these teeth, injected into the cavity of the cyst 2-4 ml ofphotosensitizer in 1-2 minutes, spend the extra drying and exposure diode laser output power 0.5 W, 640-650 nm for 25-30 seconds through one or both of the perforation holes followed by through these holes in the bone cavity «Kollap-an» gel with and applique cream «Levomekol» into the holes. (Patentfor invention, Russia, № 2600191, 2016 г. 1n biomodels and the clinic established safe laser coagulation modes diode laser using morphological studies and laser thermometry ofperiodontal tissues in the field of pathological- pulsed mode with a capacity of 2.0 Watts and continuously 3.0 W, 970 NM, fiber diameter 200-400 pm with the exposition of the second 1-2 • 2-3 times.


2020 ◽  
Vol 73 (5) ◽  
pp. 841-845
Author(s):  
Nataliia G. Gadzhula ◽  
Mariia M. Shinkaruk-Dykovytska ◽  
Olena L. Cherepakha ◽  
Maryna A. Goray ◽  
Irina M. Horlenko

The aim: To study clinical efficiency of using the diode laser in the treatment of chronic catarrhal and hypertrophic gingivitis. Materials and methods: Treatment of 32 patients with chronic catarrhal gingivitis and 30 patients with hypertrophic gingivitis by basic therapy according to the protocols of dental care was carried out. The patients of the main groups were additionally subjected to laser irradiation of the affected areas of the gums with a diode laser. Results: The use of laser therapy in the treatment of chronic catarrhal gingivitis contributed to the pain relief, reducing of bleeding and edema of the gums in 68.8% of patients on the 3rd day of observation. On the 7th day, 93.8% of the examined patients had no inflammation in periodontal tissues. During treatment of hypertrophic gingivitis, anti-inflammatory and decongestant effects, improvements in the aesthetic appearance of the gums were revealed in 33.3% patients on the 3rd day of the examination; absence of inflammation, gingival bleeding and gum hypertrophy was diagnosed in 53.3% on the 7th day and in 80.0% patients on 14th day of follow-up. In the control group, similar changes were revealed only in 68.8% patients with catarrhal gingivitis and in 46.7% patients with hypertrophic gingivitis after complete course of drug treatment in 14 days of observation. Conclusions: The use of a diode laser in patients with chronic gingivitis has provided a reduction in the term required for the complete elimination of the inflammatory process and suspended its further progression.


Author(s):  
Elisabeth Reichardt ◽  
Ralf Krug ◽  
Michael M. Bornstein ◽  
Jürgen Tomasch ◽  
Carlalberta Verna ◽  
...  

(1) Background: To assess orthodontic forced eruption (OFE) as a pre-restorative procedure for non-restorable permanent teeth with subgingival dental hard tissue defects after dental trauma. (2) Methods: A systematic electronic search of three databases, namely, MEDLINE, Cochrane Library, and EMBASE, revealed a total of 2757 eligible publications. Randomized controlled clinical trials (RCT), retro- and prospective clinical studies, or case series (with a minimum of three patients) were reviewed. (3) Results: Thirteen full-text papers were included: one RCT, one prospective clinical trial, two retrospective cohort studies, and nine case series. Within case series, statistical significance between age and cause of fracture (p < 0.03) was determined. The mean extrusion rate of OFE was 1.5 mm a week within a four to six weeks treatment period followed by retention. Three OFE protocols for maxillary single teeth are available: 1. OFE without migration of gingiva and alveolar bone, 2. OFE with gingival migration and slight alveolar bone migration, and 3. OFE with migration of both gingiva and alveolar bone. (4) Conclusions: The current state of the evidence suggests that OFE is a feasible pre-treatment option for non-restorable permanent teeth. OFE can promote the migration of tooth surrounding hard and soft tissues in the esthetic zone. Root resorption does not seem to be a relevant side effect of OFE.


RSBO ◽  
2018 ◽  
Vol 15 (1) ◽  
pp. 66
Author(s):  
Raisa Carolina Hintz ◽  
Rafaela Caramori Saab ◽  
Eugenio Garcia ◽  
Sergio Paulo Hilgenberg ◽  
Leonardo Fernandes da Cunha ◽  
...  

Introdução: A aparência estética é uma das preocupações do ser humano, o que leva a uma busca constante por uma estética que expresse harmonia, naturalidade e expressividade. Sendo assim, os procedimentos restauradores têm contribuído positivamente para a resolução dos desafios odontológicos estéticos. Objetivo e relato de caso: Relatar um caso clínico com associação de clareamento dental, confecção de pino intrarradicular e coroa indireta em dissilicato de lítio em que foi devolvida ao paciente a estética desejada. Pacientede 23 anos de idade fraturou o incisivo central superior direito na infância; insatisfeito com a instabilidade de cor do dente, buscou novas alternativas de tratamento. Conclusão: A associação de diferentes tratamentos na Odontologia estética pode apresentar resultados satisfatórios para o restabelecimento estético e funcional de dentes anteriores.Introduction: The aesthetic appearance is one of the human being concerns, leading to constant search for an aesthetic that expresses harmony, naturalness and expressiveness. So, the restorative procedures have contributed positively to overcome the aesthetic dentistry challenges. Objective and case report: Report a clinical case in association to dental whitening, making of intraradicular pin and indirect crown of lithium disilicate when it was returned to the patient the desired aesthetic. A 23 years old patient fractured the right central incisor in the childhood, dissatisfied with the tooth color instability, he looked for new treatment alternatives. Conclusion: The association of different treatments in the aesthetic dentistry might present satisfactory results to the aesthetic and functional reestablishment of anterior teeth.


2015 ◽  
Author(s):  
Carlo Fornaini ◽  
Elisabetta Merigo ◽  
Michele Sozzi ◽  
Stefano Selleri ◽  
Paolo Vescovi ◽  
...  

2017 ◽  
Vol 32 (7) ◽  
pp. 1479-1487 ◽  
Author(s):  
Mônica Fernandes Gomes ◽  
Maria da Graças Vilela Goulart ◽  
Lilian Chrystiane Giannasi ◽  
Cybelle Mori Hiraoka ◽  
Gabriela de Fátima Santana Melo ◽  
...  

Author(s):  
Martin E. Atkinson

The radiographs most frequently taken in general dental practice are of the teeth and their immidiate supporting tissues for detection of dental caries or assessment of bone loss in periodontal disease. Intraoral radiographs are taken by placing the X-ray-sensitive film or receptor in the mouth close to the teeth being investigated. Extraoral radiographs use larger films or receptors positioned externally and produce a view of the entire dentition and its supporting structures on a single film; they are used to ascertain the state of development of the dentitions prior to orthodontic treatment, for example. Dental panoramic tomographs (DPTs) are the most frequent extraoral radiographs. A radiograph is a negative photographic record. Dense structures such as bone are designated as radio-opaque; they absorb some X-rays and appear white on radiographs. More X-rays pass through less dense radiolucent structures such as air-filled cavities which show up as black areas. The contrast between different tissues of the structures which the X-ray beam passes through is determined by their radiodensity which, in turn, is largely due to their content of metallic elements. Calcium and iron are the prevalent heavy metals in the body. Calcium is combined with phosphate to form hydroxyapatite crystals in bones and mineralized tissues in teeth. Iron is present in haemoglobin in blood, but only large concentrations of blood, such as those found within the heart chambers, show up on X-rays. In sequence from densest to most lucent, the radiodensity of the dental and periodontal tissues are: enamel, dentine, cementum, compact bone, cancellous bone, demineralized carious enamel and dentine, dental soft tissues such as pulp and periodontal ligament, and air; gold and silver–mercury amalgam metallic restorative materials are even denser than enamel. A radiograph is a two-dimensional representation of a three-dimensional situation. The orientation of anatomical structures relative to the X-ray beam is a major factor determining their appearance on the film. For example, a beam travelling through the long axis of a radiodense structure will produce a whiter image on the film than one passing through its shorter axis because more X-rays are absorbed; the structure will also have a different shape.


2020 ◽  
Vol 14 (03) ◽  
pp. 467-482
Author(s):  
Rogério Lacerda-Santos ◽  
Rhaíssa Ferreira Canutto ◽  
José Lucas dos Santos Araújo ◽  
Fabiola Galbiatti de Carvalho ◽  
Eliseu Aldrighi Münchow ◽  
...  

AbstractThis systematic review was focused on evaluating tooth autotransplantation, considering its impacts on the teeth, bone, soft tissues, and aesthetics in orthodontic patients. A bibliographic search was conducted without limitations on year of publication or language in the databases of PubMed, Web of Science, Scopus, Medline Complete, Cochrane, Clinical Trials, and Trials Central. For triage of articles, indications, surgical planning, orthodontic movement, risk factors for treatment, and long-term follow-ups were considered. For outcomes, the results with reference to teeth, alveolar bone, periodontal tissues, and esthetic satisfaction were considered. Risk of bias was evaluated using the methodological index for nonrandomized studies-MINORS. The results showed 10 controlled clinical trials, and no randomized clinical trials were found. The selected studies included 715 patients and 934 autotransplanted teeth among which there were premolars, molars, and anterior teeth evaluated in the long term, indicating that orthodontics associated with autotransplantation indicated a result that was generally clinically acceptable. The quality of the set of evidence was considered medium due to the presence of different methodological problems, risk of bias, and significant heterogeneity in the evaluated studies. There was a sufficient body of evidence that justified autotransplantation in patients who needed orthodontic movement. In teeth, there was an increase in root resorption influenced by orthodontics, but without impacting on the general clinical result in the long term. Bone and periodontal tissue do not appear to be affected by orthodontics. The patient’s aesthetic satisfaction was not considered in the studies.


2018 ◽  
Vol 36 (7) ◽  
pp. 386-390 ◽  
Author(s):  
Georgios E. Romanos ◽  
Danielle Sacks ◽  
Nicholas Montanaro ◽  
Rafael Delgado-Ruiz ◽  
Jose Luis Calvo-Guirado ◽  
...  

Cells ◽  
2019 ◽  
Vol 8 (6) ◽  
pp. 537 ◽  
Author(s):  
Jin Liu ◽  
Jianping Ruan ◽  
Michael D. Weir ◽  
Ke Ren ◽  
Abraham Schneider ◽  
...  

Periodontitis is a prevalent infectious disease worldwide, causing the damage of periodontal support tissues, which can eventually lead to tooth loss. The goal of periodontal treatment is to control the infections and reconstruct the structure and function of periodontal tissues including cementum, periodontal ligament (PDL) fibers, and bone. The regeneration of these three types of tissues, including the re-formation of the oriented PDL fibers to be attached firmly to the new cementum and alveolar bone, remains a major challenge. This article represents the first systematic review on the cutting-edge researches on the regeneration of all three types of periodontal tissues and the simultaneous regeneration of the entire bone-PDL-cementum complex, via stem cells, bio-printing, gene therapy, and layered bio-mimetic technologies. This article primarily includes bone regeneration; PDL regeneration; cementum regeneration; endogenous cell-homing and host-mobilized stem cells; 3D bio-printing and generation of the oriented PDL fibers; gene therapy-based approaches for periodontal regeneration; regenerating the bone-PDL-cementum complex via layered materials and cells. These novel developments in stem cell technology and bioactive and bio-mimetic scaffolds are highly promising to substantially enhance the periodontal regeneration including both hard and soft tissues, with applicability to other therapies in the oral and maxillofacial region.


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