scholarly journals BIOLOGIC WIDTH CONCEPT IN GINGIVECTOMY

2021 ◽  
Vol 16 (2) ◽  
pp. 67-72
Author(s):  
Desy Fidyawati
Keyword(s):  
Case Management ◽  
Female Patient ◽  
Male Patient ◽  
Clinical Examination ◽  
Oral Hygiene ◽  
Alveolar Bone ◽  
Periodontal Tissue ◽  
Form Function ◽  
Gingival Enlargement ◽  
Biologic Width

Background: Relationship between periodontal tissue and aesthetic considerations is an important thing to determine the form, function and aesthetics of periodontal tissue itself. For orthodontic cases with gingival enlargement, using the biological width concept in gingivectomy to facilitate an optimal oral hygiene maintenance, function and aesthetic. Bone sounding before gingival recontouring is dictated by the distance from the gingiva crest to alveolar crest. Recommended distance between margins restoration and alveolar bone crest is 3 mm to avoid breaching the biologic width.Case and Case Management: Case 1: A 21 years old female patient whom referred from orthodontist with gingival enlargement in upper front teeth after treated with fixed orthodontic for 1.5 years. PBI: 1,6. After clinical examination, bone sounding was performed = 7mm and gingivectomy without ostectomy was determined. Case 2: A male patient, 24 years old, with gingival enlargement in upper front teeth while treated with fixed orthodontic. After determined the problem, bone sounding (6 mm) was performed along with gingivectomy without ostectomy also for anterior upper right site.Conclusion: The purpose of this report is to provide a diagnostic rationale for gingival recontouring. When gingivectomy is determined, the concept of biological width must be applied achieve a harmonious gingival contour with an optimal oral hygiene maintenance.

Gingival Tumor in Young Female Patient: A Case Report

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Namala A ◽  
◽  
Halerolli D ◽  
Poonja PA ◽  
Rao PK ◽  
...  
Keyword(s):  
Case Report ◽  
Periodontal Disease ◽  
Female Patient ◽  
Clinical Sign ◽  
Clinical Features ◽  
Oral Hygiene ◽  
Young Female ◽  
Clinical Concern ◽  
Gingival Enlargement

Alteration in size of gingiva is one of the clinical features of periodontal disease. Increase in size of gingiva, which is termed as gingival enlargement or gingival over growth is a common clinical sign of gingival disease and a matter of great clinical concern. Increase in size alters the physiologic contour of gingiva, creates areas of plaque accumulation, intereferes with regular oral hygiene procedures, and creates aesthetic problems. In severe cases, it interefere with mastication and phonation. Enlargement may involve one or more components of gingiva. Depending on the involvement of components of gingiva and distribution, gingival enlargement can be Localized, genaralized and marginal, papillary, diffuse and discrete. Depending on etiology and pathogenesis, it can be classified as inflammatory enlargement, fibrotic enlargement, combined enlargement, enlargement associated with systemic conditions, neoplastic enlargement and false enlargements.

scholarly journals PERAWATAN PADA PASIEN ANKYLOGLOSSIA

2017 ◽  
Vol 4 (1) ◽  
pp. 67
Author(s):  
Henry Mandalas ◽  
Widya .
Keyword(s):  
Case Report ◽  
Case Management ◽  
Female Patient ◽  
Clinical Examination ◽  
Tongue Movement ◽  
Left And Right

Background: Ankyloglossia (tongue tie) is a congenital aberration characterized by a thick, toned, or short frenulum that causes limited tongue movement. Lingual frenectomy is performed for the treatment of patients with ankyloglossia. After surgery the patient can lift the tongue to the palate and can reach the labial portion of the maxillary left and right teeth. The purpose of this case report is to report frenectomy treatment in the lingual frenulum. Case Management: The 14-year-old female patient felt the tongue could not be lifted to the palate and it was difficult to clean the labial portion of the maxillary left and right teeth. On clinical examination the patient’s lingualis frenulum is short. The patient get prophylaxis treatment followed by a lingualis frenectomy surgery. Result: After 1 month control, the patient can lift the tongue to the palate and can clean the labial portion of the maxillary right and left teeth

scholarly journals GAMBARAN STATUS GINGIVA PADA PENDERITA LEUKEMIA DI RSUP PROF. DR. R. D. KANDOU MANADO

e-GIGI ◽  
2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Roy R. B. Tangka’a ◽  
Pieter L. Suling ◽  
Christy N. Mintjelungan
Keyword(s):  
Gastrointestinal Tract ◽  
Periodontal Disease ◽  
Oral Hygiene ◽  
Periodontal Ligament ◽  
Alveolar Bone ◽  
Descriptive Study ◽  
Periodontal Tissue ◽  
Cross Sectional ◽  
The Status ◽  
Bacterial Plaque

Abstract: Periodontal disease is a disease tooth and mouth the most common suffered. Bacterial plaque buildup on the surface of the tooth is the main cause of periodontal disease. Periodontal disease started from gingivitis, when untreated can develop into periodontitis where periodontal tissue damage occurs in the form damage of fibre, periodontal ligament, and alveolar bone. Leukemia is a malignancy disease characterized by the presence of bleeding. Location of bleeding most often found on the skin, eyes, nose mucous membrane, gingiva and gastrointestinal tract. The purpose of this research is to know the description of the status of gingiva in sufferers of leukemia in was Prof. Dr. r. d. Kandou Manado.This was descriptive study with cross sectional approach. Samples was collected using total sampling by examination the status of gingiva based on index gingiva Loe and Silness. The results showed that most of the patients experiencing mild inflammation (68,75%) and the rest suffered medium inflammation (31,25%). Based on age, puberty is largely experiencing mild inflammation (56,25%) and adolescents medium inflammation (18,75%). Based on the gender, men mostly experiencing mild inflammation (31,25%) and most women experience mild inflammation (37,50%). Based on the type of disease, LLA mostly suffered inflammation lightweight (68,75%), LMA all experiencing inflammation medium (6,25%) and LMK all experiencing inflammation medium (12,50%). Conclusion: Leukemia patients treated at Prof. Dr. R. D. Kandou had the awareness to maintain oral hygiene, however, socialization about the importance of oral hygiene is still needed.Keywords: leukemia, periodontal disease, gingival statusAbstrak: Penyakit periodontal merupakan penyakit gigi dan mulut yang paling umum diderita. Penumpukan bakteri plak pada permukaan gigi merupakan penyebab utama penyakit periodontal. Penyakit periodontal dimulai dari gingivitis, bila tidak terawat bisa berkembang menjadi periodontitis dimana terjadi kerusakan jaringan periodontal berupa kerusakan fiber, ligamen periodontal dan tulang alveolar. Leukemia merupakan penyakit keganasan yang ditandai dengan adanya perdarahan. Lokasi perdarahan yang paling sering ditemukan pada bagian kulit, mata, membrane mukosa hidung, gingiva dan saluran cerna. Tujuan penelitian ini ialah untuk mengetahui gambaran status gingiva pada penderita leukemia di RSUP Prof. Dr. R. D. Kandou Manado. Penelitian ini bersifat deskriptif dengan pendekatan cross sectional. Pengambilan sampel menggunakan metode total sampling dengan cara melakukan pemeriksaan status gingiva berdasarkan indeks gingiva Loe dan Silness. Hasil penelitian menunjukkan bahwa sebagian besar pesien mengalami inflamasi ringan (68,75%) dan sisanya mengalami inflamasi sedang (31,25%). Berdasarkan umur, pubertas sebagian besar mengalami inflamasi ringan (56,25%) dan remaja mengalami inflamasi sedang (18,75%). Berdasarkan jenis kelamin, laki - laki sebagian besar mengalami inflamasi ringan (31,25%) dan perempuan sebagian besar mengalami inflamasi ringan (37,50%). Berdasarkan jenis penyakit, LLA sebagian besar mengalami inflamasi ringan (68,75%), LMA semuanya mengalami inflamasi sedang (6,25%) dan LMK semuanya mengalami inflamasi sedang (12,50%). Simpulan: Pasien leukemia yang berada di RSUP Prof. Dr. R. D. Kandou memiliki kesadaran untuk menjaga kebersihan mulut, tetapi sosialisasi tentang pentingnya menjaga kebersihan gigi dan mulut masih dibutuhkan.Kata kunci: leukemia, penyakit periodontal, status gingiva.

The Importance of Abutment Teeth Preparation Guide for Telescopic Double Crown Restorations with Friction Element

DENTA ◽  
2017 ◽  
Vol 11 (1) ◽  
pp. 69
Author(s):  
Anindita Apsari ◽  
Chaterina Dyah Nanik K
Keyword(s):  
Case Management ◽  
Female Patient ◽  
Alternative Treatment ◽  
Speech Disorders ◽  
Friction Element ◽  
The Third ◽  
Double Crown ◽  
Abutment Teeth ◽  
Tooth Preparation ◽  
Crown Preparation

<p><strong><em>Background: </em></strong><em>Telescopic double crown restoration can be used as an alternative treatment if the patient wants the tooth to be maintained as long as the supporting tooth has a healthy periodontal. In dental preparation telescopic double crown support requires a preparation guide so that the preparation can be acurate. Minimal preparation can cause the results of the telescopic double crown restoration to be overcontoured, so that the patient may occur uncomfortable, speech disorders and esthetic is not good. <strong>Objective:</strong> to provide information about the importance teeth preparation guidelines for prosthodontic treatment with telescopic double crown restorations. <strong>Case: </strong>A 72-year-old female patient, coming to the dentist wants to make dentures so that she can chew food well and improve her appearance. The remaining teeth are only 13 and 23. In making the denture, the patient wants the teeth to be retained (not removed) and the denture is aesthetically good. <strong>Case Management: </strong>Make a diagnostic wax-up on a semiadjustable articulator to estimate the results of restoration, </em><em>mould</em><em> </em><em>the patient's teeth before starting the preparation with three times putty for the preparation guide and making a temporary crown. the first putty mold is cut mesial-distal right in the middle of the incical teeth, the second putty mould is cut in the labial-palatal direction right in the middle of the tooth mould, the third putty mould is fixed on the stock tray to make the temporary crown. Preparation of teeth 13 and 23 with regard to the putty cut preparation guide, then moulding the maxilla and mandibula with double impressions using an individual tray, after that make the temporary crown directly with the third putty mould. <strong>Conclusion: </strong>The preparation guide of teeth is very necessary so that the making of telescopic double crown restorations is not overcontoured, so that esthetic and retention can be achieved which are good and do not cause speech disorders.</em></p><p><strong><em>Keywords:</em></strong><em> Telescopic double crown, tooth preparation guide, esthetic</em></p><p><strong><em>Correspondence:</em></strong><em> Anindita Apsari. Prostodonsia, Fakultas Kedokteran Gigi, Universitas Hang Tuah, Arief Rahman Hakim 150, Surabaya, Telepon 031-</em><em>5945864, </em><em>5912191, </em><em>E</em><em>mail: <span style="text-decoration: underline;">[email protected]</span></em></p>

Clinical characteristics and treatments of hereditary leiomyomatosis renal cell carcinoma: two case reports and literature review

2020 ◽  
Author(s):  
Dalin Feng ◽  
Mingshuai Wang ◽  
Xiaodong Zhang ◽  
Jianwen Wang
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Female Patient ◽  
Male Patient ◽  
Renal Cell ◽  
Clinical Characteristics ◽  
Genetic Test ◽  
Enhanced Ct ◽  
The Right ◽  
Hereditary Leiomyomatosis

Abstract Background The objective of this study is to discuss clinical characteristics and treatments of hereditary leiomyomatosis renal cell carcinoma on the basis of 2 cases and to review recent literature, in order to present medical advances. Methods A 29-year old male patient came to our hospital because of a huge tumour on the right kidney. Enhanced CT showed that the tumour was about 15.5*10.5 cm, and was considered to be malignant. Another case was a 38-year old female patient. She complained was found to have a right kidney tumour in a routine physical examination. Enhanced CT showed an early-stage tumour of about 4.3*3.7 cm on the lower pole of the right kidney. The male patient underwent open radical nephrectomy and the female patient underwent laparoscopic radical nephrectomy and extensive retroperitoneal lymph node dissection. The two patients underwent genetic testing and were diagnosed as having hereditary leiomyomatosis with renal cell carcinoma. Results The postoperative pathology in both patients revealed type 2 papillary renal cell carcinoma but with different prognosis. The male patient suffered multiple metastasis 10 months post-operation. The metastatic tumour of the abdominal wall was resected to confirm recurrence and hereditary leiomyomatosis renal cell carcinoma was diagnosed by the genetic test. While the female patient had a specific family history and uterine leiomyomas, the genetic test helped us to identify hereditary leiomyomatosis renal cell carcinoma pre-operation. Because of the early diagnosis and timely treatment, the female patient was considered to have a good prognosis. Conclusion Hereditary leiomyomatosis renal cell carcinoma is a rare hereditary disease resulting from FH gene mutation. There are currently no effective treatments.Our cases demonstrate that hereditary leiomyomatosis renal cell carcinoma is a very aggressive disease. Early screening and surveillance are recommended for patients with a family history or who are at risk of hereditary leiomyomatosis renal cell carcinoma. Surgical and palliative therapy still play an important role in clinical treatment.

scholarly journals Activated STAT3 signaling pathway by ligature-induced periodontitis could contribute to neuroinflammation and cognitive impairment in rats

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Yi Hu ◽  
Xu Zhang ◽  
Jing Zhang ◽  
Xinyi Xia ◽  
Huxiao Li ◽  
...  
Keyword(s):  
Cognitive Impairment ◽  
Cognitive Function ◽  
Locomotor Activity ◽  
Bone Resorption ◽  
Signaling Pathway ◽  
Alveolar Bone ◽  
Periodontal Tissue ◽  
Rt Pcr ◽  
Stat3 Signaling ◽  
Stat3 Signaling Pathway

Abstract Background Increasing evidence suggests a causal link between periodontitis and cognitive disorders. Systemic inflammation initiated by periodontitis may mediate the development of cognitive impairment. Our study aims to investigate the effect of ligature-induced periodontitis on cognitive function and the role of signal transducers and activators of transcription 3 (STAT3) in this process. Materials and methods Ligature-induced periodontitis was established, and the rats were treated intraperitoneally with/without the pSTAT3 inhibitor cryptotanshinone (CTS). Alveolar bone resorption and periodontal inflammation were detected by micro-computed tomography analysis and histopathological evaluation. Locomotor activity and cognitive function were evaluated by the open field test and the Morris water maze test, respectively. The activation of microglia and astrocytes in the hippocampus and cortex was assessed by immunohistochemistry (IHC). The expression of interleukins (IL-1β, IL-6, IL-8, IL-21) in both the periphery and cortex was evaluated by RT-PCR and ELISA. The expression of TLR/NF-κB and ROS cascades was evaluated by RT-PCR. The expression of pSTAT3 and the activation of the STAT3 signaling pathway (JAK2, STAT3, and pSTAT3) in the periodontal tissue and cortex were assessed by IHC and Western blot. The expression of amyloid precursor protein (APP) and its key secretases was evaluated by RT-PCR. The level of amyloid β-protein (Aβ) and the ratio of Aβ1-40/1-42 were measured via ELISA in the plasma and cortex while IHC was used to detect the level of Aβ1-42 in the brain. Results In periodontal ligature rats, significant alveolar bone resorption and local inflammatory cell infiltration were present. Apparent increases in inflammatory cytokines (IL-1β, IL-6, IL-8, and IL-21) were detected in peripherial blood and brain. Additionally, spatial learning and memory ability was impaired, while locomotor activity was not affected. Activated microglia and astrocytes were found in the cortex and hippocampus, presenting as enlarged cell bodies and irregular protrusions. Levels of TLR/NF-kB, PPAR and ROS were altered. The STAT3 signaling pathway was activated in both the periodontal tissue and cortex, and the processing of APP by β- and γ-secretases was promoted. The changes mentioned above could be relieved by the pSTAT3 inhibitor CTS. Conclusions Ligature-induced periodontitis in rats resulted in systemic inflammation and further abnormal APP processing, leading to cognitive impairments. In this progress, the activation of the STAT3 signaling pathway may play an important role by increasing inflammatory load and promoting neuroinflammation.

scholarly journals Nifedipine-induced gingival enlargement: Correlation with dose and oral hygiene

2012 ◽  
Vol 4 (6) ◽  
pp. 191 ◽  
Author(s):  
ParamelMohan Sunil ◽  
JaiSanghar Nalluswami ◽  
SumanJai Sanghar ◽  
Issac Joseph
Keyword(s):  
Oral Hygiene ◽  
Gingival Enlargement

scholarly journals Management of Chronic Gingivitis with localized periodontitis by Nonsurgical (Phase I) Periodontal Therapy- A Case Report

2018 ◽  
Vol 7 (2) ◽  
pp. 33-37
Author(s):  
Md Huzzatul Islam Khan ◽  
Sultana Akter Eka ◽  
Md Ashif Iqbal
Keyword(s):  
Phase I ◽  
Oral Hygiene ◽  
Alveolar Bone ◽  
Bone Destruction ◽  
Chronic Inflammatory Disease ◽  
Periodontal Therapy ◽  
Periodontal Treatment ◽  
Periodontal Tissues ◽  
Hygiene Measures ◽  
Tissue Flap

Periodontitis is a chronic inflammatory disease of the periodontal tissues (periodontium) which surround and support the teeth, that results in attachment loss and alveolar bone destruction leads to ultimate tooth loss. It is caused by the bacteria present in dental plaque, which is a tenacious substance that forms on teeth and gingiva just after teeth are brushed. Periodontal treatment is aimed at controlling the infection in order to stop the progression of the disease and to be able to maintain a healthy periodontium. Mechanical debridement of supragingival and subgingival biofilms, together with adequate oral hygiene measures is the standard periodontal therapy. This mechanical subgingi- val biofilm debridement consists of an initial (nonsurgical /phase I) phase involving scaling and root planing (SRP) and the elimination of plaque retentive factors, followed by a surgical phase (if needed) including the elevation of a tissue flap and bone remodeling in further stages. The adjunct use of antibiotics has proven to additionally improve the outcome of periodontal treatment. A clinical case of a 40-years-old male patient with generalized severe chronic periodontitis with localized gingival swell- ing was treated with nonsurgical (phase I) periodontal therapy that was confined to oral hygiene instruction (OHI), SRP with an adjunct antimicrobial regimen.Update Dent. Coll. j: 2017; 7 (2): 33-37

scholarly journals Schwannomatosis: report of a new case

1992 ◽  
Vol 50 (4) ◽  
pp. 539-542 ◽  
Author(s):  
Nélida S. Garretto ◽  
David Monteverde ◽  
Héctor Giócoli ◽  
Blanca I. Ravera ◽  
Hugo A. Molina ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Temporal Lobe ◽  
Male Patient ◽  
Clinical Examination ◽  
Peripheral Nerves ◽  
Present Condition ◽  
Type I ◽  
Type Ii ◽  
Left Temporal Lobe ◽  
Brain Computed Tomography

Schwannomatosis is a rare disorder, still not quite well defined, seldom described in the literature. In this paper we report the case of male. Patient, 52 years old, who in the last 30 years developed five subcutaneous tumors within his limbs peripheral nerves, which histologically proved to be schwannomas. A brain computed tomography showed a partially calcified tumor in the left temporal lobe which most likely was a meningioma. A thorough clinical examination was unable to find signs of type I or type II neurofibromatosis. The present condition, probably a form of phacomatosis, has to be distinguished from neurofibromatosis and is considered as an independent clinical entity whose origin still awaits further detailed investigations.

scholarly journals PROFIL ABSES SUBMANDIBULA DI BAGIAN BEDAH RS Prof. Dr. R. D. KANDO MANADO PERIODE JUNI 2009 SAMPAI JULI 2012

e-CliniC ◽  
2014 ◽  
Vol 2 (1) ◽  
Author(s):  
Inggrid Hesly ◽  
Nico Lumintang ◽  
Hilman Limpeleh
Keyword(s):  
Incidence Rate ◽  
Medical Record ◽  
Female Patient ◽  
Male Patient ◽  
Research Data ◽  
Observational Research ◽  
Age Group ◽  
Submandibular Region ◽  
Female Patients ◽  
Age Category

Abstract: Submandibular abscess is an inflammation with pus formation at submandibular region. submandibular abscess take the highest incidence rate of all types of neck abscesses. most of cases which caused by teeth infection at range 70-85 %, the rest are caused by sialadenitis, lymphadenitis, mouth wall laceration or fracture of the mandible. Aim of this study was to determine the profile of the submandibular abscess cases . This was descriptive retrospective observational research. Data were obtained from medical record from department of surgery BLU/RSUP Prof. dr. R. D. Kandou Manado for last three years from June 2009 to July 2012. Based on 39 cases of submandibula abscess has found 21 male ( 53 % ) and 18 female patients ( 47 % ). In the age category over 50 years , there were 13 patient,  41-50 years there were 10 patients, 31-40 years age group by 2 patients, 21-30 years there were 7 patients , 11-20 years there were 4 patients , 0-1 years there were 3 patients. Result from this research is numbers male patient more than female patient, and the most patient is on over 50 years age category Keywords : Submandibular Abscess  Abstrak: Abses submandibula adalah suatu peradangan yang disertai pembentukan pus pada daerah submandibula. Abses submandibula menempati urutan tertinggi dari seluruh abses leher dalam. 70-85 % kasus yang disebabkan oleh infeksi gigi merupakan kasus terbanyak, selebihnya disebabkan oleh sialadenitis, limfadenitis, laserasi dinding mulut atau fraktur mandibula. Tujuan penelitian ini untuk mengetahui profil kasus abses submandibula. Metode penelitian yang digunakan bersifat retrospektif deskriptif. Data diambil dari rekam medis semua pasien abses submandibula di bagian bedah BLU/RSUP Prof. dr. R.D. Kandou Manado selama tiga tahun terakhir dari Juni 2009 sampai Juli 2013. Berdasarkan data dari 39 pasien abses submandibula ditemukan 21 (53%) pasien laki-laki dan 18 (47%) pasien perempuan. Pada kelompok umur di atas 50 tahun terdapat 13 pasien, kelompok umur 41-50 tahun sebanyak 10 pasien, 31-40 tahun sebanyak 2 pasien, 21-30 tahun sebanyak 7 pasien, 11-20 tahun sebanyak 4 pasien, 0-10 tahun sebanyak 3 pasien. Berdasarkan dari hasil penelitian didapakan data mengenai abses submandibula yaitu pasien laki-laki lebih banyak dari pasien perempuan. Kelompok umur di atas 50 tahun merupakan kelompok umur terbanyak.Kata Kunci: Abses Submandibula

Sign in / Sign up

Export Citation Format

Share Document