scholarly journals Gingival Displacement in the Vertical and Horizontal Dimension under the Condition of Mild Gingivitis—A Randomized Clinical Study

2022 ◽  
Vol 11 (2) ◽  
pp. 437
Author(s):  
Katharina Kuhn ◽  
David Zügel ◽  
Victor-Sebastian A. Korbay ◽  
Thomas Papas ◽  
Sigmar Schnutenhaus ◽  
...  

This randomized clinical study aimed at quantifying the gingival displacement performance in the vertical and horizontal directions of the 3M™ Astringent Retraction Paste (3M Oral Care, Seefeld, Germany) in comparison with the double-cord technique with aluminum chloride as an astringent. Afterward, any soft-tissue changes were assessed for 12 months. After inducing mild gingivitis, 18 probands received the intervention ‘cord’ and 22 probands received the intervention ‘paste’ at the palatal half of upper premolars prior to conventional impression making. The resulting plaster casts were digitized and analyzed for the vertical and horizontal gingival displacement, applying a newly developed computer-assisted methodology. The entire palatal half of the tooth was evaluated instead of only single sites. Under the condition of mild gingivitis, the gingival displacement performance was comparable for both techniques in the horizontal direction (width) and only somewhat better for the cord technique in the vertical direction (depth). The magnitude of displacement was in a similar range in both directions, with somewhat higher values in the vertical direction. The marginal gingiva height changes were of such low extent during the follow-up period of 12 months with only minimally higher values for the paste that they cannot be considered as clinically relevant recessions.

2010 ◽  
Vol 35 (9) ◽  
pp. 746-753 ◽  
Author(s):  
P.B. Honkanen ◽  
R. Thonen ◽  
E.T. Skyttä ◽  
M. Ikävalko ◽  
M.U.K. Lehto ◽  
...  

It was hypothesized that the bioresorbable interposition implant might offer a viable alternative to conventional silicone implant arthroplasty in rheumatoid metacarpophalangeal joint destruction. A randomized clinical study was performed to compare a stemless poly-L/D-lactide copolymer 96: 4 (PLDLA) implant with the Swanson silicone implant. Results in 52 patients (53 hands and 175 joints) at a mean follow-up of 2 years (minimum 1 year) showed that the improvement in clinical assessments was comparable in both groups, except for better maintenance of palmar alignment in the Swanson group. The lack of implant fractures and intramedullary osteolysis were advantages of the PLDLA implant. The bioresorbable PLDLA interposition implant may offer an alternative tool for tailored reconstruction of rheumatoid metacarpophalangeal joints.


2019 ◽  
Vol 4 (1) ◽  

Our case involved an 8 year girl who presented with a painful swelling Right lower jaw, with difficulty in deglutition, there was no fever. Earlier treatment by Dentists & ENT Specialists had provided no relief. Relevant investigations were within normal limits. The OPG was normal. MDCT scan of the face/orbit showed cortical irregularity and erosions in the Right hemi-mandible with a significant periosteal reaction & multiple irregular lytic areas in the marrow along with soft tissue changes suggestive of osteomyelitis. The significant periosteal reaction combined with osteomyelitis was suggestive of Garre’s osteomyelitis. No bone biopsies were considered due to the typical clinical & radiological features. With 4 weeks of antibiotic treatment the patient was completely relieved of her symptoms, with a major correction in the facial asymmetry. Regular follow up demonstrated a remodeling of the mandible with normal results on bone scanning


2017 ◽  
Vol 88 (9) ◽  
pp. 876-886 ◽  
Author(s):  
Bassam M. Kinaia ◽  
Filip Ambrosio ◽  
Monica Lamble ◽  
Kristyn Hope ◽  
Maanas Shah ◽  
...  

2020 ◽  
Author(s):  
Kyung-Sik Ahn ◽  
Chang Ho Kang ◽  
Suk-Joo Hong ◽  
Baek Hyun Kim ◽  
Euddeum Shim

Abstract Background Although MRI is the gold-standard imaging method in the diagnosis of spondylodiscitis, role of follow-up imaging is debated and there can be discrepancies with regard to the significance of bony or soft tissue responses to treatment. Purpose of our study is to test whether the MRI changes on follow-up imaging correlate with laboratory findings of treatment response. Methods A total of 48 patients with pyogenic spondylodiscitis who underwent baseline and follow-up MRI were retrospectively reviewed. The extent of bone marrow edema, paravertebral soft tissue inflammation, and disc height were compared on baseline and follow-up MRIs with the C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) levels obtained from the medical records at baseline and on follow-up. Relationships between the MRI and laboratory changes were analyzed using the Spearmann correlation test. Results The mean MRI follow-up period was 42.25 days. Based on the CRP (resolved: n=19, resolving: n=19, and aggravated: n=10), there was significant correlation between the laboratory results and the changes in the bone and soft tissues (p < 0.01, both). The correlation was best with soft tissue changes (rho: 0.48) followed by bony changes (rho: 0.41). Based on the ESR (resolved: n=8, resolving: n=22, and worsened: n=18), the correlation was stronger with bone changes (rho: 0.45, p < 0.01) than it was with soft tissue changes (rho: 0.39, p = 0.01). Conclusion Follow-up MRI findings of pyogenic spondylodiscitis show variable tissue responses. CRP was best correlated with soft tissue changes, while ESR showed the best association with bony changes.


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