scholarly journals REGENERATIVE/RESECTIVE APPROACH FOR GRADE III FURCATION INVOLVEMENT- A CASE REPORT WITH QUESTIONABLE CLINICAL SCENARIO

2020 ◽  
pp. 7-8
Author(s):  
Valliammai Rajendran ◽  
David Kadakampally ◽  
Yamini Mannava ◽  
Deepa G Kamath ◽  
Ravalika N Kothuri
Keyword(s):  
Case Report ◽  
Oral Hygiene ◽  
Clinical Scenario ◽  
Regenerative Therapy ◽  
Platelet Rich Fibrin ◽  
Furcation Involvement ◽  
Knowledge And Practice ◽  
Grade Iii ◽  
Selection Of

Introduction: Teeth with furcation involvement can be maintained in a state of function for a longer period of time if appropriately treated and if the patient is motivated adequately. This report highlights the effect of regenerative and resective therapy in the management of grade III furcation involvement. Observation: A 48 years old male patient was evaluated for furcation involvement with respect to the root canal treated lower right first molar tooth. Grade III furcation involvement was noted for which regenerative therapy was attempted with platelet rich fibrin (PRF) and bone grafts. After 2 years of follow up, the furcation involvement still persisted and patient had a complaint of food lodgement. Hence, resective osseous surgery (tunnel preparation) was done to make the furcation ease for maintaining oral hygiene. Commentary: In cases of periodontal loss, periodontal regenerative therapy must be the first treatment of choice. However, regeneration of grade III furcation involvement is more challenging and very few reports are available in the literature. Conclusion: The selection of cases for regenerative or resective therapy depends on the clinicians’ knowledge and practice. The ultimate goal of periodontal therapy is to provide a dentition that will function in health and comfort for life.

Application of liquid platelet-rich fibrin for treating hyaluronic acid-related complications: A case report with 2 years of follow-up

2018 ◽  
Vol 1 (2) ◽  
pp. 74 ◽  
Author(s):  
Shahram Ghanaati ◽  
Sarah Al-Maawi ◽  
Yvonne Schaffner ◽  
Robert Sader ◽  
Joseph Choukroun ◽  
...  
Keyword(s):  
Hyaluronic Acid ◽  
Case Report ◽  
Platelet Rich Fibrin

scholarly journals Treatment of maxillary molar with furcation involvement - Case report

2019 ◽  
Vol 1 (1) ◽  
pp. 22-27
Keyword(s):  
Case Report ◽  
Survival Rates ◽  
Clinical Report ◽  
Class Iii ◽  
Maxillary Molars ◽  
Maxillary Molar ◽  
Furcation Involvement ◽  
Similar Survival ◽  
Oral Hygiene Instructions

Purposes: The aim of this clinical report is to discuss the advantages and the steps of the root separation and resection approach in a maxillary molar with a class III furcation of the palatine root with a follow-up of 24 months. Case report: A patient with tooth mobility and bleeding after probing, was diagnosed with a Chronic Periodontitis Generalized Moderate and Localized Severe. Hygienic phase with oral hygiene instructions, scaling and root planning was performed. Due to class III furcation of the palatine root of the teeth 16 and some remaining pockets deepths, was decided to execute an apical repositioning flap on the 1st sextant among with the palatine root amputation combined with the endodontic treatment. During the surgical procedure, it was also performed a reduction of the palate thickness from teeth 15 to 17; in distal area of the 17 a distal wedged was performed in order to remove all the pockets. After the surgery, the patient was inserted in a long-lasting individualized supportive periodontal treatment.This case has a follow up of 24 months. Conclusions: Similar survival rates are described in the literature when we compared the root amputation with the dental implants survival rate, but the first one is cheaper and allows to keep the natural tooth. We can’t forget that the periodontitis is a risk factor of peri-implantitis. This clinical case shows that, with a high motivated patient and with the complete periodontal treatment, is possible to obtain excellent results with root separation and resection in maxillary molars class III.

scholarly journals Successful management of mandibular first molars with endodontic-periodontal lesions – Two case reports

2021 ◽  
Vol 62 (2) ◽  
Author(s):  
Shirin Behdad ◽  
◽  
Gonçalo Caramês ◽  
Beatriz Pereira ◽  
Mariana Pires ◽  
...  
Keyword(s):  
Case Report ◽  
Case Reports ◽  
Interdisciplinary Approach ◽  
Regenerative Therapy ◽  
Successful Management ◽  
Present Case Report ◽  
Natural Dentition ◽  
Vascular Connections ◽  
Periodontal Healing

The interrelationship between pulpal and periodontal disease primarily occurs through the intimate anatomic and vascular connections between the pulp and the periodontium. The purpose of this case report is to present the treatment of two cases of mandibular first molars displaying endodontic-periodontal lesions with and without the use of regenerative bone techniques. The endodontic treatments were performed under an operating microscope in two appointments. Later, periodontal therapy was performed with a non-surgical approach in one case and with guided bone regeneration in the other. A 12-month radiographic and clinical follow-up showed periapical and periodontal healing in both cases. The present case report demonstrates that an interdisciplinary approach can help improve the prognosis and maintain natural dentition. Moreover, periodontal regenerative therapy can be performed to guide the wound healing towards the regeneration of lost periodontal structures.

Oral Hygiene Status Of Bell’s Palsy And Diabetic Patient: A 23-Months Implants Follow-Up Case Report

2021 ◽  
Vol 9 (2) ◽  
pp. 72-78
Author(s):  
Ghazal H. Anbar ◽  
Sarah M. AlShahrani ◽  
Mutasim M. Al Thubyani ◽  
Ammar Almarghlani
Keyword(s):  
Case Report ◽  
Diabetic Patient ◽  
Oral Hygiene ◽  
Bell’S Palsy ◽  
Bell's Palsy

Idiopathic Gingival Enlargement and its Management: A Case Report

2015 ◽  
Vol 7 (2) ◽  
pp. 61-65
Author(s):  
Mohammad- Taghi Chitsazi ◽  
Adileh Shirmohammadi ◽  
Abouzar Moradi ◽  
Zahra goharfar
Keyword(s):  
Case Report ◽  
Chief Complaint ◽  
Gingival Overgrowth ◽  
Psychological Disturbances ◽  
Gingival Enlargement ◽  
Grade Ii ◽  
Gingival Fibromatosis ◽  
Interdental Papilla ◽  
Grade Iii

Idiopathic or hereditary gingival fibromatosis (HGF) is a relatively rare disease characterized by the enlargement of the gingiva, resulting in functional, esthetics and psychological disturbances. The degree of gingival overgrowth can be defined as: grade 0: no sign of gingival enlargement; grade I: enlargement confined to interdental papilla; grade II: enlargement involves papilla and marginal gingiva; and grade III: enlargement covers three quarters or more of the crown. This case report describes the case of a 16-year-old girl suffering from HGF with chief complaint of gingival swelling. Intraoral examination exhibited diffuse and grade III gingival enlargement in both jaws and also in both surfaces of buccal and lingual/palatal. Treatment included surgery (internal and external gingivectomy) in six sessions, and prescription of antibiotics and 0.2% chlorhexidine mouthwash. Moreover, gingivoplasty was performed in the esthetic zone of maxilla after performing all the surgeries in the mouth. The patient was under regular follow-up visits. The treatment outcomes after six months were satisfactory and no symptoms of recurrence were observed.

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