scholarly journals Knowledge and Interest in Treating Gingival Recession among Dental Practitioners in Saudi Arabia

2019 ◽  
Vol 7 (1) ◽  
pp. 139-142
Author(s):  
Mohammad Bhat ◽  
Nabeeh AlQahtani ◽  
Mohasin Khader ◽  
Mukhatar Javali ◽  
Ali AlQahtani
Keyword(s):  
Gingival Recession ◽  
Treatment Modalities ◽  
Root Coverage ◽  
Common Indication ◽  
Dental Practitioners ◽  
Per Se ◽  
General Dentists ◽  
Study Participants ◽  
Structured Questionnaire

BACKGROUND: Gingival recession is an enigma among clinicians due to multiple etiological factors and various treatment modalities. AIM: Objective of this study was to evaluate the knowledge and interest among dental practitioners regarding the treatment of gingival recession. MATERIAL AND METHODS: A survey was conducted to assess knowledge of gingival recession and interest and satisfaction of dental practitioners in periodontics. This survey was circulated among 250 dental practitioners throughout four months. The structured questionnaire consisted of 9 questions assessing the knowledge and interest of dental practitioners in periodontics; gingival recession per se. RESULTS: Majority of the participants were general dentists. Among them, 46.23% had a habit of reading dental journals. Most of the participants had an opinion that improper tooth brushing (42.71%) is an important cause of the gingival recession. Only 34.17% had information about Miller's classification of gingival recession. Regarding general indication of root coverage procedures, 28.64% answered aesthetics was the most common indication. 39.7% mentioned that traumatic occlusion was a risk factor for gingival recession. A group of 29.65% mentioned that accidental toothbrush trauma leads to gingival recession. CONCLUSION: The knowledge of gingival recession among the study participants was adequate. More specifically, the interest of participants in periodontics was 5.39 and satisfaction in treating periodontal cases was 5.47.

scholarly journals Combination of orthodontic movement and periodontal therapy for full root coverage in a miller class iii recession: a case report with 12 years of follow-up

2012 ◽  
Vol 23 (6) ◽  
pp. 758-763 ◽  
Author(s):  
Rafael Scaf de Molon ◽  
Érica Dorigatti de Avila ◽  
João Antonio Chaves de Souza ◽  
Andressa Vilas Boas Nogueira ◽  
Carolina Chan Cirelli ◽  
...  
Keyword(s):  
Case Report ◽  
Gingival Recession ◽  
Periodontal Therapy ◽  
Treatment Modalities ◽  
Class Iii ◽  
Root Coverage ◽  
Free Gingival Graft ◽  
Coronally Advanced Flap ◽  
Orthodontic Movement ◽  
Attached Gingiva

One of the main purposes of mucogingival therapy is to obtain full root coverage. Several treatment modalities have been developed, but few techniques can provide complete root coverage in a class III Miller recession. Thus, the aim of this case report is to present a successful clinical case of a Miller class III gingival recession in which complete root coverage was obtained by means of a multidisciplinary approach. A 17-year-old Caucasian female was referred for treatment of a gingival recession on the mandibular left central incisor. The following procedures were planned for root coverage in this case: free gingival graft, orthodontic movement by means of alignment and leveling and coronally advanced flap (CAF). The case has been followed up for 12 years and the patient presents no recession, no abnormal probing depth and no bleeding on probing, with a wide attached gingiva band. A compromised tooth with poor prognosis, which would be indicated for extraction, can be treated by orthodontic movement and periodontal therapy, with possibility of 100% root coverage in some class III recessions.

scholarly journals Assessment of various treatment modalities for isolated gingival recession defect- A retrospective study

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 3-7
Author(s):  
Karthikeyan Murthykumar ◽  
Arvina Rajasekar ◽  
Gurumoorthy Kaarthikeyan
Keyword(s):  
Gingival Recession ◽  
Treatment Modalities ◽  
Root Coverage ◽  
Aesthetic Outcome ◽  
Free Gingival Graft ◽  
The Past ◽  
Current Article ◽  
The Aesthetic ◽  
Gingival Graft ◽  
Coverage Score

Esthetic demands among the patients have increased markedly over the past few years. The Gingival recession is one of the prime concerns, and there are various treatment modalities in managing recession defects. Most often, outcomes following root coverage procedures are not assessed. Thus the current article aims to determine the aesthetic outcome following various treatment modalities for root coverage procedures using Recession Score (RES). In the present study, seventeen patients with Miller Class I, II and III recession defects treated with root coverage procedures were evaluated retrospectively. Esthetic outcomes were assessed using the root coverage score (RES) . Among 17 managed recession sites, 6(35%) had complete root coverage. Three of six patients who attained complete root coverage had a perfect score (RES-10). Free Gingival Graft showed better root coverage and recession score (RES); however, there was no significant association between root coverage, RES and various treatment modalities used for recession coverage (p>0.05).

scholarly journals Fallacy of Covid-19 Vaccine Coverage: Discovering Vaccine Hesitancy and Compliance in Private Dental Practitioners and Hospital-based Dentists to Improve Immunization Levels in Pakistan

2021 ◽  
Vol 2 (5) ◽  
pp. 13-18
Author(s):  
Beenish Abbas ◽  
Sana Abbas ◽  
Aisha Rafique ◽  
Sana Aslam
Keyword(s):  
Vaccine Coverage ◽  
Tertiary Care ◽  
Tertiary Hospital ◽  
Vaccine Hesitancy ◽  
Research Committee ◽  
Dental Practitioners ◽  
Dental Hospital ◽  
General Dentists ◽  
Study Participants ◽  
Second Wave

Objective: To evaluate Covid-19 vaccine compliance amongst the general private practicing dentists’ population in comparison to tertiary hospital-based dentists in Pakistan post second wave of mass spread of the Covid-19 infection. Methodology: Multi-centered study conducted after taking ethical research committee approval. Total 300 participants enrolled via paper-based questionnaire. Participants included the general dentists and tertiary care dental hospital-based dentists. Exclusion criteria implied participants of pilot study, participants that were already vaccinated and those unwilling to participate in the study. Results: 32% of general dentists in Pakistan agreed to immunization if the Covid-19 vaccine is available in Pakistan (p<0.001). General private practicing dentists were also less likely to pay for the vaccination (p<0.001), less confident for a locally manufactured vaccine (p<0.001) as compared to hospital-based dentists. Conclusion: This study concluded that the general dentists’ population in Pakistan is still skeptical of Covid-19 vaccination and this attitude in-fact poses as a pandemic within pandemic.

scholarly journals Surgical management of RT2 gingival recession using sub epithelial connective tissue graft and coronally advanced flap: A case report

2021 ◽  
Vol 3 (3) ◽  
pp. 138-142
Author(s):  
Eshani Suryakant Yeragi ◽  
Kavita Pol Nalawade ◽  
Saurabh Anil Gotmare ◽  
Amit Benjamin ◽  
Varun Putta ◽  
...  
Keyword(s):  
Connective Tissue ◽  
Promising Result ◽  
Case Reports ◽  
Gingival Recession ◽  
Treatment Modalities ◽  
Root Coverage ◽  
Recipient Site ◽  
Coronally Advanced Flap ◽  
Connective Tissue Graft ◽  
Tissue Graft

Apical migration of the gingival fiber attachment and marginal gingiva leads to gingival recession and can be caused due to many factors such as faulty tooth brushing, masochistic habits, periodontal disease etc. This causes dentinal hypersensitivity, aesthetic problems, root caries, cervical abrasion, and difficulty in maintaining oral hygiene and often possess a challenging situation for the clinician to deliver best care to the patients. This case reports about the use of SCTG along with coronally advanced flap. To report a case of RT2 recession, older term – Millers Class II recession which showed promising result when root coverage procedure was done using sub-epithelial connective tissue and coronally advancing the flap. A 62-year-old male patient was referred to the Department of Periodontology, with a chief complaint of hypersensitivity and downward shifting of gum in upper front left teeth region which was progressive in nature with no obvious medical history.After achieving profound anaesthesia over the concerned region the recipient site was prepared. After which the donor tissue was retrieved from the palatal area using trap door method and placed over the recipient site. No root biomodification agents were used. The graft was stabilised using interrupted suture and then criss-cross suturing was done, and non-eugenol periodontal dressing was given. The follow up results showed good outcome with predictable root coverage achieved using Sub-epithelial Connective Tissue Graft (SCTG) and coronally advanced flap in the canine region which is often the most difficult one to achieve complete root coverage because of canine prominence. SCTG can be used successfully along with coronally advanced flap and clinicians must opt for such treatment modalities for patients benefit.

scholarly journals Laterally Displaced Pedicle Flap for the Management of Localised Gingival Recession: A Case Report

2020 ◽  
Vol 4 (1) ◽  
pp. 35-38
Author(s):  
Kripa Shahi ◽  
Deepa Aryal ◽  
Surendra Man Shrestha
Keyword(s):  
Case Report ◽  
Gingival Recession ◽  
Treatment Modalities ◽  
Central Incisor ◽  
Root Coverage ◽  
Pedicle Flap ◽  
Recipient Site ◽  
Promising Treatment ◽  
Plaque Control

Gingival recession, whenever presents with sensitivity, aesthetic problem, root caries or difficulty in plaque control may pose a challenge for clinicians. Among the various treatment modalities for root coverage, laterally displaced flap has been a promising treatment for isolated gingival recession with an adequate amount of donor tissue adjacent to the recipient site. This case report presents a case of successful root coverage where laterally displaced flap was employed for the management of gingival recession in mandibular central incisor with two and a half years follow up.

scholarly journals Platelet Rich Fibrin in the Treatment of Localised Gingival Recession: A Case Report

2021 ◽  
Vol 8 (5) ◽  
pp. 24-29
Author(s):  
Dhawal Mody ◽  
Vrushali Lathiya
Keyword(s):  
Case Reports ◽  
Gingival Recession ◽  
Dental Practice ◽  
Root Coverage ◽  
Maxillary Canine ◽  
Platelet Rich Fibrin ◽  
Coronally Advanced Flap ◽  
Dental Practitioners ◽  
Root Surfaces ◽  
Labial Surface

Root recession presents a matter of aesthetic concern in every dental practice. Also it may illicit sensitivity and is more prone to caries than the covered root surfaces. Platelet- rich fibrin is a second generation platelet concentrate. It is basically autologous leukocyte and platelet-rich fibrin biomaterial. The use of PRF in combination with coronally advanced flap in the treatment of gingival recession has shown promising results and is gaining immense popularity among the dental practitioners. This case reports the use of PRF membrane in root coverage on the labial surface of maxillary canine. Keywords: Coronally advanced flap, platelet rich fibrin, gingival recession, growth factors.

scholarly journals Classification of endonasal HHT lesions using digital microscopy

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
F. Haubner ◽  
A. Schneider ◽  
H. Schinke ◽  
M. Bertlich ◽  
B. G. Weiss ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Treatment Modalities ◽  
Hereditary Haemorrhagic Telangiectasia ◽  
Digital Microscopy ◽  
Digital Microscope ◽  
Lower Severity ◽  
Gender Specific Differences ◽  
Vegf Level

Abstract Background Recurrent spontaneous epistaxis is the most common clinical manifestation and the most debilitating symptom in hereditary haemorrhagic telangiectasia (HHT) patients. To this date, there exist only a classification of HHT patients by different genetic mutations. There is no standard classification for the mucocutaneous endonasal manifestations of HHT. The aim of the present study was to document the variety of endonasal HHT lesions using digital microscopy and to propose a clinical classification. Methods We recorded the endonasal HHT lesions of 28 patients using a digital microscope. We reconstructed the 3D images und videos recorded by digital microscope afterwards and classified the endonasal lesions of HHT in two classes: Grade A, presence of only flat telangiectasias in the mucosa level and Grade B, (additional) presence of raised berry or wart-like telangiectasia spots. We investigated also Haemoglobin level by routine laboratory procedures, plasma VEGF level by ELISA, Severity of epistaxis by epistaxis severity score (ESS) and quality of life by a linear visual analogue scale (VAS). Results We found a higher quality of life and a lower severity of epistaxis in Grade A patients in comparison to Grade B patients. No difference in plasma VEGF level and in Haemoglobin between Grad A patients and Grade B patients could be detected. Plasma VEGF levels showed no gender specific differences. It could also not be correlated to the extranasal manifestation. Conclusion The classification for endonasal manifestation of HHT proposed in this study indicates severity of epistaxis und quality of life. Digital microscopy with the ability of 3D reconstruction of images presents a useful tool for such classifications. The classification of endonasal HHT lesions using digital microscopy allows to evaluate the dynamic of HHT lesions in the course of time independent of examiner. This allows also to evaluate the efficacy of the different treatment modalities by dynamic of HHT lesions. Moreover digital microscopy is very beneficial in academic teaching of rare diseases.

Demonstration of Placental Vascular Anatomy in Monochorionic Twin Gestations

2002 ◽  
Vol 5 (1) ◽  
pp. 37-44 ◽  
Author(s):  
Monique E. De Paepe ◽  
Sarah Burke ◽  
Francois I. Luks ◽  
Halit Pinar ◽  
Don B. Singer
Keyword(s):  
Vascular Anatomy ◽  
Treatment Modalities ◽  
Laser Coagulation ◽  
Injection Technique ◽  
Invasive Treatment ◽  
Monochorionic Twin ◽  
Macroscopic Classification ◽  
Fetoscopic Laser Coagulation

Invasive treatment modalities for severe chronic twin-to-twin transfusion syndrome (TTTS), such as fetoscopic laser coagulation of communicating vessels, have revived the need for detailed studies of placental angioar-chitecture. We describe a practical placental vascular injection technique using alcohol-resistant tissue-staining dyes. Injection of color-coded gelatin-dye mixtures effectively delineated the intertwin vasculature, and allowed unequivocal macroscopic classification of vascular communications as artery-to-artery, vein-to-vein, or deep artery–to-vein anastomoses. The existence of deep artery–to-vein anastomoses was further confirmed by light microscopic demonstration of venous dye of one twin and arterial dye of the opposite twin within the same stem villus. Furthermore, the injection technique allowed determination of the caliber of the anastomoses, the direction of the artery-to-vein anastomoses, and the relative vascular territory of each twin. Documenting the vascular communications in monochorionic twin placentas with and without TTTS may enhance our understanding of the pathogenesis of chronic TTTS. Correlating the anastomotic patterns and location of the laser coagulation scars with post-ablation outcome will aid in the design of rational therapeutic methods for this often lethal condition.

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