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An Introduction to Bioactivity via Restorative Dental Materials
Published in Mary Anne S. Melo, Designing Bioactive Polymeric Materials for Restorative Dentistry, 2020
Mary Anne S. Melo, Ashley Reid, Abdulrahman A. Balhaddad
Currently, the use of guided tissue regeneration is recommended to relocate the cells to a specific site to induce the desired action of regeneration. In periodontics, combining guided tissue regeneration with grafted materials can be used to treat bone defects, furcation involvement, and gingival recession (Ramseier et al. 2012). More recently, gene delivery to the affected site may provide better stability and efficient regeneration compared to delivering such protein or growth factor. The delivery of human platelet-derived growth factor-β gene is associated with greater cementum and alveolar bone regeneration compared to the delivery of platelet-derived growth factor-β factor (Jin et al. 2004). Also, the delivery of bone morphogenetic protein genes can be used to treat significant bone defects and induce bone regeneration around dental implants (Dunn et al. 2005; Jin et al. 2003). Further research is needed to investigate the advancement of proteins and gene delivery and their interactions with surrounding tissues and oral microorganisms.
Individualized Prevention
Published in Lars Granath, William D. McHugh, Systematized Prevention of Oral Disease: Theory and Practice, 2019
Lars Granath, William D. McHugh
Assessment of loss of periodontal attachment can be made by measurement of pocket depth or from radiographic determination of the extent of alveolar bone loss. Measurement of pocket depth is not as simple as it might seem since variation in the angle at which the probe is inserted, in the degree of inflammation of the periodontal tissues, and in the force used, have substantial influence on the result. In addition, the presence or absence of inflammatory edema of the gingival margin and the presence of gingival recession have obvious effects, although these can be largely overcome if measurement is made from the cemento-enamel junction or some other fixed identifiable point on the tooth surface. In spite of its problems and variability, however, periodontal probing does have clinical value for simple direct assessment of the extent of disease, especially in combination with other methods.
3D analysis of the clinical results of VISTA technique combined with connective tissue graft
Published in J. Belinha, R.M. Natal Jorge, J.C. Reis Campos, Mário A.P. Vaz, João Manuel, R.S. Tavares, Biodental Engineering V, 2019
D.S. Martins, L. Azevedo, N. Santos, T. Marques, C. Alves, A. Correia
Gingival recession, which is clinically manifested by an apical displacement of the gingival margin from the cementoenamel junction (CEJ), are common in populations with high oral hygiene standards (Sangnes and Gjermo 1976, Serino, Wennstrom et al. 1994, Matas, Sentis et al. 2011) or with low oral hygiene standards (Baelum, Fejerskov et al. 1986, Loe, Anerud et al. 1992) and can leading to root surface exposure. (Wennstrom 1994).
All done procedure by laser in free gingival graft treatment: A case series study
Published in Journal of Cosmetic and Laser Therapy, 2019
Reza Fekrazad, Nasim Chiniforush, Katayoun Kalhori
An adequate dense keratinized tissue attached to bone and the cervical part of tooth is necessary for functional masticatory mucosa (1). Gingival recession is the apical shift of the gingival margin leading to exposed root surfaces and attached ginigiva loss, resulting in an unaesthetic appearance and sensitivity. Finally, this process leads to mucogingival problems and pain feeling during oral hygiene performance results in tooth loss in long term (2,3). Numerous reconstructive and regenerative periodontal plastic surgery techniques such as pedicle grafts, free gingival autografts, connective tissue grafts, and guided tissue regeneration have been used for the treatment of gingival recession (4,5).
Evaluation of patients’ perception of gingival recession, its impact on oral health-related quality of life, and acceptance of treatment plan
Published in Acta Odontologica Scandinavica, 2020
Merve Yılmaz, Bahar Füsun Oduncuoğlu, Mediha Nur Nişancı Yılmaz
Gingival recession is characterized by the exposure of the root surface through apical migration of the gingival margin beyond the cemento-enamel junction [1]. It is a frequent clinical condition that may be localized or generalized in different socioeconomic populations with high or poor standards of oral hygiene [2,3]. This fact suggests that the aetiology is complex and multifactorial [4]. Gingival recession affects more than 50% of the population with or without presenting any symptoms [3]. A survey in Turkey reported that more than 78% of the population is affected by gingival recession, with males being more susceptible [5].
Oral health implications of increased cannabis use among older adults: Another public health concern?
Published in Journal of Substance Use, 2019
The high burden of oral diseases in the older population is a multifaceted problem that is attributable to physiological, social, and behavioral factors. For example, the physical, sensory, or cognitive impairments associated with aging can hinder self-care of oral hygiene (Petersen & Yamamoto, 2005; Yellowitz & Schneiderman, 2014). Oral problems may be exacerbated by the fact that many older adults appear to undervalue the importance of preventative dental care (Yellowitz & Schneiderman, 2014). Additionally, old age is often associated with being disabled, homebound, or institutionalized (e.g., living in nursing homes), which are themselves risk factors for poor oral health (Griffin, Jones, Brunson, Griffin, & Bailey, 2012). Financially, most older Americans are unaware that Medicare excludes dental services from coverage, and consequently had not allocated adequate savings for dental care or insurance (Raphael, 2017). Furthermore, older patients are likely to be taking multiple medications, many of which cause dry-mouth as a side-effect (Dagli & Sharma, 2014). Because saliva plays a crucial role in maintaining oral pH, reducing bacterial growth, and providing key minerals for the remineralization of teeth (Brosky, 2007; Griffin et al., 2012), dry-mouth greatly increases the risk of developing caries and oral infections. Further still, oral problems are often exacerbated by gingival recession, which also occurs with aging and exposes areas of tooth structure more prone to decay (Selwitz, Ismail, & Pitts, 2007). Finally, the dentition becomes less sensitive to pain with age, thereby predisposing older adults to worse oral health as they often only seek professional care after experiencing pain or discomfort (Martin, Freedman, Schoeni, & Andreski, 2009).