Individualized Prevention
Lars Granath, William D. McHugh in Systematized Prevention of Oral Disease: Theory and Practice, 2019
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.
An Introduction to Bioactivity via Restorative Dental Materials
Mary Anne S. Melo in Designing Bioactive Polymeric Materials for Restorative Dentistry, 2020
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.
3D analysis of the clinical results of VISTA technique combined with connective tissue graft
J. Belinha, R.M. Natal Jorge, J.C. Reis Campos, Mário A.P. Vaz, João Manuel, R.S. Tavares in Biodental Engineering V, 2019
Gingival recession located on buccal surface of the tooth, may be associated with a dehiscence of the buccal bone (Bernimoulin and Curilović 1977, Watson 1984), which may be result of development defects (anatomical) or acquired defects (physiological or pathological). (Geiger 1980) Anatomical defects are composed of a buccal bone fenestration/dehiscence or an abnormal tooth position. (Alldritt 1968) Physiological or pathological defects may be associated with orthodontic movements that makes buccal bone and gingiva thinner. Also, orthodontic movements can be a major risk factor for gingival recession progression, when plaque-induced gingival inflammation or traumatic brushing are present. (Wennstrom, Lindhe et al. 1987).
In vitro abrasivity and chemical properties of charcoal-containing dentifrices
Published in Biomaterial Investigations in Dentistry, 2020
Foteini Machla, Aida Mulic, Ellen Bruzell, Håkon Valen, Ida Sofia Refsholt Stenhagen
The abrasive property of dentifrices may cause wear of the dental tissue itself [6–8]. Loss of tooth substance may cause dentine hypersensitivity [9], creation of gingival recession [6], abrasion on teeth [10] and affect tooth color [11]. In addition, change in surface roughness may affect the amount of biofilm formation and, thus, increase the risk of both caries and periodontal inflammation [12,13]. To evaluate tooth surface wear after brushing with dentifrices, both abrasivity, a quantitative measure of the amount of abraded material removed (mean abraded depth and relative dentin abrasivity (RDA)) and a qualitative measure, surface roughness, are commonly used [14]. Pertiwi et al. demonstrated that charcoal dentifrices increased the surface roughness of dental hard tissues, when compared to conventional dentifrices [15]. However, this observation may be product-specific.
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].
Related Knowledge Centers
- Alveolar Process
- Mucous Membrane
- Palate
- Tooth Brushing
- Tooth
- Gums
- Gingival Margin
- Crown-to-Root Ratio
- Interdental Papilla
- Periodontal Disease