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Dental Specialties

How effective are periodontal plastic surgery procedures in the treatment of localized facial gingival recessions? A systematic review

This summary is based on the article published in the Journal of Clinical Periodontology: Efficacy of periodontal plastic surgery procedures in the treatment of localized facial gingival recessions. A systematic review (April 2014) Cairo F, Nieri M, Pagliaro U.     Context The treatment of gingival recessions with periodontal plastic surgery procedures is possible request in modern dentistry (1). The ultimate goal of these procedures is the complete root coverage (CRC) and pleasant aesthetic outcomes (2, 3). Purpose of the Review The aim of this Systematic Review was to assess the clinical efficacy of periodontal plastic surgery procedures in the ...

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What is Hookah and why is it making headlines?

On July 7, 2014, a new study was published in the journal Pediatrics, published by the American Academy of Pediatrics, about the use of Hookah by US high-school seniors: Hookah Use among US High School Seniors. The study examined the prevalence of hookah use which is significantly increasing among adolescents and aimed at delineating demographic and socioeconomic correlates of hookah use among high-school seniors in the United States. Researchers evaluated data from 5,540 students who were asked about hookah use from 2010-2012. They found that nearly 1 in 5 high school seniors had smoked using a hookah at least once in ...

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What is gutta percha and how did it come to be used in dentistry? An interview with Dr. Mary Dabuleanu

Dr. Suham Alexander, Oasis Clinical Editor, interviewed Dr. Mary Dabuleanu, Endodontist at Dabuleanu Dental about the history of gutta percha and its use in dentistry.                 Listen to the Audio Interview (11 mins)   References Jeon KA, Lee IB, Bae KS, Lee WC, Baek SH. Measurement of thermal expansion characteristic of root canal filling materials : Gutta-percha and Resilon. J Kor Acad Cons Dent. 2006;31(5):344-351. doi: 10.5395/JKACD.2006.31.5.344.   Khatavkar RA, Hedge V. The weak link in endodontics: Gutta-percha – A need for change. World J Dent. 2010;1(3)217-24. Shipper G, Ørstavik D, Teixeira FB, Trope M. An ...

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What are the options for treating Papillary Hyperplasia in chronic denture wearers?

This question was submitted by a general dentist: What options do we have in treating Papillary Hyperplasia in chronic denture wearers?  How successful is treatment with medication (e.g. Nystatin ointment etc.) alone? Drs Joseph Fava and Suham Alexander prepared the following response: Inflammatory papillary hyperplasia, also known as denture stomatitis, is a reactive tissue growth that is related to denture wear in most instances. Some contributing factors include: Chronic denture wear (i.e. 24 hours/day) Poor oral and denture hygiene Ill-fitting dentures Yeast colonization Allergic reactions to base materials Smoking Malignancies, nutritional deficiencies, endocrinologic disorders The asymptomatic condition has a prevalence of ...

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Who should do the post-endodontic restoration – the restorative dentist or the endodontist?

This question was submitted by a general dentist: Who should do the post-endodontic restoration – the restorative dentist or the endodontist? Drs. Stephen Ferrier, Manny Friedman, and Suham Alexander prepared the following response The most important aspect of the post-endodontic restoration is establishing a sound coronal seal to prevent re-infection of the root canal system and to protect the weakened tooth from mechanical failure. Ideally, this should be completed when the endodontic obturation is done. Whether or not this is the ‘final’ or ‘ultimate’ restoration depends upon the tooth. The coronal seal may take the form of a: Core (including postless ...

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How would you treat this case?

The following case was presented by a general dentist: 27 year-old Indian male. Patient had ortho treatment done 2 years ago with another dentist. Just after 2 days of debonding of brackets, patient had a fall with sustained tooth injuries to his upper front teeth 11,21,22 causing them to extrude in a retrolined inclination. Patient was treated by an oral surgeon at a private hospital and the patient’s pictures after 2 year plus are shown. Patient claims there were no follow ups after admission in the hospital.                       Patient’s concerns: ...

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Does diabetes affect implant failure rates?

This summary is based on the article published in the Journal of Dental Research: Diabetes and oral implant failure: a systematic review (September 2014) B.R. Chrcanovic, T. Albrektsson, and A. Wennerberg Context Dental implant survival is initially dependent on successful osseointegration following placement. As an implant is restored and placed into function, bone remodeling becomes a critical aspect of implant survival in responding to the functional demands placed on the implant restoration and supporting bone. The critical dependence on bone metabolism for implant survival may be heightened in patients with diabetes (1). Diabetic patients have increased frequency of periodontitis and ...

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How do you treat a patient with scleroderma who has periodontal issues – advanced recession, stripping of the attached gingiva from the roots?

This question was submitted by a general dentist: How do you treat a patient with scleroderma who has periodontal issues – advanced recession, stripping of the attached gingiva from the roots? Dr. George Sandor, DDS MD and Dr. Suham Alexander, Oasis Clinical Editor provided this initial response.      Systemic Scleroderma  Systemic scleroderma is a relatively rare condition that affects ~19/1,000,000 adults annually. Women experience the condition 3 times more than men. A vasoconstrictive event known as Raynaud’s phenomenon is often one of the first signs of the disease which is precipitated by emotional distress or exposure to cold. (It should ...

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