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Periodontics

What are the main components of a comprehensive periodontal examination?

This question was submitted by a general dentist: What are the main components of a comprehensive periodontal examination? Dr. Sayed Mirbod, representing the Canadian Academy of Periodontology (CAP), provided this initial quick response: The primary objective of periodontics is to help patients maintain the form, function, and esthetics of their teeth for as long as possible. In essence, a complete periodontal examination is carried out to determine a treatment plan that will aid with the aforementioned objective of periodontal therapy. The initial patient assessment should include the following: Measurement of probing depths, Measurement of attachment levels and corresponding loss of attachment, ...

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What are the clinical differences between gingivitis and periodontitis?

This question was submitted by a general dentist: What are the clinical differences between gingivitis and periodontitis? Dr. Sayed Mirbod, representing the Canadian Academy Periodontology (CAP), provided this initial quick response:  Chronic marginal gingivitis is clinically characterized by gingival redness, edema, bleeding, changes in contour, loss of tissue adaptation to the teeth, and increased flow of gingival crevicular fluid.(1,2). Bacteria plaque is thought to induce pathological changes in the tissues by both direct and indirect means which is clinically manifested as gingivitis. In the case of periodontitis, loss of the connective tissue attachment occurs in addition to clinical signs and symptoms ...

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Acute apical periodontitis and vertical root fracture of the same tooth: a case report

This summary is based on the article published in the Journal of Oral Science: Acute apical periodontitis and vertical root fracture of the same tooth: a case report Full-text article (PDF) Case Report The patient was a 75-year-old man who presented for consultation in December 2006. He was referred by his practitioner because of difficulty in chewing and an associated radiolucency in the mesial root of the right mandibular first molar. The patient was in good health, had no known allergies, and was a nonsmoker. The patient’s cardiologist prescribed 50 mg of aspirin per day as a preventive measure, due to suspicion of myocardial infarction. The patient brought his ...

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How effective is the use of diode laser in disinfecting deep periodontal pockets?

This question was submitted to us by a general dentist: Is there clinical evidence indicating the efficacy of deep periodontal pocket disinfection with a soft tissue diode laser? What protocols are proven and recommended in terms of frequency of treatment? Dr. Gordon Schwartz from GumDocs provided this initial quick response There is a growing interest in using Lasers to treat periodontal tissues. Lasers have usually been used for incision during surgical procedures (like frenectomies and crown lengthenings) and for disinfection and regeneration of the periodontal tissues affected by disease. It is easy to asses the lasers ability to cut. However, it ...

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Video Procedure: What is a connective tissue graft?

This video procedure is available on the Dental Procedure Education System (DPES) of the Faculty of Dentistry at the University of Toronto The video was developed by Drs. Jim Lai and Romanita Ghilzon Context When a patient develops recession of the gums, it is important to have it examined by a dentist in order for her or him to determine the best treatment options to correct this problem and/or to prevent further recession. There are different root coverage procedures that can be used in the treatment of recession. One such technique is the placement of a connective tissue graft. In this ...

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What Is Pericoronitis and How Is It Treated?

This Urgent Care Scenario is presented by the JCDA Oasis Team in collaboration with Dr. Samer Nuwwareh. It is also available on Oasis Help Definition Acute or chronic infection of the enveloping mucosa and gingiva of an incompletely erupted tooth. The bacteria commonly associated with pericoronitis are a-hemolytic streptococci such as Prevotella, Veillonella, Bacteroides, and Capnocytophaga. Untreated, it can progress from a local infection to a significant life-threatening infection. Resources Pogrel A, Dodson TB, Swift JQ, Bonine FL, Rafetto LK, Kennedy JE, et al. American Association of Oral and Maxillofacial Surgeons White paper on third molar data. 2007. Available from: www.aaoms.org/docs/thirdmolarwhite_paper.pdf Peltroche-Llacsahuanga H, Reichhart E, Schmitt W, Lutticken R, Haase G. Investigation of infectious organisms causing pericoronitis ...

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How do I manage a fallen or lost gingival graft?

This Urgent care Scenario (USC) is presented by the JCDA Oasis Team in collaboration with Dr. Terri Logue. It is also available through the Oasis Help system     Resources Parameter on mucogingival conditions. American Academy of Periodontology.J Periodontol. 2000;71(5 Suppl):861-2. Greenwell H, Fiorellini J, Giannobile W, Offenbacher S, Salkin L, Townsend C, et al. Oral reconstructive and corrective considerations in periodontal therapy. J Periodontol. 2005;76(9):1588-600. Do you need further information about this topic? Do you have any comments or suggestions? Email us at oasisdiscussions@cda-adc.ca Your are invited to comment on this post and provide further insights by posting in the comment box which you will find by clicking on ...

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How do I manage a patient with necrotizing ulcerative gingivitis (NUG)?

This Urgent Care Scenario is presented by the JCDA Oasis Team in collaboration with Drs. Reem Atout and Sylvia Todescan. It is also available on the Oasis Help systems Dr. Sylvia Todescan is Assistant professor in the Department of Dental Diagnostic and Surgical Sciences at the University of Manitoba’s Faculty of Dentistry Dr. Reem Aout is Assistant professor in the Department of Dental Diagnostic and Surgical Sciences at the University of Manitoba’s Faculty of Dentistry NUG is Acute infection of the gingiva characterized by gingival necrosis, bleeding, and pain. NUG is diagnosed at the onset of specific clinical signs and symptoms. NUG is different from other periodontal ...

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