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Periodontics

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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How do you treat a periodontal abscess?

This Urgent care Scenario is presented by the JCDA Oasis Team in collaboration with Dr. Ignacio Christian Marquez, Associate Professor in the Division of Periodontics, Department of Dental Clinical Sciences, Faculty of Dentistry at Dalhousie University Periodontal Abscess Localized, purulent infection within the tissues adjacent to the periodontal pocket that may lead to the destruction of periodontal ligament and alveolar bone.     Investigation Inquire about any history of chronic periodontitis and the nature of any recent dental/periodontal interventions. Determine the existence of a periodontal pocket. Confirm the presence of purulent exudate. Obtain radiographic evidence of bone loss. However, the lack ...

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How can I promote esthetic papilla formation between adjacent implant-supported restorations on upper anterior teeth?

The following verbatim question was submitted by a practising dentist: My patient had implants to replace 11 and 21. I have placed contoured healing abutments and temporary crowns with the contact 4-5 mm above the bone (2 mm gingiva and 2 mm space). These have been in place 4 months and although the papilla has filled in between the laterals, the tissues are still flat between the 11 and 21 despite the fact that a periodontist placed the implants doing a graft to “bulk up”   the tissue. The patient is not overly concerned; however, you can see the area when he smiles, so ...

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How do I manage postoperative bleeding following periodontal surgery?

(Peer-reviewed content that will appear in the JCDA OASIS “point of care” searchable database at www.jcdaoasis.ca – which will be introduced at the beginning of 2013) How do I manage postoperative bleeding following periodontal surgery? Brennan Mui, Thomas T. Nguyen, Simon D. Tran Postoperative bleeding may present immediately, within the first 24 hours following periodontal surgery, or as delayed postoperative bleeding up to 7-10 days following surgery. Excessive bleeding may occur following routine periodontal surgical procedures, such as pocket reduction surgery or grafting, if stable hemostasis cannot be initially achieved. Normally, hemostasis is achieved within 30 to 60 minutes after surgical procedures ...

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Is there an accepted protocol for managing peri-implantitis?

(Content under development) The following question was submitted by a practising dentist: Is there an accepted protocol for the treatment/management of peri-implantitis and associated bone loss? JCDA Editorial Consultant Dr. Anastasia Cholakis of the University of Manitoba provided these initial comments for consideration: At this time, prevention of peri-implantitis seems to be the safest bet. According to the latest consensus of the 7th European Workshop on Periodontology “clinical and radiographic data should routinely be obtained after prosthesis installation on implants in order to establish a baseline for the diagnosis of peri-implantitis during maintenance of implant patients.” A proper in-office peri-implant maintenance protocol ...

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