Home » Supporting Your Practice » Dental Specialties » Periodontics (page 8)

Periodontics

Is there an association between periodontitis and obstructive sleep apnea?

This summary is based on the article published in the Journal of Periodontal Research: The association between periodontitis and obstructive sleep apnea: a preliminary study (August 2013) Context Periodontitis is becoming a highly prevalent disease worldwide. Obstructive sleep apnea is a common disorder that is characterized by repeated disruptions in breathing during sleep, and mouth breathing is a common characteristic among patients with obstructive sleep apnea. Purpose The study aimed to assess the hypothesis that obstructive sleep apnea is associated with the onset and progression of periodontal disease. Key Messages The study identified that there is a significant association between obstructive sleep apnea and periodontitis. ...

Read More »

Why are furcation areas important and how can they be treated?

This question was submitted by a general dentist: Why are furcation areas important and how can they be treated? Dr. Sayed Mirbod, representing the Canadian Academy of Periodontology (CAP), provided this initial quick response: The primary etiologic factor in periodontal disease is plaque. The outcome of periodontal therapy is in general good and predictable, if the clinician and the patient can adequately access root surfaces to remove the bacterial plaque. Access to the molars furcation areas is especially difficult for the patient and clinician alike due to the posterior location of molars, the dimension and position of furcation entrances, and the ...

Read More »

What is the significance of bleeding on probing?

This question was submitted to us by a general dentist: What is the significance of bleeding on probing? Dr. Sayed Mirbod, representing the Canadian Academy of Periodontology (CAP), provided this initial quick response: The classical signs of gingival inflammation associated with gingivitis are: Bleeding from the gingival sulcus upon gentle probing, Increased gingival fluid flow rate, and Swelling, and discolouration of the gingival units. Bleeding from the sulcus is the earliest clinical symptom of gingivitis and precedes discolouration and swelling (1). Therefore, since gingival colour changes are less obvious during the early stages of gingivitis and are most often overlooked, bleeding ...

Read More »

What is the significance of periodontal-probing depth measurement?

This question was submitted by a general dentist: What is the significance of periodontal-probing depth measurement? Dr. Sayed Mirbod, representing the Canadian Academy of Periodontology (CAP), provided this initial quick response: Probing depth measurement is an essential part of any complete periodontal examination. Probing-depth measurement provides the clinician with an accurate estimate of the size of the denuded root surface. Periodontal probe in a healthy shallow pocket approaches the anatomic sulcus, which is in contrast to cases involving gingivitis or periodontitis. The difference between probing-depth measurement and anatomic measurement of the sulcus, or pocket depth, appears to be due to the ...

Read More »

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, ...

Read More »

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 ...

Read More »

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 ...

Read More »

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 ...

Read More »