Periodontal diseases are a heterogeneous group of diseases characterized by inflammation and the subsequent destruction of the tooth supporting tissue. Conventional periodontal regenerative procedures involving periodontal flaps for access are employed to improve shortand long-term clinical outcomes of periodontally compromised teeth. Minimally invasive therapeutic approaches with minimized incisions and trauma to the soft tissue have proven to be advantageous over the conventional therapy. This review focuses on four such techniques -PerioProtect, Tri-Immuno Phasic Periodontal Therapy, Subperiosteal Minimally Invasive Aesthetic Ridge Augmentation Technique (SMART) and Flapless technique for Bone Graft. PerioProtect is a non-invasive chemical debriding therapy that involves a customized tray for patients to help manage biofilms, growing in the spaces or pockets between teeth and gum tissue. Tri-immuno phasic therapy is minimally invasive technique, by William Hoisington, which allows clinician to go under the gum line and destroy anaerobic bacteria non-surgically. SMART was suggested by Kent et al. in which a small vertical incision is made in the alveolar ridge and bone graft injected under the periodontium. Flapless technique for bone graft is a non-invasive technique which involves scaling and root planing, and insertion of single grains of bone mineral through the crevicular space into the pocket until it is completely filled. These minimally invasive procedures offer an efficient, safe less traumatic alternative in the treatment of periodontitis.
Aim: To compare the effectiveness of a Single Tuft Toothbrush (STB) with Conventional Toothbrush (CT) for the control of dental plaque. Materials and Methods: Chronic generalized gingivitis patients (n=25) were selected and received professional oral prophylaxis. All the subjects were reevaluated after 7 days and based on the periodontal evaluation (probing pocket depth and clinical attachment level), only periodontally healthy subjects (n=20) were included in the study. Subjects were randomly divided into 2 groups: STB group (n=20); CT group (n=20). Subjects were instructed to use only the assigned toothbrush for 72 hours with a 3-day washout period. The evaluated parameters were Gingival index (Loe and Silness,1963), disclosed plaque index and modified sulcular bleeding index (Momblli,1987) at baseline (T=0) and at the end of each experimental period (T=72). Results: On intragroup comparison there was statistically significant difference in all the parameters in both groups at 72 hours (p<0.05). On intergroup comparison, statistically significant decrease in all the parameters were seen in ST group (p=0.00). Conclusion:Single tuft brushes are more effective for control of dental plaque as compared to conventional toothbrush.
The purpose of maintaining the roots of one or more natural teeth in the oral cavity is to reduce the rate of ridge resorption, maintaining proprioception and providing alveolar bone support and achieve better stability of the denture with emphasis on psychological aspect of not being completely edentulous. This case report describes the utilization of the endodontically treated remaining natural roots to fabricate an overdenture that provided better retention than a conventional complete denture.
Implant abutments are artificial devices that are connected to the dental implants after the healing process is over. The abutments are used to attach a crown, bridge, or removable denture to the implant fixtures. Accurate prosthodontic rehabilitation is the key factor for providing the long-term success and the survival of osseointegrated implants. A precise fit of the implant is crucial since microgaps at the implant-abutment interface allow for microbial colonization, which can lead to peri-implant tissue inflammation. Polyetheretherketone (PEEK) has been used for academic investigations and commercialization of several dental devices, such as dental implants, abutments, healing caps, orthodontic braces, and most notably denture prosthetic frameworks.
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