The findings of this study showed that periodontitis causes pulp volume to reduce by approximately 20%. The use of three-dimensional models provides better understanding of the dental anatomy before endodontic treatment and, consequently, improvement of treatment outcomes. Additional studies are needed to investigate the effect of periodontal disease on pulp volume and surface area.
Objective: This study aimed to assess the effect of passive tobacco smoking (PTS) through the comparison of the periodontal status and the C-reactive protein (CRP) and cotinine levels in the biologic fluids in children who are exposed and unexposed to PTS. Methods: A total of 148 participants, whom had smokers (PTS-exposed, n=82) and non-smokers (PTS-unexposed, n=66) in their families, respectively, were included in the study. Gingival index, plaque index, probing depth, and bleeding on probing were recorded. Moreover, saliva, urine, and gingival crevicular fluid samples were collected. CRP and cotinine levels in the biological fluids were determined by the enzyme-linked immunosorbent assay method. Results: Both groups exhibited similar values for periodontal parameters and salivary CRP levels were higher in PTS-exposed group but not significant. The mean urinary cotinine level was significantly higher in children exposed to PTS than in unexposed children. Conclusions: There was no evidence for causative role of PTS in periodontal disease in this study. Longitudinal studies including large populations should be conducted to provide stronger evidence for the causative role of PTS in periodontal disease. Also, further epidemiological studies on the social context of smoking should be performed to improve the quality of life and lifespan of the society
Congenital erythropoietic porphyria (CEP) is an extremely rare disorder involved in chronic porphyrias. One of the recommended evaluations to determine disease severity and needs of a person with CEP is dental assessment. Objective: To present a case of CEP and its oral rehabilitation. Case Report: A 32-year-old female patient was admitted to the clinic with hyperkeratinization, skin fragility, fissures, and wounds in her perioral region and hands. Intraoral gingival bleeding, mucogingival stress, and missing teeth were recorded. After medical consultation, phase I and II periodontal therapies were performed. The patient expressed satisfaction of the results of the procedures in terms of the parameters evaluated. The rare occurrence of the disease may delay the diagnosis. An unmet need still exists for multidisciplinary orientation of patients with CEP. Conclusion: Dentists should have and follow guidelines for treating patients with CEP.
To present the clinical presence, histopathological features, and management of a rare peripheral odontogenic fibroma (POF) case. A 32-year-old male patient was referred to the clinic complaining of a localized gingival enlargement of the anterior maxillary region. Initial periodontal treatment was delivered and the patient was informed about proper oral hygiene. After the initial periodontal treatment, the lesion was surgically excised while preserving the marginal line. POF was diagnosed based on clinical and histopathological findings. Normal mechanical oral hygiene was established in the postoperative period. No recurrence was observed during this follow-up period, and the patient was included in the maintenance phase. POF was treated with local excision and the prognosis was excellent. Regular follow-ups are very important for such patients after surgery.
Objectives The aim of this study was to evaluate the effect of injectable platelet-rich fibrin (i-PRF) on gingival thickness (GT) and gingival recession (GR) in individuals with thin periodontal phenotypes using a semisurgical approach.Materials and methods In this prospective study, i-PRF was applied via a semisurgical method to augment 53 tooth regions with thin periodontal phenotypes. i-PRF injection was applied to the relevant areas in 4 sessions at an interval of 10 days. GT, GR, keratinized tissue width and periodontal parameters were also recorded before treatment and at 6 months after the last injection.Results A statistically significant difference was observed in GT and GR values at the end of the study compared to baseline. Accordingly, an increase in GT was achieved in 92.5% of the areas treated with i-PRF, and the desired GT (0.8 mm) was achieved in 44.9% of these areas. In addition, significant reductions in the amount of recession were observed in 83.3% of the 12 GR areas (p = 0.005). Moreover, complete coverage was achieved in 60% of these regions.Conclusion With the new i-PRF semisurgical method, which we introduced in this first preliminary study, we showed that GT can be increased in tooth regions with thin gingiva and that areas of GR can be covered. Further comprehensive studies are needed to fully understand the role of i-PRF in enhancing angiogenesis and the histoconductive properties of this fully autogenous blood concentrate.Clinical relevance Classical periodontal plastic surgery applications cannot give predictable results in areas with thin periodontal phenotypes, especially in the case of bone dehiscence and fenestration. In some cases, undesirable progressive GR in these tooth regions also draws attention. With this new i-PRF semisurgical method, successful and predictable treatments can be applied in tooth areas with thin gingiva by increasing angiogenesis and taking advantage of the histoconductive properties of i-PRF.
PurposeDespite the high success rates of endosseous dental implants, their placement is restricted according to the height and volume of bone available. The use of short or mini dental implants could be one way to overcome this limitation. Thus, this study aimed to compare standard, short, and mini dental implants with regard to associated clinical parameters and peri-implant crevicular fluid (PICF) levels of cathepsin -K (CTSK), RANK ligand (RANKL), and osteoprotegerin (OPG), after prosthodontic loading.MethodsA total of 78 non-submerged implants (Euroteknika, Aesthetica+2, Sallanches, France) were installed in 30 subjects (13 male, 17 female; range, 26-62 years) who visited the clinic of the Periodontology Department, Faculty of Dentistry, Selcuk University. Sampling and measurements were performed on the loading date (baseline) and 2, 14, and 90 days after loading. Assessment of the peri-implant status for the implant sites was performed using the pocket probing depth (PPD), modified plaque index, modified gingival index, modified sulcular bleeding index, and radiographic signs of bone loss. PICF samples collected from each implant were evaluated for CTSK, RANKL, and OPG levels using the ELISA method. Keratinized tissue and marginal bone loss (MBL) were also noted.ResultsClinical parameters statistically significantly increased in each group but did not show statistical differences between groups without PPD. Although implant groups showed a higher MBL in the upper jaw, only the standard dental group demonstrated a statistically significant difference. At 90 days, the OPG: sRANKL ratio and total amounts of CTSK for each group did not differ from baseline.ConclusionsWithin the limitations of this study, both short and mini dental implants were achieving the same outcomes as the standard dental implants in the early period after loading.
Endo-perio lesion is the association of periodontal and pulpal disease contained in the same dental site. In this case, periodontal plastic surgery was performed for the treatment of a periodontal defect that occurred as a result of iatrogenic perforation during endodontic treatment.A 45-year-old female patient was referred because of a non-aesthetic condition and gingival pain in the maxillary anterior area. It was diagnosed as an endo-perio lesion of primary endodontic with secondary periodontal involvement. Initial treatment including the removal of etiological factors, scaling and root planning, and oral hygiene instruction was carried out. After phase I therapy, for treatment of the remaining gingival recession, a laterally positioned flap (LPF) design, which has an excellent post-operative healing process, was combined with platelet-rich fibrin (PRF) obtained from autologous blood. The usage of a LPF design combined with PRF for the treatment of the endo-perio lesion as a result of iatrogenic damage showed satisfactory results such as root coverage, an aesthetic condition with an adequate band of keratinized tissue, and reduced postoperative discomfort.
Background: In order to reduce post-operative failure and ensure successful rehabilitation, patients scheduled for dental implant treatment are often evaluated pre-operatively using radiographic images in addition to clinical examination. This study aimed to investigate the reliability of digital panoramic radiography in the pre-implant site assessment. Methods: Panoramic images of 150 patients with the total of the 396 implants placed in the maxilla (n=165) and mandible (n=231), were examined in the study. Radiographic measurements (vertical and horizontal) were recorded on the computer using the automatic calibration tab for each radiograph and compared with the actual implant dimensions. Moreover, the effects of location, gender, and change in dimensions on magnification rate (MR) were also investigated. The measurements were made by two experienced observers. Results: Panoramic vertical measurements were significantly higher in both the maxilla and mandible compared to the actual implant lengths (p
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