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1
Ceyhan, Derya, and Burcu Gucyetmez Topal. "An 18-Month-Old Child with Infantile Pompe Disease: Oral Signs." Case Reports in Dentistry 2017 (2017): 1–3. http://dx.doi.org/10.1155/2017/5685941.
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We aim to create an information platform by contributing orodental findings of Pompe disease to literature. An 18-month-old male patient with Pompe disease was referred to our clinic due to swelling of the gums. In first dental examination, a nonfluctuant, normal gingiva colored swelling at the right anterior region of maxilla was detected. His parents were recommended to perform finger massage to the region. Six months later, 51, 52, 62, and 74 numbered teeth had erupted, there was a fusion between 51 and 52 numbered teeth, 84 numbered tooth was seen to be erupted, and a swelling at the site of this tooth, similar to previous one, was present. Finger massage was recommended for this area as well, and the swelling was found to have decreased at the follow-up, one week later. Tooth eruption problems and developmental dental abnormalities should be included in the signs for Pompe disease.
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Ozdemir, Hakan, Ismail Marakoglu, Melih Akyol, O. Fahrettin Goze, and Ulvi Kahraman Gursoy. "Klippel-Trénaunay Syndrome Manifesting as Gingival Overgrowth and Teeth Agenesis." Journal of Clinical Pediatric Dentistry 34, no. 4 (July 1, 2010): 351–54. http://dx.doi.org/10.17796/jcpd.34.4.l41414372l4332m1.
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Objective: Klippel-Trénaunay syndrome (KTS) is characterized by triad of venous varicosity, naevus flammeus,and soft/hard tissue hypertrophy. Manifestations of the syndrome in the head and neck region are rare,but in some cases hemangioma of the lips, tongue, and gums, open bite and cross bite, and early tooth eruption are associated with the disease. Study design: We report a 12-year-old KTS patient with gingival hyperplasia,congenital missing teeth, and increased mucosal vascularization as oral manifestations. Results and conclusion: All manifestations of the KTS were observed on the same side of the head, except bilateral missing teeth. Histological examination showed several vascular enlargements in enlarged gingiva. It is suggested that oral manifestations of the syndrome are generally related to the severity of the disease, but they do not always present in the same pattern.
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Tetelepta, Febri EN, and Andi M. Adam. "Early detection of odontoma in patients with clinical features of periodontal disease: a case report." Journal of Case Reports in Dental Medicine 1, no. 1 (May 2, 2019): 5. http://dx.doi.org/10.20956/jcrdm.v1i1.83.
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Objective: Chronic periodontitis is an infection of the gingiva that causes damage to the soft tissues and tooth-supporting bones. Chronic periodontitis is usually a slowly progressive disease that does not cause the affected individual to feel pain. For most patients, gingival bleeding during oral cleansing procedures is a sign of reported disease. Odontoma is an odontogenic tumor, characterized by slow growth. The tumor consists of enamel, dentin, cementum and sometimes pulp tissue.Methods: A 38-year-old male patient complaints swollen gums on the right upper back region. Clinical examination showed the presence of gingiva swelling, fistula, and grade 3 teeth mobility. In the systemic condition of the patient, malaise, fever and lymphadenopathy were not found. The treatment plan includes subgingival scaling treatment as well as antibiotic therapy as initial therapy. Advanced treatment is then continued with curative therapy with surgical extirpation, periodontal surgery and bone graft.Results: The success of treatment is shown by controlled inflammatory as well as probing depth. The condition of the teeth and the dental-jaw relationship has been restored after treatment.Conclusions: Chronic periodontitis with odontoma indicates treatment options according to the severity of the disease, access to mechanical care, and the patient's systemic condition.Keywords: Bone grafting, Gingival overgrowth, Odontoma, Surgical flap.
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Shetty, Rajesh, Karkala Syed Suhaim, Shriya Deepak Jain, Sanath Kumar Shetty, and Mariyam Zehra. "A Lifeline for a Hopeless Tooth - A Multidisciplinary Approach." Journal of Evolution of Medical and Dental Sciences 10, no. 12 (March 22, 2021): 915–17. http://dx.doi.org/10.14260/jemds/2021/197.
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Restoration of traumatic teeth with complicated crown root fracture poses many challenges to the clinicians. When the fracture line is below the level of gingiva, the prognosis of such fractured tooth is considered questionable or hopeless. Treating such cases is also challenging as they are associated with loss of ferrule and compromised biological width. Preservation of such diseased natural teeth usually involves a multi-disciplinary approach involving endodontic therapy, periodontal crown lengthening and / or orthodontic extrusion followed by prosthetic rehabilitation. Tooth injuries and complicated tooth fractures especially in the aesthetic region pose a great challenge to the clinician.1 When the fracture line extends at or below the level of cement enamel junction, the prognosis of such tooth is considered questionable or hopeless; they are usually associated with the loss of ferrule and compromised biological width, and therefore restoration of such teeth becomes a great challenge. To ensure functional longevity, endodontically treated teeth with less coronal structure must have at least 5 mm of tooth structure coronal to the crestal bone. Three milli meters of tooth structure is needed to maintain a healthy soft tissue complex, and 2 mm of coronal tooth structure incisal to the preparation finish line is necessary to ensure structural integrity.2 There are mainly two reasons why a tooth extraction should be avoided: Structural reasons and psychological stress associated with extraction. Psychological stress can be in the form of financial stresses associated with extraction and rehabilitation of the same and fear of post-traumatic pain. Extraction of tooth is also followed by aesthetic challenges as it may lead to hard and soft tissue resorption as the healing architecture is unpredictable. In this case report a simple yet effective treatment is presented for a 21-year-old female patient with a chief complaint of clinical tooth fracture in relation to 44. After thorough clinical and radiographic examination, it was decided to reinforce the use of flexible glass fibre post and incorporate the same as tags to engage E chain to facilitate orthodontic tooth extrusion followed by prosthetic rehabilitation. The purpose of this case report is to describe the use of a simple chair side technique for a tooth fractured at the level of cementoenamel junction (CEJ) with forced tooth eruption.
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Kotsakis, Georgios, Vanessa Chrepa, Nicolas Marcou, Hari Prasad, and James Hinrichs. "Flapless Alveolar Ridge Preservation Utilizing the “Socket-Plug” Technique: Clinical Technique and Review of the Literature." Journal of Oral Implantology 40, no. 6 (December 1, 2014): 690–98. http://dx.doi.org/10.1563/aaid-joi-d-12-00028.
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It has been documented that after every extraction of one or more teeth, the alveolar bone of the respective region undergoes resorption and atrophy. Therefore, ridge preservation techniques are often employed after tooth extraction to limit this phenomenon. The benefits of a flapless procedure include maintenance of the buccal keratinized gingiva, prevention of alterations to the gingival contours, and migration of the mucogingival junction that are often experienced after raising a flap. The purpose of this article is to review the literature concerning flapless ridge preservation techniques with the aid of collagen plugs for occlusion of the socket. The term “socket-plug” technique is introduced to describe these techniques. The basic steps of the “socket-plug” technique consist of atraumatic tooth extraction, placement of the appropriate biomaterials in the extraction site, preservation of soft tissue architecture employing a flapless technique, and placement and stabilization of the collagen plug. A case example is presented that illustrates the steps used in this technique.
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Salmiah, Siti. "Perawatan Gigi Natal dengan General Anastesi pada Bayi Usia 3 Bulan : Laporan Kasus." Talenta Conference Series: Tropical Medicine (TM) 1, no. 1 (October 2, 2018): 197–201. http://dx.doi.org/10.32734/tm.v1i1.68.
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Gigi natal dan neonatal merupakan kasus gigi yang tumbuh sejak bayi lahir atau selama 30 hari setelah bayi lahir. Kasus ini merupakan kelainan erupsi pada gigi desidui, dimana gigi erupsi sebelum atau lebih cepat dari waktunya. Insidensi gigi natal berkisar 1: 2000 sampai 1: 3000 angka kelahiran. Gigi natal dan neonatal biasanya tumbuh pada rahang bawah bagian depan sehingga menyebabkan masalah dalam pemberian ASI, karena gigi tersebut menyebabkan luka pada gingiva, mukosa oral, lidah bayi dan puting susu ibu. Selain itu, karena gigi belum terbentuk sempurna dan hanya berpegang pada tepi gusi menyebabkan gigi goyang. Hal ini dikhawatirkan gigi dapat terlepas dan tertelan sehingga dapat menyebakan gangguan pernafasan. Pada kasus ini, bayi lahir dengan gigi sudah erupsi pada rahang bawah bagian depan. Orangtua tidak langsung membawa bayi kedokter gigi dan membiarkan saja kondisi tersebut sampai bayi berusia 3 bulan dan gigi sudah menyebabkan pembengkakan dan ulkus digingiva anterior rahang bawah dan atas, dilabial rahang atas dan permukaan ujung lidah. Kondisi ini menyebabkan bayi tidak mau minum susu sehingga berat badannya turun. Perawatan pada gigi natal ini dilakukan ekstraksi dengan general anastesi karena kondisi bayi tidak memungkinkan untuk dikerjakan diunit dental praktek dokter gigi. Kesimpulannya perawatan gigi natal harus segera dilakukan sebelum menimbulkan masalah lebih lanjut pada bayi.
Natal and neonatal teeth are teeth that appear since the infant was born or in the first 30 days after birth. This is an abnormal eruption in deciduous teeth, where the teeth erupt before or faster than the time. The incidence of natal teeth ranges from 1:2000 to 1:3000 birth rates. Natal and neonatal teeth usually appear on front lower jaw causing problems in breastfeeding because the teeth cause pain to the gingiva, oral cavity, infant's tongue and mother's nipples. In addition, because the teeth have not been fully formed and only held on to the edge of the gums, it causes the teeth shaky. It is feared that the teeth can be fell out and swallowed which can cause respiratory problems. In this case, the infant was born with erupted teeth in the front jaw. Parents did not take the infant to the dentist immediately and let the condition until the infant aged 3 months. The teeth caused swelling and ulcer in anterior gingiva of the lower and upper jaw, in the maxillary labialfrenum, and on the tip of the tongue. This condition caused the infant did not want to drink milk so that his weight dropped. General anesthesia for extraction was taken to treat the natal teeth because of impossible condition to take the infant to a dental practice unit. In conclusion, natal dental care had to be done immediately before causing further problems for infants.
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Al-Jundi, Azzam, Basem Al Sabbagh, and Jagan K. Baskaradoss. "Evaluation of Periodontal Changes Adjacent to Extraction Sites during Upper Canine Retraction." Journal of Contemporary Dental Practice 18, no. 2 (2017): 117–25. http://dx.doi.org/10.5005/jp-journals-10024-2001.
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ABSTRACT Introduction There is an intimate relationship between orthodontic therapy and the periodontal changes that occur during tooth movement. Materials and methods This prospective clinical trial aims at investigating the movement of both the free and attached gingiva, as well as the movement of the alveolar bone in the extraction site of the upper 1st premolars during the retraction of the upper canines. In this study, 17 patients (10 female, 7 male) requiring 1st premolar extraction before orthodontic tooth movement were selected and treated at the Department of Orthodontics in the Faculty of Dentistry in University of Hama, Hama, Syria. The upper 1st premolars were extracted, and the implant AutoTacs were applied on the alveolar bone afterward. Then, measurements between the center of the implant AutoTacs and the L-shape wire were taken, utilizing digital Vernier caliper. After 3 weeks of extraction, tattooing marked points were placed on the free and the attached gingival, and the measurements were taken using the same digital Vernier caliper. Closed coil springs made of nickel-titanium were used to retract the upper canines, and a force of 150 gm was applied. Results The results of this study showed significant differences between the movement of both the free and attached gingiva and the movement of the corresponding upper canines (p < 0.001). The movement of the free gingiva had formed about 77% of the amount of the movement of the upper canine retraction. No significant differences were detected between the place of implant AutoTac X1 and the L-shaped wire (W) during the retraction of the upper canine. On the contrary, significant differences were noticed between the place of implant AutoTac X2 and the L-shaped wire (W) during the retraction of the upper canine (p < 0.001). Conclusion There is significant movement of hard and soft tissues during and after premolar extraction and orthodontic therapy. Clinical significance The movement of supporting tissues of the teeth along with the alveolar bone during canine retraction is an important biological characteristic of the orthodontic tooth movement. Clinicians need to understand the role and importance of the supporting tissues during orthodontic treatment, which needs to be incorporated into their routine clinical evaluations. How to cite this article Al-Jundi A, Al Sabbagh B, Baskaradoss JK. Evaluation of Periodontal Changes Adjacent to Extraction Sites during Upper Canine Retraction. J Contemp Dent Pract 2017;18(2):117-125.
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Figueiredo, Cássio Messias Beija Flor, Leonardo Raniel Figueiredo, Luy de Abreu Costa, Paulo Koji Hara Sonoda, Julliana Cariry Palhano Freire, Eduardo Dias-Ribeiro, and Celso Koogi Sonoda. "Integrated clinical treatment of external cervical resorption: Case report." Research, Society and Development 10, no. 5 (May 16, 2021): e54410515340. http://dx.doi.org/10.33448/rsd-v10i5.15340.
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External cervical resorption (ECR) has an inflammatory nature and the proximity to the gingival sulcus favors contamination and progression of the lesion. Change in crown color, inflammation of the marginal gingiva or even the presence of secretion in the gingival sulcus are the main clinical signs. Being an asymptomatic lesion, it can be neglected and its progression can jeopardize the tooth involved. This report describes the treatment of a patient who presented two teeth with ECR. On clinical examination, the crown of tooth 17 showed a pinkish translucency on the occlusal surface. On tooth 12, this spot was dark and located in the cervical third of the labial surface of the crown. Both the teeth were asymptomatic, and the radiographic examination showed an image comparable with root resorption in the cervical third of the crown. On tooth 17, the middle and cervical third of the crown was compromised and the pulp vitality test was negative. The treatment for the case was extraction. A tomographic examination of tooth 12 demonstrated pulpal involvement and biologic width violation. The vitality test was positive. After endodontic treatment, the tooth was extruded by 4 mm, the resorbed area was exposed and restored with composite resin. A 39-month clinical and radiographic control showed integrity of the root surface and the periodontium. It was found that early diagnosis influences the prognosis of treatment considering the speed of progression of resorption. It emphasizes the importance of clinical and radiographic control of the clinical conditions that predispose to ECR.
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Earar, Kamel, Ioan Sirbu, Ctristian Onisor, and Elena Luca. "Oral Rehabilitation on Implants and Introduction of Pathogenic Mechanisms in Relation to Oral Implants - Sugar Diabetes." Revista de Chimie 70, no. 10 (November 15, 2019): 3750–52. http://dx.doi.org/10.37358/rc.19.10.7639.
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Dental implants are made of medical titanium and perfectly fit into human bone tissue; the dental implant can last a lifetime. Not beeing living organic structures, there are no nerve endings, neither at the implant level nor at the artificial crown level. The use of quality implants by an experienced implantologist, assisted by advanced technology, transforms the treatment with dental implants into the medical-surgical act with the highest success rate among dental and even medical treatments.Through the complete replacement of the tooth, including the root, can artificially reproduce the function of the natural tooth, with a strong and stable base. The implant crown, made of aesthetic materials (porcelain, zirconium) and anchored to it by means of the prosthetic abutment, will be surrounded by a healthy and aesthetic gum. Especially if the prosthetic abutment (the connecting element between the implant itself and the artificial crown) will be made of zirconium - natural light will cross ceramic layers, similar to enamel and dentine, offering a white of envy and glitter to the smile. Around the porcelain crowns (whole ceramics or zirconia ceramics) the gingiva will conform healthily, without the slightest sign of inflammation. These elements, the white of the teeth and the pink of the gums define the concept of dental aesthetics. The main problems that diabetic patients may encounter, are gingival inflammation and periodontal disease, dental mobility and tooth loss. When a dental implant is influenced by the type of diabetes, its failure rate is higher in patients with type 1 diabetes than in patients with type 2 diabetes. The study included a number of 56 patients, who presented themselves for performing an implant. Of these, 7 patients did not perform an implant. Diabetes mellitus defines a chronic metabolic disorder, which may have multiple etiopathogenesis, characterized by changes in carbohydrate, lipid and protein metabolism. Stability of the implant in the bone, immediately after implantation is crucial for the success of the treatment; this immediate stability is called primary stability and is purely mechanical in nature.
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D'Addona, Antonio, Marjan Ghassemian, Luca Raffaelli, and Paolo Francesco Manicone. "Soft and Hard Tissue Management in Implant Therapy—Part I: Surgical Concepts." International Journal of Biomaterials 2012 (2012): 1–8. http://dx.doi.org/10.1155/2012/531202.
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Implant therapy has become a reliable and predictable treatment alternative for the replacement of missing teeth with conventional removable and fixed partial dentures. Recently though, in the pursuit for improved esthetics, the literature has dedicated a considerable amount of its research on the successful maintenance and regeneration of the surrounding gingiva and bone, which are lost following extraction of a tooth. Thoroughly analyzing the anatomic situation and well-planned treatment has become a requirement, because incorrectly planned and positioned implants may jeopardize long-term esthetic and functional prognosis. In addition, many types of biocompatible materials, autogenous hard and soft tissue grafts, and different surgical techniques have been developed, and their viability has been investigated. As a result, implant specialists have gained a greater understanding of the dynamics and anatomical and biological concepts of the periodontium and peri-implant tissues both at the surgical and prosthetic phases of treatment, which contributes to better soft and hard tissue management (SHTM). This may further contribute to achieving a superior final result which is obtained by having a harmonious soft tissue profile, a correctly placed and contoured final restoration, and the reestablishment of masticatory function and phonetics.
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Liu, Kaining, Bing Han, Jianxia Hou, Jianyun Zhang, Jing Su, and Huanxin Meng. "Expression of vitamin D 1α-hydroxylase in human gingival fibroblasts in vivo." PeerJ 9 (January 4, 2021): e10279. http://dx.doi.org/10.7717/peerj.10279.
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Background Vitamin D 1α-hydroxylase CYP27B1 is the key factor in the vitamin D pathway. Previously, we analyzed the expression of CYP27B1 in human gingival fibroblasts in vitro. In the present study, we analyzed the gingival expression of CYP27B1 in vivo. Methods Forty-two patients with periodontitis Stage IV Grade C and 33 controls were recruited. All patients with periodontitis had unsalvageable teeth and part of the wall of the periodontal pocket was resected and obtained after tooth extraction. All controls needed crown-lengthening surgery, and samples of gingiva resected during surgery were also harvested. All the individuals’ gingivae were used for immunohistochemistry and immunofluorescence. In addition, gingivae from seventeen subjects of the diseased group and twelve subjects of the control group were analyzed by real-time PCR. Results Expression of CYP27B1 was detected both in gingival epithelia and in gingival connective tissues, and the expression in connective tissues colocalized with vimentin, indicating that CYP27B1 protein is expressed in gingival fibroblasts. The expression of CYP27B1 mRNA in gingival connective tissues and the CYP27B1 staining scores in gingival fibroblasts in the diseased group were significantly higher than those in the control group. Conclusions Expression of CYP27B1 in human gingival tissues was detected, not only in the fibroblasts of gingival connective tissues, but also in the gingival epithelial cells, and might be positively correlated with periodontal inflammation.
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Hasan, Ali M. "The Efficiency Of Physics Forceps In Comparison To The Conventional Dental Extraction Forceps: A randomized Clinical Trial." Journal of Baghdad College of Dentistry 31, no. 2 (June 15, 2019): 52–59. http://dx.doi.org/10.26477/jbcd.v31i2.2624.
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Background: Tooth extraction is one of the most commonly performed procedures in dentistry. It is usually a traumatic process often resulting in immediate destruction and loss of alveolar bone and surrounding soft tissues. Various instruments have been described to perform atraumatic extractions which can prevent damage to the paradental structures. The physics forceps is one of those innovations in dental extraction technologies that claim to provide an efficient means for atraumatic dental extractions. Materials and method: A randomized clinical trial was conducted to compare the physics forceps with the conventional forceps for the removal of 28 mandibular single rooted teeth under the following parameters: incidence of crown, root, buccal alveolar bone fracture, the incidence of gingival tear and time needed for extraction. The samples were assigned randomly into two groups according to the computer based randomization software, into a control group (A) and study group (B). The control group was subjected to the surgical extraction procedure using the conventional forceps while the study group was subjected to the surgical extraction procedure using the physics forceps. Results: results showed that the time required for extraction using the physics forceps was (mean 0.385 min.), which was significantly lesser as compared with that of conventional forceps (mean 3.971 min.) (P=0.011), buccal bone fracture occurred in 4 out of 14 cases (28.57%) using the conventional forceps while it did not occur with the use of the physics forceps (0.00%), crown fracture occurred in 3 cases using the conventional forceps (21.43%), while it did not occur with the use of the physics forceps (0.00%), root fracture occurred in 1 case using the physics forceps (3.57%), while it did not occur with the use of the conventional forceps (0.00%). As for the gingival tear, it occurred in 7 cases using the conventional forceps (50.00%), while it did not occur with the use of the physics forceps (0.00%) which was highly significant (P=0.006). Conclusions: the use of physics forceps maintains the integrity of gingiva and surrounding periodontium. So extractions using physics forceps are less invasive over conventional forceps and can be considered as a reliable method for extraction requiring significantly less comparative intraoperative time.
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Turkyilmaz, Ilser, and Jose Carlos Suarez. "An Alternative Method for Flapless Implant Placement and an Immediate Provisional Crown: A Case Report." Journal of Contemporary Dental Practice 10, no. 3 (2009): 89–95. http://dx.doi.org/10.5005/jcdp-10-3-89.
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Abstract Aim The aim of this case report is to present a description of bone mapping as an alternative method to determine the dimensions of bone prior to placement of a flapless implant and an immediate provisional crown. Background The use of a temporary removable partial denture (RPD) or “flipper” during healing following an extraction is not acceptable for some highly demanding patients. As a result, flapless implant placement is gaining popularity because it offers some advantages such as less bleeding, less swelling, and the protection of soft tissue contours. Case Report A 65-year-old woman missing a maxillary left lateral incisor was treated using flapless implant placement and an immediate provisional acrylic crown. Under local anesthesia, the bone anatomy was mapped by inserting a standard periodontal probe in the gingiva. By using the recorded measurements, the thickness of soft tissue was removed from the cast. A surgical guide based on this adjusted model was fabricated prior to surgery. The guide was seated on the teeth when actual surgery was performed to facilitate bone drilling and then the implant was placed. Utilizing the previously fabricated acrylic tooth index, the temporary acrylic crown was fabricated on the adjusted temporary metal abutment and delivered to the patient the same day. Summary In this case report the missing maxillary left lateral tooth was restored using flapless implant placement and an immediate provisional single crown. The dimension of the bone at the implant recipient area was determined by an alternative bone mapping method. Clinical Significance This case report suggests the use of flapless implant placement using the bone mapping method and immediate provisional crowns for single crowns when esthetics are a high priority and preserving ideal soft tissue contours and papillary heights are critical. Citation Turkyilmaz I, Suarez JC. An Alternative Method for Flapless Implant Placement and an Immediate Provisional Crown: A Case Report. J Contemp Dent Pract 2009 May; (10)3:089-095.
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Kaswar, Andi Baso, Saprina Mamase, Saiful Bahri Musa, Ahmad Mustofa Hadi, Anny Yuniarti, and Agus Zainal Arifin. Jurnal Ilmu Komputer dan Informasi 8, no. 2 (August 27, 2015): 60. http://dx.doi.org/10.21609/jiki.v8i2.303.
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Dental record is a method that is used to identify a person. The identification process needs a system that could recognize each individual tooth automatically. The similar intensity level between the teeth and the gums is one of the main problem in tooth identification in a dental radiograph. The intensity problem could influence the segmentation process of the system. In this paper, we proposed a new contrast enhancement by using parameter sigmoid transform to increase the segmentation accuracy. There are five main steps in this method. The first step is to fix the contrast of the image with the proposed method. The next steps are to segment the teeth using horizontal and vertical integral projection, feature extraction, and classification using Support Vector Machine (SVM). The last step is teeth numbering. The experiment result using the proposed method have an accuracy rate of 88% for classification and 73% for teeth numbering.
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Gómez-Costa, Diego, Jesús San-Roman-Montero, Rosa Rojo, Ángel Gil, Rafael Gómez de Diego, and Antonio F. López-Sánchez. "Self-reported prevalence of periodontal disease among the Spanish population and immigrants: 2006, 2011/12 and 2017: a population-based study." BMC Oral Health 21, no. 1 (April 28, 2021). http://dx.doi.org/10.1186/s12903-021-01579-z.
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Abstract Background Periodontal disease is one of the most common pathologies in the population. Self-reporting has been used as a diagnostic tool in large populations, among other reasons, to detect the needs of potentially vulnerable groups. This study evaluated the prevalence of periodontal disease in people of Spanish nationality and immigrants in Spain. Methods This population-based, cross-sectional study was carried out using data obtained from National Health Interview Surveys (NHSs) carried out in 2006, 2011/2012 and 2017 in Spain. Subjects aged 16 years and older were included in the NHS-2006 and aged 15 years and older were included in the other NHSs. The following variables were self-reported by the participants: gum bleeding, tooth mobility, tooth extraction and missing teeth. Chi-square homogeneity tests were performed to assess the main associations between the independent variable (nationality) and the dependent variables (bleeding gums, tooth mobility, tooth extraction and missing teeth). Multinomial logistic regression models were constructed to evaluate the influences of the variables age and sex and their interactions on the main associations. Results A total of 115,123 participants were included in the NHS-2006 (n = 37,327, 11.38% immigrants), NHS-2011/12 (n = 38,727, 14.39% immigrants) and NHS-2017 (n = 39,069, 13.71% immigrants). The variables directly related to periodontal disease were gum bleeding and tooth mobility. These were significantly associated with nationality in the NHS-2006 and NHS-2017 cohorts. In the NHS-2011/12 cohort, only tooth mobility was associated with nationality. After adjustments for sex, age, and their interactions, immigrant status was associated with increased odds of bleeding in only the NHS-2006 cohort (RR = 1.65, 95% CI 1.38–1.99, p = 0.000). Conclusion Immigrants in Spain have a lower probability of developing signs associated with periodontal disease than the Spanish population. Among the immigrant cohort, females and those in adult age groups had lower prevalence rates than their counterparts.
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"Oral Rehabilitation on Implants and Introduction of Pathogenic Mechanisms in Relation to Oral Implants - Sugar Diabetes." Revista de Chimie 70, no. 10 (November 14, 2019): 3750–52. http://dx.doi.org/10.37358/rc.19.10.3750.
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Dental implants are made of medical titanium and perfectly fit into human bone tissue; the dental implant can last a lifetime. Not beeing living organic structures, there are no nerve endings, neither at the implant level nor at the artificial crown level. The use of quality implants by an experienced implantologist, assisted by advanced technology, transforms the treatment with dental implants into the medical-surgical act with the highest success rate among dental and even medical treatments.Through the complete replacement of the tooth, including the root, can artificially reproduce the function of the natural tooth, with a strong and stable base. The implant crown, made of aesthetic materials (porcelain, zirconium) and anchored to it by means of the prosthetic abutment, will be surrounded by a healthy and aesthetic gum. Especially if the prosthetic abutment (the connecting element between the implant itself and the artificial crown) will be made of zirconium - natural light will cross ceramic layers, similar to enamel and dentine, offering a white of envy and glitter to the smile. Around the porcelain crowns (whole ceramics or zirconia ceramics) the gingiva will conform healthily, without the slightest sign of inflammation. These elements, the white of the teeth and the pink of the gums define the concept of dental aesthetics. The main problems that diabetic patients may encounter, are gingival inflammation and periodontal disease, dental mobility and tooth loss. When a dental implant is influenced by the type of diabetes, its failure rate is higher in patients with type 1 diabetes than in patients with type 2 diabetes. The study included a number of 56 patients, who presented themselves for performing an implant. Of these, 7 patients did not perform an implant. Diabetes mellitus defines a chronic metabolic disorder, which may have multiple etiopathogenesis, characterized by changes in carbohydrate, lipid and protein metabolism. Stability of the implant in the bone, immediately after implantation is crucial for the success of the treatment; this immediate stability is called primary stability and is purely mechanical in nature. Keywords: Dental implants, dental treatments, diabetes, failure rate
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Anggraeni, Widya, and Mirza Aryanto. "Perbedaan pengaruh apel Anna dan Granny Smith sebagai bahan pemutih gigi alamiDifferences between Anna and Granny Smith apples as natural tooth whitening ingredients." Jurnal Kedokteran Gigi Universitas Padjadjaran 31, no. 1 (April 30, 2019). http://dx.doi.org/10.24198/jkg.v31i1.21521.
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ABSTRAK Pendahuluan: Perubahan warna gigi dapat mempengaruhi kepercayaan diri seseorang. Penggunaan bahan kimia untuk memutihkan gigi dapat berdampak negatif seperti penurunan kekerasan email dan iritasi gingiva. Bahan alternatif yang dapat digunakan untuk memutihkan gigi yaitu dengan bahan alami yaitu apel Anna dan apel Granny Smith yang mengandung asam malat. Tujuan penelitian ini adalah untuk menganalisis potensi efektif buah apel Anna dan buah apel Granny Smith sebagai bahan alami pemutih gigi. Metode: Jenis penelitian eksperimental laboratorium menggunakan 27 gigi premolar pascaekstraksi yang dibagi dalam 3 kelompok. Kelompok 1 direndam dalam jus apel Anna, kelompok 2 direndam dalam jus apel Granny Smith serta kelompok 3 (kontrol) direndam dalam karbamid peroksida 10%. Sampel direndam dalam kopi selama 7 hari, kemudian direndam sesuai kelompok selama 1 hari, 3 hari, dan 5 hari. Perubahan warna diamati oleh 2 pengamat menggunakan shade guide VITAPAN® classic. Hasil: Apel Anna, apel Granny Smith, dan karbamid peroksida 10% dapat memutihkan gigi yang telah direndam kopi. Hasil uji Kruskal Wallis menunjukkan perbedaan rata-rata yang signifikan (p<0,05) dan dilanjutkan dengan uji Mann-Whitney yang menunjukkan perbedaan tidak bermakna antara kelompok yang direndam jus apel Granny Smith (p=0,122) setelah 3 hari perendaman yang menunjukan bahwa apel Granny Smith dapat memutihkan gigi sama seperti karbamid peroksida 10%. Simpulan: Jus apel Anna dan apel Granny Smith keduanya dapat memutihkan gigi dengan nilai yang sama. Jus apel Granny Smith lebih berpengaruh untuk memutihkan gigi dibandingkan jus apel Anna setelah 3 hari perendaman.Kata kunci: Apel, Anna, Granny Smith, Karbamid peroksida 10%, pemutihan gigi. ABSTRACTIntroduction: Tooth discolouration can affect a person's confidence. The use of chemicals for tooth whitening can have a negative impact such as a decrease in enamel hardness and gingival irritation. Alternative natural ingredients that can be used for tooth whitening are Anna apples and Granny Smith apples that contain malic acid. The purpose of this study was to analyse the effective potential of Anna and Granny Smith apples as natural tooth whitening ingredients. Methods: This research was an experimental laboratory study with 27 post extraction premolar teeth divided into 3 groups. Group 1 was immersed in Anna apple juice, group 2 was immersed in Granny Smith apple juice, and group 3 (control) was immersed in 10% carbamide peroxide. The samples were immersed in coffee for 7 days after, then immersed back in respective groups for 1 day, 3 days and 5 days. Colour change was observed by 2 observers using the VITAPAN® classic shade guide. Result: Anna apple, Granny Smith apple, and 10% carbamide peroxide can whiten the teeth after coffee immersion. The Kruskal Wallis test results showed a significant difference in the mean (p < 0.05), then continued with the Mann-Whitney test which showed no significant difference between the group immersed in Granny Smith apple juice (p = 0.122) after 3 days of immersion, indicating that Granny Smith apples can whiten the teeth as effective as 10% carbamide peroxide. Conclusion: Anna and Granny Smith apple juice are able to whiten the teeth with the same effectiveness. After 3 days of immersion, however, Granny Smith apple juice is more influential as the tooth whitening than Anna apple juice.Keywords: Apple, Anna, Granny Smith, 10% carbamide peroxide, tooth whitening.
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Lumuhu, Enny F. S., Martha M. Kaseke, and Wulan G. Parengkuan. "Perbedaan efektivitas jus tomat (Lucopersicon esculentum Mill.) dan jus apel (Mallus sylvestris Mill.) sebagai bahan alami pemutih gigi." e-GIGI 4, no. 2 (September 20, 2016). http://dx.doi.org/10.35790/eg.4.2.2016.13488.
Full textAbstract:
Abstract: Teeth appearance plays an important role in human interaction. One of its problems is tooth discoloration which can affect personal self confidence and appearance. Chemicals for whitening the teeth can cause negative effects such as decreased enamel hardness and gingival iritaion. An alternative material that can be used for that purpose is natural substance inter alia tomato juice (Lucopersicon esculentum Mill.) which contains hydrogen peroxide and apple juice (Mallus sylvestris Mill.) which contains malic acid. This study aimed to determine the difference in effectiveness of tomato juice and apple juice as natural bleaching agents. This was a true experimental study with a pretest postest only control group design. There were 30 samples of post-extraction anterior teeth soaked in coffee for 12 days and were further divided into 3 groups, each of 10 samples. Group 1 was immersed in tomato juice; group 2 was immersed in apple juice; and group 3 as the positive control was immersed in carbamide peroxide 10%. Each group was observed after 1 day, 3 days, and 5 days. The color change was measured by using CIEL*a*b method. The results showed that tomato juice, apple juice, and carbamide peroxide 10% could whiten the teeth. However, tomato juice was more effective compared to apple juice and carbamide peroxide 10%. Apple juice and carbamide peroxide 10% did not show any significant difference in color change. Keywords: tomato juice, apple juice, carbamide peroxide 10%, tooth discolorationAbstrak: Penampilan gigi berperan dalam interaksi manusia. Masalah dalam penampilan gigi salah satunya ialah perubahan warna gigi yang dapat memengaruhi kepercayaan diri dan keindahan penampilan seseorang. Penggunaan bahan kimia untuk memutihkan gigi dapat berdampak negatif seperti penurunan kekerasan email dan iritasi gingiva. Bahan alternatif yang dapat digunakan untuk memutihkan gigi yaitu dengan bahan alami antara lain jus tomat (Lucopersicon esculentum Mill.) yang mengandung hidrogen peroksida dan jus apel (Mallus sylvestris Mill.) yang mengandung asam malat. Penelitian ini bertujuan untuk mengetahui perbedaan efektivitas jus tomat dan jus apel sebagai bahan alami pemutih gigi. Terdapat 30 sampel gigi anterior pasca ekstraksi yang direndam kopi selama 12 hari. Sampel dibagi menjadi 3 kelompok masing-masing terdiri dari 10 sampel. Kelompok 1 direndam dalam jus tomat; kelompok 2 direndam dalam jus apel; dan kelompok 3 sebagai kontrol positif menggunakan karbamid peroksida 10%. Setiap kelompok dilakukan pengamatan 1 hari, 3 hari dan 5 hari. Perubahan warna diukur menggunakan metode CIEL*a*b. Hasil penelitian mendapatkan jus tomat, jus apel, dan karbamid peroksida 10% dapat memutihkan gigi. Jus tomat lebih efektif memutihkan gigi dibandingkan jus apel dan karbamid peroksida 10%. Jus apel dan karbamid peroksida 10% tidak memiliki perbedaan memutihkan gigi yang signifikan.Kata kunci: jus tomat, jus apel, karbamid peroksida 10%, perubahan warna gigi