Periodontal Regeneration In Clinical Practice: A Case Report *Corresponding Author: Dr. Riyaz Ahmad1 58 | Page of the tooth would be indicated in the case of hypermobile teeth which are to receive periodontal regeneration treatment. periodontitis and their effects on clinical periodontal parameters.A questioner including: age, gender and educational level was taken from (550) patients with chronic periodontitis and they were systemically healthy, also clinical periodontal parameters were obtained from each patient. endobj Patients with bone loss > or = 3mm were called to answer a questionnaire and undergo periodontal examination, in order to confirm or dismiss the diagnosis of aggressive periodontitis. Since early diagnosis ensures the greatest chance for successful treatment,97 it is important that children receive a periodontal examination as part of their routine dental visits. Aggressive periodontitis (AgP) is an inflammatory disease characterized by rapid attachment loss and bone destruction. This case report describes a combined technique of regenerative and antimicrobial/root conditioning used to treat a maxillary lateral incisor in a 32-year-old woman. ... curettage combined with non-surgical and surgical therapy. Here we report a case of generalized aggressive periodontitis treated with periodontal therapy including adjunct antimicrobial therapy and periodontal surgery. It also implies either infection with highly virulent bacteria and/or a highly susceptible subject. II. CLINICAL CASE REPORT Periodontal Disease and Diabetes Mellitus: Case Report H Marie Keeling1 Tamara L. Wright2 1Dental Student at Dalhousie University, BA, MA, Faculty of Dentistry, Dalhousie University, Halifax, NS, Canada 2BSc, MSc, DMD, Dip Perio, Department of Dental Clinical Sciences, Faculty of Dentistry, Dalhousie The risk for periodontitis was greater among subjects who reported positive family history and subjects with ≤ 12 years of education. We classified the root shape abnormality of bicuspids and molars based on Meng classification. INTRODUCTION. Destructive membranous periodontal disease is a rare, ... a case report and 3 years follow-up. Postperiodontosis samples were much more similar in their microbial flora to the periodontitis group. A 15 year old male ... curettage was done around a ll remaining . The subject was monitored at bimonthly intervals for 26 months at 6 sites per tooth for redness, plaque, suppuration, bleeding on probing, pocket depth, and attachment level. In 1997 the American Academy of Periodontology responded to this need and formed a committee to plan and organize an international workshop to revise the classification system for periodontal diseases. Current modalities for managing periodontal diseases of children and adolescents may include antibiotic therapy in combination with non-surgical and/or surgical therapy. In the present case, the periodontal condition was diagnosed with a … Hirschfeld L. Subgingival curettage in periodontal treat-ment. The goal of periradicular surgery is to remove all necrotic tissues from the surgical site, to completely seal the entire root canal system, and to facilitate the regeneration of hard and soft tissues including the formation of a new attachment … In conclusion, diagnosis and treatment of periodontal abscess are mainly based an … resorptions is periodontal, curettage of reabsorbed tissue is indicated, followed by placement of calcium hydroxide or MTA to neutralize the microbial byproducts that may be affecting the area, mainly to induce neoformation and scarring.18 Thus, this study aims to present a clinical case report in which the treatment of an external cervical We report a rare case, of buccal bifurcation cyst mimicking a periodontal abscess in a 13-year-old female who complained of pus discharge from the right mandibular first molar region and was irresponsive to periodontal therapy. Dreyer Dental Research Unit of the University of the ... Curettage and occlusal adjustment were carried out, and the patient was seen twice in the ensuing 18 months. The purpose of this report was to describe an approach to diagnose localized aggressive periodontitis and generalized aggressive periodontitis. A high percentage of resorption, unrelated to inflammation, was found in all the teeth studied. The patient elected treatment in the dental school’s student course. 2020 Accepted: 31 Oct. 2020 ePublished: 5 Dec. 2020 Keywords: Case report, Excisional biopsy, Free gingival graft, Reactive lesion ARTICLE INFO Introduction D entists during routine examinations might Age, low education, low frequency of tooth brushing and family history were significantly associated with increased risk of periodontitis. The, The aim of this study was to explore root shape abnormalities, to investigate the influence of root form abnormalities on periodontal attachment loss, and to gather basic data to assist in the diagnosis and treatment of aggressive periodontitis. All of the variable including: age, gender and education may affect the severity of chronic periodontitis. Indications for subgingival curettage. Bleeding on probing was significantly reduced after treatment, whereas plaque accumulation increased significantly in the sampled sites. Dahlen G. Microbiology and treatment of dental abscesses and periodontal-endodontic lesions. This report describes a case of a periodontal abscess associated with a displaced orthodontic separator and emphasizes the importance of appropriate X-rays for accurate diagnosis. A case report is presented which illustrates the severe periodontal destruction, which can occur when separators are misused. Case Report This is the first study to report on the prevalence of gingivitis, CP and AgP in North Jordanian. This case report fulfills the proof of principle that use of ABM/P-15 can result in periodontal regeneration on previously diseased root surfaces in humans. Baseline examination revealed generalized … Caton J, Nyman S, Zander H. Histometric evaluation of periodontal surgery. The patient had noticed the swelling 2 years prior and. 3 0 obj The patient didn't have hopeless teeth. Hiremath et al. J Clin Peri-odontol 1980;7:224-231. Isolated filamentous or branching forms and some Gram-negative bacteria were noted on the surface of the more apical portion of the bacterial layer. 2 0 obj Academy Report 1230 Gingival Curettage Statement 2. Supragingival bacterial deposits of periodontitis samples were similar to those observed in gingivitis. Using attachment level measurements and the tolerance method of analysis, sites with active disease and control (inactive) sites of equal pocket depth were selected. mucogingival defect was successfully augmented with periodontal plastic surgery. seen in, an otherwise healthy individual, an, features of early-onset periodontitis. Dreyer Dental Research Unit of the University of the ... Curettage and occlusal adjustment were carried out, and the patient was seen twice in the ensuing 18 months. The socio-demographic variables, oral hygiene habits, income, smoking and Body Mass Index (BMI) were recorded. The aim of this case report was to present a new case of KCOT mimicking radiographically LPC. This case report demonstrates common features of periodontal tissue destruction associated with a barbell type tongue piercing. M de Andrade, AP Silva, FM de Moraes Ramos-Perez, YT Silva-Sousa, DE da Cruz PerezLateral periodontal cyst: report of a case and review of the literature Oral Maxillofac Surg, 16 (1) (2012), pp. (Merin, 2015) In many cases, systemic and environmental factors play a significant role in the disease progression. AIM Nail-biting is one of the most frequent deleterious oral habits in children. Periodontal pocket curettage per tooth costs RSD 1,500. First, records from, The aim of this study was to determine the pattern of tooth loss in chronic periodontitis patients and hence help the clinician to plan preventive treatment against the loss of these teeth. Abstract: This case report describes a rare case of a broken periodontal probe tip and its removal. This case report fulfills the proof of principle that use of ABM/P-15 can result in periodontal regeneration on previously diseased root surfaces in humans. In the first phase of the cause related periodontal therapy professional oral hygiene treatment, scaling rootplaning and subgingival curettage were performed by quadrants. Tooth #10 presented a periodontal probing depth of 8 mm below the cingulum, associated with a developmental groove. Wallack MB. Toru Miyashita, A case report of a patient with severe generalized chronic periodontitis followed up for 20 years, Nihon Shishubyo Gakkai Kaishi (Journal of the Japanese Society of Periodontology), 10.2329/perio.53.254, 53, 4, (254-262), (2011). The diagnosis of lateral periodontal cysts is primarily . Early diagnosis is of utmost importance for establishing treatment in order to stop periodontal destruction and prevent tooth loss. Intra oral periapical Radiographs of Generalized Aggressive Periodontitis, Fig: 1 Clinical appearance of medically healthy 15 years old male patient with Generalized Aggressive Periodontitis. Subsequently, a simpler classification was agreed upon at the 1st European Workshop in Periodontology. 2. The notion that classifies periodontitis syndromes as "early-onset" or "adult" is primarily epidemiological in nature and is based on the observation that periodontitis is rather infrequent in children and young adults. The search went up to 383 valid records. Female; Humans; Middle Aged; Oral Hemorrhage/prevention & control; Periodontal Dressings; Periodontitis/surgery* Subgingival Curettage; von Willebrand Diseases* After processing, one approximal surface of each tooth was sampled at various levels in an apico-occlusal direction for light and electron microscopic study of the associated bacterial flora. Lateral periodontal cyst (LPC) is an uncommon developmental odontogenic cyst arising on the lateral surface of tooth roots. Teeth slated for extraction were evaluated with respect to their periodontal status and classified accordingly into five categories; namely normal, gingivitis, periodontitis, periodontosis and postperiodontosis. Clinical presentation of periodontitis early in the life of an individual is thought to indicate that the etiologic agents have been able to cause considerable tissue damage over a relatively short period of time. Copyright© 2004 by the American Academy of Periodontology; all rights reserved. Subjects who reported not using a tooth brush, smokers and subjects with BMI > 30 kg/m2 had significantly higher prevalence of periodontitis. The loss of the second molar was prominent. Case Rep Dent. 4. 2. Fulltext Effects of Age, Gender and Educational Level on the Severity of Chronic Periodontitis. elimination with curettage will reduce periodontal inflammation. Periodontitis was more frequent among males than females with a M: F ratio of 1.6:1 and the prevalence increased with age. Case Report. Periodontal abscess can be treated with draining, scaling-root planing, curettage and giving antibiotics, and routine surgical technics [5,8-12], as was showed in this case. endobj Six case reports were hit in the past 12 years (Table 1). Associated teeth are asymptomatic and vital, and roots may be displaced without resorption. The periodontal disease remained stable on discontinuation of the drug. Also, statistically significant differences among all groups of different variables were shown in all clinical periodontal measurement. In this case we preferred enucleation with curettage. Connective tissue attachment levels after four regenerative procedures. Periodontal disease in patients on bevacizumab therapy has not been reported before. Case Report Received: Dec 15, 2015 Accepted: Feb 20, 2016 *Correspondence to Young Ku ... subgingival curettage. A 25-year-old female reported to the Department of Periodontics of Nair Hospital Dental College, Mumbai, with a chief complaint of swollen gums, bleeding from gums, and bad breath. In the literature, there are a few case reports of keratocystic odontogenic tumor mimicking lateral periodontal cyst. This report describes a 19-year-old woman with periodontosis who had orthodontic therapy and periodontal surgery five years after the initial examination. Fig. The presented case demonstrates the process and results of the complex treatment of a 55 years old patient suffering from chronic periodontitis. based on histopathologic features, as certain characteristic histologic features separate it from other odontogenic cysts . Case Report A 17-year-old girl with severe pain, swelling, excessive gingival bleeding, refractory gingival reddish, tenderness to even slight palpation on the lower anterior region, which was interfering with normal eating, brushing and speaking, was admitted to the Department of Periodontology, Faculty of Dentistry at Atatürk University. Periodontal abscess can be treated with draining, scaling-root planing, curettage and giving antibiotics, and routine surgical technics [5,8-12], as was showed in this case. © 2008-2020 ResearchGate GmbH. In 1993, the 1st European Workshop on Periodontology explicitly recognized that there was insufficient knowledge to differentiate truly different forms of periodontal disease from differences in the presentation/severity of the same disease. Both neutrophil function and immunoglobulin response are altered and appear to be characteristic of an immunologic hyperresponsiveness. Clinical features that may be useful in the early detection of EOP include overt gingival inflammation, dental calculus and a high rate of caries, restorations and tooth loss. Active sites showed between 2 and 6 mm of attachment loss prior to therapy and “gained” between 2 and 9 mm of attachment after therapy. Early-onset periodontitis (EOP) is one such syndrome and comprises a group of pathological conditions leading to loss of periodontal tissues early in life. J Am Dent Assoc1952;44:301. Authors R H Gregg 2nd 1 , D McCarthy. Gingival curettage has long been used as a modality in periodontal therapy. periodontal cyst: case report Revista de Odontologia da Universidade Cidade de São Paulo 2010; 22(3): 263-8, set-dez ISSN 1983-5183 Introduction according to the World Health orga-nization (WHo), the lateral periodontal Cyst (lpC) is a rare type of odontogenic cyst of development, which is adjacent or lateral in the root of a tooth with vitality The patient was a 22-year-old woman who presented with the chief complaint of gingival recession. ... A Pilot Histological Human Study Utilizing Case Reports, Journal of Periodontology, 10.1902/jop.19188.8.131.52, 66, 3, (197-204), (1995). AU - Pan, Whei Lin. PY - 2004/2/1. The PP teeth did not show any structural changes which could account for the severity of the periodontal lesions. CLINICAL CASE REPORT Periodontal Disease and Diabetes Mellitus: Case Report H Marie Keeling1 Tamara L. Wright2 1Dental Student at Dalhousie University, BA, MA, Faculty of Dentistry, Dalhousie University, Halifax, NS, Canada 2BSc, MSc, DMD, Dip Perio, Department of Dental Clinical Sciences, Faculty of Dentistry, Dalhousie 1 0 obj Under local anesthesia, curettage was done and NBF gingival gel was applied. PMID: 6932513 A transitional flora generally separated the supra- from the subgingival microbial population. Although its prevalence has been reported to be much less than that of chronic periodontitis, it can result in early tooth loss in the affected if not diagnosed in the early stages and treated appropriately. This case report demonstrates a case of an endodontic –periodontal combined lesion on a maxillary left central incisor was first treated with conventional endodontic therapy. reported a case report of a 45 year old woman with an asymptomatic swelling … A male patient presented himself in June 2019 due to a painful tooth in the upper left quadrant. Case Report. *6��. These diseases are often familial, suggesting a genetic predisposition for aggressive disease. GINGIVAL CURETTAGE - View presentation slides online. From January 2010 to June 2012, a survey was conducted of all 3,284 periodontitis patients who visited the Department of Periodontology, Daejeon Dental, Abstract Bacterial colonization by Actinobacillus actinomycetemcomitans (serotype b) and/or Porphyromonas gingivalis appears to be the primary initiator of disease. Laser periodontal therapy: case reports. Periodontal therapy for a patient with Von Willebrand's disease: a case report. The subsequent treatment of this problem is also described. The cells were predominantly coccoid in shape with cell wall features compatible with those of Gram-positive organisms. Don’t wait until you’ve lost your teeth. The tissue side of the subgingival flora generally exhibited a distinctive concentration of "test-tube brush" formations, spirochetes of predominantly medium size, and assorted cell types peculiar to this region. The process involved development by the Organizing Committee of an outline for a new classification and identification of individuals to write state-of-the-science reviews for each of the items on the outline. 83-87 Type V root shape was associated with the highest attachment loss (P=0.01). All rights reserved. The patient had difficulty chewing due to hypersensitivity and a burning sensation in his mouth. J. ResearchGate has not been able to resolve any citations for this publication. 1 International Journal of Medical and Dental Case Reports (2016), Article ID 010116, 4 Pages CASE REPORT Management of primary endodontic and secondary periodontal lesions: A case report It may be concluded, within the limits of the study, that aggressive periodontitis at this Dental School is compatible with world prevalence values, suggesting the need for periodontal diagnosis as from adolescence, considering the possible damage caused by this disease. AU - Ju, Yuh Ren. examinations. In the literature, there are a few case reports of keratocystic odontogenic tumor mimicking lateral periodontal cyst. Also, clinical periodontal measurements were compared among groups.Statistical analysis revealed that the highest percentages of severe chronic periodontitis cases were found in male, with primary education and (50-59) age groups. 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Patient suffering from chronic periodontitis Exacerbated by Occlusal Trauma: report of a painful swelling the... Play a significant role in the literature, there are a few case reports were hit in the phase... Most common in the disease progression hygiene habits, income, smoking and Body Mass Index ( BMI were! 15 year old woman who developed periodontitis whilst receiving bevacizumab for lung cancer clinicians a way to the... Evidence suggests that lesion distribution may be displaced without resorption... a case case... For periodontal diseases was emphasized during the 1996 world Workshop in Periodontology our understanding of the rationale is provided each. 1.8 % of the case 1: a Flapless implant was placed on the surface of gingiva... All of the interval maintenance period was 3 months [ 9–16 ] the healthy teeth >... Root of vital teeth [ 5 ] probing was significantly reduced after treatment, whereas accumulation! A highly susceptible subject the 1996 world Workshop in Periodontology j. ResearchGate has not able. Or tear drop-shaped radiolucency with a developmental groove... curettage was done and gingival. Report on the prevalence of periodontitis variables case report Received: Dec,. Sites monitored before and after treatment were characterized and, if possible, identified 10... 1987, about 10.0 percent of Hispanic and 1.3 percent of African-American, 5.0 percent of and... Noticed the swelling 2 years prior and progressive periodontitis detail necessary for adequate characterization of root! And root planning and apical curettage on the surface of the interval period! 1 Initially, it presents as a well-circumscribed or tear drop-shaped radiolucency with a sclerotic border 2019. Swelling 2 years prior and American Academy of Periodontology ; all rights reserved separate it from other odontogenic [... With non-surgical and/or surgical therapy the characteristics of the AP teeth that lesion distribution may be in! Positive family history were significantly associated with increased risk of periodontitis pocket curettage per tooth costs RSD 1,500 developed whilst. Indexed for MEDLINE ] Publication Types: case reports were hit in the same family Workshop. Encouraged to depart from the preliminary outline if there were data to support any modifications periodontal curettage case report apical on! Were selected the healthy teeth ABM/P-15 periodontal curettage case report result in periodontal regeneration on previously diseased root in... Patients ( 1.3 % ) chronic periodontitis is dental plaque which harbours specific periodontal pathogens is its primary factor! The past 12 years of education the proof of principle that use of ABM/P-15 can result in systemic or... Clinical parameters ( probing depth ( periodontal curettage case report ) after treatment, scaling rootplaning and subgingival curettage were performed quadrants. Gingival abscess in a 32-year-old woman be the most important causing factor chronic! Initiator of disease ; both localized and generalized forms of disease utmost importance for establishing in. Cells and epithelial pla… elimination with curettage will reduce periodontal inflammation periodontal diseases in our of. Defect and the characteristics of the cause related periodontal therapy including adjunct antimicrobial therapy and surgery! Total 383 records, 55.1 % ( 211 ) were recorded from 10 to 80 in. Is also described serotype b ) and/or Porphyromonas gingivalis appears to be the common!, there are a few case reports of keratocystic odontogenic tumor mimicking lateral periodontal cyst cuticular... Photograph ot the lesion authors R H Gregg 2nd 1, D McCarthy defect the. To inflammation, was found in all the teeth studied female and 44.9 % ( 172 were! Age, low frequency of tooth brushing and family history were significantly associated with the age of infecting... Report by a periodontist who previously had evaluated her of chronic periodontitis Exacerbated by Occlusal Trauma periodontal curettage case report report a... A high percentage of resorption, unrelated to inflammation, was found in all the teeth studied microbial.... 1.8 % of the gingiva of the cause related periodontal therapy professional oral hygiene treatment scaling. The elastic rubber band was removed by periodontal curettage suggests that lesion distribution be! Willebrand 's disease: a case of generalized aggressive periodontitis is dental plaque which harbours specific periodontal pathogens is primary... Depth > 3 mm case and Revision of literature Ma in 1986 and 1987, about percent! Healthy individual, an, features of early-onset periodontitis and root planning and apical on... Referred for evaluation of a painful swelling on the diseased cementum of the case 1: a case of painful!