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Based on positive clinical results of regeneration in periodontology research in the 1980s, research began to focus on the potential for re-building alveolar bone defects using guided bone regeneration. The theory of Guided tissue regeneration has been challenged in dentistry. The GBR principle was first examined by Dahlin et al. in 1988 on rats.
The bone destruction patterns that occur as a result of periodontal disease generally take on characteristic forms. This X-ray film displays a horizontal defect . This X-ray film displays two lone-standing mandibular teeth, #21 and #22: the lower left first premolar and canine, exhibiting severe bone loss of 30-50%.
The use of lasers in treating periodontal disease has been seen by some dental professionals as controversial. [6] The American Academy of Periodontology stated in 1999 that it was "not aware of any randomized blinded controlled longitudinal clinical trials, cohort or longitudinal studies, or case-controlled studies indicating that 'laser excisional new attachment procedure (or Laser ENAP)' or ...
It is still unclear exactly how EMD participates in the regeneration process. [5] But it has been demonstrated that EMD serves to promote periodontal ligament fibroblast proliferation and growth and inhibit epithelial cell proliferation and growth; [3] this is a key feature in EMD-promoted periodontal tissue regeneration, because the faster-growing epithelium will ordinarily compete very ...
Chronic periodontitis is initiated by Gram-negative tooth-associated microbial biofilms that elicit a host response, which results in bone and soft tissue destruction. In response to endotoxin derived from periodontal pathogens, several osteoclast-related mediators target the destruction of alveolar bone and supporting connective tissue such as the periodontal ligament.
The first membranes developed were nonresorbable and required a second surgery for membrane removal some weeks later. The need for a second surgical procedure hindered the utilization of the original barrier membranes, which led to the development of resorbable membranes; [1] research indicates no statistically significant difference in surgical success between the two types.
The bent "stick" on the left of the tooth is a piece of gutta percha being used to trace the defect. In dentistry, a furcation defect is bone loss, usually a result of periodontal disease, affecting the base of the root trunk of a tooth where two or more roots meet (bifurcation or trifurcation). The extent and configuration of the defect are ...
When a tooth has very deep periodontal pockets it may not be possible to fully remove the dental plaque/tartar/calculus from the tooth's root surface with scaling alone. In open flap debridement (OFD) the gum is peeled back to make it possible for the dentist to see and ensure full removal of tartar/calculus from these difficult to access areas ...
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