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Generalized bone loss occurs most frequently as horizontal bone loss. [2] Horizontal bone loss manifests as a somewhat even degree of bone resorption so that the height of the bone in relation to the teeth has been uniformly decreased, as indicated in the radiograph to the rig defects occur adjacent to a tooth and usually in the form of a triangular area of missing bone, known as triangulation.
The alveolar process is also called the alveolar bone or alveolar ridge. [3] In phonetics , the term refers more specifically to the ridges on the inside of the mouth which can be felt with the tongue , either on roof of the mouth between the upper teeth and the hard palate or on the bottom of the mouth behind the lower teeth.
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.
Destruction of the alveolar bone and periodontal ligament; Tooth mobility, drifting and eventual loss; Because bone loss makes its first appearance in the advanced lesion, it is equated with periodontitis, while the first three lesions are classified as gingivitis in levels of increasing severity. [15]
A new classification has been proposed to classify gingival and palatal recessions. The new classification system gives a comprehensive depiction of recession defect that can be used to include cases that cannot be classified according to earlier classifications. A separate classification system for palatal recessions (PR) is also proposed.
The rate of loss of attachment and bone loss is rapid. [19] Loss of attachment refers to the destruction of periodontium whereas the bone refers to the alveolar bone supporting the teeth. [23] The loss can be determined by using a calibrated periodontal probe and taking radiographs of the dentition. [24]
1: Total loss of attachment (clinical attachment loss, CAL) is the sum of 2: Gingival recession, and 3: Probing depth. Gingival recession, also known as gum recession and receding gums, is the exposure in the roots of the teeth caused by a loss of gum tissue and/or retraction of the gingival margin from the crown of the teeth. [1]
Socket preservation or alveolar ridge preservation (ARP) [1] is a procedure to reduce bone loss after tooth extraction to preserve the dental alveolus (tooth socket) in the alveolar bone. A platelet-rich fibrin (PRF) [ 2 ] membrane containing bone growth enhancing elements can be stitched over the wound or a graft material or scaffold is placed ...