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Laser-assisted new attachment procedure (LANAP) is a surgical therapy for the treatment of periodontitis, intended to work through regeneration rather than resection. This therapy and the laser used to perform it have been in use since 1994. [citation needed] It was developed by Robert H. Gregg II [1] [2] and Delwin McCarthy.
A dental laser is a type of laser designed specifically for use in oral surgery or dentistry.. In the United States, the use of lasers on the gums was first approved by the Food and Drug Administration in the early 1990s, and use on hard tissue like teeth or the bone of the mandible gained approval in 1996. [1]
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.
Early bone loss may have occurred but is rarely evident radiographically. Grade II - There is a definite horizontal component to the bone loss between roots resulting in a probeable area, but sufficient bone still remains attached to the tooth (at the dome of the furcation) so that multiple areas of furcal bone loss, if present, do not communicate.
The tooth exhibits 50% bone loss, adding roughly 5-7 mm to the clinical crown of what is actually anatomical root. The fulcrum , existing somewhere immediately apical to the height of the bone, does not allow for any adjacent bone to avoid compression or tension, resulting in virtually complete widening of the PDL and a grim prognosis , due to ...
Ultimately, tooth loss may occur if the condition is not halted. It is termed localized when less than 30% of sites around teeth are involved, and generalised when more than 30% are involved. clinical attachment loss can be used to determine the severity of the condition, where 1–2mm is slight, 3–4mm is moderate and more than 5mm is severe. [5]
Sites with periodontitis exhibit clinical signs of gingival inflammation and loss of connective tissue attachment. Connective tissue attachment loss refers to the pathological detachment of collagen fibers from cemental surface with the concomitant apical migration of the junctional or pocket epithelium onto the root surface. [2]
Vitamin D also plays a major role in calcium absorption and bone health because it helps to maintain calcium homeostasis and bone metabolism. [7] Deficiencies negatively impact parts of the teeth including the gingivae, periodontal ligaments and the alveolar bone, leading to degeneration of the teeth and jaw. [2] [9]
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