Pub Date : 2024-07-15DOI: 10.18231/j.ijpi.2024.014
Kajol Verma, Amrinder Singh
Cause of tooth loss in world is periodontitis which is a bacterial infection whose pathogenesis has complex immune response. The diagnosis is based upon patient’s periodontal health, full mouth bleeding score, full mouth plaque score, probing depth, clinical attachment level, bleeding on probing, recessions, mobility, and migration. For early diagnosis of periodontitis chair side diagnostic tests are available which are used by periodontist. There are many biomarkers for periodontitis which help in early detection like: MMP-8 (Metalloproteinase-8), MIP-1α (Macrophage inflammatory protein-1 alpha), IL-1 β (Interleukin-1beta), IL-6 (Interleukin-6), and HB (Hemoglobin), and their combinations.
{"title":"Biomarkers in periodontal health and diseases","authors":"Kajol Verma, Amrinder Singh","doi":"10.18231/j.ijpi.2024.014","DOIUrl":"https://doi.org/10.18231/j.ijpi.2024.014","url":null,"abstract":"Cause of tooth loss in world is periodontitis which is a bacterial infection whose pathogenesis has complex immune response. The diagnosis is based upon patient’s periodontal health, full mouth bleeding score, full mouth plaque score, probing depth, clinical attachment level, bleeding on probing, recessions, mobility, and migration. For early diagnosis of periodontitis chair side diagnostic tests are available which are used by periodontist. There are many biomarkers for periodontitis which help in early detection like: MMP-8 (Metalloproteinase-8), MIP-1α (Macrophage inflammatory protein-1 alpha), IL-1 β (Interleukin-1beta), IL-6 (Interleukin-6), and HB (Hemoglobin), and their combinations.","PeriodicalId":495898,"journal":{"name":"IP international journal of periodontology and implantology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141646083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-15DOI: 10.18231/j.ijpi.2024.017
N. Thomas, Kavya S, Thomas George V
Periodontitis is a chronic inflammatory noncommunicable disease that affects all parts of the periodontium and causes irreversible damage. A biological sign of either pathogenic or normal processes is called a biomarker. Finding biomarkers is helpful for tracking the advancement of pathological conditions as well as for disease prevention, diagnosis, and prognosis. Effective treatment depends heavily on early disease identification. The disease process's severity and potential implications are lessened by early detection and treatment. Traditional clinical criteria are frequently inadequate in the field of periodontology to identify sites of active disease, track the effectiveness of therapy, or gauge the degree of vulnerability to future. Medical researchers are committed to identifying molecular illness biomarkers that indicate a concealed deadly threat prior to the disease becoming complicated in order to overcome this obstacle. Saliva is a vital physiological fluid that contains a complex mixture of chemicals. As a diagnostic tool, it is becoming more and more popular.
{"title":"Salivary biomarkers – Emerging era in periodontics","authors":"N. Thomas, Kavya S, Thomas George V","doi":"10.18231/j.ijpi.2024.017","DOIUrl":"https://doi.org/10.18231/j.ijpi.2024.017","url":null,"abstract":"Periodontitis is a chronic inflammatory noncommunicable disease that affects all parts of the periodontium and causes irreversible damage. A biological sign of either pathogenic or normal processes is called a biomarker. Finding biomarkers is helpful for tracking the advancement of pathological conditions as well as for disease prevention, diagnosis, and prognosis. Effective treatment depends heavily on early disease identification. The disease process's severity and potential implications are lessened by early detection and treatment. Traditional clinical criteria are frequently inadequate in the field of periodontology to identify sites of active disease, track the effectiveness of therapy, or gauge the degree of vulnerability to future. Medical researchers are committed to identifying molecular illness biomarkers that indicate a concealed deadly threat prior to the disease becoming complicated in order to overcome this obstacle. Saliva is a vital physiological fluid that contains a complex mixture of chemicals. As a diagnostic tool, it is becoming more and more popular.","PeriodicalId":495898,"journal":{"name":"IP international journal of periodontology and implantology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141649395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gingival recession, characterized by the displacement of gingival tissue towards the root surface, poses challenges like compromised aesthetics and heightened vulnerability to dental issues such as root caries and sensitivity. Various surgical techniques have been developed to address these concerns, with recent advancements like the Vestibular Incision Subperiosteal Tunnel Access (VISTA) technique showing promise, especially for multiple recession defects in the esthetic zone. VISTA reduces tissue trauma and promotes optimal healing by minimizing micromotion, thus enhancing the overall success of root coverage procedures. Integrating Platelet-rich fibrin (PRF) membranes aids in soft tissue healing and graft integration, offering a cost-effective and immune-friendly option to bolster procedure success.In a 31-year-old female patient with receding gums and mobile teeth, vestibuloplasty was performed after oral prophylaxis and stabilization of mobile teeth to address the inadequate vestibular depth and mucogingival deformity. Post-operative care included antibiotics and pain relief medications. Subsequently, a Miller’s Class-III multiple gingival defect (MRD) was corrected using the VISTA technique combined with Platelet-rich fibrin (PRF) membrane application. PRF was inserted into the tunnel to cover the denuded roots and to improve the gingival phenotype and the surgical site was sutured. One month later, successful healing was evident with increased vestibular depth, demonstrating effective treatment outcomes.
牙龈退缩的特点是牙龈组织向牙根表面移位，它带来的挑战包括影响美观、更容易出现牙根龋和敏感等牙科问题。为了解决这些问题，人们开发了各种手术技术，最近的进展是前庭切口骨膜下隧道入路（VISTA）技术，尤其是针对美观区的多发性退缩缺损，该技术显示了良好的前景。VISTA 减少了微动，从而减少了组织创伤，促进了最佳愈合，提高了牙根覆盖手术的整体成功率。一名牙龈退缩、牙齿活动的 31 岁女性患者在口腔预防和稳定活动牙齿后接受了前庭成形术，以解决前庭深度不足和粘膜龈畸形的问题。术后护理包括抗生素和止痛药物。随后，采用 VISTA 技术结合富血小板纤维蛋白（PRF）膜应用，矫正了米勒氏 III 级多发性牙龈缺损（MRD）。在隧道中植入富血小板纤维蛋白膜以覆盖缺损的牙根，改善牙龈表型，然后缝合手术部位。一个月后，伤口愈合成功，前庭深度增加，显示出有效的治疗效果。
{"title":"Management of Miller’s Class-III multiple recession defects in mandibular anterior teeth using vista technique and PRF membrane: A case report","authors":"Shiny Supriya Lanka, Rajasekar Sundaram, Lakshmi Sree Sankar","doi":"10.18231/j.ijpi.2024.019","DOIUrl":"https://doi.org/10.18231/j.ijpi.2024.019","url":null,"abstract":"Gingival recession, characterized by the displacement of gingival tissue towards the root surface, poses challenges like compromised aesthetics and heightened vulnerability to dental issues such as root caries and sensitivity. Various surgical techniques have been developed to address these concerns, with recent advancements like the Vestibular Incision Subperiosteal Tunnel Access (VISTA) technique showing promise, especially for multiple recession defects in the esthetic zone. VISTA reduces tissue trauma and promotes optimal healing by minimizing micromotion, thus enhancing the overall success of root coverage procedures. Integrating Platelet-rich fibrin (PRF) membranes aids in soft tissue healing and graft integration, offering a cost-effective and immune-friendly option to bolster procedure success.In a 31-year-old female patient with receding gums and mobile teeth, vestibuloplasty was performed after oral prophylaxis and stabilization of mobile teeth to address the inadequate vestibular depth and mucogingival deformity. Post-operative care included antibiotics and pain relief medications. Subsequently, a Miller’s Class-III multiple gingival defect (MRD) was corrected using the VISTA technique combined with Platelet-rich fibrin (PRF) membrane application. PRF was inserted into the tunnel to cover the denuded roots and to improve the gingival phenotype and the surgical site was sutured. One month later, successful healing was evident with increased vestibular depth, demonstrating effective treatment outcomes.","PeriodicalId":495898,"journal":{"name":"IP international journal of periodontology and implantology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141647484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-15DOI: 10.18231/j.ijpi.2024.016
Burnice Nalina Kumari Chellathurai, Devadharshini Chandrasekar, Uma Subbiah, V. Rajaram, Jaideep Mahendra
Periodontal diseases are complex inflammatory conditions of the oral cavity, affecting a significant portion of the global population. Central to the pathogenesis of these diseases is the intricate interplay between microbial pathogens, host immune response, and environmental factors. Among the diverse array of microorganisms inhabiting the oral microbiome, a triad of pathogens—Porphyromonas gingivalis, Tannerella forsythia, and Treponema denticola—commonly referred to as the
{"title":"Microbial dynamics: Understanding the triad of periodontal pathogens","authors":"Burnice Nalina Kumari Chellathurai, Devadharshini Chandrasekar, Uma Subbiah, V. Rajaram, Jaideep Mahendra","doi":"10.18231/j.ijpi.2024.016","DOIUrl":"https://doi.org/10.18231/j.ijpi.2024.016","url":null,"abstract":"Periodontal diseases are complex inflammatory conditions of the oral cavity, affecting a significant portion of the global population. Central to the pathogenesis of these diseases is the intricate interplay between microbial pathogens, host immune response, and environmental factors. Among the diverse array of microorganisms inhabiting the oral microbiome, a triad of pathogens—Porphyromonas gingivalis, Tannerella forsythia, and Treponema denticola—commonly referred to as the","PeriodicalId":495898,"journal":{"name":"IP international journal of periodontology and implantology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141649164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Peri-implant health is paramount for the long-term success of dental implants. While bone regeneration techniques have been extensively studied and employed to ensure implant stability, the significance of soft tissue condition in this context is increasingly recognized. This review article explores the intricate interplay between soft tissue dynamics and bone regenerative procedures in the pursuit of optimal peri-implant health. Soft tissue condition around dental implants plays a multifaceted role in supporting long-term stability and functionality. Adequate soft tissue thickness, contour, and attachment are crucial for maintaining a healthy peri-implant environment and preventing complications such as peri-implantitis and mucosal recession. Furthermore, soft tissue quality influences the outcomes of bone regeneration procedures by affecting vascularization, wound healing, and tissue integration. Various strategies have been proposed to enhance soft tissue condition in conjunction with bone regenerative techniques. Through a comprehensive review of existing literature, this article aims to elucidate the pivotal role of soft tissue condition in bone regenerative procedures and its implications for long-term peri-implant health. Insights gained from this review will inform clinicians and researchers in devising effective strategies to enhance soft tissue quality and ensure the success and longevity of dental implant therapy.
{"title":"Optimizing peri-implant health: The crucial role of soft tissue condition in bone regenerative procedures","authors":"Preeti Kale, Bhargav Kuchu, Jeevan B S, Sunny Mavi, Jamalpur Karthik Raj","doi":"10.18231/j.ijpi.2024.015","DOIUrl":"https://doi.org/10.18231/j.ijpi.2024.015","url":null,"abstract":"Peri-implant health is paramount for the long-term success of dental implants. While bone regeneration techniques have been extensively studied and employed to ensure implant stability, the significance of soft tissue condition in this context is increasingly recognized. This review article explores the intricate interplay between soft tissue dynamics and bone regenerative procedures in the pursuit of optimal peri-implant health. Soft tissue condition around dental implants plays a multifaceted role in supporting long-term stability and functionality. Adequate soft tissue thickness, contour, and attachment are crucial for maintaining a healthy peri-implant environment and preventing complications such as peri-implantitis and mucosal recession. Furthermore, soft tissue quality influences the outcomes of bone regeneration procedures by affecting vascularization, wound healing, and tissue integration. Various strategies have been proposed to enhance soft tissue condition in conjunction with bone regenerative techniques. Through a comprehensive review of existing literature, this article aims to elucidate the pivotal role of soft tissue condition in bone regenerative procedures and its implications for long-term peri-implant health. Insights gained from this review will inform clinicians and researchers in devising effective strategies to enhance soft tissue quality and ensure the success and longevity of dental implant therapy.","PeriodicalId":495898,"journal":{"name":"IP international journal of periodontology and implantology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141648398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Osseous defect caused due to periodontitis needed to be repaired or regenerated to avoid tooth loss. Bio-oss is made up of 10% porcine collagen and can induce osteoblastic differentiation due to its volumetric stability and out standing osteoconductive properties. Application of growth factors in regenerative procedures have helped to maintain the scaffold and induce several cellular processes. The biodegradable fibers incorporated with IGF growth factor has strong effect on PDL fibroblasts, mitogenesis, and protein synthesis which promotes osteogenesis and cementogenesis. A patient having grade II furcation and intrabony defect was treated and evaluated after 12 months with biodegradable fibers infused with insulin like growth factor and bio oss xeno graft irt 36. Treated site responded well to the use of the bovine bone mineral with good tissue response and an improvement and there was an overall mean probing pocket reduction in the deepest site of osseous defects. The clinical parameters assessed are plaque index, bleeding on brobing, pocket probing depth, clinical attachment level, glickman’s furcation index and RVG at baseline, 6 and 12 months post operatively. Both the bone grafts resulted in better regeneration when compared to base line and 12 months.Bio oss (bovine bone mineral) and biodegradable fibres infused with insulin like growth factor materials are of considerable promise for regeneration with better clinical and radiographic outcomes.
{"title":"Treatment of periodontal osseous defect with bio-oss xenograft and biodegradable IGF fibers: A case report","authors":"Mutthineni Ramesh Babu, Arpita Paul, Puramu Pravalika","doi":"10.18231/j.ijpi.2024.022","DOIUrl":"https://doi.org/10.18231/j.ijpi.2024.022","url":null,"abstract":"Osseous defect caused due to periodontitis needed to be repaired or regenerated to avoid tooth loss. Bio-oss is made up of 10% porcine collagen and can induce osteoblastic differentiation due to its volumetric stability and out standing osteoconductive properties. Application of growth factors in regenerative procedures have helped to maintain the scaffold and induce several cellular processes. The biodegradable fibers incorporated with IGF growth factor has strong effect on PDL fibroblasts, mitogenesis, and protein synthesis which promotes osteogenesis and cementogenesis. A patient having grade II furcation and intrabony defect was treated and evaluated after 12 months with biodegradable fibers infused with insulin like growth factor and bio oss xeno graft irt 36. Treated site responded well to the use of the bovine bone mineral with good tissue response and an improvement and there was an overall mean probing pocket reduction in the deepest site of osseous defects. The clinical parameters assessed are plaque index, bleeding on brobing, pocket probing depth, clinical attachment level, glickman’s furcation index and RVG at baseline, 6 and 12 months post operatively. Both the bone grafts resulted in better regeneration when compared to base line and 12 months.Bio oss (bovine bone mineral) and biodegradable fibres infused with insulin like growth factor materials are of considerable promise for regeneration with better clinical and radiographic outcomes.","PeriodicalId":495898,"journal":{"name":"IP international journal of periodontology and implantology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141645075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The treatment of impacted teeth is a multidisciplinary process requiring close collaboration between periodontics and orthodontics. Impaction can have several causes, including physical obstructions in the eruption pathway, arch length discrepancies, or dental deformity. The management of these cases lies in the diagnosis established after an appropriate clinical and radiological examination. The age, position, etiology, and amount of space in the dental arch of an unerupted tooth determine how it should be treated. In several cases, orthodontic creating space, removing physical obstructions, and exposing the patient surgically with or without traction are general guidelines for treatment. In addition, ensuring adequate access to the tooth and the possibility of attaching an orthodontic anchor, the periodontal plastic surgery procedures associated with surgical clearance must preserve the integrity of the periodontium of the impacted tooth, as well as that of adjacent teeth, and above all promote the long-term maintenance of their periodontal health.
{"title":"Periodontal management during orthodontic-surgical treatment of maxillary impacted incisors: Acase report","authors":"Khamlich Kenza, Ouled Bouallala Meriem, Chemlali Siham, Alami Sanaa, Kissa Jamila","doi":"10.18231/j.ijpi.2024.020","DOIUrl":"https://doi.org/10.18231/j.ijpi.2024.020","url":null,"abstract":"The treatment of impacted teeth is a multidisciplinary process requiring close collaboration between periodontics and orthodontics. Impaction can have several causes, including physical obstructions in the eruption pathway, arch length discrepancies, or dental deformity. The management of these cases lies in the diagnosis established after an appropriate clinical and radiological examination. The age, position, etiology, and amount of space in the dental arch of an unerupted tooth determine how it should be treated. In several cases, orthodontic creating space, removing physical obstructions, and exposing the patient surgically with or without traction are general guidelines for treatment. In addition, ensuring adequate access to the tooth and the possibility of attaching an orthodontic anchor, the periodontal plastic surgery procedures associated with surgical clearance must preserve the integrity of the periodontium of the impacted tooth, as well as that of adjacent teeth, and above all promote the long-term maintenance of their periodontal health.","PeriodicalId":495898,"journal":{"name":"IP international journal of periodontology and implantology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141648272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-07-15DOI: 10.18231/j.ijpi.2024.021
Abdurasheed E. M Edakkod Mathamkuth, Raseena Beevi N, Rafeek Ra, Roshni Ramesh, Sharon Philip
Plasma cell gingivitis (PCG) is an uncommon benign gingival condition characterized by sharply defined erythematous and oedematous gingival lesions, often extending to the mucogingival junction. This hypersensitivity reaction presents as diffuse, papillary gingival inflammation, prone to bleeding upon minimal trauma. Histologically, PCG manifests as a dense infiltration of normal plasma cells within collagenous stroma, typically localized to the free and attached gingiva. The primary management approach involves identification and avoidance of the allergen source, alongside nonsurgical periodontal therapy. We report a 26-years-old female patient diagnosed clinically as plasma cell gingivitis and confirmed histologically. Surgical treatment along with pharmacological interventions resulted in complete resolution of symptoms. This case underscores the importance of comprehensive evaluation and tailored treatment approaches in managing plasma cell gingivitis.
{"title":"Challenges and solutions in plasma cell gingivitis: A clinical case analysis","authors":"Abdurasheed E. M Edakkod Mathamkuth, Raseena Beevi N, Rafeek Ra, Roshni Ramesh, Sharon Philip","doi":"10.18231/j.ijpi.2024.021","DOIUrl":"https://doi.org/10.18231/j.ijpi.2024.021","url":null,"abstract":"Plasma cell gingivitis (PCG) is an uncommon benign gingival condition characterized by sharply defined erythematous and oedematous gingival lesions, often extending to the mucogingival junction. This hypersensitivity reaction presents as diffuse, papillary gingival inflammation, prone to bleeding upon minimal trauma. Histologically, PCG manifests as a dense infiltration of normal plasma cells within collagenous stroma, typically localized to the free and attached gingiva. The primary management approach involves identification and avoidance of the allergen source, alongside nonsurgical periodontal therapy. We report a 26-years-old female patient diagnosed clinically as plasma cell gingivitis and confirmed histologically. Surgical treatment along with pharmacological interventions resulted in complete resolution of symptoms. This case underscores the importance of comprehensive evaluation and tailored treatment approaches in managing plasma cell gingivitis.","PeriodicalId":495898,"journal":{"name":"IP international journal of periodontology and implantology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141647550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The field of dental implantology has significantly advanced to address the multifaceted impacts of tooth loss, encompassing physical, functional, emotional, psychological, and social dimensions. Dental implants serve as reliable solutions, ensuring stability, minimal bone loss, and absence of pain or infection. Central to their success is the surface modification of implants, which profoundly influences osseointegration—the process crucial for establishing a functional bond between bone and implant. This review explores various physical modifications of dental implant surfaces, focusing on macro, micro, and nano-level alterations. Macro-level modifications optimize implant geometry and thread design to enhance initial stability and long-term fixation. Micro-level modifications, including grit blasting and acid etching, increase surface roughness to facilitate mechanical interlocking and cell adhesion. Nano-level modifications, such as hydrophilic coatings and bioceramic enhancements, enhance surface energy and promote osteoblastic differentiation, thereby accelerating osseointegration. These surface modifications represent a critical frontier in implant dentistry, promising improved clinical outcomes and patient satisfaction through enhanced integration and reduced healing times.
{"title":"From surface to success: How implant surfaces shape osseointegration","authors":"Varun Kumar, Jyotna Seth, Manas Aeran, Ashish Sani","doi":"10.18231/j.ijpi.2024.013","DOIUrl":"https://doi.org/10.18231/j.ijpi.2024.013","url":null,"abstract":"The field of dental implantology has significantly advanced to address the multifaceted impacts of tooth loss, encompassing physical, functional, emotional, psychological, and social dimensions. Dental implants serve as reliable solutions, ensuring stability, minimal bone loss, and absence of pain or infection. Central to their success is the surface modification of implants, which profoundly influences osseointegration—the process crucial for establishing a functional bond between bone and implant. This review explores various physical modifications of dental implant surfaces, focusing on macro, micro, and nano-level alterations. Macro-level modifications optimize implant geometry and thread design to enhance initial stability and long-term fixation. Micro-level modifications, including grit blasting and acid etching, increase surface roughness to facilitate mechanical interlocking and cell adhesion. Nano-level modifications, such as hydrophilic coatings and bioceramic enhancements, enhance surface energy and promote osteoblastic differentiation, thereby accelerating osseointegration. These surface modifications represent a critical frontier in implant dentistry, promising improved clinical outcomes and patient satisfaction through enhanced integration and reduced healing times.","PeriodicalId":495898,"journal":{"name":"IP international journal of periodontology and implantology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141647736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
: High frenal attachments are abnormalities corrected by surgical procedure called frenectomies. The scalpel technique is associated with pain, bleeding and postoperative discomfort. To overcome these shortcomings, in the recent times, diode lasers are gaining popularity due to less bleeding, pain during the procedure, healing outcome, and need for analgesics: To compare the bleeding during the procedure and postoperative pain in patients requiring labial frenectomy using conventional scalpel and diode laser techniques. Twenty patients with high labial frenum attachment requiring frenectomy were included in this study. Patients were randomly divided into Group A: scalpel group and Group B: diode laser group. Pain assessment using VAS, severity of intraoperative bleeding and number of analgesics used were recorded: The analysis showed that VAS score for pain was significantly lower in the laser group as compared to the scalpel group Bleeding was mild in laser group, where as in scalpel group showed moderate or severe bleeding scores Post operative use of analgesics was more in scalpel group than laser group Laser was found to be an effective alternate to scalpel in performing frenectomy procedures, more importantly it showed less bleeding, less pain perception and more patient acceptance during the procedure.
:肾前区高位附着是一种异常现象，可通过外科手术矫正，这种手术被称为肾前区切除术（frenectomies）。手术刀技术会带来疼痛、出血和术后不适。为了克服这些缺点，近来，二极管激光因出血少、术中疼痛轻、愈合效果好、无需镇痛药而越来越受欢迎：比较使用传统手术刀和二极管激光技术进行唇系带切除术的患者术中出血量和术后疼痛情况。本研究纳入了 20 名唇系膜高位附着、需要进行唇系膜切除术的患者。患者被随机分为 A 组：手术刀组和 B 组：二极管激光组。分析结果表明，与手术刀组相比，激光组患者的疼痛VAS评分明显较低。 激光组患者的出血量较轻，而手术刀组患者的出血量为中度或重度。术后，手术刀组患者的镇痛剂使用量高于激光组患者。
{"title":"Evaluation of patient perception and intraoperative bleeding in labial frenectomy: A comparision of diode laser and conventional scalpel techniques","authors":"Mutthineni Ramesh Babu, Arpita Paul, Amula Vinay Sagar, Mandem Harshini Sai","doi":"10.18231/j.ijpi.2024.018","DOIUrl":"https://doi.org/10.18231/j.ijpi.2024.018","url":null,"abstract":": High frenal attachments are abnormalities corrected by surgical procedure called frenectomies. The scalpel technique is associated with pain, bleeding and postoperative discomfort. To overcome these shortcomings, in the recent times, diode lasers are gaining popularity due to less bleeding, pain during the procedure, healing outcome, and need for analgesics: To compare the bleeding during the procedure and postoperative pain in patients requiring labial frenectomy using conventional scalpel and diode laser techniques. Twenty patients with high labial frenum attachment requiring frenectomy were included in this study. Patients were randomly divided into Group A: scalpel group and Group B: diode laser group. Pain assessment using VAS, severity of intraoperative bleeding and number of analgesics used were recorded: The analysis showed that VAS score for pain was significantly lower in the laser group as compared to the scalpel group Bleeding was mild in laser group, where as in scalpel group showed moderate or severe bleeding scores Post operative use of analgesics was more in scalpel group than laser group Laser was found to be an effective alternate to scalpel in performing frenectomy procedures, more importantly it showed less bleeding, less pain perception and more patient acceptance during the procedure.","PeriodicalId":495898,"journal":{"name":"IP international journal of periodontology and implantology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141644314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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