Crown Lengthening and Aesthetic Crown Enhancement
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Reconstructive Approach in Residual Periodontal Pockets with Biofunctionalized Heterografts a Retrospective Comparison of 12-Months Data from Three Centers
Abstract: Regenerative capacity of well-preserved blood clot may be enhanced by biologics like enamel matrix derivative (EMD). This retrospective analysis compares outcomes reported by three centers using different heterografts. Center 1 (C1) treated intrabony defects combining cross-linked heavy weight hyaluronic acid (xHyA) with a xenograft, Center 2 (C2) used EMD with an allograft combination to […]
Periodontal Healing After Application of Enamel Matrix Derivative in Surgical Supra Infrabony Periodontal Defects in Rates with Streptozotocin-Induced Diabetes
Background and Objective: Epidemiologic and clinical studies have indicated that
diabetes is a risk factor for periodontal disease progression and healing. The
aim of the present study was to evaluate short-term healing after enamel matrix
derivative (EMD) application in combined supra/infrabony periodontal defects
in diabetic rats.
Material and Methods: Thirty male Wistar rats were initially divided into two
groups, one with streptozotocin-induced diabetes and another one with healthy
(non-diabetic) animals. Bony defects were surgically created on the mesial root
of the first maxillary molars. After root surface planing and EDTA conditioning,
EMD was applied to the roots at one side of the maxillae, while those on
the contralateral sides were left untreated. Animals were killed 3 wk after surgery,
and block sections were prepared for histologic and histomorphometric
analysis.
Results: There was statistically significant more gingival recession in diabetic
animals than in non-diabetic animals. The length of the junctional epithelium
was significantly shorter in the EMD-treated sites in both diabetic and normoglycemic
rats. Sulcus depth and length of supracrestal soft connective tissue
showed no statistically significant differences between groups. In all animals,
new bone formation was observed. Although new bone occurred more frequently
in healthy animals, the extent of new bone was not significantly different
between groups. In none of the teeth, a layer of new cementum was detectable.
EMD had no influence on bone or cementum regeneration. Adverse reactions
such as excessive inflammation due to bacterial root colonization, ankylosis and
bone fractures were exclusively observed in diabetic animals, irrespective of
EMD treatment.
Hyaluronic Acid as Adjunctive to Non-Surgical and Meta-Analysis
Objectives To evaluate the potential added benefit of the topical application of hyaluronic acid (HA) on the clinical outcomes
following non-surgical or surgical periodontal therapy.
Materials and methods A systematic search was performed in Medline, Embase, Cochrane, Web of Science, Scopus and Grey
literature databases. The literature search was preformed according to PRISMA guidelines. The Cochrane risk of bias tool was
used in order to assess the methodology of the included trials.Weighted mean differences (WMDs) and 95%confidence intervals
(CIs) between the treatment and controls were estimated using the random-effect model for amount of bleeding on probing
(BOP), probing depth (PD) reduction and clinical attachment level (CAL) gain. In order to minimize the bias and to perform
meta-analysis, only randomized clinical studies (RCTs) were selected.
Results Thirteen RCTs were included: 11 on non-surgical periodontal treatment and two on surgical periodontal treatment.
Overall analysis of PD reduction, CAL gain and BOP reduction in non-surgical therapy with adjunctive HA presented WMD
of ā 0.36 mm (95% CI ā 0.54 to ā 0.19 mm; p < 0.0001), 0.73 mm (95%CI 0.28 to 1.17 mm; p < 0.0001) and ā 15% (95% CI ā
22 to ā 8%; p < 0.001) respectively, favouring the application of HA. The overall analysis on PD and CAL gain in surgical
therapy with adjunctive HA presented WMD of ā 0.89 mm (95% CI ā 1.42 to ā 0.36 mm; p < 0.0001) for PD reduction and
0.85 mm (95% CI 0.08 to 1.62 mm; p < 0.0001) for CAL gain after 6ā24 months favouring the treatment with HA. However,
comparison presented considerable heterogeneity between the non-surgical studies and a high risk of bias in general.
Conclusions Within their limits, the present data indicate that the topical application ofHA may lead to additional clinical benefits
when used as an adjunctive to non-surgical and surgical periodontal therapy. However, due to the high risk of bias and heterogeneity,
there is a need for further well-designed RCTs to evaluate this material in various clinical scenarios.
Clinical relevance The adjunctive use of HA may improve the clinical outcomes when used in conjunction with non-surgical and
surgical periodontal therapy.
Peri-implantitis: Before you explant an implant – think about other options!
××× ×¢××©× ××Ŗ ×× ×©××: ×”×Ø ××××× ××××¢××Ø ×Ŗ×××¦× ×××Ŗ× × ××××× ××× ×” ×××× ×××× Geistlich+YOU2!×× × ××××× ×× ××Ŗ×× ××××Ø×©× ××צפ××Ŗ ×××××Ŗ ×××Øצ××Ŗ× ×××¢× ××× ×Ŗ ×× ××©× Peri-implantitis: Before you explant an implant – think about other options! ××©×¢× 20:30. ×××Øש×× ××× × >> https://bit.ly/3oRfiHaShe does it again: Dr. Meizi Eliezer presents her Lecture in the online congress Geistlich+YOU2!We invite you […]
Recession Coverage Tunnel Technique
This patient is an opera singer. Her main complaints were cold sensitivity and she also expressed aesthetic concern exposing her teeth with the recessions while singing.Ā The patient went through multiple recession coverage with a lateral tunnel technique with a connective tissue graft on the lower teeth 33 34 and on the upper tooth coronally […]
Recession Coverage – Tooth 13
Five months after Recession coverage on tooth 13. No more cold sensitivity and the patient is so excited from the aesthetics. Thank you Dr. David for the refferel. I love my job
Restoration
When a Colleague is asking you to replace him… Restoration at the hands of periodontistĀ š, I enjoyed every moment.
Tooth Trauma & Restoration
This patient was sent by a colleague to me for the treatment of trauma and front teeth restoration. Trauma and restorations at the hands of periodontist. Love my job.Ā Ā
Recession Coverage
Before and after recession coverage of teeth 22 23. No more cold sensitivity and the patient is so happy from the aesthetics. Thank you Dr. David for the referel. I love my job. #recessioncoverageĀ #dentalaestheticĀ #periodontology