This graphic shows the relationship of the gingivae to the tooth and the alveolar bone. This case report includes the clinical, radiographical, and histological. Gingival enlargement pembesaran gingiva pertumbuhan gingiva. Thus, case definitions of gingival health and gingivitis are presented for both purposes. In mexican children oral candidiasis is the most frequently detected hivrelated oral lesion, followed by periodontal disease and herpes simplex infection 9.
Effect of ions released and ph of two glass ionomer cements in human gingival fibroblasts 82 odovtosint. Journal of dentistry and oral implants open access pub. Patients today have become excessively concerned about esthetics. These esthetic concerns of patients have become an integral part of periodontal practice. A case of a 19yearold male presenting with maxillary and mandibular chronic inflammatory gingival enlargement associated with prolonged orthodontic therapy is reported here. P, the patients with chronic periodontitis cp and the healthy controls, as well as the variation of these indicators before and three months after the. The contour of the gingival margins of the six maxillary anterior teeth plays an important role in smile esthetics and is determined by the. Frenectomy is a complete removal of the frenum, including its attachment to the underlying bone, and may be required for correction of abnormal diastema between maxillary. The method most commonly used in clinical practice is the mechanicalchemical type2, in which a.
Although gingival overgrowth has been traditionally recognised as an adverse effect of. It has an acute clinical presentation with the distinctive characteristics of rapid onset of interdental gingival. Tffviia complex then activates factors x and ix and so on, this is known as the. This beautifully illustrated ebook explains the art and technology of esthetic surgical strategies on the mucogingiva around natural enamel and implants. Download pdf gingival recession management this book is designed to function a clear and concise clinical guide that covers all components of the modern control of gingival recession, with a particular cognizance on surgical strategies with the adjunctive use of autogenous tissues or smooth tissue substitutes for recession coverage. Gingival recession is the downward migration of attachment apparatus leading to an apical displacement of gingival margin and oral exposure of the root 1. Calprotectin levels in gingival crevicular fluid and serum of. Beginning at the gingival margin, the zones include the free gingiva and interdental papilla, the free gingival groove when present, attached gingiva highly keratinized and rich in collagen, and the mucogingival junction.
Etiology of gingivitis, gingival diseases their aetiology, prevention and treatment, fotinos s. In well designed experimental studies, it was clearly shown that the transplanted tissue from the palatal 1assistant professor, graduate program in implant dentistry, loma linda university. This study is aimed to compare the total amount of calprotectin in gingival crevicular fluid gcf and the concentration of calprotectin in serum among the patients with type 2 diabetes mellitus and chronic periodontitis dm. Pdf gingival recession associated with orthodontic. Fortyseven patients with 64 sites test group, with lack of attached gingiva associated with recessions, were treated with marginal or submarginal free. Periodontal conditions of sites treated with gingival.
Chapter 6 and conditions periodontal health, gingival diseases. This involved preparation of a 34 mm wide recipient bed, apical as well as lateral to the defect, by removal of the surface epithelium. In children in the developing world, the prevalence of these lesions may vary from country to country. The case described here demonstrates that past orthodontic treatment is a potential cause of gingival recession and attachment loss. Gingival overgrowth yang diinduksi oleh obatobatan pencegahan menjelaskan risiko terjadinya go akibat obat yang dikonsumsi, dan pengaruh radang dalam mempermudah terjadinya go menyarankanmerujuk ke dokter gigi terutama apabila terlihat higiena oral pasien tidak baikkotor tanyakan apakah gingiva berdarah sewaktu menyikat gigi. Gingival crevicular fluid gcf is regarded as a promising medium for detection of periodontal disease activity. Decision tree protocol for demineralized gingival margin. American academy of periodontology 1999 non plaque induced gingival disease gingival disease of specific bacterial origin. Clinical gingival health may be found in a periodontium that is intact, i. Periodontal health and gingival diseases and conditions on an. Timing of soft tissue management around dental implants. The management is complex in nature considering the multitude of factors involved such as substitution of drug strict plaque control along with excision of the tissue to be. Gingival diseases modified by malnutrition 1 vitamin c deficiency gingivitis 2 others. In the early primary dentition, gingivitis is uncommon.
The interface between a tooth and the surrounding gingival tissue is a dynamic structure. It occurs in response to the bacteria that live in biofilms at the gingival margin and in the sulcus. This beautifully illustrated book explains the art and science of esthetic surgical techniques on the mucogingiva around natural teeth and implants. The gingival margin as the first value is the distance from the clinical gingival margin to any given reference such as, in most cases, the cementoenamel junction. Nonsurgical management of nifedipine induced gingival overgrowth.
Pdf effects of presoaked retraction cords on the microcirculation. The wire should go around the tooth and the tips should be directed to the buccal surface, making it easier to. Chronic inflammatory gingival enlargement associated with. Current insight of collagen biomatrix for gingival recession mdpi. Labial frenum attachments have been described as mucosal, gingival, papillary, and papilla penetrating. In severe cases, the excess tissue may cover the crowns of the teeth, thus causing functional, esthetic, and periodontal problems, such as bone loss and bleeding, due to the presence of pseudopockets.
Jan 07, 2012 classification of periodontal diseases 1. Attention is drawn to critical elements in the execution of surgical procedures that can impact on outcomes. Atelocollagen application in human periodontal tissue. The effect of initial periodontal treatment on gingival.
While gingival health and gingivitis have many clinical features, case definitions are primarily predicated on presence or absence of bleeding on probing. Whether orthodontic tooth movement really can cause a gingival recession or whether the alveolar bone and gingiva adapt to the new position of the tooth in the. Comparison between aluminum chloride and tetryzoline. Papillary gingivitis is gingival inflammation that involves the interdental papilla. Its true incidence in the general population is unknown. For language access assistance, contact the ncats public information officer. Gingival enlargement, also synonymous with the terms gingival hyperplasia or hypertrophy, is defined as an abnormal overgrowth of gingival tissues. The earliest signs of gingivitis are seen in the papillary region. Gingival retraction cords absoption after soaking in aluminium chloride. Download pdf clasificacion enfermedades gingivales pnxkw7rr2y4v. Crown margins and the margins of restoration should be chosen as a reference provided they are at least 3mm apical to the cementoenamel junction cej, otherwise, a virtual.
He found that a supra gingival position of the crown margin was the most favorable, whereas margins below the gingival margin signi. Coronally advanced flap with releasing incisions 14. Epidemiology and indices of gingival and periodontal disease. The author shows how to diagnose and treat mucogingival defects, with detailed explanation of the diagnosis of and the surgical options. Gingival recession can be treated with various surgical procedures, and root coverage can be obtained irrespective of the surgical approach adopted. Surgical therapy was carried out to provide a good.
Fortyeight periodontally healthy volunteers 38 males and 10 females, mean age. Silness 1980 evaluated the periodontal condition of the lingual surfaces of 385. Clipping is a handy way to collect important slides you want to go back to later. Periodontal chart department of periodontology school of. D4999 as this code requires a narrative containing information that limits autoadjudication. International presence with production and management based in italy, ctech implant is active in all major world markets and is distributed in over 25 countries. For gingival displacement, cords impregnated with medicaments are widely used. Any gingival margin that could aesthetically benefit from being in a more apical position can be considered for crown lengthening. Adjunctive therapies, including periodontal plastic surgery, are recommended to optimize gingival contours for restorative treatment in the presence of severe gingival. Gingival overgrowth is a welldocumented unwanted effect, associated.
Gingival overgrowthhyperplasia can be attributed to several causes, but druginduced gingival overgrowthhyperplasia arises secondarily to prolonged use of antihypertensive drugs, anticonvulsants and immunosuppressants. The gingiva line the external surface of the periodontium fig. Smoking and gingival inflammation gingival inflammation which develops through several phases, so that it further affects the other parts of parodont, and finally turns into periodontitis. Nov 06, 2020 gingival wall s hrinks, occluding the pocket orifice, and a periodontal abscess occurs in the sealedoff portion of the pocket. The aim was to discuss the role of drugs causing gingival enlargement, the hereditary gingival fibromatosis hgf and its possible.
Interactions between the gingiva and the margin of restorations. Odovtosinternational journal of dental sciences vega et al. Part 1 of the present series presented a rationale for including prosthetic gingiva in the planning of a fixed restoration to ensure an esthetic result for patients with severe horizontal and vertical ridge deficiencies. This third and final installment in the series focuses on the. Several methods of gingival displacement have been described in literature, among them mechanical, chemical, mechanicalchemical and surgical methods gingival curettage and electrosurgery2,5. Aberrant frena can be treated by frenectomy or frenotomy procedures. Gingival fibromatosis, 1 genetic and rare diseases.
This book is designed to function a clear and concise clinical guide that covers all components of the modern control of gingival recession, with a particular cognizance on surgical strategies with the adjunctive use of autogenous tissues or smooth tissue substitutes for recession coverage. Then, the facial gingiva and mucosa of both jaws were digitally scanned using an. Chapter 6 and conditions periodontal health, gingival. The changes at the level of blood vessels appear as the first manifestations of gingival inflammation initial lesion. Gingivitis is a nondestructive disease that causes inflammation of the gums.
Now customize the name of a clipboard to store your clips. Feb 01, 2021 if you have problems viewing pdf files, download the latest version of adobe reader. Streptococcal species gingival disease of viral origin herpes virus infections 1. The purpose of this case report was to illustrate the relationship between orthodontic therapy and gingival recession, and to describe the successful treatment of this case. The ankyloglossia is an abnormality present from birth in which the membrane that joins the tongue to the floor of the mouth lingual. Alternative technique for gingival displacement and impression with.
Selfinflicted gingival injuries in children and adolescents can occur as a result of accidental trauma. Periodontal plastic surgery of gingival recessions at. The gingival tissue runs from the mucogingival line, which marks the boundary with the nonkeratinised buccal mucosa, and covers the coronal. Gingival disease a comprehensive and prof essional a pproach f or. Jul 06, 2018 severe gingival inflammation, with or without pseudopockets but exhibiting no bone loss this is the gap filled by d4346.
This book is an evidencebased guide to periodontal root coverage that provides uptodate information on the etiology of gingival recession defects, prognostic factors relating to the defect, patient, or operator, and surgical techniques. This is a nonprofit website to share the knowledge. If the papillary gingival inflammation extends into. Oct 26, 2012 gingival enlargement, an abnormal growth of the periodontal tissue, is mainly associated with dental plaquerelated inflammation and drug therapy. Download pdf gingival recession management dencyclopedia. Mucogingival esthetic surgery 1st edition pdf free download.
Here we classify gingival health and gingival diseasesconditions, along with a summary. Gingival level implant precision dental solutions ctech implant is a dynamic company with aggressive growth, producing components and product lines primarily for dental implantology. Gingival recession associated with orthodontic treatment and. The earliest technique devised for root coverage was the free gingival graft. Download pdf mucogingival esthetic surgery dencyclopedia. Antonio basconesmartinez, elena criadocamara, cristina basconesilundain, santiago arias herrera and jaime basconesilundain september 22nd 2011. Gingivitis is characterized by inflammation of the gingival tissues with no loss of attachment or bone. Genetic and rare diseases information center gard po box 8126, gaithersburg, md 208988126 tollfree. Jan 27, 2016 gingival fibromatosis is a rare and heterogeneous group of disorders that develop as slowly progressive, local or diffuse enlargements within marginal and attached gingiva or interdental papilla. A decision tree protocol was developed with criteria i lesion location. Free gingival grafts fgg are a reliable method for treatment of gingival recessions. Gingival enlargement in children treated with antiepileptics.
Gingival zenith positions and levels of the maxillary. Esthetic root coverage with double papillary subepithelial. Download pdf clasificacion enfermedades gingivales. The gingival sulcus is the shallow crevice around the tooth bounded by the surface of the tooth on one side and the epithelium lining of the free margin of the gingiva on the other side fig. The second part focused on the diagnostic and treatment planning aspects of the use of artificial gingiva. The gingival tissue forms a crevice surrounding the tooth, similar to a miniature, fluidfilled moat, wherein food debris, endogenous and exogenous cells, and chemicals float. Necrotizing ulcerative gingivitis nug is a typical form of periodontal diseases. Randomized controlled trial on mouth rinse and flossing. The space, or potential space, that is created from the tip of the free gingiva to the attachment of the gingiva. Dic when an injury occurs, in a vessel for example, hemostasis occurs, first a platelet plug forms and second the clotting process by the coagulation cascade. Historically, the epithelial compartment was thought to provide only a physical barrier to infection and the underlying gingival attachment. Apoorva sm abstract beautiful smile surely enhances the individuals selfconfidence. More than 20 prescription medications are associated with gingival overgrowth.
Periodontal chart department of periodontology school. Histologically, they are nodular masses characterized by a dense connective tissue, surrounded by stratified squamous epithelium. Pdf prosthetic gingival reconstruction in fixed partial. The harmony of smile is attributable to the shape, colour, and position of the teeth in conjunction with the gingival tissue. Kia rezavandi, in smile design integrating esthetics and function, 2016. Each of the buccal, mesial, lingual and distal surfaces of the gingival tissues is given a score of 03. Gingival enlargement induced by drugs springerlink. Oral fibromas are benign, asymptomatic, smooth surfaced, firm structured tumoral lesions that originate from gingival connective tissue or periodontal ligament. Compared to drugrelated gingival overgrowth, hereditary gingival.
An autograft is taken from the palate as replacement for the lost keratinized gingiva. Mucogingival esthetic surgery 1st edition pdf free books. Soft tissue reconstruction with free gingival graft. The most common form of gingivitis, and the most common form of periodontal disease overall, is in response to bacterial biofilms also called plaque that is attached to tooth surfaces, termed plaqueinduced gingivitis. Effect of ions released and ph of two glass ionomer. Gingival enlargement produces aesthetic changes, pain, gingival bleeding and periodontal disorders.
Gingival recession is an esthetic problem that can be successfully treated by means of several mucogingival surgical approaches, any of which can be used, provided that the biologic conditions for accomplishing root coverage are satisfied. Gingival enlargement can be hereditary or acquired. Damage to the vessel wall leads to expression of tissue factor tf, which is a cofactor in the coagulation cascade that actives factor vii fviia. Background the aim of study was to evaluate galectin. Labial frenectomy alone or in combination with a free. The alveolar mucosa is the movable tissue rich in blood vessels that lines the part. The gingiva intimately associated with the bone is referred to as the attached gingiva, while the gingiva that forms a cuff around the tooth is designated as the free gingiva.
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