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    Surgical Periodontitis

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    It is indicated for all types of periodontitis however it is especially effective with pockets depth of 5-7mm. The goal of the procedure is not pocket elimination but healing the periodontal pocket with minimum tissue lost. The modified Widman flap requires three incisions to separate the pocket lining from the tooth surface. The initial incision dissects the pocket epithelium and portions of the subepithelial connective tissue. The gingiva is then reflected using the elevator, but only to the extent that the alveolar crest can be visualized. The second incision is sulcular around each tooth. This separates the pocket epithelium from the root surface to the base of the pocket. The final incision is horizontal and serves to atraumatically release the pocket tissue in the interdental area. The soft tissue and all of the granulation tissue within the pocket are removed. Now, scaling and planing of the root surfaces using curettes or ultrasonic instruments can be performed with direct vision. Supportive alveolar bone is not removed, but minimal osteoplasty may be performed if necessary. Finally, the flaps are repositioned. Because of the shape of the flaps created by the initial…

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    does not cause periodontal disease when the host presents a healthy periodontium, but if bruxism coexist on an individual who has a history of periodontitis with bone loss and apical migration of the junctional epithelium, then the progresses of the disease occurs more rapidly than if the individual would have periodontitis only. Similar to bruxism as a contributing factor is the case of trauma from occlusion. Traumatic occlusion can be primary if the individual 's periodontium is healthy and…

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    Periodontal disease is an inflammatory disease that affects the soft and hard tissues of the teeth, gingiva, and supporting material. Periodontal disease involves both gingivitis and periodontitis. With gingivitis, the gingival tissue is erythematous and edematous. This is caused by the body’s natural response to harmful bacteria that are invading the gums. There also may be bleeding upon probing. The probe depths will be within normal limits. Gingivitis can easily be reversed with regular…

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    Periodontal Disease

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    procedures from tooth scaling, root planing and, in more severe cases, tissue or bone grafts. The periodontium is the supporting structure to the tooth and consists of the gingiva, cementum, alveolar bone and periodontal ligaments. Gingiva, also known as gum tissue, surrounds the tooth and acts as a barrier to potential periodontal destruction. When this structure starts to fail, periodontal disease starts to set in. Cementum is acellular and avascular connective tissue that is a highly…

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    Periodontal debridement is a procedure to remove deposits, such as calculus, from the tooth. This is important because when there are deposits on the teeth, the dentist or hygienist cannot thoroughly or effectively assess the patient for decay, infections, or disease. Also, calculus can harbor harmful bacteria that can cause disease and it also irritates the gingiva. There are many methods of removal of these deposits to provide relief and treatment for a patient. Acquired pellicle is an…

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    Individuals with PLS are commonly afflicted with periodontal disease that affects both deciduous and succedaneous teeth, eventually leading to edentulism (Sulak, et al., 2014). In patients with PLS, deciduous teeth erupt at the average expected age and follow the normal sequence and shape of teeth as in a healthy individual (Sreeramulu, et al., 2015). In some cases, however, patients may exhibit microdontia or incomplete root formation (Sreeramulu, et al., 2015). Shortly after eruption, the…

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    Dental Hygiene Diagnosis

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    debridement (PD) or scaling and root planning (SRP). All of these procedures are classified using the dental code 4341 or 4342. You will hear these terms used interchangeably throughout the rest of this paper. According to Gehrig and Willmann, “Nonsurgical periodontal therapy is a term used to describe the many non-surgical steps used to eliminate inflammation in the periodontium of a patient with periodontal disease in an attempt to return the periodontium to a healthy state that can then be…

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    with HbA1c > 9% (Furnari, Gillis, Novak & Taylor, 2014). While it’s outside of the scope of this article to address the pathophysiology of PD development, it may be best described as complex interrelated pathways. Ultimately there is dysregulation of inflammation, tissue destruction, and changes in bone metabolism that all contribute to dental disease (Preshaw & Bissett, 2013; Wu et al., 2015; Grover & Luthra, 2013). As mentioned previously, the increased risk for POD is associated with…

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    Oral Health Case Studies

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    comprehensive oral health care plan, it is vital to carry out a complete examination, including extra-oral and intra-oral examination, dental charting and periodontal charting. The extra-oral examination assesses any abnormalities of the lymph nodes, temporomandibular joint and any presence of swelling. Intra oral The intra-oral examination should be thorough and not merely assess the teeth, but also evaluate the soft tissues of the oral cavity. I will examine the lips, buccal mucosa, tongue,…

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    “Chronic periodontitis is the most common type of periodontitis” (American Accreditation Healthcare Commission, 2013, para. 13). At this stage, all the other symptoms are still present and the gingiva is now starting to recede, showing more of the root and causing the affected area to become sensitive. There is also a moderate deep pocket reading and loss of bone support causing slight tooth mobility. “It can begin in adolescence but the disease usually does not become clinically significant…

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