♦ What is periodontitis ?
Periodontitis is the irreversible loss of attachment to the connective tissue supporting the alveolar bone. It is an inflammatory desease characterized by the distruction of alveolar bone, root cement, periodontal ligament as a response to elicited by microbial accumulance on tooth surface. (1)
♦ Periodontal desease
Periodontitis is the main cause of tooth losing .The aim of periodontal therapy , is to eliminate the inflammatory process, to stop the progression of periodontal desease and to regenerate the lost periodontal tissues. (2) Earlier attemps to archive regeneration , included denator of the interdental bone to treat intrabony defect and the use of autografts to fill the surgical site. Good results have been taken in treatment of periodontitis using a combination of graft material and collagen membrane (3).
But recently , the focus is in the use of ‘growth factors’.The periodontal wound healing , needs the colaburation of epithelial cells , gingival fibroblasts , periodontal ligament cells and osteoblasts. There is evidence that the presence of growth factors , cytokinins in platelets , play an important role in the wound healing.Platelets also secrete fibrin , fibronectin and vitronectin which are a matrix for the connective tissue .These leads to the use of platelets in periodontal desease (4)
♦ Role of platelets in periodontal wound healing
Platelets play a key role in wound healing and hence wound healing after periodontal treatment can be accelerated by the use of platelet concentrates.The wound healing process
RISKS – APPROACH – GUIDELINES
The somministration of bisphosphonate drugs,in the last years is becoming every day more common.
This therapy has numerous benefits in case of osteoporosis and carcinomas metastasizing bones, but it exposes patients to a series of important side effects that concern our profession.
To our knowledge, numerous studies widely reported osteonecrosis by bisphosphonates (ONJ)*, It is well known as surgical procedures such as surgical extractions or fracture reduction, dramatically increase the development of osteonecrosis in patients under bisphosphonate treatment.
Biomimetic Dentistry has been gaining popularity over the last 15 years. Doing dentistry the traditional way of mechanical retention is being replaced by doing advanced adhesion techniques. There have been great advances in the research and understanding, adhesive materials, and especially techniques. The techniques combine new materials and newly understood information. Collectively the science, principles and techniques of advanced adhesive dentistry is known as Biomimetic Dentistry. Interpreting it literally, biomimetic dentistry, means to “mimic nature”.
The benefits of biomimetic dentistry are huge! The need for extension and mechanical retention is virtually eliminated.
The mouth plays a fundamental role in our general health and well being.
Therefore, keeping your mouth healthy is very important. A healthy smile is part of the personal presentation that expresses a lot of ourselves to others.
A healthy mouth is the reflection of a healthy body and a well integrated person in society.
In this second article i’m going to present you some interesting application for (Android) devices.
I’m using them in my everyday professional life, and actually i have found them pretty useful !!
Advancement in the field of dentistry gave way to quantifiable, accurate diagnostic aids to explore and analyse the Stomatognathic system as a whole, in order to achieve a harmony between teeth, muscles and joints.
While T-Scan Digital Occlusal Analysis Technology can help the clinician to accurately explore the occlusal discrepancies, excessive contact location
Nowadays the technology is part, and has taken part of our life, and if you wish to live this century you have to deal with it.
The digitalization of Dentistry is the next future, Computer Science is evolving, Research is developing new materials. In few words no one is save from the digital revolution. 😉
In this short article ( The first one of 3 ) i would like to recommend some applications for your
Dental transposition is an anomaly involving the positional interchange of two adjacent teeth. It is not a common anomaly, with a prevalence under 1%, but can represent a clinical challenge in our practice.
It commonly affects the
The correct interpretation of a Ortho Panoramic is where it all begins, it’s the first kind of exam that each colleague should ask to a patient before starting any kind of treatment, and although if it is considered a radiographic examination of general view, it helps the clinician to make a initial diagnosis beside the anamnestic visit.
A first good step is the key to success!
One more reason to read carefully each information that this kind of radiological exam can provide us.
This article in pretending to be an helpful giude to the analysis of a Ortho Panoramic.
So before keeping reading the article; try to focus on the ortho panoramic.
Try to give a name to the anatomical structures you see.
Take a piece of paper, and write them down.
You did it?
Ok…now you can ”turn the page ” and read more !