Статті в журналах: "Teeth Mobility"

1

Budi Santosa, I. Ketut, Rostiny Rostiny, and Eha Djulaeha. "Improvement facial aesthetics with immediate denture treatment." Indonesian Journal of Dental Medicine 1, no. 1 (March 31, 2018): 49. http://dx.doi.org/10.20473/ijdm.v1i1.2018.49-53.

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Background: immediate dentures are one of denture treatment that provides a rapid treatment stage to improve aesthetics without patients experiencing toothless phase due the tooth is extraction or decaputated. Purpose: To reported maxillary immediate partial denture and mandibulary immediate complete overdenture with magnetic retention to improve facial aesthetics. Case: A-56 years old woman with twelve tooth loss (17,16,15, 26,34,35,36,37,44,45,46,47) and have fillings teeth on 21,11 and 12 patched in dental artisans less more than 1 year and now its felt swollen with mobility 30 in the last few weeks and teeth 31,41,42,43 experienced mobilitys 20 due to calculus and teeth 32,33 were deep caries with mobility 30. Case Management: in phanoramic photo teeth 11,21 and 22 saw a large periapical lesion Ø 10mm and its advised to extract. In 32 and 33, non-immediate extraction was performed because periapical lesions and deep caries are large enough with the presence of periapical abscesses, while teeth 31, 41, 42 and 43 are scaling and rootplaning then endodontic treatment is performed to obtain a harmonious relationship between the upper anterior teeth and below the teeth 31,41.42.43 is immediately decaputated and restored with GI cement on the surface of the teeth and magnet keeper coping was done for 43. Discussion: The main objective of the immediate denture treatment is to avoid psychological, social and discomfort from look toothless Conclusion: Immediate denture is the choice of treatment to improve the retention and facial aesthetic.

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CASTELLINI, P., L. SCALISE, and E. P. TOMASINI. "Teeth Mobility Measurement: A Laser Vibrometry Approach." Journal of Clinical Laser Medicine & Surgery 16, no. 5 (October 1998): 269–72. http://dx.doi.org/10.1089/clm.1998.16.269.

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Korol, M. D., O. M. Skubiy, D. M. Korol, F. A. Cherevko, and O. V. Davydova. "SPLINTING OF TEETH WITH DIFFERENT MOBILITY DEGREE." Bulletin of Problems Biology and Medicine 2, no. 4 (2018): 241. http://dx.doi.org/10.29254/2077-4214-2018-4-2-147-241-243.

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4

Castellini, P., and L. Scalise. "Teeth mobility measurement by laser Doppler vibrometer." Review of Scientific Instruments 70, no. 6 (June 1999): 2850–55. http://dx.doi.org/10.1063/1.1149806.

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5

Bernal, Guillermo, Juan C. Carvajal, and Carlos A. Muñoz. "A Review of the Clinical Management of Mobile Teeth." Journal of Contemporary Dental Practice 3, no. 4 (2002): 10–22. http://dx.doi.org/10.5005/jcdp-3-4-10.

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Abstract The clinical management of mobile teeth can be a perplexing problem, especially if the underlying causes for that mobility have not been properly diagnosed. In some cases, mobile teeth are retained because patients decline multidisciplinary treatment that might otherwise include strategic extractions. This article discusses the relationship between occlusion and tooth mobility with an emphasis on identifying differences between increased mobility and increasing mobility. The indications, contraindications, and basic principles of tooth splinting are also reviewed. Provisional and definitive splints are defined and described with their respective occlusal considerations. Some mobile teeth can be treated through occlusal equilibration alone (primary occlusal trauma). Whereas mobile teeth with a compromised periodontium can be stabilized with the aid of provisional and/or definitive splinting (secondary occlusal trauma). It is important to consider splint therapy, because it may not only improve the prognosis of teeth, but may actually enhance the stability of the final prosthodontic treatment. The ultimate goal of successful management of mobile teeth is to restore function and comfort by establishing a stable occlusion that promotes tooth retention and the maintenance of periodontal health. Citation Bernal G, Carvajal JC, Muñoz-Viveros CA. Clinical management of mobile teeth. J Contemp Dent Pract 2002 November;(3)4:010-022.

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Hassona, Yazan, Mohammad Wael Saleh, Hamza Alkhawaldeh, and Ruba Al Abweh. "Unusual cause of tooth mobility." BMJ Case Reports 13, no. 12 (December 2020): e235086. http://dx.doi.org/10.1136/bcr-2020-235086.

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We describe a case of a 71-year-old otherwise healthy man who presented to the dental clinic with the chief complaint of mobility involving his upper left molar teeth. The patient was a febrile, and clinical oral examination revealed localised grade II mobility and absence of gingival swelling, erythema or sinus tract. Orthopantogram revealed a poorly defined radiolucency involving the upper left second and third molar teeth. Surgical exploration of the involved area was performed and revealed the presence of a ‘jelly like’ brown tissue that fragments easily. Pathological examination confirmed the diagnosis of diffuse large B cell lymphoma.

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7

Consolaro, Alberto. "Extreme root resorption in orthodontic practice: teeth do not have to be replaced with implants." Dental Press Journal of Orthodontics 24, no. 5 (October 2019): 20–28. http://dx.doi.org/10.1590/2177-6709.24.5.020-028.oin.

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ABSTRACT The replacement of natural teeth that have extreme external apical root resorption, induced by orthodontic treatment, with osseointegrated implants is not justifiable biologically or clinically. These teeth should be preserved and keep their normal functions, as there is no greater mobility, pain or color change. They may undergo usual procedures, such as bleaching, restorations with veneers and other esthetic procedures that may be necessary along life. The pulp of these teeth is normal. If mobility of a tooth with extreme resorption is identified, the cause of mobility should be investigated, as it is not associated with resorption, not even at advanced stages. Tooth mobility may be associated with recent removal of orthodontic appliance, occlusal trauma, chronic inflammatory periodontal disease, or even severe cervical bone loss. In such cases, the cause of mobility should be eliminated and possible sequelae should be corrected, because these, and not root resorption, may actually require retention.

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Ichwana, Dewi L. "Fiber composites as a method of treatment splinting tooth mobility in chronic periodontitis." Journal of Dentomaxillofacial Science 1, no. 3 (December 18, 2016): 190. http://dx.doi.org/10.15562/jdmfs.v1i3.315.

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Patients with periodontal disease can lead to severe tooth mobility so often complains of pain when eating, decreased chewing ability and functional occlusion. Tooth mobility is a movement in a horizontal or vertical direction and one of the most unpleased effects from periodontal disease. Basically, tooth mobility is not a disease that requires treatment, but it is a symptom of periodontal tissue morphology changes, so it became a challenge for dentists in making decisions to maintain proper care of the teeth. Recent studies improved the use of periodontal splint with fiber reinforced composite (FRC) or fiber composite may lead to a long-term prognosis of teeth mobility due to periodontal disase. The case report describes treatment of chronic periodontitis patients with splinting fiber composites as a method for stabilization of the lower anterior teeth providing aesthetics, comfort, improved functionality occlusion, mastication and a good prognosis.

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Ojehanon, Patrick, Clement Azodo, Paul Erhabor, and Vera Orhue. "Periodontal characteristics of diabetic patients with tooth mobility." Journal of Social Health and Diabetes 05, no. 02 (December 2017): 094–99. http://dx.doi.org/10.1055/s-0038-1676247.

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Abstract Objective: To determine the periodontal characteristics of diabetic patients with tooth mobility attending the Periodontology Clinic of University of Benin Teaching Hospital (UBTH), Benin City, Nigeria. Materials and Methods: This cross-sectional observational study was conducted among diabetic patients with tooth mobility in the Periodontology Clinic in UBTH, Benin City, Nigeria. The indices recorded for the participants were gingival index, community periodontal index of treatment need, and Miller'sindex for tooth mobility. Results: A total of 54 participants who met the inclusion criteria were approached, but only 49 of them consented and participated in this study giving a 90.7% recruitment rate. The age range and mean age of the participants were 42–84 years and 63.84 ± 1.31 years, respectively. The self-reported age of diagnosis was between 41 and 70 years with a mean age of 56.22 ± 6.88 years. About two-thirds (67.3%) of the participants were males. Less than half (38.8%) of patients were visiting the dentist for the first time. Mandibular arch housed about two-thirds (64.9%) of the mobile teeth and mandibular left quadrant housed about one-third of (34.5%) the mobile teeth. Central incisor (42.3%) constituted the most mobile teeth followed by the first molar (28.9%). A total of 17.0% of the mobile teeth were Miller's Grade 3 mobility. More than one-third (28.5%) (code 3 = 26.5%, code 4 = 2.0%) of the participants had periodontal pockets. More than half (52.7%) of participants had probing pocket depth of 5 mm and above. The gingival score which had mean as 1.60 ± 0.08 was significantly associated with age of the participants. The mean probing depth was 4.86 ± 0.21 mm. The probing depth was significant with age and duration of diabetes mellitus (DM) of the participants. Conclusion: Data from this study revealed that age of diagnosis of diabetes with tooth mobility was higher than previously reported. The most mobile teeth and earliest teeth to become mobile were the mandibular incisors, and Grade 1 severity constituted the majority. DM with tooth mobility exhibited gingival score and probing depth that had a variable significant association with demographic characteristics.

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Ngoc, Vo Truong Nhu, Tong Minh Son, Le Thi Thuy Linh, Le Quynh Anh, Nguyen Minh Duc, and Dinh-Toi Chu. "An Unusual Tooth Shedding with Internal Resorption: A Case Report." Biomedicine Hub 4, no. 1 (March 14, 2019): 1–5. http://dx.doi.org/10.1159/000496450.

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Humans have two sets of teeth, deciduous teeth and permanent teeth. When primary teeth fall out, permanent teeth erupt to maintain the chewing function and jaw development. Shedding occurs with increasing level of mobility in primary teeth as a result of root resorption. This report describes an uncommon clinical case that occurred in primary molars with internal resorption and pinkish discoloration. Pink tooth is worrisome for children and parents. Children should have their teeth examined on a regular basis to detect any problems in the process of tooth shedding and eruption.

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Adisty Restu Poetri, Helmi Fathurrahman, and Anggun Amanda Saveria. "Periodontal Splinting Choises For Patient With Edentulous." DENTA 15, no. 2 (November 20, 2021): 77–85. http://dx.doi.org/10.30649/denta.v15i2.4.

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Background: Mobile tooth is a problem that often occurs and result in tooth loss. It caused by disease or periodontal tissue’s injury. Splint is a device that is made to stabilize or tighten mobile tooth due to a trauma or disease. It works by distribute the occlusion pressure to reduce tooth mobility. Removable partial denture frame is one treatment for missing teeth and permanent splints. Objective: The aim of this treatment is to explained effect of periodontal splints for edentulous patient. Case: First case: A woman complained mobile teeth on the incisors. Intraoral examination showed remaining teeth couldn’t be abutment. Second case: A woman complained mobile teeth on the incisors. Intraoral examination showed remaining teeth could be abutment. Case management: First case: Patient was given initial therapy and continued with rehabilitative therapy by removable partial denture metal frame. Second case: Patient was given initial therapy splinting using fiber reinforced composite. A week post treatment patient felt comfortable. Conclusion: It can be concluded periodontal splinting reduced teeth mobility and prevent further damage to the periodontal tissue og Edentulous patient.

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Costa, George Moreira, Suelleng Maria Santos Soares, Paula Cristina Pelli Paiva, Flaviana Dornela Verli, Patrícia Furtado Gonçalves, Sangela Maria da Silva Pereira, Rudys Rodolfo De Jesus Tavarez, Janir Alves Soares, and Etevaldo Matos Maia Filho. "Factors Affecting the Periapical Status of Root-Filled Canals: A Cross-Sectional Study at the Undergraduate Level." International Journal of Dentistry 2017 (2017): 1–9. http://dx.doi.org/10.1155/2017/7413204.

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Objective. The aim was to evaluate the influence of multiple factors on the periapical status of endodontically treated (ET) teeth. Methods. The patients were clinically and radiographically reevaluated after root canal therapy. The quality of the root-filled canals, coronal restorations, intraradicular posts, dental caries, and periodontal parameters were associated with the teeth’s periapical status. Results. The 122 patients provided 154 ET teeth; 97.4% teeth were asymptomatic, and 75.5% had a normal periapical status. The percentage of perfect, satisfactory, and deficient root-filled canals was of the order of 41.6%, 46.1%, and 12.3%, respectively. The percentage of adequate and inadequate coronal restorations was 31.2% and 68.8%, respectively. A total of 14.9% teeth had intraradicular posts, and 29.2% had cavitated carious lesions in the dentin. Gingival bleeding was observed in 31.8% of teeth, and dental biofilm was visible in 58.4%. A total of 11.7% showed pathologic tooth mobility, and 22.1% teeth were diagnosed with periodontal disease. Conclusions. Carious lesions, gingival bleeding, and tooth mobility were significantly associated with the occurrence of periapical lesions in root-filled canals.

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Kohsaka, Yasuo. "Study on tooth mobility. Horizontal displacement of lower teeth." JOURNAL OF THE STOMATOLOGICAL SOCIETY,JAPAN 54, no. 1 (1987): 156–74. http://dx.doi.org/10.5357/koubyou.54.156.

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Eid, Hany, and Waleed El Sayed. "Effect of hyperbaric oxygen mobility of orthodontically treated teeth." Egyptian Orthodontic Journal 38, no. 12 (December 1, 2010): 107–24. http://dx.doi.org/10.21608/eos.2010.79029.

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Nyman, Sture R., and Niklaus P. Lang. "Tooth mobility and the biological rationale for splinting teeth." Periodontology 2000 4, no. 1 (February 1994): 15–22. http://dx.doi.org/10.1111/j.1600-0757.1994.tb00002.x.

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Picton, D. C. A. "Extrusive mobility of teeth in adult monkeys (Macaca fascicularis)." Archives of Oral Biology 31, no. 6 (1986): 369–72. http://dx.doi.org/10.1016/0003-9969(86)90159-7.

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Teixeira, Ana Karine Macedo, Angelo Giuseppe Roncalli, and Luiz Roberto Augusto Noro. "Income Trajectories and Oral Health of Young People in a Life Course Study." Caries Research 53, no. 3 (2019): 347–56. http://dx.doi.org/10.1159/000495038.

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Objective: To investigate the impact of the family’s socioeconomic trajectory on the oral health status of young people in the city of Sobral, Ceará, Brazil, and test the hypotheses of the life course theory. Methods: This is a cohort study conducted in 2000, 2006, and 2012. In the third wave, 482 individuals between 17 and 21 years of age were examined and interviewed. The outcomes analyzed were the trajectory of tooth decay (decayed teeth in 2012 and cavity reoccurrence) and the trajectory of dental assistance (immediate dental assistance and untreated caries). The socioeconomic trajectory was measured by the mobility of the family’s income between childhood and youth and the number of episodes of poverty throughout life. Results: The risk of developing decayed teeth in 2012 was greater for those who had always remained poor. Young people who were never poor had fewer decayed teeth in 2012, but more cavity reoccurrence. Downward mobility resulted in less access to immediate dental assistance. More experience of poverty throughout life implied more decayed teeth in 2012 and less immediate dental assistance. Conclusion: The life course hypotheses regarding an influence of socioeconomic mobility and cumulative risk on oral health outcomes in youth were confirmed.

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Volpato, Luiz Evaristo Ricci, Cintia Aparecida Damo Simões, Flávio Simões, Priscila Alves Nespolo, and Álvaro Henrique Borges. "Riga-Fede Disease Associated with Natal Teeth: Two Different Approaches in the Same Case." Case Reports in Dentistry 2015 (2015): 1–4. http://dx.doi.org/10.1155/2015/234961.

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Natal teeth are those present in the oral cavity at the child’s birth. These teeth can cause ulcers on the ventral surface of the tongue, lip, and the mother’s breast characterizing the Riga-Fede Disease. The treatment depends on the tooth’s mobility and the risk of aspiration or swallowing; whether it is supernumerary or regular primary teeth; whether it is causing interference in breastfeeding; breast and oral soft tissue injuries; and the general state of child’s health. A 1-month-old female infant was diagnosed with two natal teeth and an ulcerated lesion on the ventral surface of the tongue, leading to the clinical diagnosis of Riga-Fede Disease. The treatment performed consisted of the maintenance of the natal tooth that showed no increased mobility, adding a small increment of glass ionomer cement to its incisal edge, and orientation for hygiene with saline solution. Due to the increased mobility of the other natal tooth, surgical removal was performed. There was regular monitoring of the patient and complete wound healing was observed after 15 days. The proposed treatment was successful and the patient is still in follow-up without recurrence of the lesion after one year.

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Trimeridou, Angeliki Sofia, Aristidis Arhakis, and Konstantinos Arapostathis. "Presentation of a Case of Short Root Anomaly in an 11-Year-Old Child." Case Reports in Dentistry 2023 (January 4, 2023): 1–7. http://dx.doi.org/10.1155/2023/1766133.

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Short root anomaly (SRA) is a developmental anomaly in which the affected teeth present morphologically normal crowns and short, round roots. The exact cause of SRA is unknown. A case of an 11-year-old female patient with SRA is described. The patient presented short, round roots of all permanent teeth but first molars. Maxillary lateral incisors presented severe root resorption and mobility. Treatment plan included preservation of the maxillary lateral incisors by splinting them to their adjacent teeth using a stainless steel coaxial wire. A custom mouthguard for dental trauma protection was also constructed using a computer-aided design - computer-aided manufacturing (CAD–CAM) system in order to fabricate 3D-printed dental casts. At 2-year follow-up, the mobility of maxillary lateral incisors decreased, and the patient’s dentition remained stable. Considerations regarding differential diagnosis, orthodontic management, and treatment options after an eventual loss of teeth are thoroughly discussed.

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Harvey, Colin E., Frances S. Shofer, and Larry Laster. "Association of Age and Body Weight with Periodontal Disease in North American Dogs." Journal of Veterinary Dentistry 11, no. 3 (October 1994): 94–105. http://dx.doi.org/10.1177/089875649401100301.

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Thirteen hundred and fifty dogs were examined under anesthesia at veterinary hospitals in the USA and Canada. Periodontal health was recorded in detail. Teeth were frequently absent (particularly lower third molar, upper and lower first premolars, and incisor teeth). Calculus was most extensive on the upper fourth premolar and molar teeth. Missing teeth, mobility of remaining teeth, extent of calculus and gingival inflammation, and furcation exposure and attachment loss all were more common in small dogs compared with larger dogs, and in older dogs compared with younger dogs.

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Иващенко, Александр, Alexander Ivashchenko, Игорь Федяев, Igor Fedyaev, Алексей Яблоков, Aleksey Yablokov, Егор Баландин, and Egor Balandin. "FEATURES OF REGENERATION OF BONE TISSUE IN THE PERIAPICAL ZONE OF THE REPLANTED TEETH." Actual problems in dentistry 14, no. 2 (July 25, 2018): 74–77. http://dx.doi.org/10.18481/2077-7566-2018-14-2-74-77.

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Subject. In this article, the problem of integrating the repaid teeth has been studied. Data on the fibroosteointegration of the replanted teeth were obtained on the basis of clinical and additional research methods. Goal. To study the features of the regeneration of bone tissue in the periapical zone of the implantable teeth. Methodology. The patient, C., 41, complained of a partial absence of teeth. As a result of examination of the mouth and analysis of the orthopantomogram, significant destruction of the crown part of the teeth of the upper and lower jaws was revealed. Based on the data obtained, a decision was made to remove them with subsequent replantation. Three months after the implantation, an orthopantomogram was performed. According to the data of roentgenography, uniform filling of the root canal with cement along the entire length was revealed, trabecular bone tissue in the region of the tips of the roots of the resplanted teeth is consistent. With the support of the implantable teeth, non-removable cermet structures were installed. Later, prosthetics was performed with removable orthopedic prostheses. Results. After 2 years as a result of a follow-up examination, there was no pathological mobility in the resplanted teeth, the patient did not present any complaints. On intraoral virological images of the teeth 1.1, 1.2, 1.3, 3.4, the trabecular bone tissue in the projection of the apex of the roots is consistent, the inflammatory foci are not revealed. On the whole surface of the roots of the teeth 1.1-1.3 periodontal space can be traced throughout the root. Bone tissue in the region of the roots of these teeth without pathology. This observation may allow us to make an assumption about fibroosteointegration of these teeth. Conclusions. Based on the results of the treatment and analysis of X-ray data from two-year follow-up, we found no abnormal mobility in the resplanted teeth, bone tissue in the apex of these teeth is well-founded, orthopedic structures supported by the resplanted teeth are stable.

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Singh, Ashutosh Kumar, and Lipika Shrestha. "Auto-transplantation of teeth: Our Experience." Journal of College of Medical Sciences-Nepal 12, no. 3 (November 23, 2016): 99–102. http://dx.doi.org/10.3126/jcmsn.v12i3.15978.

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Background & Objectives: To evaluate success rate of auto-transplantation of teeth with immature and mature root apex.Materials & Methods: Fifteen consecutively auto-transplanted teeth ( six with immature apex and nine with mature apex ) were followed up for a mean duration of 8.6 months and assessed for post transplant mobility, root resorption, root growth and pain. The transplanted teeth were assessed clinically and Intraoral periapical radiographs (IOPAR) were taken every three months.Results: Overall success rate was 73.3%. Higher success rate was observed for teeth with immature apex as compared to teeth with mature apex.Conclusion: Auto-transplantation can be used as reliable method for replacement of missing teeth if proper case selection and surgical protocol is followed.

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Samia Shafiq and Nazia Yazdanie. "Effects of acrylic removable partial dentures on periodontal health of abutment teeth." Professional Medical Journal 29, no. 03 (February 28, 2022): 382–88. http://dx.doi.org/10.29309/tpmj/2022.29.03.6109.

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Objective: To assess the outcomes in patients wearing particularly designed acrylic removable partial dentures at different time intervals. Study Design: Descriptive Case Series Study. Setting: Department of Prosthodontics, FMH College of Dentistry, Lahore. Period: October 2017 to April, 2018. Material & Methods: Sixty five (65) abutments of acrylic removable partial denture wearers were included in the study for assessment of Mean Clinical Attachment Level (CAL), Tooth Mobility (TM) and Mean Gingival Index (GI). These periodontal parameters were clinically assessed at the day of insertion, 30th day and 60th day of insertion. Mean Clinical Attachment Level (CAL) was measured by William’s Probe. Tooth Mobility (TM) was assessed using Miller’s Classification. Gingival health was evaluated using the Gingival Index (GI) of Loe and Silness. Mean and standard deviation were calculated for patient’s age and all the periodontal scores of abutment teeth. Data was stratified for age and gender to identify the effect modifiers. Pearson chi-square test was used for Mean Gingival Index, and Mean Tooth Mobility. Post-stratification student t-test for Mean Clinical Attachment Level was used to compare the results with p ≤ 0.05 considered as significant. Results: Sstatistically insignificant results for all the periodontal parameters, i.e. the Mean Gingival Index (GI), Tooth Mobility (TM) and Mean Clinical Attachment Loss (CAL) were observed, age being not influencing the periodontal health of abutments. The only statistically significant (p= 0.01) result was observed for the Tooth Mobility (TM) in gender categories at the day of insertion and the 30th day of insertion. Conclusion: All the periodontal parameters, except tooth mobility (TM) assessed in the study, were not affected by the acrylic removable partial denture wearing.

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AIJIMA, Reona, Yoshio YAMASHITA, Masahito SHIGEMATSU, Atsushi DANJO, Daiji SHIMOHIRA, and Masaaki GOTO. "A case of suspected primary hyperoxaluria with severe teeth mobility." Japanese Journal of Oral and Maxillofacial Surgery 56, no. 12 (2010): 710–14. http://dx.doi.org/10.5794/jjoms.56.710.

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Khemiss, Mehdi, Dalila Ben Fekih, Mohamed Ben Khelifa, and Helmi Ben Saad. "Comparison of Periodontal Status Between Male Exclusive Narghile Smokers and Male Exclusive Cigarette Smokers." American Journal of Men's Health 13, no. 2 (March 2019): 155798831983987. http://dx.doi.org/10.1177/1557988319839872.

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Studies evaluating the effects of narghile use on the periodontium present conflicting conclusions. This study aimed to compare the periodontal status of exclusive narghile smokers (ENSs, n = 74) to that of exclusive cigarette smokers (ECSs, n = 74). Males aged 20–40 years were recruited to participate in this comparative study. Information concerning oral health habits (number of yearly visits to the dentist, daily toothbrushing frequency) and tobacco exposure were obtained. Clinical measurements were performed on all the existing teeth, except the third molars. The number of remaining teeth and decayed/missing/filled teeth (DMFT) were noted. The plaque levels were recorded using the plaque index of Löe and Silness. The gingival index modified by Löe was used to evaluate gingival inflammation. Teeth mobility was measured using bidigital mobility. The probing pocket depth was measured using a periodontal probe. Periodontal disease was defined as the presence of at least 10 sites with a probing depth ≥5 mm. Student’s t and chi-square tests were used to compare, respectively, the two groups’ quantitative and qualitative data. The two groups were matched for quantities of used tobacco, age, daily toothbrushing frequency, teeth mobility, number of remaining teeth, plaque index, and DMFT. Compared to the ECS group, the ENS group had a significantly lower number of yearly visits to the dentist (mean ± SD: 0.2 ± 0.5 vs. 0.1 ± 0.2), lower probing pocket depth (mean ± SD: 2.33 ± 0.63 vs. 2.02 ± 0.80 mm), and gingival index (median [interquartile]: 0.46 [0.10–0.89] vs. 0.00 [0.00–0.50]), and it included significantly lower percentages of smokers with periodontal disease (24.3% vs. 9.5%). In conclusion, chronic exclusive narghile smoking has fewer adverse effects on the periodontium than chronic exclusive cigarette smoking.

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Portaro, Camila Palma, Yndira Gonzalez Chópite, and Abel Cahuana Cárdenas. "Generalized Aggressive Periodontitis in Preschoolers: Report of a case in a 3-1/2 Year Old." Journal of Clinical Pediatric Dentistry 33, no. 2 (December 1, 2008): 155–60. http://dx.doi.org/10.17796/jcpd.33.2.a2825h0x75445k57.

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Destructive forms of periodontal disease in children are uncommon. Severe periodontal destruction can be a manifestation of a systemic disease; however, in some patients, the underlying cause of increased susceptibility and early onset is still unknown. Objective: To describe an effective therapeutic approach to Generalized Aggressive Periodontitis (GAgP) in children, based on a 3-1/2 year-old male patient referred to the Hospital due to early loss of incisors, gingivitis,and tooth mobility in his primary dentition. Intraoral examination revealed severe gingival inflammation,dental abscesses, pathological tooth mobility, bleeding upon probing and attachment loss around several primary teeth. Dental radiographs revealed horizontal and vertical bone loss. Treatment consisted on the extraction of severely affected primary teeth, systemic antibiotics, deep scaling of remaining teeth and strict oral hygiene measures. Once the patient's periodontal condition was stabilized, function and esthetics were restored with "pedi-partials." After a follow-up period of nearly 4 years, the patient's periodontal status remains healthy, facilitating the eruption of permanent teeth. Conclusion: Prompt diagnosis and good treatment regimen may provide an effective therapeutic management of Generalized Aggressive Periodontitis.

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Altay, Mehmet Ali, Alper Sindel, Öznur Özalp, Burak Kocabalkan, İrem Hicran Özbudak, Ramazan Erdem, Ozan Salim, and Dale A. Baur. "Langerhans Cell Histiocytosis: A Diagnostic Challenge in the Oral Cavity." Case Reports in Pathology 2017 (2017): 1–6. http://dx.doi.org/10.1155/2017/1691403.

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Background. Langerhans cell histiocytosis (LCH) is a rare disorder of the reticuloendothelial system with unknown etiology. This report aims to present a case of LCH with diffuse involvement of the oral cavity and to raise awareness of the distinguishing features of this diagnostically challenging entity. Case Report. A 26-year-old male patient presented with complaints of teeth mobility, intense pain, and difficulty in chewing. Intraoral and radiological examinations revealed generalized gingival hyperplasia and severe teeth mobility with widespread alveolar bone loss. Periodontal therapy was performed with no significant improvement. An incisional biopsy revealed Langerhans cells and positive reaction to S-100 and CD1, and the patient was diagnosed with LCH. The patient underwent systemic chemotherapy with vinca alkaloids and corticosteroids. Regression of gingival lesions, as well as significant decrease in mobility of the remaining teeth and severity of pain, was achieved during 12 months of follow-up. Conclusion. The rarity and variable system involvement of LCH necessitate a multidisciplinary approach be carried out for accurate diagnosis, effective treatment, and an uneventful follow-up. Awareness of oral manifestations of LCH may aid clinicians greatly in reducing morbidity and mortality associated with this debilitating condition.

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Dilek Özkan, Şen, Irız Betül, Atay Ümmühan Tekin, and Öncü Elif. "Intentıonal reımplantatıon of hopeless teeth: Cases serıes." Archives of Surgery and Clinical Research 4, no. 2 (October 31, 2020): 047–50. http://dx.doi.org/10.29328/journal.ascr.1001053.

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Intentional replantation is an alternative for the treatment of advanced periodontal destruction of the anterior teeth. Systemically healthy three female patient was referred to our clinic with functional complaints. Diagnosis were chronic periodontitis and class III mobility was noted at the mandibular incisors with complete periodontal attachment loss. After phase I periodontal treatment periodontally involved teeth were extracted, endodontic treatment accomplished, the teeth were replanted and fixed to its place with fiber reinforced composite splint. At the end of 2 years tooth was in function with alveolar bone gain. Intentional replantation provided long-term maintenance of patient’s own teeth.

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29

Khaerunnisa, Rahmadaniah, and Lisna Wati Solihat. "EFFECT OF FIXED ORTHODONTIC TREATMENT BY UNLICENSED DENTAL SERVICE ON DENTAL HEALTH." Journal of Health and Dental Sciences 2, Volume 2 No 1 (May 31, 2022): 63–74. http://dx.doi.org/10.54052/jhds.v2n1.p63-74.

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Orthodontic treatment is a treatment that induces light pressure on the teeth by using an orthodontic appliance so that the teeth move in a determined direction. Fixed orthodontic treatment must be following the instructions of an orthodontist however many unlicensed dental services and online shop sites offer free braces. Side effects can occur in patients with a fixed orthodontic appliance, but this has been minimized by dentists in the treatment process so that patients get greater benefits. Fixed orthodontic treatment by unlicensed dental services is done without any responsibility in case of an error that threatens dental health. It was reported that 22 years old woman complained that her lower anterior teeth were mobile and there was a white spot on the part where the bracket was set up. The patient wanted to remove the braces that were attached by the unlicensed dental services several years ago. Patients diagnosed with periodontitis localized of teeth 32-42 with mobility grade II et causa trauma of fixed orthodontic appliances. The dental emergencies of tooth mobility, in this case, were carried out by orthodontic bracket removal on the upper and lower teeth and followed by periodontal treatment. So that it does not cause further damage to the underlying supporting tissue and cause the tooth to extrude.

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30

Park, So-hyun, Seung-Heon Paek, Bongju Kim, and Jung-Tae Lee. "Assessment of Bone Height Changes Based on the Cone–Beam Computed Tomography Following Intentional Replantation for Periodontally Compromised Teeth." Medicina 59, no. 1 (December 25, 2022): 40. http://dx.doi.org/10.3390/medicina59010040.

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Background and Objectives; This study aimed to evaluate the clinical outcomes and bone changes before and after intentional replantation (IR) for periodontally compromised teeth by using cone–beam computed tomography (CBCT). Materials and Methods; Fourteen periodontally involved teeth were selected for IR. A preoperative orthodontic procedure was performed to apply luxation, and the tooth was then gently extracted. Retrograde filling of the root-end canal was performed. Once the tooth was repositioned in the socket, it was splinted with the adjacent tooth. After three months, prosthetic restoration was performed. Results; Clinical parameters and CBCT images were obtained before and after the IR procedure. The height of the alveolar bone was measured on the CBCT images by using software. Most preoperative symptoms, including pain, mobility, probing depth (PD) and bleeding on probing (BOP), significantly decreased after IR (pain: 4.71 to 1.00; mobility: 1.36 to 0.29; PD: 5.60 to 2.85; BOP: 3.50 to 0.79). CBCT analysis indicated an increase in bone height after IR (the amount of change: maxilla, 4.00; mandible, 1.95). Conclusions; A previous study reported that IR for periodontally involved teeth is quite limited. However, in this study, IR of periodontally compromised teeth showed favorable results in clinical and radiographic evaluations, suggesting that IR may be an alternative to extraction of teeth with periodontal disease.

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KAKA, Dr LUAY N. "A comparative radiographical evaluation of alveolar bone resorption in upper and lower anterior teeth." Mustansiria Dental Journal 6, no. 4 (March 27, 2018): 371–75. http://dx.doi.org/10.32828/mdj.v6i4.488.

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Alveolar bone loss is the atrophy of maxillary and mandibular bone that underlines and support the teeth lead to reduction in bone height and volume. The sample of this study was collected from patients who attended Al-Mammon center for specialist dentists. The patients usually complaing from bleeding gum, discomfort on eating and relative mobility of teeth. In this study 60 male patients with age between 20-49 years were selected and divided into three groups to assess bone loss by the aid of digital panoramic radiographs in the upper and lower anterior teeth. The results revealed that bone loss is more in lower anterior teeth than in upper anterior teeth in most of the age groups.

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DuPont, Gregg. "Tooth Splinting for Severely Mobile Mandibular Incisor Teeth in a Dog." Journal of Veterinary Dentistry 12, no. 3 (September 1995): 93–95. http://dx.doi.org/10.1177/089875649501200304.

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Periodontal disease, in its advanced stages, causes tooth mobility. The tooth movement further damages the periodontium, accelerating the disease process leading to tooth loss. Dental splinting can provide coaptive stability to the teeth as an important component of a periodontal treatment plan. This report documents results four years following splinting of the mandibular incisor teeth in a 3 year old Miniature Schnauzer dog.

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Maizar, Putri Ovieza, and Kosno Suprianto. "IDENTIFIKASI PENYEBAB KEGAGALAN DAN APLIKASI FIBER REINFORCED COMPOSITE PADA SPLINTING." Andalas Dental Journal 6, no. 2 (October 7, 2018): 106–15. http://dx.doi.org/10.25077/adj.v6i2.124.

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Periodontal disease is a disease characterized by inflammation of the gingiva, loss of attachment, and damage to the alveolar bone. Bone loss caused by periodontitis may lead to tooth mobility which causes discomfort during mastication, difficulty in maintaining oral hygiene, and persistent inflammation which results in tooth loss. Splinting is a treatment to stabilize a tooth that is experiencing mobility due to periodontal problems. The most common alternative is the use of a fiber reinforced composite material that bonds to the tooth surface. Fiber works functionally, has good aesthetics, and can improve tooth stability due to mobility that occurs due to bone loss. However, in practice fiber splint also has the potential to fail due to several micro mechanisms. One of them was found in this case report. The following case report is regarding the use of a fiber reinforced composite splinting on lower anterior teeth involving two posterior teeth.

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34

Richards, Michael P., Marcello A. Mannino, Klervia Jaouen, Alessandro Dozio, Jean-Jacques Hublin, and Marco Peresani. "Strontium isotope evidence for Neanderthal and modern human mobility at the upper and middle palaeolithic site of Fumane Cave (Italy)." PLOS ONE 16, no. 8 (August 24, 2021): e0254848. http://dx.doi.org/10.1371/journal.pone.0254848.

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To investigate the mobility patterns of Neanderthals and modern humans in Europe during the Middle-to-Upper Palaeolithic transition period, we applied strontium isotope analysis to Neanderthal (n = 3) and modern human (n = 2) teeth recovered from the site of Fumane Cave in the Monti Lessini region of Northern Italy. We also measured a large number of environmental samples from the region, to establish a strontium ‘baseline’, and also micromammals (vole teeth) from the levels associated with the hominin teeth. We found that the modern humans and Neanderthals had similar strontium isotope values, and these values match the local baseline values we obtained for the site and the surrounding region. We conclude that both groups were utilizing the local mountainous region where Fumane Cave is situated, and likely the nearby Lessini highlands and Adige plains, and therefore the strontium evidence does not show differening mobility patterns between Neanderthals and modern humans at the Fumane site.

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35

Yadav, Ram Udgar, Sageer Ahmed, and Mozammal Hossain. "A 26-year-old female with faulty existing restorations." Bangabandhu Sheikh Mujib Medical University Journal 14, no. 2 (April 4, 2021): 27–30. http://dx.doi.org/10.3329/bsmmuj.v14i2.52438.

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This article has no abstract. The first 100 words appear below: A 26-year-old female came with unaesthetic restorations on the upper four anterior teeth. She gave a history of the restoration of the teeth 6 months ago that underwent progressive marginal discoloration. On clinical examination, two upper central and two lateral incisor teeth were restored by Glass Ionomer cement and Secondary caries were present beneath restorations. Teeth were vital and did not respond to percussion and mobility test. Radiographic examination revealed that the four maxillary anterior teeth (2 central and 2 laterals) had the existing restoration which showed a radioopaque area in the proximal surface but radiolucent areas were also seen beneath the radioopaque area that extends to the dentin.

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Qin, Zeman, Haotian Cao, Yongqian Xu, Rui Chen, Zhuoying Li, Zhuoshan Huang, Meihua Zheng, Youyuan Wang, and Wei-liang Chen. "Tooth Loss after Jaw Curettage Surgery: Associated Factors and Potential Benefit of Splint Application." Disease Markers 2022 (January 28, 2022): 1–9. http://dx.doi.org/10.1155/2022/7750229.

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Background. This retrospective study is aimed at (I) assessment of tooth loss and related parameters after jaw curettage of benign lesions and (II) assessment of the outcome of jaw curettage supported by splint insertion after at least six months of follow-up. Material and Methods. For (I), patients who had jaw curettage surgery in the Department of Oral and Maxillofacial Surgery, Sun Yat-sen Memorial Hospital, Sun Yat-sen University (Guangzhou, China) from July 2015 to June 2019 were included. For part (II), consecutive patients who came to the department from July to December 2019 that were additionally treated with dental splinting were involved in this study. Based on the patient records, age, gender, initial tooth mobility, follow-up outcome, and potential tooth loss (intra- or postoperatively) were recorded. Based on available radiographs, alveolar crest bone loss and root surface area supported by bone (RSA) were determined. Results. (I) 128 patients with 305 teeth were included, of which 40 teeth were lost (success rate 86.9%), without statistical difference in gender, age, or tooth type ( P > 0.05 ). Tooth mobility, RSA, and the presence of alveolar crest bone defects were associated to tooth loss ( P < 0.001 ). (II) 17 patients with a medium follow-up period of 11 months (range 9 to 13 months) were enrolled. All lesion-involving teeth supported by splint treatment at risks of loss were preserved, showing an effective tooth retention rate in 17/17 cases (74/74 teeth, success rate: 100%). Conclusions. Tooth mobility and bone loss (lesion-related and/or periodontal) are potential risk predictors for tooth loss in the first year after jaw curettage surgery. Dental splints could be recommendable for teeth involved by jaw benign lesions with little bone support.

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Zhekov, Yanko, Elena Firkova, Hristo Kissov, and Svetlin Aleksandrov. "CAD/CAM FIBER-REINFORCED COMPOSITE SPLINT FOR IMMOBILIZATION OF PERIODONTALLY COMPROMISED TEETH." Journal of IMAB - Annual Proceeding (Scientific Papers) 28, no. 2 (April 14, 2022): 4335–37. http://dx.doi.org/10.5272/jimab.2022282.4335.

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A digital technique for planning and manufacturing a periodontal splint from composite material reinforced with glass fibers is presented. The lingual surface of the permanent mandibular anterior teeth is scanned intraorally. An accurate periodontal splint of the mandibular anterior teeth with increased mobility is fabricated. Digital planning and fabrication of an immobilizing splint minimize the human factor that affects the accuracy of the restoration.

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Santosh Chhattani, Roshani Thakur, Motilal Jangid, and Neelu Kasare. "Intentional Replantation: A Last Resort for Treatment of Periodontally Hopeless Teeth." International Healthcare Research Journal 4, no. 11 (February 1, 2021): CR1—CR5. http://dx.doi.org/10.26440/ihrj/0411.02386.

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Periodontal disease is an inflammatory response to the bacterial biofilm which leads to inflammation of periodontal structures and further results in loss of attachment and bone loss which in severe cases leads to mobility of teeth, eventually may cause exfoliation of teeth. Treatment option for excessive mobile teeth is extraction and replacement can be carried out with fixed partial denture or implant placement. In patients with financial constraints and also the patients in whom the fixed partial denture is contraindicated, intentional replantation of periodontally hopeless teeth is an alternative treatment modality. It’s a procedure of purposely removing a tooth and replacing it in a more apical position. Thus, this procedure of intentional replantation can be considered as an alternative treatment modality rather than extraction of periodontally hopeless teeth.

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Ahmed, Sageer, Shegufta Tabassum, Mozammal Hossain, Md Mujibur Rahman Howlader, Md Joynal Abdin, and Md Shamsul Alam. "A 22-year-old male with pain and tooth surface loss on multiple teeth." Bangabandhu Sheikh Mujib Medical University Journal 12, no. 1 (March 15, 2019): 39–44. http://dx.doi.org/10.3329/bsmmuj.v12i1.40165.

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This article has no abstract. The first 100 words appear below: A 22-year-old male reported to the outpatient department with the complaints of occasional pain and tingling sensation on his maxillary left posterior teeth and mandibular anterior teeth for 3 to 4 months with slight mobility of mandibular anterior teeth. He had no significant medical history as well as no history of trauma and familial history of similar disease. He also stated that he went to Dhaka Dental College where he received clinical and radiological investigations and diagnosed as a case of external tooth resorption. In the Dhaka Dental College, upper left 1st and 2nd premolar, mandibular right central and lateral incisor teeth were extracted.

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Shrestha, Sandeep, S. Namrata, K. Bhumesh, and M. Sarita. "Natal Teeth: A Case Report and Review." Journal of Karnali Academy of Health Sciences 1, no. 3 (December 31, 2018): 49–51. http://dx.doi.org/10.3126/jkahs.v1i3.24156.

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A rare phenomenon, natal teeth are observed in infants at birth .The incidence of this anomaly has been approximately 1:1000 to 1:6000 live births. Presence of natal tooth may lead to numerous complications. Natal teeth can interfere with breastfeeding and, if excessively mobile, may be swallowed or aspirated during nursing. In this article, a case report is presented where a natal tooth was present in the mandibular incisor region. Due to the possibility of aspiration because of the presence of mobility and also as the teeth are causing discomfort to the mother during breast feeding, the teeth was extracted under topical anaesthesia and the healing was found to be satisfactory.

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Rangareddy, M. S., Archana Daga, Y. Vishnu Vardhan, and M. Daneswari. "Management of Root Fracture: A Novel, Noninvasive Treatment Approach." Case Reports in Dentistry 2013 (2013): 1–6. http://dx.doi.org/10.1155/2013/653261.

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Traumatic injuries to teeth account for approximately 25% of dental conditions where a patient seeks dentist for emergency treatment. Radicular fractures are one such entity which is very challenging to address due to various complications like periodontal communication, increased mobility, and continued pulpal infection leading to necrosis. Radicular fractures in the middle third have long been considered teeth of salvage due to their unfavourable fracture pattern. During the recent years introduction of biomimetic materials has opened the horizon for saving these teeth. In the present case report a novel approach to the management of radicular fractures in the middle third has been presented.

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42

Mulya, Levina, and Sri Lelyati C. Masulili. "Terapi Bedah Flep dan Cangkok Tulang pada Periodontitis Agresif di Regio Gigi Anterior Mandibula." Majalah Kedokteran Gigi Indonesia 19, no. 1 (June 30, 2012): 67. http://dx.doi.org/10.22146/majkedgiind.15687.

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Background: Aggressive periodentitis is a multifactorial disease that usuallyOccurs at a young age with the disease spreading fast and found the bacteria. Commonly aggressive periodontitis associated with hereditary factors and lack of immune system so as to reveal any family history with the same disease, and found savere alveolar bone destruction that may ultimately lead to tooth loss. Aggressive periodontitis and generalized aggressive periodontitis. The development of aggressive periodontitis is difficult to predict, so the mechanical therapy is not sufficient, and required antibiotic therapy or surgical therapy. Aim: the purpose of this case report is to explain the procedures and result of surgical treatment of the flap surgery with bone graft in anterior teeth of the patients with generalized aggressive periodontitis. Case report: Cases one and two with complaints of anterior teeth mobility. On clinical examination teeth mobility two and three degree, absolute pocket depth 4-6 mm. Radiograpic examination bone loss reached one third apical in all region. The diagnosis of both cases in generalized aggressive periodontitis. Treatment: After initial theraphy heve been evaluated, flap surgery with bone graft done in booth cases. Control evaluation after 6 month from surgery, in clinically reduced pocket depth 1-2m and tooth mobility, in radiographically increased bone height and bone fill. Conclusion: Flap surgery with bone graft in generalized aggressive periodontitis can assist periodontal regeneration.

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43

Sopianah, Yayah, Kwartarini Murdiastuti, Rosa Amalia, Rieza Zulfahmi Taftazani, and Ayu Rahayu Lestari. "Factors of Dental Caries, Tooth Mobility, and Periodontal Pockets on the Occupation of Tooth Loss in the Elderly. (A Study in Karikil Village, Mangkubumi District, Tasikmalaya City)." Open Access Macedonian Journal of Medical Sciences 10, no. D (May 19, 2022): 251–54. http://dx.doi.org/10.3889/oamjms.2022.9859.

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BACKGROUND: Loss of teeth can disrupt daily activities such as chewing disorders, causing emotional problems, and loss of self-confidence. Tooth loss in the elderly is usually caused by dental caries and periodontal disease which are influenced by several other factors. AIM: This study aims to obtain a mathematical equation for predicting tooth loss in the elderly based on dental caries, tooth mobility, and periodontal pockets which have been shown to have an effect. MATERIALS AND METHODS: This research is a survey research with a cross-sectional design. The research subjects were 210 elderly people from Karikil Village, Mangkubumi District, Tasikmalaya City, sampling using the purposive sampling technique affected tooth loss, while the effects were dental caries, tooth mobility, and periodontal pockets. Tooth loss, dental caries, mobility of teeth, and periodontal pockets were measured using the fill-in format from the World Health Organization. Data analysis used the Chi-square correlation test and multiple logistic regression. RESULTS: The results of the Chi-square test analysis showed that the variables of dental caries and tooth mobility had a very significant effect on tooth mobility (p = 0.000 and 0.007). The pocket periodontal variable did not show a significant relationship to tooth mobility (p = 0.947). The results of the multiple logistic regression analysis of dental caries and tooth mobility together contributed 12.2% (R2 = 0.122) to tooth mobility in the elderly. Dental caries gave the greatest contribution to tooth loss, namely, 87.6%. CONCLUSION: Dental caries gives the greatest contribution compared to tooth mobility and periodontal pockets to the occurrence of tooth loss in the elderly. In the elderly, the higher the level of dental caries and tooth mobility, the higher the risk of tooth loss.

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Rachmawati, Ranny, Chaidar Masulili, Sri Lelyati C. Masulili, Fatimah Tadjoedin, and Irene Sukardi. "Departemen Periodonsia Fakultas Kedokteran Gigi Universitas Indonesia Jakarta, Indonesia." Journal of Dentomaxillofacial Science 10, no. 3 (October 30, 2011): 169. http://dx.doi.org/10.15562/jdmfs.v10i3.279.

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Splint is one of the therapies to support the periodontal healing; aims to stabilize the teeth so the occlusal load canbe distributed equally to all other teeth. Periodontal splint can be used temporarily or permanently. The removableframe partial denture can be functioned not only for replacing the missing teeth but also as permanent splint. Initialtherapy has been implemented to all cases on this report, consists of scaling, root planning, occlusal adjustment andsurgical therapy including curettage, flap operation, but apparently teeth mobility still existed. In order to supportthe periodontal tissue health, the frame of removable partial denture is needed as splint. It can be concluded thatimplementation of the removable partial denture with framework as splint to support the periodontal treatmentshould be provided after the initial and surgical therapy.

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45

Guven, Gunseli, Feridun Basak, Isil Saygun, Ceyhan Altun, Erman Akbulut, Avni Atay, and Mustafa Gulgun. "Oral and Dental Findings in Osteopetrorickets." Journal of Clinical Pediatric Dentistry 31, no. 4 (July 1, 2007): 264–66. http://dx.doi.org/10.17796/jcpd.31.4.q18461312h45v06r.

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While dental findings of both rickets and osteopetrosis have been reported, there is no published report on the oral and dental findings of osteopetrorickets. In this paper dental findings of osteopetrorickets were presented. A two-year-old female child was referred to the pedodontics clinic for dental examinations before bone marrow transplantation. Her teeth showed severe mobility and the eruption of the teeth were delayed. The dental findings of the patient were different from that of osteopetrosis and rickets.

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46

Rey Lescure, Manon, Nicola Alberto Valente, Sibylle Chatelain, Chiara Cinquini, and Antonio Barone. "Autotransplantation of Two Immature Third Molars with the Use of L-PRF." Case Reports in Dentistry 2021 (January 2, 2021): 1–8. http://dx.doi.org/10.1155/2021/6672711.

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Tooth autotransplantation is a procedure which provides the extraction of an erupted or impacted tooth and its repositioning to another site in the oral cavity. This Case Report describes a successful case of two autotransplantations of open-apex mandibular third molars in place of the hopeless first mandibular molars with the use of L-PRF in a growing patient. A 15-year-old male patient was referred to the Dental Clinic for the extractions of the two hopeless mandibular first molars. Autotransplantation was considered the best treatment option for both sites 36 and 46, because the presence of two impacted mandibular third molars (38 and 48) with an incomplete root formation. Teeth 36 and 46 were extracted and replaced with teeth 38 and 48. The patient had an uneventful healing. At follow-up visits, the two autotransplanted teeth showed physiologic mobility, absence of inflammation and discomfort, and absence of infection; probing depth values were within normal range, and the vitality tests were positive. After 2 years, the teeth in position 36 and 46 showed absence of infection and mobility, and positive pulp vitality tests and the radiographic examinations exhibited closure of the root apices as well as absence of any periapical radiolucency or root resorption. Tooth autotransplantation is a good treatment option in case of tooth loss offering an alternative to traditional or implant-supported prosthesis especially for growing patients.

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47

Ramkumar, Narayane, and Hanumanth Sankar. "Multidisciplinary management of Papillon-Lefevre syndrome as a result of consanguineous marriage." BMJ Case Reports 15, no. 12 (December 2022): e252992. http://dx.doi.org/10.1136/bcr-2022-252992.

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Papillon-Lefevre syndrome (PLS) is a rare autosomal recessive syndrome, and consanguinity has been reported in 20%–40% of cases. It is characterised by palmoplantar hyperkeratosis associated with severe early-onset periodontitis and premature loss of primary and permanent teeth. This report describes a case of PLS in a female patient with consanguineously married parents. The patient reported mobile upper front teeth. Clinical examination revealed presence of marked palmoplantar hyperkeratosis.Symmetric, well-demarcated, yellowish, keratotic and confluent plaques were seen on the skin of her palms and soles. Intraoral periodontal examination revealed erythematous gingiva with generalised periodontal pockets. Generalised mobility of teeth was present with clinically missing lower anterior teeth. Based on clinical and radiographic feature and the patient’s medical, dental and family history, a diagnosis of PLS was made.

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48

Adyanthaya, Amith, Risana K, Aparna Sivaraman, Gopika Gopan A, Nazreen Ayub K., Reshma Aloysious, Sangeetha C.R., and Swetha S. Nair. "Evaluation of Efficacy of Customized Lidocaine Bioadhesive Anaesthetic Patch for Extraction of Primary Tooth - An Invitro Study." Journal of Evolution of Medical and Dental Sciences 10, no. 24 (June 14, 2021): 1830–34. http://dx.doi.org/10.14260/jemds/2021/378.

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BACKGROUND We wanted to clinically evaluate the efficacy of lidocaine bioadhesive patches for extraction in paediatric dentistry and assess the comfort and pain response by sound eye motor (SEM) scale and intensity of pain using the visual analogue scale (VAS). METHODS A total of thirty-five co-operative children of age group 8 - 12 years without systemic diseases who needed dental extraction participated in the study. Extraction was carried out using customized lidocaine bioadhesive patches as anaesthetic agent. Evaluation of comfort and pain response was done by sound eye motor scale and intensity of pain using the visual analogue scale. Statistical analysis was done with SPSS version 2.0. Comparison of SEM scale and VAS scores between different subgroups was done using a chi-square test. P value less than 0.001 was considered statistically significant. RESULTS Children of higher age groups belonging to both the genders demonstrated less perception to pain during extractions using lidocaine patch. During extraction of firm teeth and teeth with Grade I mobility, perception of pain was more in girls. Maxillary arch extraction in children with various grades of mobility perceived less pain. Irrespective of age, gender and arches,teeth with Grade II and Grade III mobility were extracted with minimal VAS and SEM score. CONCLUSIONS Bioadhesive patches serve as a potential non-invasive alternative to traditional modes of local anaesthetic delivery with the advantage of eliminating needle phobia and possible negative influence on the behaviour. KEY WORDS Bioadhesive Patches, Lidocaine, Extraction, Paediatric Dentistry

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49

Sauer, Leonardo, Nina Gabriela Silva Gualberto Oliveira, Lorena Priscila Oliveira Andrade, Elisângela Barbosa Da Silva, Mário Sérgio Lima De Lavor, Amauri Arias Wenceslau, and Renata Santiago Alberto Carlos. "Occurrence of Dental Disorders in Dogs." Acta Scientiae Veterinariae 46, no. 1 (October 21, 2018): 6. http://dx.doi.org/10.22456/1679-9216.88162.

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Background: The anatomy of the canine oral cavity and its variations should be understood to facilitate clinical and surgical approaches. Several conditions can be identified during inspection of the oral cavity, including persistent deciduous teeth, enamel hypoplasia, gingival retraction, tooth abrasion and mobility, absence of dental elements, and periodontal disease. The aim of the present study was to determine the occurrence of dental disorders in dogs older than one year, from the microrregion Ilhéus - Itabuna, Bahia, Brazil. Materials, Methods &Results: A total of 74 dogs were evaluated immediately prior to surgical procedures for periodontal disease treatment. After visual inspection and examination with a millimeter probe, the dogs were classified into three groups according to the degree of periodontal disease. All other findings were recorded on an odontogram. Of the 74 dogs, 23 were classified as mild periodontal disease (mean age, 3.6 years), 26 as moderate periodontal disease (mean age, 5.7 years), and 25 as severe periodontal disease (mean age, 9.7 years). There was significant correlation (0.7 p ≤ 0.01) between age and severity of periodontal disease. Fifteen of the 74 dogs did not present any other dental disorder than periodontal disease. Of the remaining 59, nine showed a single dental problem, and 50 had more than one dental problem. Six dogs (of the breeds Pinscher, Yorkshire Terrier, and Lhasa Apso) had deciduous teeth. Of the nine deciduous teeth, all were canine (dental elements 104, 204, and 304). Ten dogs had dental fractures and of the 11 fractured teeth, three were canine (dental elements 104 and 404). Dental wear was observed in 25 dogs (154 teeth). Of the evaluated dogs, seven showed furcation defects and 10 had teeth mobility. Dental absence was observed in 47 dogs.Discussion: In the present study, increased age had a positive correlation with the degree of periodontal disease; this is consistent with reports in the literature, which indicate severity of periodontal disease increases with advancing age. In one of the three cases of enamel hypoplasia, the dog owner reported that the dog presented clinical signs compatible with distemper before the teeth changed, corroborating studies that showed that this virus can act on the enamel cells causing hypoplasia lesions. All the deciduous teeth found were dental elements 104, 204, and 304, consistent with literature reports that these teeth are among the most frequently affected by this condition. In the present paper, of all the teeth examined, the canine teeth presented the majority of fractures. Canine teeth are used for grasping and tearing food, and defense, and are more vulnerable to fractures. Dental wear was observed in many dogs in the present study, presenting as loss of dental surface caused by friction, abrasion, or erosion from a variety of causes. Dental wear may be considered as a physiological process as long as it does not compromise function. Dental mobility is an important clinical sign of periodontal disease and generates pain and discomfort to the patient; in the presence of advanced periodontitis, there is a marked loss of periodontal tissues, including alveolar bone, which is an irreversible process. As the dogs evaluated in the present study were older than one year, any absent teeth could be verified as being due to periodontal disease. In conclusion, disorders of the oral cavity have high prevalence in dogs and must receive special attention to be properly diagnosed and treated.

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Carvalho, Erica dos Santos, Ellen Pereira Ribeiro, Larissa Ramos de Almeida, Ana Carolina Santana da Cunha, Emanuel Braga Rêgo, and Joana Dourado Martins Cerqueira. "Multidisciplinary treatment of complicated coronary root fracture: case report." Research, Society and Development 11, no. 10 (August 7, 2022): e447111031829. http://dx.doi.org/10.33448/rsd-v11i10.31829.

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Treatment of trauma to anterior teeth should aim at preserving the affected teeth so as to restore function and esthetic appearance. The management of coronary root fracture is complex and requires a multidisciplinary approach in which various specialties must coordinate to achieve the desired result. This report describes the treatment of a deep crown–root fracture compromising the pulp and extended subgingivally on the buccal aspect. A 57-year-old man presented with pain and mobility in his left maxillary lateral incisor which experienced fall trauma. After using the fractured fragment as a provisional crown, the patient received conventional root canal treatment and a challenger orthodontic extrusion followed by rehabilitation with a postcore- supported prosthetic restoration. A 4-year follow up showed the absence of clinical symptoms and mobility and re-establishment of the periodontal space with satisfactory esthetic results.

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