{"title":"Chemically Modified Tetracyclines","authors":"Anshul Sawhney","doi":"10.5772/INTECHOPEN.79724","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.79724","url":null,"abstract":"The use of chemotherapeutic agents or drugs specifically designed to treat periodontal diseases is emerging to aid in this risk assessment and reduction strategy. They include locally applied and systemically delivered antimicrobials and host modulatory thera - pies. Tetracyclines are a group of antibiotics produced naturally from certain species of Streptomyces or derived semisynthetically. Their advantages were broad-spectrum activ ity, better tolerated, and less toxic to some individuals. Further modifications of these natural products by means of synthetic reactions and reagents led to the production of the clinically used antibiotic tetracycline compounds—minocycline, doxycycline, and methacycline. Tetracyclines are now recognized to have non-antimicrobial properties that may also be therapeutically advantageous. They have anti-inflammatory properties, particularly in the treatment of certain skin diseases. One important aspect is their abil ity to inhibit host collagenolytic enzymes, an effect that inhibits the connective tissue degradation and thus preventing bone resorption. To identify the site of the anticollage nase property, Golub and co-workers in 1991 synthesized 10 different analogs of tetra - cyclines known as chemically modified tetracyclines (CMTs 1-10). All 10 analogs lacked antimicrobial efficacy and inhibited collagenase activity, but only 1 did not. Though not approved for human use by the FDA, preliminary studies using CMT-3 are being inves tigated on humans with cancer.","PeriodicalId":310586,"journal":{"name":"Periodontology and Dental Implantology","volume":"96 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124932874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Aggressive Periodontitis","authors":"A. Lektemur Alpan","doi":"10.1002/9781119312093.ch1","DOIUrl":"https://doi.org/10.1002/9781119312093.ch1","url":null,"abstract":"Aggressive periodontitis (AgP) is a disease characterized by rapid loss of periodontal tissues affecting systemically healthy individuals under age of 30 years. AgP classified into two categories named localized and generalized aggressive periodontitis. It differs from chronic periodontitis (CP) depending on age of onset of the disease, rate of progression of the disease, structure and composition of the associated subgingival microflora, changes in host response and familial predisposition. Tissue destruction in patients with AgP is not directly related to bacterial deposits also personal immune response plays a major role in severity of destruction. Surgical and non-surgical techniques can be applied in the treatment of AgP. It is important to treat and obtain frequent controls of individuals with AgP. The main purpose of the treatment is to create a clinical condition that can hold the largest number of teeth in the mouth. After the treatment performed and provided the health of periodontal tissues, patient should be included in the maintenance program.","PeriodicalId":310586,"journal":{"name":"Periodontology and Dental Implantology","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116628668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Platelet-Rich Fibrin: Utilization in the Treatment of Periodontitis","authors":"A. Goel, L. Windsor, S. Blanchard","doi":"10.5772/INTECHOPEN.78561","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.78561","url":null,"abstract":"Periodontitis is a chronic inflammatory disease affecting the supporting structures of the teeth and results in loss of supporting bone around the teeth leading to eventual tooth loss. It is a multifactorial disease that involves bacteria and host responses. Advanced options to treat periodontitis are aimed at regeneration procedures to restore lost periodontal structures. These include bone replacement grafts and the use of biological materials to enhance regeneration. Platelet-rich fibrin (PRF) is an autologous platelet-rich concentrate derived from a fibrin clot and is a natural source of growth factors derived from platelets, which are released over time and have been shown to have potential in periodontal procedures to enhance wound healing and regeneration. This chapter will focus on the past, current and future scope of PRF for treating periodontitis.","PeriodicalId":310586,"journal":{"name":"Periodontology and Dental Implantology","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116192509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Immediate Dentoalveolar Restoration in Compromised Sockets: Technique and Bone Biology","authors":"J. Rosa","doi":"10.5772/INTECHOPEN.78619","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.78619","url":null,"abstract":"The aim of this chapter is to describe a one-stage technique called immediate dento- alveolar restoration (IDR) which uses autogenous bone graft harvested from maxillary tuberosity in order to restore bone defects in compromised alveolar sockets and also to achieve soft tissue stability along the years. The IDR is a flapless surgical and prosthetic technique established to broaden indications for immediate loading on individual teeth. In this way, tissue loss with varied extensions are reconstructed in the same surgical session as implant placement and provisional crown installation, reducing the number of interventions and retaining esthetic predictability. Successful esthetic and functional outcomes and reestablishment of the alveolar process after bone reconstruction were observed during the follow-up period. The predictable results and soft tissue stability can be achieved following the IDR protocol.","PeriodicalId":310586,"journal":{"name":"Periodontology and Dental Implantology","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131202377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
O. Andrukhov, C. Behm, A. Blufstein, X. Rausch-Fan
{"title":"Immunomodulatory Properties of Dental-Derived Mesenchymal Stem Cells","authors":"O. Andrukhov, C. Behm, A. Blufstein, X. Rausch-Fan","doi":"10.5772/INTECHOPEN.78049","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.78049","url":null,"abstract":"Mesenchymal stem cells are considered as an attractive tool for tissue regeneration. Almost all dental tissues contain a population of MSC-like cells, which were extensively studied within the last few years. Besides their ability to differentiate into different cell types, dental MSCs also possess strong immunomodulatory properties. Dental MSCs modulate both innate and adaptive immune response and influence the activity of almost all components of the immune system. The interaction between dental MSCs and the immune system is reciprocal because immunomodulatory activity of MSCs is strongly regulated by cytokines produced by immune cells. MSCs isolated from inflamed tissues might exhibit impaired immunomodulatory capacity, suggesting a potential role of these cells in inflammatory diseases and particularly periodontitis. Recent studies suggest that immunomodulatory properties of MSCs can also play an important role in their tissue regenerative capacity. The therapeutic effects of MSCs, including their immunomodulatory capacity, are largely explained by their tropic activity, including production of immunomodulatory proteins and growth factors. Summarizing, dental MSCs play an important role in tissue homeostasis under healthy and diseased conditions.","PeriodicalId":310586,"journal":{"name":"Periodontology and Dental Implantology","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125583629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Post-Operative Pain Following Non-Surgical and Surgical Periodontal Procedures","authors":"D. Gillam, D. Chatzopoulou","doi":"10.5772/INTECHOPEN.78728","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.78728","url":null,"abstract":"Post-operative sensitivity may occur following restorative procedures including periodontal therapy affecting both the hard and soft tissues of the oral cavity and can have a major effect on the quality of life (QoL) of the individual. Ideally, the clinician needs to prevent or minimise these effects to reduce any unnecessary discomfort for the patient and this may be accomplished through preventive strategies, the provision of the required information about the procedures both preand post-treatment as well as reassuring the patient in the event of any subsequent discomfort. Furthermore, it is important for the clinician to be able to correctly diagnose the exact cause of the patient’s discomfort and have the confidence to successfully manage the problem. The aim of this chapter is to provide an overview on the management and treatment of post-operative sensitivity following both non-surgical and surgical periodontal procedures and will be primarily concerned about the discomfort associated with dentine hypersensitivity/root sensitivity following these procedures.","PeriodicalId":310586,"journal":{"name":"Periodontology and Dental Implantology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116280952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Optical Diagnostics to Improve Periodontal Diagnosis and Treatment","authors":"F. Shakibaie, L. Walsh","doi":"10.5772/INTECHOPEN.76888","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.76888","url":null,"abstract":"The performance of clinicians undertaking periodontal assessment or periodontal therapy can be improved by using optical methods as adjuncts to visual inspection and periodontal probing. Subtle changes that occur over time in periodontal tissues that are below the detection limit of visual examination or periodontal probing can be found and tracked accurately over time using 3D imaging, fluorescence spectroscopy, and optical coherence tomography. During debridement of teeth and dental implants, the effective removal of subgingival microbial biofilms and dental calculus deposits can be enhanced using magnifying loupes and operating microscopes and by novel methods based on the interactions of light with bacterial deposits, such as differential reflectometry and light-induced fluorescence. While such techniques can also be used using initial case assessment, their primary purpose is for checking debridement procedures, since the point when bacterial deposits are no longer present represents an endpoint for treatment. The concept of real-time feedback has been developed, using fluorescence readings to control the removal of deposits. Overall, optical methods can support traditional periodontal diagnosis and improve treatment planning and clinical periodontal care.","PeriodicalId":310586,"journal":{"name":"Periodontology and Dental Implantology","volume":"314 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114048482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Supportive Periodontal Therapy for Dental Implant Patients","authors":"Krishna Kripal, Kavita Chandrasekaran","doi":"10.5772/INTECHOPEN.77950","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.77950","url":null,"abstract":"Some of the early indicators of future implant failure are increased plaque accumula- tion, bleeding upon probing, increased probing pocket depth, abscess formation, bone loss seen under radiographic, retrograde tooth wear and broken restoration. A periodic supportive periodontal treatment visit allows for early detection and intervention to provide an opportunity to salvage an ailing implant. Presence of biofilm/plaque on the implant may progress to peri-implantitis with bone resorption. Microbial challenge in the oral environment may result in pathological reactions in peri-implant tissues and thereby compromising tissue integration. The long-term success of implants depends on adequate supportive periodontal treatment visits. Prevention of disease is a key factor in the aim of preserving the supporting tissues around implants. Thus, sufficient supportive therapy during maintenance is inevitable in order to achieve optimal results in implant dentistry.","PeriodicalId":310586,"journal":{"name":"Periodontology and Dental Implantology","volume":"74 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126824885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical Application of Enamel Matrix Derivative for Periodontal Regeneration and Treatment of Peri-Implantitis","authors":"Jun-Beom Park","doi":"10.5772/INTECHOPEN.78595","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.78595","url":null,"abstract":"One of the goals of periodontal therapy is to regenerate lost supporting structures that have been destroyed by periodontal disease. Treatment procedures including various bone grafts, guided tissue regeneration, use of enamel matrix derivative, or combina- tions of the aforementioned have been suggested as regenerative periodontal therapies to achieve this goal. Enamel matrix derivative is composed of a number of proteins, 90% of which are amelogenins, and these proteins are thought to induce the formation of periodontal attachment during tooth formation. Previous reports have shown that enamel matrix derivative was able to improve clinical attachment level and reduce probing depth. The results of previous controlled clinical trials have shown that using enamel matrix derivative in combination with bovine porous bone mineral may enhance the regenerative outcome with regard to the clinical attachment level gain compared with using the enamel matrix derivative alone. In this chapter, an extensive review of the role of enamel matrix derivate will be performed using in vitro and in vivo studies. Clinical implications of the enamel matrix derivative will also be discussed.","PeriodicalId":310586,"journal":{"name":"Periodontology and Dental Implantology","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132940003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Gomes, Andrea Carvalho De Marco, L. Giannasi, M. C. Salgado
{"title":"Periodontal Diseases in Patients with Special Health Care Needs","authors":"M. Gomes, Andrea Carvalho De Marco, L. Giannasi, M. C. Salgado","doi":"10.5772/INTECHOPEN.78348","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.78348","url":null,"abstract":"A wide variation of people with an impairment or disability requires a “special care den- tistry” once their general manifestations directly act in the oral cavity. This target public is inserted into the following categories: neuromotor disability, sensory disability, mental disorder, infecto-contagious diseases, chronic systemic diseases, and systemic conditions. Among the several oral illnesses found in these groups, periodontal diseases have been the most frequent, becoming a major challenge for the dental practitioners. Thus, we described the microbiological, histopathological, and clinical features of periodontal diseases in each “special health care needs” group. Advances in “Omic” technologies have suggested the application of molecular biology methods to assess the genomics (genes), proteomics (proteins), transcriptomics (mRNA), and metabolomics (metabolites) aspects of periodontal diseases. These researches aim to promote a better understanding of the mechanisms involved in the pathogenesis and in the identification of new bio markers of periodontal diseases that help in diagnosis of periodontal diseases and in tis- sue responses after treatments of gingivitis and periodontitis. As an alternative therapy, some bioactive materials and photobiomodulation may be indicated once they strongly stimulate the periodontal tissue regeneration, attenuate the inflammatory processes, and/ or promote the reconstruction of the microstructure of the periodontium.","PeriodicalId":310586,"journal":{"name":"Periodontology and Dental Implantology","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123000040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}