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Current opinion in periodontology最新文献

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Prevention and treatment considerations in patients with drug-induced gingival enlargement. 药物性牙龈肿大的预防与治疗。
Current opinion in periodontology Pub Date : 1997-01-01
E E Hall
{"title":"Prevention and treatment considerations in patients with drug-induced gingival enlargement.","authors":"E E Hall","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Drug-induced gingival overgrowth is an iatrogenic disease caused by the use of phenytoin, cyclosporine, nifedipine, and other medications in the susceptible patient. The gingival overgrowth can be due to three causes: noninflammatory, hyperplastic reaction to the medication; chronic inflammatory hyperplasia; or a combined enlargement due to chronic inflammation and drug-induced hyperplasia. Drug-induced gingival enlargement can be minimized, but not prevented, by elimination of local irritants, meticulous oral hygiene, and regular periodontal recall. If gingival enlargement interferes with function, speech, esthetics, or oral hygiene, tissue reduction can be accomplished by gingivectomy or a flap procedure. Gingival enlargement may recur, especially in the patient with poor oral hygiene.</p>","PeriodicalId":79398,"journal":{"name":"Current opinion in periodontology","volume":"4 ","pages":"59-63"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20572734","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}
引用次数: 0
Can surgery be justified for patients with periodontitis? 牙周炎患者可以接受手术治疗吗?
Current opinion in periodontology Pub Date : 1997-01-01
T G Wilson
{"title":"Can surgery be justified for patients with periodontitis?","authors":"T G Wilson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There is a debate concerning the role that surgical procedures should play in the treatment of inflammatory periodontal diseases. This review details some of the situations in which surgery can be of benefit. Benefits include obtaining shallower probing depths and therefore reducing the areas that are hospitable to pathogenic bacteria associated with disease. Also, removal of tooth-accumulated materials such as plaque and calculus in probing depths greater than 5 mm is more predictable with surgery. In some forms of aggressive periodontitis, elimination of potentially pathogenic bacteria is found more frequently with surgical procedures. Regeneration of lost bone and attachment apparatus are predictable only with surgery.</p>","PeriodicalId":79398,"journal":{"name":"Current opinion in periodontology","volume":"4 ","pages":"64-8"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20572735","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}
引用次数: 0
Suture materials and techniques. 缝合材料和技术。
Current opinion in periodontology Pub Date : 1997-01-01
R B O'Neal, C D Alleyn
{"title":"Suture materials and techniques.","authors":"R B O'Neal,&nbsp;C D Alleyn","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Surgical improvements in periodontics have been achieved because of advances in basic science, animal and clinical research, and the insight of outstanding clinicians. Industry continues to develop new surgical materials, improving the quality of sutures and needles and in turn, supporting advances in all surgical specialties. The purpose of this article is to review sutures and suturing by focusing on both materials and methods as they relate to the present practices of surgical periodontics and dental implants.</p>","PeriodicalId":79398,"journal":{"name":"Current opinion in periodontology","volume":"4 ","pages":"89-95"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20572739","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}
引用次数: 0
Periodontal pocket irrigation as adjunctive treatment. 辅助治疗牙周袋灌洗。
Current opinion in periodontology Pub Date : 1997-01-01
H N Newman
{"title":"Periodontal pocket irrigation as adjunctive treatment.","authors":"H N Newman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The emphasis in periodontal treatment generally has shifted in recent years from periodontal surgery towards periodontal medicine. Because the major periodontal disease group is the chronic inflammatory group, and the major direct cause of chronic inflammation is dental plaque, much of the new research is directed at more ergonomic and economic means of plaque control that have the efficacy of traditional methods. As a result, the field of plaque chemotherapy is expanding concurrent with the modes of application of anti-plaque chemical agents to their interdental and subgingival sites of intended action. Since the rediscovery of subgingival irrigation some 15 years ago, the technique has been shown to provide an efficient means of subgingival application of anti-plaque agents, and it has also been used to apply anti-inflammatory compounds. It was never intended to stand alone. It was and is meant to be used as an adjunct to professional debridement, but one that simplifies home-care oral hygiene for the patient. This, indeed, is part of the aim of all chemical anti-plaque adjunctive therapy. It requires the use of appropriate anti-plaque agents in sufficient concentration and with sufficient periodicity to be clinically effective. It is only ineffective if dose or periodicity is inadequate, or if mechanical plaque control is unrealistically good--that is, unlikely to be maintained long term by the majority of patients. Subgingival irrigation enables the patient for the first time to deal with bursts of periodontitis activity when professional help is not readily available. Although irrigation per se may dilute plaque toxins, it is still clinically inadequate without a suitable chemical adjunct. Subgingival irrigation with a suitable antimicrobial agent currently constitutes an effective adjunct to the simplified oral hygiene regimen that does not require unrealistic levels of interdental or subgingival home-care cleaning by the patient.</p>","PeriodicalId":79398,"journal":{"name":"Current opinion in periodontology","volume":"4 ","pages":"41-50"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20574065","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}
引用次数: 0
Treatment of orofacial pain and temporomandibular disorders. 口面部疼痛及颞下颌紊乱的治疗。
Current opinion in periodontology Pub Date : 1997-01-01
A F Binderman, M T Singer
{"title":"Treatment of orofacial pain and temporomandibular disorders.","authors":"A F Binderman,&nbsp;M T Singer","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The treatment of orofacial pain and temporomandibular disorders has evolved into a multidisciplinary approach using various modes of treatment and other medical specialties as indicated. An excellent four-part, self-directed learning module written by Goddard [1.], King [2.], Williams [3.], and Dean [4.] provides an overview of accepted pain rehabilitation that includes basic science, chronic pain, myofascial pain, cancer pain, and therapeutic options. An outstanding review of the anatomy of the human temporomandibular joint is presented by Piette [5.]. This brief review provides an update for the practitioner concerning recent advances and research in the area of clinical treatment.</p>","PeriodicalId":79398,"journal":{"name":"Current opinion in periodontology","volume":"4 ","pages":"144-50"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20574071","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}
引用次数: 0
Supportive care of the periodontal patient. 牙周病人的支持性护理。
Current opinion in periodontology Pub Date : 1997-01-01
P C Baehni
{"title":"Supportive care of the periodontal patient.","authors":"P C Baehni","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The ultimate goal of supportive periodontal care is to maintain health of the dental and oral soft tissues. It represents a preventive measure for individuals who have never experienced periodontal problems. On the other hand, supportive care is a continuation of therapy for the treated periodontal patient, once health has been reestablished. It aims at optimizing the results of therapy and prevent further destruction following active treatment. Attempts are being made to individualize and tailor supportive periodontal care according to the patient's profile and needs. Recent trends also show increased use of antimicrobials as adjuncts to mechanical procedures for controlling the etiologic agents.</p>","PeriodicalId":79398,"journal":{"name":"Current opinion in periodontology","volume":"4 ","pages":"151-7"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20574072","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}
引用次数: 0
Long-term prognosis following resectional and regenerative periodontal procedures. 切除和再生牙周手术后的长期预后。
Current opinion in periodontology Pub Date : 1997-01-01
T W Oates, K L Kalkwarf
{"title":"Long-term prognosis following resectional and regenerative periodontal procedures.","authors":"T W Oates,&nbsp;K L Kalkwarf","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The ultimate goal of both resective and regenerative periodontal procedures is the creation of soft- and hard-tissue architecture that is consistent with periodontal health. Osseous resective procedures predictably produce minimal clinical probing depth, but sacrifice periodontal support. An alternative method to treat anatomic defects not easily managed through resection is guided tissue regeneration (GTR). GTR provides clinicians with the opportunity to reverse the disease-related loss of periodontal attachment. However, at present, the outcomes of GTR procedures have not been shown to be predictable. Continued improvements in techniques and materials, and identification of patient-related factors significant to the success of the GTR procedures, should enhance the consistency of the clinical outcomes. An evidence-based approach to the use of both regenerative and resective therapies will enhance the clinical results achieved through these procedures.</p>","PeriodicalId":79398,"journal":{"name":"Current opinion in periodontology","volume":"4 ","pages":"69-74"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20572736","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}
引用次数: 0
Etiology, diagnosis, and treatment considerations in peri-implantitis. 种植体周围炎的病因、诊断和治疗考虑。
Current opinion in periodontology Pub Date : 1997-01-01
A Mombelli
{"title":"Etiology, diagnosis, and treatment considerations in peri-implantitis.","authors":"A Mombelli","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Peri-implantitis is an inflammatory process affecting the tissues around an osseointegrated implant in function, resulting in loss of supporting bone. A review of the literature currently available leads to the conclusion that microorganisms play a major role in this disease. Gram-negative anaerobic bacteria, particularly fusobacteria, spirochetes, and black-pigmenting organisms such as Prevotella intermedia are often found in diseased sites. Several treatment modalities are presently being evaluated. Treatment aimed at a reduction of the anaerobic bacteria improves clinical conditions. Furthermore, case reports indicate a possibility for successful treatment with guided tissue regeneration procedures. However, to date histologic evidence of true reosseointegration has not been obtained. Incomplete surface decontamination seems to be the major obstacle for regrowth of bone onto previously exposed implants. It appears reasonable to attempt interception of destructive peri-implantitis as early as possible and to stop progression by removal of the bacterial deposits.</p>","PeriodicalId":79398,"journal":{"name":"Current opinion in periodontology","volume":"4 ","pages":"127-36"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20574069","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}
引用次数: 0
Clinical regeneration with guided tissue barriers. 引导组织屏障的临床再生。
Current opinion in periodontology Pub Date : 1997-01-01
G H Evans, R A Yukna, K M Cambre, D L Gardiner
{"title":"Clinical regeneration with guided tissue barriers.","authors":"G H Evans,&nbsp;R A Yukna,&nbsp;K M Cambre,&nbsp;D L Gardiner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This review of the current periodontal literature evaluates clinical regeneration with guided tissue barriers in infrabony defects and furcations. A meta-analysis was conducted by calculating weighted means with confidence intervals for each treatment group. Clinical improvement in infrabony defects was best for polylactic acid/polyglactin (PLA/PGA) barriers, with a mean pocket reduction of 5.3 mm and a mean gain in clinical probing attachment level of 4.7 mm. For furcations, special attention was given to the frequency of either complete or partial (> or = 50%) furcation closure. Complete furcation closure was an infrequent result of guided tissue regeneration, occurring in only 7% to 19% of furcations treated with barriers. For the time period reported, the best clinical results in furcations and infrabony defects occurred with PLA/PGA-type barriers. However, there were no statistically significant differences among the various barriers in infrabony defects or furcations.</p>","PeriodicalId":79398,"journal":{"name":"Current opinion in periodontology","volume":"4 ","pages":"75-81"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20572737","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}
引用次数: 0
Nonsteroidal anti-inflammatory drugs as adjuncts in the management of periodontal diseases and peri-implantitis. 非甾体类抗炎药在牙周病和种植周炎治疗中的辅助作用
Current opinion in periodontology Pub Date : 1997-01-01
G E Salvi, R C Williams, S Offenbacher
{"title":"Nonsteroidal anti-inflammatory drugs as adjuncts in the management of periodontal diseases and peri-implantitis.","authors":"G E Salvi,&nbsp;R C Williams,&nbsp;S Offenbacher","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>For the past three decades, prostaglandin E2 and other arachidonic acid metabolites have been recognized as important proinflammatory mediators in bone resorption and various forms of periodontal disease. Nonsteroidal anti-inflammatory drugs are chemical compounds that selectively inhibit the synthesis of metabolites of the cyclooxygenase pathway, thereby blocking the production of prostaglandins, thromboxane, and prostacyclin. Inhibiting prostaglandin E2 synthesis with nonsteroidal anti-inflammatory drugs has been unequivocally shown in both animal and human studies to be of primary therapeutic efficacy. Recent lines of nonsteroidal anti-inflammatory drugs research have focused on the development of daily topical administration forms such as gels, toothpastes, and rinses. Furthermore, new studies have implicated prostaglandin E2 in the peri-implantitis process, opening the possibility to manage failing implants with topical nonsteroidal anti-inflammatory drug delivery systems.</p>","PeriodicalId":79398,"journal":{"name":"Current opinion in periodontology","volume":"4 ","pages":"51-8"},"PeriodicalIF":0.0,"publicationDate":"1997-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20574066","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}
引用次数: 0
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