Non-surgical pocket therapy: mechanical, pharmacotherapeutics, and dental occlusion

Article Abstract:

Periodontal pockets promote the progression of gingivitis and periodontitis, and tooth scaling and root planing can reverse the process. Such mechanical therapy is well-established, and effectively reduces deep-pocket depth. Increases in gingival attachment to the tooth root are more modest when the pocket depth is 3 mm or less. Planing also shifts the balance of bacteria toward more beneficial strains. Local and sustained-released local antibiotics can improve the clinical response, but may promote the growth of drug-resistant pathogenic bacteria.

Care and treatment, Antibiotics, Occlusion (Dentistry), Dental occlusion, Subgingival curettage

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Implant therapy II

Article Abstract:

Dental implants can be successfully used in many patients to restore lost teeth or anchor dental plates, but they are more likely to fail in patients who have received radiation therapy to the jaw, teeth-grinders, alcoholics, and smokers. Prior to implant placement, the reformatted CT scan provides the best images for identifying nerves and other anatomic landmarks. Implants may be placed after a tooth is removed, rather than delayed until soft tissues have healed.

Implant dentures, Endosseous, Endosseous dental implants

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Non-surgical pocket therapy: mechanical, surgical pocket therapy

Article Abstract:

Surgical intervention may be required to gain access to tooth roots and remove tartar and diseased tissue in persistent deep periodontal pockets. Research supports the use of gingiva removal, access flaps, the modified Widman flap, and bone recontouring to achieve greater gingival attachment to tooth roots. When surgical flaps are used, they should not be removed in an effort to diminish the periodontal pocket.

Surgery

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