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Ranga, Parveen
- The Management of Gingival Enlargement in Patient with Orthodontic Treatment–A Case Report
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1 Department of Dentistry, Shaheed Hasan Khan Govt. Medical College, Nuh, Haryana, IN
1 Department of Dentistry, Shaheed Hasan Khan Govt. Medical College, Nuh, Haryana, IN
Source
Research Journal of Pharmacology and Pharmacodynamics, Vol 9, No 4 (2017), Pagination: 230-232Abstract
Orthodontic treatment needs more than a year in an average to complete in straightening malalign teeth during this period proper oral hygiene maintenance required. During treatment improper oral hygeine maintenance leads to problem toward periodontal tissue. Fixed appliances that bonded to the teeth surface can cause difficulty in controlling the plaque especially in the marginal region that can cause the inflammation and gingival enlargement. Gingival enlargement due to the local irritation of the plaque can be treated with plaque control, scaling, ischolar_main planing until surgery intervention. The aim of the treatment with surgical intervention for gingival enlargement is to eliminate the gingival pocket so the patient can easily clean the teeth and maintain the good oral hygiene status. Key words: gingival hyperplasia, gingivectomy, orthodontic treatment.Keywords
Management, Gingival Enlargement.
References
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- Gingival Epulis and Pyogenic Granuloma-A Case Report
Abstract Views :539 |
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Authors
Affiliations
1 Department of Dentistry, Shaheed Hasan Khan Govt. Medical College, Nuh, Haryana, IN
1 Department of Dentistry, Shaheed Hasan Khan Govt. Medical College, Nuh, Haryana, IN
Source
Research Journal of Pharmacology and Pharmacodynamics, Vol 9, No 4 (2017), Pagination: 186-188Abstract
The term Epulis comes from the Greek ischolar_main for “on the gum” and as such really only describes the location of the lesion which clinically used to describe a localized growth on the gingiva. Histologic examination of epulides indicates that the vast majority are the fibrous hyperplasias, peripheral ossifying fibomas, pyogenic granulomas or peripheral giant cell granulomas. The major epulides are common oral lesions with which dentists should be thoroughly familiar. The clinical and histological relevance of the two cases are discussed and analyzed for their biological behaviour.Keywords
Epulis, Peripheral Giant Cell Granuloma, Giant Cell Epullis, Reparative Giant Cell Granuloma, Giant Cell Granuloma.References
- Daley T.D., Wysocki G.P., Wysocki P.D. and Wysocki D.M.: The major epulides: Clinocopathological Correlations. J Can Dent Assoc. 1990; 56(7):627-630.
- Whitaker S.R. and Bouquot J.E.: Identification of estrogen and progesterone receptors in peripheral giant cell lesions of the Jaws. J Periodontol. 1994; 65 (3):280-283.
- Giansanti J.S. and Waldron C.A.: Peripheral Giant Cell Granuloma: Review of 720 cases. J Oral Surg. 1969; 27:787-791.
- Cooke B.E.D.: The fibrous epulis and the fibroepithelial polyp: Their Histogenesis and Natural History. Br Dent J. 1952; 93:305- 309.
- Brown G.N., Darlington C.G. and Kupfer S.R.: A clinicopathologic study of alveolar border epulis with special emphasis on benign giant cell tumor. Oral Surg. 1956; 9:765-775, 888-901.
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- Bhasker S.N., Duane E., Beasley J.D. and Perez B.: Giant cell reparative granuloma (Peripheral): Report of 50 cases. J Oral Surg. 1971; 29:110-115.
- Neville B.W. et al., Oral and maxillofacial pathology (1st Ed. Philadelphia :W.B. Saunders Company, 1995).
- Katsikeris N., Kakarontza A. and Angelopoulos A.P.: Peripheral Giant Cell Granuloma. Clinicopathologic study of 224 new cases and review of 956 reported cases. Int J Oral Maxillofac Surg. 1988; 17:94-99
- Management of Localized Gingival Recessions by Lateral Pedicle Graft–A Case Report
Abstract Views :429 |
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Authors
Affiliations
1 Department of Dentistry, Shaheed Hasan Khan Govt. Medical College, Nuh, Haryana, IN
1 Department of Dentistry, Shaheed Hasan Khan Govt. Medical College, Nuh, Haryana, IN
Source
Research Journal of Pharmacology and Pharmacodynamics, Vol 9, No 4 (2017), Pagination: 195-198Abstract
Gingival recession is the exposure of ischolar_main surfaces due to apical migration of the gingival tissue margins. Therefore this deformity should be treated at its earliest detection. Gingival recession is an esthetical problem lead to pain or hypersensitivity, retention of plaque hence inflamed gingiva, ischolar_main caries, abrasion and fear of tooth loss. Gingival recession can be managed by surgical or non-surgical approaches. Nonsurgical approaches include - restorations, crowns, veneers and gingival masks whereas surgical management includes various techniques of increasing the width of keratinized tissue such as frenectomy in case of high frenal attachment & ischolar_main coverage procedures. Lateral pedicle graft (LPG), is a technique where graft is elevated from donor site which remains attached at its base for nourishment and is transferred to adjacent site in isolated denuded ischolar_main.Keywords
Lateral Pedicle Graft, Gingival Recession, Root Coverage, Dentine Sensitivity.References
- Carranza FA, Newman MG, Glickman I. Clinical Periodontology. 8th ed. Philadelphia: Saunders; 1996.
- Del Pizzo M, Modica F, Bethaz N, Priotto P, Romagnoli R. The connective tissue graft: a comparative clinical evaluation of wound healing at the palatal donor site. A preliminary study. J Clin Periodontol. 2002;29 (9):848-5
- Case Report 80 Journal of Nepal Dental Association - JNDA | Vol 15, No 1, Jan-June 2015
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- Miller PD, Jr. Root coverage grafting for regeneration and aesthetics. Periodontol 2000. 1993;1:118-27.
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- De Sanctis M, Clementini M. Flap approaches in plastic periodontal and implant surgery: critical elements in design and execution. J Clin Periodontol. 2014;41 Suppl 15:S108-22.
- Caffesse RG, Kon S, Castelli WA, Nasjleti CE. Revascularization following the lateral sliding flaps procedure. J Periodontol. 1984;55 (6):352-8.
- Consensus report. Mucogingival therapy. Ann Periodontol. 1996;1 (1):702-6.
- Wennstrom JL, Zucchelli G. Increased gingival dimensions. A significant factor for successful outcome of ischolar_main coverage procedures? A 2-year prospective clinical study. J Clin Periodontol. 1996;23(8):770-7.
- Garber DA, Salama MA. The aesthetic smile: diagnosis and treatment. Periodontol 2000. 1996;11:18-28.
- Ozturan S, Durukan SA, Ozcelik O, Seydaoglu G, Haytac MC. Coronally advanced flap adjunct with low intensity laser therapy: a randomized controlled clinical pilot study. J Clin Periodontol. 2011;38 (11):1055-62.
- Zuhr O, Baumer D, Hurzeler M. The addition of soft tissue replacement grafts in plastic periodontal and implant surgery: critical elements in design and execution. J Clin Periodontol. 2014;41 Suppl 15:S123-42.
- Pini-Prato GP, Cairo F, Nieri M, Franceschi D, Rotundo R, Cortellini P. Coronally advanced flap versus connective tissue graft in the treatment of multiple gingival recessions: a split-mouth study with a 5- year follow-up. J Clin Periodontol. 2010;37(7):644-50.
- Cortellini P, Pini Prato G. Coronally advanced flap and combination therapy for ischolar_main coverage. Clinical strategies based on scientific evidence and clinical experience. Periodontol 2000. 2012;59 (1):158-84.
- Zucchelli G, De Sanctis M. Modified two stage procedures for the treatment of gingival recession. Eur J Esthet Dent. 2013;8 (1):24-42.
- Gingival Coverage with Subepithelial Tissue Grafting–A Case Report
Abstract Views :408 |
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Authors
Affiliations
1 Department of Dentistry, Shaheed Hasan Khan Govt. Medical College, Nuh, Haryana, IN
1 Department of Dentistry, Shaheed Hasan Khan Govt. Medical College, Nuh, Haryana, IN
Source
Research Journal of Pharmacology and Pharmacodynamics, Vol 9, No 4 (2017), Pagination: 199-201Abstract
The recession of the gingival mean apical migration of gingival tissue which may lead dental hypersensitivity, poor esthetic, more plaque accumulation and finally in later stage tooth loss. Gingival recession has multiple etiological factor like gingivitis, chronic trauma, frenal pull, tobacco chewing, acute traumatic injuries and psychological factors. Best way of curing gingival recession is proper treatment with early detection. In present case report we treat a patient with Millar class ii recession. The correction of Class I and II gingival recessions are presented as a means of minimizing surgical trauma and achieving predictable aesthetic results. Miller’s Classes I, in which the etiological factors are well diagnosed and show great predictability of total coverage when the technique of subepithelial connective tissue graft is used. This technique success has been mainly attributed to the double blood supply for graft’s nutrition, originating from the connective tissue of both the periosteum and flap. Miller’s Class I recession was treated by the surgical technique of subepithelial connective tissue graft, obtaining total coverage, eliminating the aesthetic deficiency and the dentin hypersensitivity complained by patient.Keywords
Gingival Recession, Connective Tissue Graft, Root Coverage.References
- Glossary of periodontal terms. American Academy of Periodontology 4th ed. Chicago, 2001. p. 44.
- Vekalahti M. Occurance of gingival recession in adults. Journal of Periodontology. 1989;60:599-603.
- Allen EP, Miller PD Jr. Coronal positioning of existing gingiva: short term results in the treatment of shallow marginal tissue recession. Journal of Periodontology. 1989;60:316-319.
- Miller PD Jr. Root coverage using a free soft tissue autograft following citric acid application. Part 1: technique. International Journal of Periodontics and Restorative Dentistry. 1982;2:65-70.
- Langer B, Langer L. Subepithelial connective tissue graft technique for ischolar_main coverage. Journal of Periodontology. 1985;56:715-720.
- Nelson SW. The subpedicle connective tissue graft. A bilaminar reconstructive procedure for the coverage of denuded ischolar_main surfaces. Journal of Periodontology. 1987;58:95-102.
- Tinti C, Vincenzi GP, Cortellini P et al. Guided tissue regeneration in the treatment of human facial recession. A 12-case report. J Periodontol. 1992;63:554-560.
- Wennstrom JL, Pini Prato G. Mucogingival therapy periodontal plastic surgery. In: Lindhe J, Karring T, Lang NP, editors. Clinical periodontology and implant dentistry. 4th ed. Oxford: Blackwell Munksgaard, 2003. p. 576–649.
- Prini Prato GP, Tinti C, Vincenzi G et al. Guided tissue regeneration versus mucogingival surgery in the treatment of human buccal gingival recession. Journal of Periodontology. 1992;63:919-928.