Periodontal Surgery NYC: Socket Grafting and Sinus Augmentation
In the aid of periodontal surgery NYC, this research endeavored to explore whether socket grafting – the filling of a tooth socket with soft tissue, demineralized and freeze-dried bone particles and irradiated bone – reduces the need for sinus augmentation for the purpose of dental implants. Sinus augmentation is a surgical procedure whereby the soft tissue and sinus membrane are carefully peeled away from the upper jaw bone at the back of the mouth to reveal the maxilla. Bone grafting periodontal surgery is then performed on the area to provide support for dental implants. Patients can take anywhere between three to six months to properly heal.
The reason for this periodontal surgery in NYC is that patients that do not present sufficient bone density in the posterior of the maxilla generally need to undergo sinus augmentation before they will be considered viable candidates for dental implants. Without robust enough bone tissue to support the titanium screw upon which the artificial tooth crown is affixed, the implant will become easily dislodged and the periodontal surgery deemed a failure. Dental implants are one of the best possible solutions to single/multiple missing teeth and so, in the event of a displaced tooth, periodontal surgery becomes unavoidable should the patient wish to restore aesthetics and functionality to their mouth.
Periodontal Surgery NYC: Research Methodology
This periodontal surgery NYC study compared the three variables in relation to augmented and non-augmented alveolar sockets:
• Dimensional alterations,
• The need for sinus floor elevation, and
• The histologic wound healing (‘histology’ being the organization and microscopic structure of soft tissue).
Sixteen human extraction sockets were either grafted or left untreated and the following evaluations made:
• Alveolar ridge alterations were evaluated at baseline (the time of the periodontal surgery NYC), three and six months post-extraction;
• Histologic analyses were conducted at three, six, and nine months.
• Implant placement with or without sinus floor augmentation was decided at 6 months.
Periodontal Surgery NYC: Research Findings and Conclusions
The most significant finding of this research endeavor was that three of eight patients (37.5%) in the control group underwent sinus floor augmentation compared to one of six (16.7%) in the experimental group. What this essentially means, is that the alveolar ridge augmentation procedure presented here increases the possibility of periodontal surgery NYC success for dental implants without the need for a sinus augmentation procedure.
Sunday, December 26, 2010
Tuesday, December 21, 2010
Smokeless Tobacco Use and Periodontal Disease NYC in a Rural Male Population
A study investigating smokeless tobacco use found that people who chew tobacco or retain it in their mouths display greater gingival recession prevalence and extent.
Periodontal Disease NYC: Investigating the Effects of Smokeless Tobacco Use on Oral Health
Despite the reported effects of smokeless tobacco (ST) on the periodontium (the soft tissues surrounding and supporting the teeth), the incidence of periodontal disease NYC, and the high prevalence of ST use in rural populations and in men, studies on this specific topic are limited. With such a gap in the literature on this subject, it is the purpose of this cross-sectional investigation to evaluate the periodontal health status and incidence of periodontal disease NYC in male ST users from a rural population. However, before the methodology is explored, the term ‘smokeless tobacco’ needs elucidation. Smokeless tobacco, in the context of the United States and this research, generally refers to tobacco leaves that are placed between the lower or upper lip and the gums, or alternatively chewed.
Investigating Health and Periodontal Disease NYC and the Connection with Smokeless Tobacco Consumption: Methodology
The study sample of this periodontal disease NYC study consisted of 73 adult male residents of two rural Appalachian Ohio counties that were daily ST users and presented unilateral mandibular oral ST keratosis lesions. Keratosis legions generally take the form of a growth in the upper layer of soft tissue or gum. Subjects completed a questionnaire and received an oral examination in which the following variables were recorded:
• Teeth present (the number of missing teeth, if any)
• ST keratosis lesion,
• Plaque and gingival index (the severity of accumulation)
• Probing depth (PD) (to what extent the gingival can be separated from the tooth)
• Recession depth (RD) (to what extent the gum has receded from the tooth, exposing the root), and
• Attachment level
A Statistical analysis was conducted, which compared ST-site mandibular teeth (teeth adjacent to the subject's unilateral ST keratosis lesion) to NST-site teeth (contralateral corresponding teeth).
Investigation of Periodontal Disease NYC in ST Users: Results
Of the 73 ST users recruited for this analysis, the following results were obtained:
• Recession prevalence is much greater in ST-site quadrants (36%) compared to NST-site quadrants (18%).
• Twice as many teeth had recession on ST-site (approximately 20%) than NST-site (approximately 10%).
• Average buccal (cheek-side) RD on ST-site teeth did not differ from that on the NST-site teeth. Although average buccal attachment loss is greater on ST-site teeth, the mean difference is <0.5 mm.
• When stratified by years of ST use, subjects using ST for 10 to 18 years exhibit the most differences between ST and NST sites, whereas subjects using ST for <10 years show no differences.
From this analysis, the authors conclude that the results indicate that greater gingival recession prevalence and extent are associated with ST placement site in rural male ST users. The implications in terms of periodontal disease NYC remain to be investigated, but from these initial findings, it can be inferred that ST users are at a greater risk due to gum recession and tooth root exposure.
Periodontal Disease NYC: Investigating the Effects of Smokeless Tobacco Use on Oral Health
Despite the reported effects of smokeless tobacco (ST) on the periodontium (the soft tissues surrounding and supporting the teeth), the incidence of periodontal disease NYC, and the high prevalence of ST use in rural populations and in men, studies on this specific topic are limited. With such a gap in the literature on this subject, it is the purpose of this cross-sectional investigation to evaluate the periodontal health status and incidence of periodontal disease NYC in male ST users from a rural population. However, before the methodology is explored, the term ‘smokeless tobacco’ needs elucidation. Smokeless tobacco, in the context of the United States and this research, generally refers to tobacco leaves that are placed between the lower or upper lip and the gums, or alternatively chewed.
Investigating Health and Periodontal Disease NYC and the Connection with Smokeless Tobacco Consumption: Methodology
The study sample of this periodontal disease NYC study consisted of 73 adult male residents of two rural Appalachian Ohio counties that were daily ST users and presented unilateral mandibular oral ST keratosis lesions. Keratosis legions generally take the form of a growth in the upper layer of soft tissue or gum. Subjects completed a questionnaire and received an oral examination in which the following variables were recorded:
• Teeth present (the number of missing teeth, if any)
• ST keratosis lesion,
• Plaque and gingival index (the severity of accumulation)
• Probing depth (PD) (to what extent the gingival can be separated from the tooth)
• Recession depth (RD) (to what extent the gum has receded from the tooth, exposing the root), and
• Attachment level
A Statistical analysis was conducted, which compared ST-site mandibular teeth (teeth adjacent to the subject's unilateral ST keratosis lesion) to NST-site teeth (contralateral corresponding teeth).
Investigation of Periodontal Disease NYC in ST Users: Results
Of the 73 ST users recruited for this analysis, the following results were obtained:
• Recession prevalence is much greater in ST-site quadrants (36%) compared to NST-site quadrants (18%).
• Twice as many teeth had recession on ST-site (approximately 20%) than NST-site (approximately 10%).
• Average buccal (cheek-side) RD on ST-site teeth did not differ from that on the NST-site teeth. Although average buccal attachment loss is greater on ST-site teeth, the mean difference is <0.5 mm.
• When stratified by years of ST use, subjects using ST for 10 to 18 years exhibit the most differences between ST and NST sites, whereas subjects using ST for <10 years show no differences.
From this analysis, the authors conclude that the results indicate that greater gingival recession prevalence and extent are associated with ST placement site in rural male ST users. The implications in terms of periodontal disease NYC remain to be investigated, but from these initial findings, it can be inferred that ST users are at a greater risk due to gum recession and tooth root exposure.
Monday, December 13, 2010
Osseointegration of Dental Implants NYC in Patients Undergoing Bisphosphonate Treatment
Osteonecrosis of the jaw is a severe disease that poses a higher risk to patients receiving bisphosphonate therapy. This review endeavors to determine the link between dental implant patients receiving BP therapy and the risk of ONJ
Dental Implants NYC and the Risk of Osteonecrosis Induced by Bisphosphonate Treatment: Study Motivation
Bisphosphonates (BPs) are an important group of drugs used for the treatment of metabolic and oncologic (cancer-related) pathologies involving the skeletal system. However, osteonecrosis of the jaw (ONJ) is a complication observed in patients using oral or intravenous (IV) BPs. Osteonecrosis, from its Latin origins, can literally be translated to “Bone death” and occurs when the bone loses its blood supply, resulting in structural collapse and incredible pain and arthritis. In the case of ONJ, the bone of the mandible and/or maxilla can be affected by this severe diseasing causing the appearance of lesions in the gingiva (gums) that do not heal. Furthermore, acute infection, inflammation and pain set in as the bone, which is exposed by the lesions, deteriorates.
Investigating the Link Between Dental Implants NYC and the Risk of Osteonecrosis in Patients Receiving BP Therapy
As a result of the observations connecting patients undergoing BP therapy and ONJ, those who are expected to receive dental implants NYC should be informed of the possible risks. The purpose of this particular literature review is to assess the osseointegration of dental implants NYC in patients undergoing BP therapy. Osseointegration refers to the biological fusing of the titanium screws of the dental implants NYC to the bone of the jaw. The MEDLINE-PubMed databases of The National Library of Medicine, National Institutes of Health, Bethesda, Maryland, were searched for articles addressing the focused question: Can dental implants NYC osseointegrate and remain functionally stable in patients undergoing oral and IV BP therapy? In other words, could dental implants NYC be successful in patients receiving BP therapy intravenously? To begin finding the answer to this core research issue, databases were searched from 1995 up to and including February 2010 using the following terms in different combinations:
• Bisphosphonate,
• Dental implant,
• Immediate-loading,
• Implant survival rate,
• Intravenous,
• Oral,
• Osseointegration, and
• Osteonecrosis.
Dental Implants NYC, BP Therapy and ONJ: Review Results
The initial search of the above-mentioned keywords yielded 89 articles. Scrutiny of the titles and abstracts reduced the number of articles to 12 (seven case reports and five retrospective studies). In 10 studies, the patients were using oral BPs, and in two studies, patients were using IV BPs. The results of the review were as follows:
• Six case reports showed that the placement of dental implants NYC in patients using BPs could yield a successful osseointegration and post-operative function.
• Four retrospective studies demonstrated that BPs did not have a negative influence on implant success.
• Two studies showed a negative impact of BPs on implant success.
Of the 12 case studies performed, only two demonstrated that BP had a negative impact upon the success of dental implants NYC. In conclusion, the authors remark that dental implants NYC can biologically fuse with the jaw bone (osseointegrate) and remain functionally stable in patients using BPs.
Dental Implants NYC and the Risk of Osteonecrosis Induced by Bisphosphonate Treatment: Study Motivation
Bisphosphonates (BPs) are an important group of drugs used for the treatment of metabolic and oncologic (cancer-related) pathologies involving the skeletal system. However, osteonecrosis of the jaw (ONJ) is a complication observed in patients using oral or intravenous (IV) BPs. Osteonecrosis, from its Latin origins, can literally be translated to “Bone death” and occurs when the bone loses its blood supply, resulting in structural collapse and incredible pain and arthritis. In the case of ONJ, the bone of the mandible and/or maxilla can be affected by this severe diseasing causing the appearance of lesions in the gingiva (gums) that do not heal. Furthermore, acute infection, inflammation and pain set in as the bone, which is exposed by the lesions, deteriorates.
Investigating the Link Between Dental Implants NYC and the Risk of Osteonecrosis in Patients Receiving BP Therapy
As a result of the observations connecting patients undergoing BP therapy and ONJ, those who are expected to receive dental implants NYC should be informed of the possible risks. The purpose of this particular literature review is to assess the osseointegration of dental implants NYC in patients undergoing BP therapy. Osseointegration refers to the biological fusing of the titanium screws of the dental implants NYC to the bone of the jaw. The MEDLINE-PubMed databases of The National Library of Medicine, National Institutes of Health, Bethesda, Maryland, were searched for articles addressing the focused question: Can dental implants NYC osseointegrate and remain functionally stable in patients undergoing oral and IV BP therapy? In other words, could dental implants NYC be successful in patients receiving BP therapy intravenously? To begin finding the answer to this core research issue, databases were searched from 1995 up to and including February 2010 using the following terms in different combinations:
• Bisphosphonate,
• Dental implant,
• Immediate-loading,
• Implant survival rate,
• Intravenous,
• Oral,
• Osseointegration, and
• Osteonecrosis.
Dental Implants NYC, BP Therapy and ONJ: Review Results
The initial search of the above-mentioned keywords yielded 89 articles. Scrutiny of the titles and abstracts reduced the number of articles to 12 (seven case reports and five retrospective studies). In 10 studies, the patients were using oral BPs, and in two studies, patients were using IV BPs. The results of the review were as follows:
• Six case reports showed that the placement of dental implants NYC in patients using BPs could yield a successful osseointegration and post-operative function.
• Four retrospective studies demonstrated that BPs did not have a negative influence on implant success.
• Two studies showed a negative impact of BPs on implant success.
Of the 12 case studies performed, only two demonstrated that BP had a negative impact upon the success of dental implants NYC. In conclusion, the authors remark that dental implants NYC can biologically fuse with the jaw bone (osseointegrate) and remain functionally stable in patients using BPs.
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