Puberty: Is Your Gingiva Having Mood Swings?

Objectives/aim: The purpose of this paper is to explore the effects on the different pathological changes in the oral cavity due to puberty, in both males and females. Hormonal changes caused by menstrual cycles, ovulation, the use contraceptives, and increased testosterone and estrogen levels. Methods: This topic will be analyzed by thoroughly reviewing research on articles that relate to the oral health of individuals specifically between the ages of 12-18 years old. Results: Research presents significant evidence that supports changes occurring in the oral cavity during an individual’s stage of puberty. These stages include ovulation, pre-menstruation, menstruation and males transitioning through puberty. During the puberty stage adolescents are more prone to have increased gingival crevicular fluid (GCF), gingival index, and bleeding on probing while research has shown no significant findings on plaque indexes or probing depths. Changes occurring during the menstrual cycle tend to influence the periodontium and induce inflammatory conditions as well. While the periodontium and inflammatory cytokines play a major role in the effects during puberty, changes in diet during this phase can increase the risk of developing caries as well. Conclusion: When adolescents are transitioning into adulthood, there are multiple changes their body goes through. During the literature review, many changes happen during puberty significantly affecting the oral cavity were discovered. These changes have both positive and negative effects. Variations in hormone levels and diet greatly influence the health of the oral cavity and can be a deciding factor on development or severity of oral disease.https://scholarscompass.vcu.edu/denh_student/1008/thumbnail.jp

Extramedullary Plasmacytoma of Soft Tissues and Gingiva

Extramedullary plasmacytoma (EMP) is a rare plasma cell neoplasm of soft tissue without bone marrow involvement or other systemic characteristics of multiple myeloma. It accounts for 3% of all plasma cell tumors. Multiple extramedullary plasmacytoma is defined when there is more than one extramedullary tumor of clonal plasma cells and such presentation has not been described earlier. We report such rare case of multiple extramedullary plasmacytoma involving multiple soft tissues in chest, abdomen, mandible, maxilla, and gingiva

The Effect of Partially Exposed Connective Tissue Graft on Root‐Coverage Outcomes: A Systematic Review and Meta‐Analysis

The aim of this systematic review was to compare the root‐coverage outcomes of using a partially exposed connective tissue graft (CTG) technique with a fully covered CTG technique for root coverage. An electronic search up to February 28th, 2017, was performed to identify human clinical studies with data comparing outcomes of root coverage using CTG, with and without a partially exposed graft. Five clinical studies were selected for inclusion in this review. For each study, the gain of keratinized gingiva, reduction of recession depth, number of surgical sites achieving complete root coverage, percentage of root coverage, gain of tissue thickness, and changes of probing depth and clinical attachment level were recorded. Meta‐analysis for the comparison of complete root coverage between the two techniques presented no statistically significant differences. A statistically significant gain of keratinized tissue in favor of the sites with an exposed CTG and a tendency of greater reduction in recession depth were seen at the sites with a fully covered CTG. Based on the results, the use of a partially exposed CTG in root‐coverage procedures could achieve greater gain in keratinized gingiva, while a fully covered CTG might be indicated for procedures aiming to reduce recession depth

Clinical and radiographic observation of the periodontium in patients undergoing orthodontic therapy: first twenty-seven months

Thesis (MSD) --Boston University (Periodontics).Includes bibliographic references: leaves 84-89.Twenty-two male patients from 12-14 years of age were selected prior to active orthodontic therapy at Boston University School of Graduate Dentistry's Departmant of Orthodontics. These patients were projected to undergo full-banded orthodontic treatnent. The objective of this investigation was designed as a long tenn project to document the quantitative and qualitative changes occurring in the periodontium during and following orthodontic therapy. The patients were examined for the first 9 month period by Dr. Stuart Sears and Dr. Sergio Tejedor-Leon. Relocation of two families reduced the number of patients to twenty which were examined for the second 9 nonth period by Dr. Robert E. Roe and Dr. Robert P. Rubins. [TRUNCATED

PENGARUH PENGGUNAAN NIFEDIPIN PADA PENDERITA HIPERTENSI TERHADAP LAJU ALIRAN SALIVA DAN PEMBESARAN GINGIVA

Background : The prevalence of hypertension is increasing in society. Nifedipine as one of antihypertensive drugs from Calcium Channel Blocker is the type of drug that is often used . The impact on the oral cavity due to the use of nifedipine in patients with hypertension can cause gingival enlargement and reduction in salivary flow . Aim : This research was to prove the influence of nifedipine on gingival enlargement and salivary flow. Method : This study is using observational analytic design with cross sectional approach. The required number of subjects in the study were 70 people who were divided into nifedipine-users group and control group. Subjects were conducted with consecutive sampling method. Gingival enlargement is measured vertically and horizontally using a periodontal probe. Saliva was conducted using passive drool for 1 minute. Result : Mann Whitney test can be concluded that there is a significant difference for gingival enlargement and salivary flow rate between nifedipine user groups and the control group ( p < 0,05 ). Conclusion : There is a significant relationship to gingival enlargement and salivary flow rate per minute between hypertensive patients who use nifedipine and do not use nifedipine. Keywords : Hypertension, nifedipine, salivary flow rate, gingival enlargeme

Could the super-pulsed CO2 laser be used for oral excisional biopsies?

Background. The main purpose of a biopsy is microscopic examination and diagnosis. Keeping the margins of specimens safe and readable is always fundamental to detecting marginal infiltrations or malignant transformation. Numerous options and tools have been introduced for biopsy procedures. Lasers are one of these options that provide many enhancements to clinical and surgical biopsy procedures in comparison to scalpels. Objectives. The aim of the present study is to quantify the thermal artefacts in histological specimens obtained using a CO2 laser from different oral mucosal lesions and to evaluate if the resulting thermal effect hinders the histological examination. This aim is accomplished through quantitatively and qualitatively assessing the thermal effect in both the epithelium and connective tissue. Material and methods. A super-pulsed CO2 laser (10,600 nm) was used to obtain 10 excision biopsy samples. The parameters were a power of 4.2 W in focused mode and a frequency of 80 Hz in super-pulse mode. The histological analysis was performed with an optical microscope. Computerized imaging software was utilized to quantitatively evaluate the thermal effect in both the epithelium and connective tissue expressed in microns. Results. The thermal effect of the CO2 laser was limited to the surgical resection margins in all the specimens and did not hinder the histological analysis. Thermal artefacts were observed in 3 specimens. The range of thermal effects in the epithelial tissue was between 184 μm and 2,292 μm, while in the connective tissue it was between 133 μm and 2,958 μm. Conclusions. The resulting thermal effects of using a CO2 laser did not hamper the histological evaluation. Utilizing a laser in biopsy procedures should be tailored. Not only should laser parameters and safety margins be taken into consideration but also the working time, clinical accessibility, and the nature and water content of the tissue

GAMBARAN PERADANGAN GINGIVA PADA PENGGUNA ALAT KONTRASEPSI SUNTIK DI PUSKESMAS KOPELMA DARUSSALAM

ix UniversitasSyiah KualaABSTRAKNama : Anrika Rahma DesiProgram Studi : Pendidikan Dokter GigiFakultas : Kedokteran GigiJudul : Gambaran Peradangan Gingiva pada Pengguna Alat Kontrasepsi Suntik di Puskesmas Kopelma Darussalam.Peradangan gingiva atau gingivitis merupakan suatu inflamasi pada jaringan gingiva yang ditandai dengan kemerahan, pembengkakan, dan perdarahan gingiva saat probing. Alat kontrasepsi merupakan alat yang bertujuan untuk mencegah terjadinya kehamilan. Penggunaan alat kontrasepsi suntik pada wanita dan keadaan oral hygiene yang tidak baik dapat memicu terjadi peradangan gingiva.Peningkatan hormon progesteron pada pengguna alat kontrasepsi suntik Depo Medroxyprogesterone Acetat dapat memicu terjadinya peradangan gingiva.Tujuan penelitian ini adalah untuk mengetahui gambaran peradangan gingiva pada pengguna alat kontrasepsi suntik di puskesmas kopelma Darussalam. Desain penelitian ini adalah cross sectional dengan subjek penelitian sebanyak 15 orang. Data diperoleh dari pemeriksaan klinis yaitu pemeriksaan gingiva untuk mengetahui tingkat keparahan peradangan gingiva. Hasil penelitian menunjukkan bahwa sebanyak 80% subjek mengalami peradangan gingiva ringan , 20% subjek mengalami peradangan gingiva sedang, dan tidak ada subjek dengan gingiva sehat ataupun peradangan gingiva berat. Pada penelitian ini dapat disimpulkan bahwa tingkat peradangan gingiva pada pengguna alat kontrasepsi suntik di Puskesmas Kopelma Darussalam adalah peradangan gingiva ringan.Kata kunci: peradangan gingiva, oral hygiene, alat kontrasepsi sunti

Oral Examination

The oral cavity is the first component of the digestive tract, which is delimited by the lips anteriorly and the oropharynx posteriorly. The oral cavity functions as a protective barrier and is an essential component for speech and swallowing, mastication, digestion, and taste sensation. The oral examination comprises a uniform and consistent inspection of the head and neck and an intraoral evaluation of the hard and soft tissues (see the images below) in conjunction with a thorough medical and dental history. The entire mouth should be inspected regardless of the patient’s chief complaint and reasons for the visit. [1, 2] Good patient’s history and careful examination are important to establish the correct diagnosis and provide appropriate treatment. The physical examination begins with an extraoral examination to identify possible lesions (such as rash, erythema, and pigmentation), swelling or facial asymmetry. The head and neck should be palpated to identify any tenderness, masses and lymphadenopathy. All muscles of mastication and temporomandibular joint should be palpated for tenderness; patients should be asked to open and close the mouth multiple times to evaluate any limited opening, deviations or asymmetries. The cranial nerve examination should be performed to assess possible neurosensory and neuromuscular deficits. A good light source is fundamental for a good intraoral examination. Any intraoral lesion should be described with respect to size, extent, thickness, color, texture, consistency, and tenderness

Transient Displacement Response to Pulse Excitations on Periodontal Tissues

In the field of dental study it is most fundamental and necessary to estimate the condition of periodontium. In order to examine a mechanical characteristics of periodontium, the theoretical displacement response to periodontal mechanical model (three elements model) are strictly solved in case of some pulse excitations. Impact excitations (rectangular, triangular and half-cycle sine pulse) are given in physical and mathematical definitions and complete solutions to the impact excitations are provided. The triangular pulse excitation which is obtained by means of a fracture of pencil-lead is most suitable. The mechanical parameters of periodontium are given using this input excitation. This is experimentally confirmed by artificial tooth model. The obtained mechanical characteristic of the periodontal tissues can be applied to clinical diagnosis