Periodontal disease affecting tooth furcations. A review of the treatments available

The molars are the teeth that suffer the greatest periodontal destruction in untreated patients. When periodontal disease affects the furcation of a tooth, the chance that it will be lost increases considerably. An increase in the exposed root surface, anatomical peculiarities and irregularities of the furcation surface all favor the growth of bacteria. These problems make it harder for the patient to maintain hygiene, and impede adequate treatment. The treatment of furcations affected by periodontal disease is one of the most difficult problems for the general dentist and periodontist. The motivation of both the attending professional and of the patient are therefore of great importance. No ideal procedure for treating such lesions exists. The present paper reviews those options that are currently available. Long-term research will be needed, along with the development of new techniques, to solve the problem of furcations affected by periodontal disease, possibly including substitution of the affected tooth by an implant

Etiology, risk factors and management of implant fractures

Implant fracture is an infrequent and late biomechanical complication with a serious clinical outcome. In effect, such fractures pose important problems for both the patient and the dental surgeon. According to most literature sources, the prevalence of dental implant fractures is very low (approximately 2 fractures per 1000 implants in the mouth). Considering that implant placement is becoming increasingly popular, an increase in the number of failures due to late fractures is to be expected. Clearly, careful treatment can contribute to reduce the incidence of fracture. An early diagnosis of the signs alerting to implant fatigue, such as loosening, torsion or fracture of the post screws and prosthetic ceramic fracture, can help prevent an undesirable outcome. The present literature review describes the management options and discusses the possible causal mechanisms underlying such failures, as well as the factors believed to contribute to implant fracture

Periodontal disease and nonsurgical periodontal therapy on the ohrqol of the patient: a pilot study of case series

© 2023. The authors. This document is made available under the CC-BY 4.0 license http://creativecommons.org/licenses/by /4.0/ This document is the published version of a published work that appeared in final form in Dentistry JournalThe objective of this prospective study was to assess oral health-related quality of life (OHR-QoL) in patients with periodontitis and nonsurgical periodontal treatment. A prospective, longitudinal case series study was carried out at the University Dental Clinic of the Morales Meseguer Hospital in Murcia. Eighty periodontal patients with periodontitis, aged 22 to 72 years, were included in this study. The Spanish version of the Oral Health Impact Profile 14 (OHIP-14sp) questionnaire was used on two occasions: at the first visit and one month after completing the nonsurgical periodontal treatment. Clinical measurements of probing depth, plaque index and bleeding on probing were performed at baseline and after periodontal therapy. Data were analyzed using Student’s t-test and analysis of variance. We found statistically significant differences (p < 0.05) between the pre- and posttreatment in all the dimensions studied except disability. Similarly, statistically significant differences were also found according to the degree or stage of the disease. However, these differences were not observed with respect to the extent of periodontal disease. Periodontal disease has a negative impact on the OHRQoL of periodontal patients, especially in severe stages (III–IV). Basic periodontal treatment can improve the OHRQoL of periodontal patients one month after treatment

Revisión de la Oligodoncia no sindrómica y presentación de 18 casos

© 2009 Medicina Oral, S.L.. This document is the Published version of a Published Work that appeared in final form in Medicina Oral, Patología Oral y Cirugía Bucal.La agenesia dental es una anomalía del desarrollo que se presenta con una frecuencia aproximada del 20% en la especie humana. Las agenesias que afectan a más de 6 dientes reciben el nombre de oligodoncia, la cual conlleva un enfoque multidisciplinario para su correcto tratamiento. La agenesia congénita, asociada o no a síndromes, no sólo presenta problemas funcionales y estéticos, sino también problemas psicológicos, sobretodo para los jóvenes. Hoy en día conocemos que estas alteraciones del desarrollo están reguladas por la expresión de algunos genes primordiales (mas de 200). El tratamiento de estos pacientes necesita de un enfoque multidisciplinar, que incluye pero no se limita a una colaboración entre el dentista general, ortodoncista, implantólogo, dentista rehabilitador y protesista, así como en ocasiones el psicólogo y logopeda, dada las peculiaridades anatómicas y los trastornos del desarrollo tanto psíquico como físico que presentan. Sugerimos el desarrollo de implantes especialmente diseñados para hacer frente a la escasez de anchura óse

Reliability of an infrared auditory thermometer in the measurement of oral temperature

Aim: To evaluate the reliability of the measurements obtained from different parts of the oral cavity using an infrared auditory thermometer, and to contrast these results with those obtained from the axilla and auditory canal. Study design: A comparative descriptive design was used to establish differences between the temperature recordings made in 66 healthy volunteers with an infrared auditory thermometer applied to different parts of the body (oral cavity and left ear) versus the recordings obtained with a glass mercury thermometer in the axillary zone. The study sample was balanced with respect to gender, and the mean age was 21.15 (± 1.61) years. Results: The largest standard deviation of all the locations corresponded to the left ear. This variable did not present a normal distribution. However, there were no statistically significant differences among the consecutive measurements made in the different anatomical (oral or axillary) regions. Conclusions: The thermal device used in this study seems to fulfill most of the requirements of an ideal clinical thermometer for yielding objective information on body temperature. It is easy to use, noninvasive, inexpensive and rapid. The temperature in the oral cavity is very representative of body temperature

Neuropathic orofacial pain after dental implant placement: review of the literature and case report

© 2010 Mosby, Inc. This document is the Published version of a Published Work that appeared in final form in Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. To access the final edited and published work see https://doi.org/10.1016/j.tripleo.2009.12.004Persistent and chronic pain is more common in the head and neck region than in any other part of the body; therefore, dentists are more likely to encounter these rather complex cases in their practices. In this report, we present a brief review of neuropathic orofacial pain (NOP) that can begin after deafferentation of trigeminal nerve fibers after root canal treatment, apicoectomy, tooth extraction, or implant placement or idiopathically. A case of NOP occurring after a surgical implant procedure in a 62-year-old woman is presented. Continuous pain started 6 months after the placement of 8 dental implants in the maxilla, at the time of positioning the prosthesis on her implants. After being subjected to a physical examination and relevant complementary radiologic imaging, the patient was diagnosed with an NOP secondary to nerve impingement due to dental implant placement as well as myofascial head and neck pain