• Title/Summary/Keyword: Periodontal consideration

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Requirements of the abutment teeth for long-term predictability of fixed prosthesis (고정성 보철치료의 영속성을 높이기 위한 지대치의 적합성)

  • Choi, Jeom-Il
    • The Journal of the Korean dental association
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    • v.48 no.9
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    • pp.654-663
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    • 2010
  • The success in periodontal-prosthetic therapy lies in patient satisfaction with subjective and customized treatment regimen that has been refined for individual needs. To fulfill these requirements, multiple predictors may have to be taken into consideration in the comprehensive treatment planning. Incorporation of complex factors that guarantee the evidence-based therapy would include, but not limited to, osseous morphology, biotype of gingival around abutment, bone morphology of interdental bone and those around furcation area, abutment or bridge mobility. The periodontal-restorative interface should be of mutually protective. Also strategic and esthetic value of abutment teeth to be restored should also be taken into consideration. Taken together, all these should work in concert to enhance the predictability and longevity of abutment teeth in periodontal-prosthetic therapy.

Orthodontic tooth movement after periodontal regeneration of intrabony defects

  • Conchita Martin;Mariano Sanz
    • The korean journal of orthodontics
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    • v.54 no.1
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    • pp.3-15
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    • 2024
  • The prevalence of intrabony defects in patients with advanced periodontitis stages III and IV is high. These patients usually need both periodontal treatment and orthodontic therapy, including tooth movement through bone defects, to improve masticatory function, aesthetics, and overall quality of life. Clinical practice guidelines recommend periodontal regenerative surgical interventions to resolve these defects and propose initiating orthodontic tooth movement (OTM) once periodontal therapy goals have been met. Surgical interventions using various regenerative technologies like barrier membranes and enamel matrix proteins, combined or not with bone replacement grafts, have proven effective in regenerating lost periodontal tissues. However, the combination of periodontal and orthodontic treatments requires consideration of how periodontal regenerative therapies influence OTM. Studies suggest that regenerated bone may differ in density, composition, vascularity, and cellular activity, potentially affecting the speed and efficiency of OTM, and potential root resorption of moved teeth. Understanding the sequence and timing of implementing OTM after regenerative periodontal interventions is crucial due to their interlinked processes of bone resorption and formation. This narrative review aims to uncover scientific evidence regarding these combined treatments, examining the impacts of different regenerative technologies on OTM and delineating their advantages, limitations, and best practices.

Relationship between human immunodeficiency virus infection and periodontal disease; diagnosis and management strategy (Human immunodeficiency virus 감염과 치주 질환의 상관관계, 진단 및 처치에 관한 문헌 고찰)

  • Park, Jung-Chul;Um, Yoo-Jung;Jung, Ui-Won;Kim, Chang-Sung;Cho, Kyoo-Sung;Chai, Jung-Kiu;Kim, Chong-Kwan;Choi, Seong-Ho
    • The Journal of the Korean dental association
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    • v.47 no.8
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    • pp.522-533
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    • 2009
  • Purpose: Infection with HIV-1 virus has become a critical worldwide public health problem. The oral complications of HIV infection with its progression of impairment of the host response to combat infection present unique challenges to the periodontists. Material and Methods : Medline research was carried out to find relationship of the progression of HIV infection to the occurrence of oral lesions including the HIV-related periodontal diseases. Results: The linear gingival erythema, necrotizing ulcerative periodontitis, necrotizing ulcerative gingivitis and oral candidiasis are common lesions in HIV-infected individuals. The linear gingival erythema and necrotizing ulcerative periodontitis lesions in HIV-infected subjects were found to have a similar microbiological profile. There are several general considerations in the periodontal management of the HIV-infected patient with or without periodontal disease. The altered immunity and host response in patients with HIV infection may also affect the incidence and severity of other common forms of periodontal disease not associated with HIV infection. Conclusion: Periodontal diseases in HIV-infected individuals present unique challenges in diagnosis, monitoring, treatment and maintenance. Therefore exact HIV staging, geographic location, antiviral and antimicrobial therapies and oral habits should be taken into consideration when treating HIV-infected patients.

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Influences of stress and fatigue on periodontal health indicators in patients with periodontal disease (치주질환자의 스트레스와 피로가 치주건강 지표에 미치는 영향)

  • Jo, Ji-Young;Jeong, Ji-Hye;Lee, So-Young;Kwun, Hyeon-Sook;Park, Kyeong-Lok;Urm, Sang-Hwa;Yu, Byeng-Chul
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.2
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    • pp.225-231
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    • 2016
  • Objectives: The purpose of this study was to investigate the influential factors of stress and fatigue on peridontal indicators in patients with periodontal disease. Methods: A self-administrated questionnaire study was conducted during November 2012 to January 2013 with 140 periodontal patients. The Fatigue and Stress were evaluated with Multidimensional Fatigue Scale(MFS) and Psychosocial Well-bing Index(PWI). Periodontal health indicators were consisted with gingival index and pocket depth. Data were analyzed by descriptive analysis, t-test, ANOVA, and multiple regression analysis. Results: Overall stress and fatigue level of subjects were $22.61{\pm}5.62$ and $64.67{\pm}9.45$. Gingival index and periodontal pocket depth as periodontal health indicators were $1.26{\pm}0.3$ and $4.29{\pm}0.52$. The influential factors of gingival index and periodontal pocket depth were social function(subcategory of pwi) and depression(subcategory of pwi), respectively. Conclusions: Some subcategories of PWI were related with periodontal health indicators. So, consideration of stress related with depression and social function are needed to manage and prevent periodontal disease.

Regional Difference of Chronic Periodontal Care Services in Korea (의료기관 종별 만성 치주염 진료의 지역 간 차이)

  • Yoon, Young-Ju;Lee, Kyeong-Soo;Kim, Chang-Suk;Kim, Chang-Yoon;Hwang, Tae-Yoon
    • Journal of Korean society of Dental Hygiene
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    • v.15 no.5
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    • pp.899-905
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    • 2015
  • Objectives: This study aimed to investigate the regional difference of chronic periodontal care services in Korea by the analysis of 2010 raw data from Health Insurance Review and Assessment Service. Methods: The subjects were the chronic periodontitis patients over 35 years old from dental care facilities in Korea. The study population was 278,319 including 264,994 claims made by dental clinics, 8,084 by dental hospitals, 3,509 by general hospitals, and 1,732 by tertiary hospitals. Results: There was a significant difference in medical care cost benefit between the provinces(p<0.0001). The age groups showed a clear difference in the patient charge, cost of insurance, and medical care cost benefit(p<0.0001). In consideration of the first visit or revisit, there were differences in the rate of prescription, dental examination, and surgical procedures of the chronic periodontal patients from dental facilities. The radiographic use rate in the tertiary hospitals was 2.6 times higher than that of the dental clinic in the treatment of the new chronic periodontal patients. Conclusions: The use of dental services in the periodontitis is influenced by the types of medical services facility, cost of medical insurance, and patient charge. In consideration of cost benefit analysis, prevention is the most important care for the periodontitis. Regional difference in peridontitis is cause by the use of medical services and quality of treatment.

Clinical evaluation of root-resected teeth clinical outcome over 2 years (치아절제술이 시행된 증례의 임상적 평가 : 2년 이상 경과한 증례의 평가)

  • Lee, Chung-Ho;Park, Jin-Woo;Seo, Jo-Yeong;Lee, Jae-Mok
    • Journal of Periodontal and Implant Science
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    • v.36 no.4
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    • pp.809-816
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    • 2006
  • Periodontal disease accompany the inflammation around periodontal tissue and generally periodontal destruction is followed, This destruction often makes the molar teeth have furcation defect. And to treat molar furcation involvement, resective surgery such as root resection and ostectomy and regenerative procedure such as guided tissue regeneration were introduced. Also implant can be considered as one of the good treatment methods, Among these treatment alternatives, root resection can be considered as a good procedure in the point of saving one's natural teeth or amount of cost. Therefore the purpose of this article is to evaluate root-resected teeth which were done at least 2 years ago. 70 root-resected teeth in 58 patient who visited Kyungpook National University Hospital were included in this study. They were evaluated by two clinical method. One is subjective evaluation and another is objective evaluation. To evaluate subjective outcome, 58 patients answered to the questionnaire if they experienced tooth extraction, bleeding, swelling, pain, mobility and chewing problem. To evaluate objective outcome, 28 teeth was evaluated according to Langer's criteria. The subjective result showed 82% of success rate and 18% of failure rate. 13 of 70 teeth showed discomfort and were considered as failure, which include chewing problem (39%) and pain (23%). The objective outcome showed that 4 failure (14% failure rate) which were 2 cases of bone loss by periodontal problem, one endodontic problem and one untreatable caries. By these limited results, some of clinical consideration in root resective procedure can be suggested. Periodontal support and less occlusal loading on resected tooth should be evaluated before the procedure, moreover, good oral hygiene is essential. When these factors are considered carefully, the root resection may produce predictive outcomes in the treatment of furcational involvement.

A Convergence Study on the Relationship of Body-Shape Perception and Periodontal Diseases in Female Adolescents (여성 청소년의 주관적 체형인식과 치주질환의 관련성에 대한 융합연구)

  • Oh, Jung-Sook;Lee, Sun-Hee
    • Journal of the Korea Convergence Society
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    • v.10 no.6
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    • pp.287-297
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    • 2019
  • The purpose of this study was to examine the relationship of body-shape perception and periodontal diseases in female adolescents based on the sixth 3rd-year(2015) data of the National Health and Nutrition Examination Survey. The subjects in this study were 211 female teenagers who were at the western ages of 12 to 18. As a result of analyzing, it's found that the body-shape perception of the female teens were linked to age, sleep hours, BMI, weight control and toothbrushing frequency, and whether they had periodontal diseases or not was found to be under the influence of age, smoking, sleep hours, stress, BMI and toothbrushing frequency. When the relationship between their body-shape perception and peridontal diseases was analyzed by controlling the confounders, the adolescents who considered their own bodies to be obese suffered from 3.18-fold more periodontal diseases(OR=3.18, 95% CI: 1.21, 8.38) than the teenagers who considered their body shape to be average. In the future, oral health care should be provided in consideration of the mental health of female adolescents to prevent periodontal diseases.