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(Everything you want to know about periodontics and implantology)
Author: Dr. Nitin Saroch
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Being a dental professional, I know the difficulties students face during the graduation and the post-graduation courses in our field. This website is a small attempt to create an easy approach to understand periodontology. As we know that a lot of research is going on in this field of dentistry, every attempt is being made to gather all that information and present it to the readers in an easy way. Diagrams and illustrations have been given with the text to make the topics easily understandable. The information presented in this website has been collected from various leading journals, books and websites. As no book is perfect, no teacher is perfect and no clinician is perfect, your comments are required to make this website better. You can put your comments at the end of every topic by registering on the website. Let’s contribute a little bit to our field…….Periodontology.Dr. Nitin Saroch. M.D.S. Periodontist and implantologist.
Recent periodontal and dental implant updates………
- Soda and fruit juice are ‘biggest culprits in dental erosion’
- Teens that skip breakfast are almost twice as likely to have bad breath
- Scientists show how nanostructure of dentin stops teeth cracking
- Scaler facts
- Your mouth could be the front door to potential medical issues
- Laser used to treat gum disease
- Up to 3,000 times the bacterial growth found on hollow-head toothbrushes
- Widely used depression drug associated with dental implant failure
- What’s the best way to brush teeth? Even dentists and dental associations don’t agree
- Could stress be linked to periodontal disease?
- Coffee Could Lower Risk of Gum Disease, Reseachers Say
- Study links gum disease to lung disease, cancer and heart failure
- Hospitalizations may spur deterioration of oral health
- Supercomputers reveal that mouth bacteria can change its diet
- 18 health benefits of whole grains
- Best way to brush
- Gum disease linked to preterm labour
- Warning to parents on high acidity drinks
- Electric toothbrushes outperform manual toothbrushes in long-term study
- The cause of gum disease related to type 2 diabetes
- The surprising link between medicine and oral health
- Non-surgical gum disease treatment reduces thickness of wall of arteries
- Elderly are at risk for periodontal disease
- Treating gum disease may lessen the burden of heart disease, diabetes, other conditions
- Better oral hygiene could improve survival rates in dialysis patients
- Peri-implantitis: The ‘time bomb’ in dental implants
- How P. gingivalis causes chronic inflammation in blood vessels
- DHA omega-3 linked to ‘significantly improved periodontal outcomes’: Harvard data
- Anti-arthritics can exacerbate other inflammatory diseases like periodontitis
- Stem cells may be used to grow teeth
- Bad teeth? Blame your genes
- Non-surgical gum disease treatment reduces thickness of wall of arteries
- CDC anti-smoking campaign emphasizes perio outcomes
- Effect of nonsurgical periodontal therapy verses oral hygiene instructions on Type 2 diabetes subjects with chronic periodontitis: a randomised clinical trial
- The truth about recession: dispelling 5 myths about gingival attachment
- Men and non-smokers who drink may be at particular risk of periodontal disease
- Does running lead to worse oral health?
- Coffee could lead to healthy teeth
- Researchers investigate stress as a potential cause of periodontal disease
- Immune system selectively disarmed by gum disease bacteria
- Guided bone regeneration treats dental implant lesions
- 4 supplements that dental professionals need to discuss with periodontal patients
- Nutrition is key to oral, overall health
- Pregnant? Schedule a Dental Checkup
- Goodbye root canals? Researchers use lasers to regrow parts of teeth
- Could red wine be used to prevent dental cavities?
- Columbia researchers target early signs of severe gum disease
- Addressing perio-systemic links
- Ignoring gum problems may cause serious health problems including cancer!
- Diabetes update
- New grafting procedure for oral implantation
- 5 Things You Never Knew About Your Toothbrush
- 4 good for you perks of drinking tea
- Researchers work on ways of detecting gum disease earlier
- Gum disease: 5 risk factors
- Deficiency of protein can cause gum problems
- New Method Isolates Immune Cells for Researchers to Study How They Ward Off Oral Diseases
- Smoking places psoriasis patients at risk of severe periodontal disease
- Regenerative periodontal therapy
- Periodontal disease associated with cardiovascular risk in large multicentre study
- High-tech teeth: Dentistry is going digital
- Are dental implants right for you?
- Mouthwash Overuse May Lead To Oral Cancer: Alcohol Content Raises Risk Of Carcinogens In Mouth Lining
- Bone Loss and Inflammation Reversed in Immune Disorder by Dental Team
- Aging Process Speeded By Chronic Inflammation
- Classifying gum disease genetically could help earlier diagnosis and treatment
- Zero dark cavity
- Researchers warn of magnetic fields from dental devices
- Genetic techniques have role in future of dental care
- Researchers find byproducts of bacteria-causing gum disease incite oral cancer growth
- Your health: New research explores the link between periodontal disease and diabetes
- Periodontal Disease May Increase Seizure Frequency in Epilepsy Patients
- Gum disease may increase breast cancer risk
- Scientists chip away at mystery of what lives in our mouths
- 6 Superpower foods for healthy teeth & gums
- Intake of Vitamin C curbs gum and heart diseases
- Periodontal regeneration: a look at the current and future landscape
- The effectiveness of interdental brushes
- Dental health during pregnancy: How to care for your teeth and gums
- Key role for Fusobacterium adhesin in non-orthodontic periodontal inflammation
- Acid erosion: a challenge for modern dentistry
- Dental scientists patent new agent to fight oral bacteria
- Flossing may help decrease your risk of a stroke
- Dental Implant Assessment
- Smoking during pregnancy can lead to increased risk of orofacial clefts
- Poor oral health tied to cancer-causing oral HPV infection
- Study: EBV Is Associated With Periodontitis; polyDNA Recommends Gene-Eden-VIR Against the Latent Epstein Barr Virus
- Research reveals new clues about the power of fluoride
- Dental infections thought to cause brain aneurysms
- Antibacterial Agent Boosts Toothpaste Effectiveness
- Help! I Have Halitosis!
- Link Found Between Periodontal Disease and Pancreatic Cancer
- Periodontal disease may elevate asthma risk
- Poor dental health may affect thinking
- Periodontal tissue differentiation of stem cells expected to enhance axonal growth for nerve injury repair
- Are dentists interested in the oral-systemic disease connection?
- Poor oral hygiene, excess sugar consumption linked to heart disease
- Gum disease increases risk of asthma
- Type 2 diabetes cytokine elevation places teeth at risk
- European study says oral health care for the elderly deserves attention
- Periodontitis facilitates development and progression of rheumatoid arthritis
- What does diabetes have to do with oral health?
- Periodontal Disease May Hike Mortality in CKD Patients
- Drug May Guard Against Periodontitis, Related Chronic Diseases
- Nanotubes can help improve dental implants
- Gum Disease Linked With Atherosclerosis Progression: Study
- Treating Gum Disease by Bringing Needed Immune Cells to Inflamed Tissue
- Personalized Medicine in Dentistry – Is genotyping the “next frontier” of periodontitis treatment?
- Studies Show Magnesium Reduces Chronic Inflammation, the Cause of Most Chronic Disease
- Burning mouth syndrome is often difficult to diagnose
- Dental implants and titanium dioxide nanotubes
- High-dose atorvastatin may reduce periodontal inflammation
- Link between dental health, heart disease
- Researchers find potential link between gum disease and Alzheimer’s
- 11 Things Your Mouth Can Tell You About Your Health
- What’s next in oral-systemics?
- Really?: Gum Disease Tied to Pancreatic Cancer Risk
- University researchers present new science for the LANAP® & LAPIP™ gum disease treatment protocols at the AAP annual meeting
- Smile! New Nanotube surface promises dental implants that heal faster and fight infection
- New technologies in power toothbrushing
- Timing Your Teeth Brushing
- Modern Aging: Oral health is important for older adults
- Does Brushing Your Teeth Reduce Your Cancer Risk? Oral Hygiene Linked To Oral Cancer
- Expectant mothers’ periodontal health vital to health of her baby
Which is the best implant available?
All implants are made up of grade IV titanium. The quality of the implant depends upon the design and surface properties of the implant. Most of the commercially available implants are root form threaded implants. The implant surface is made rough with the help of surface treatments. In general terms implant surface roughness is divided, depending on the dimension of the measured surface features into macro, micro, and nano-roughness. Various treatments used to induce this roughness on implant surface include additive and ablative procedure. Additive procedures include Plasma spraying, electrophoretic deposition, sputter deposition, sol gel coating, pulsed laser deposition and biomimetic precipitation. Ablative procedures include surface blasting, acid etching, anodic oxidation and shot/laser peening.
Although, there are many companies supplying implants presently, here is a brief description of commonly available implants and their surface treatment. Nobel active implant from Nobel Biocare is treated by anodic oxidation with phosphate enriched titanium oxide. TiXos Line implants from Leader italia are treated by laser sintering. Ankylos Plus implants from Dentsply are sandblasted, large grit blasted, and acid-etched. Zimmer screw vent implants have micro-textured hydroxyapatite surface. Laserlok surface implants from Biohorizon have laser peening surface treatment.
It is very difficult to say which implant is the best but irrespective of advertisements done by implant companies, we can study the implant properties in detail and compare them with each other to find a suitable answer. To read in detail about basic implant design and surface treatment click on the following links…………….
Which is the best available bone graft for periodontal bone grafting?
There are many bone grafts available for periodontal bone grafting procedure. The best bone graft is obviously autograft because; it is derived from one’s own body and has most favourable osteoconductive and osteoinductive properties. Allografts and xenografts are derived from other individual of same species and other species respectively. These bone grafts have variable osteoinductive and osteoconductive properties.
The recently introduced bone grafting materials have biologically active molecules in them which make them as good as autografts. They are named as composite bone grafts. Since, they contain growth factors and other biologically active molecules, they induce proliferation of surrounding mesenchymal cells thus promoting regeneration.
There are many factors which determine the overall regeneration in a particular bone defect which include type of bone defect, internal healing potential of the patient, operators skill and post operative care by the patient. Generally in three wall bone defects, bone fill can be achieved easily using any bone graft, but in case of ridge augmentation procedure because of lack of support to the graft material, autogenous block grafts offer best results.
To determine the quality of the bone graft you must know the details of basic properties of a bone graft, how is it procured, its internal structure, its behaviour in biologic environment and method of its usage. Here is the link for detailed description of bone grafts……………
How practical is use of growth factors in periodontal regeneration?
Growth factors are biologically active molecules involved in various aspects of growth and development. They play an important role during wound healing. For more than last two decades, a lot of research has been going on the growth factors. Since then many of them have been isolated and studied for their actions at cellular and molecular level.
Available data strongly suggests that presence of growth factors in healing area promotes healing and regeneration of periodontal structures. Tissue repair studies conducted on animals provide evidence that key growth factors involved in wound healing include epidermal growth factor (EGF), TGF-α and β, platelet- derived growth factor (PDGF), acidic and basic fibroblast growth factor (FGF) and Insulin like growth factors I and II.
But, how practical is their use in periodontal regeneration? This is a very relevant question. There are multiple problems associated with using growth factors for periodontal regeneration, mainly including,
- Need for high local concentration.
- Non-specific activity on different cell lineages in time and space.
- Rapid loss of topically applied growth factors.
With the help of tissue engineering, we have developed various carriers for growth factors which primarily address the above problems. Composite bone grafts, absorbable and non-absorbable matrices, cell based and gene based approach etc. are the recent advances in growth factor application for periodontal regeneration. A detailed description of the topic is available in……………..
Growth factors in periodontal regeneration
Tissue engineering in periodontics
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