The purpose of this study was to determine the prevalence, height, location and morphology of maxillary sinus septa in dentate, partially dentate and edentulous adults as well as in mixed dentition children using cone beam computed tomography (CBCT) for maxillary sinus surgical interventions.Five hundred and fifty-four sides in the CBCT scans of 272 patients (30 children and 242 adults) were retrospectively analyzed. The prevalence, location and morphology were assessed in axial, sagittal, cross-sectional and panoramic 3-dimensional images. The height of septa was measured with the angle between the direction of the septum and median palatine suture. The differences among age, localization and measurements were statistically analyzed.The prevalence of maxillary sinus segments with septa was 58%. There were a total of 13 (3.2%) septa of completely edentulous (CE), 198 (53.9%) septa of edentate and 14 (3.8%) septa of the mixed dentition maxillary segments. The location of septa observed in all study groups demonstrated a greater prevalence (69.1%) in the middle region than in the anterior and posterior regions. No statistically significant differences were observed with regard to gender or age, for septum height (p > 0.05). However, maxillary sinus septa are higher in partially edentulous patients than edentate and CE ones (p < 0.05).Septa of various heights and courses developed in all parts of the maxillary sinus, therefore to prevent possible complications during sinus surgery, extensive evaluation with an appropriate radiographic technique was indispensable.
Abstract Background: Platelet‐rich plasma (PRP) was speculated to be a promoter of periodontal regeneration. There are only a few clinical comparative studies using PRP in the treatment of gingival recession. Aim: The aim of the present study was to compare connective tissue graft (CTG)+PRP with CTG alone in the treatment of gingival recession. Material and Methods: Forty patients with Miller I/II recessions were included. Each recession was randomly treated with either CTG+PRP or CTG. Clinical variables were recorded at baseline and at 6 weeks, 6 and 12 months. Root coverage (RC) and attachment gain (AG) were also calculated. Results: Probing depth, recession depth, clinical attachment level, keratinized tissue width and recession width (RW) were improved in both study groups. However, no difference was observed between groups, except RW. RW in the control group was statistically lower than the test group at all follow‐up periods. Conclusion: Treatment of recession with CTG or a CTG–PRP combination resulted in favourable clinical outcomes. However, no difference could be found between CTG and CTG+PRP. Whether much longer follow‐up studies with higher statistical power may change these results remains questionable.
Dental scaling and root planing (SRP) is the one of the most common treatment modality for periodontal diseases which was indicated well known in the literature.In SRP procedure, not only the dental calculus eliminated but also the microbial endotoxins which infiltrated into the cementum subside together.Nowadays, it was indicated that the gingival curettage of the pocket wall is not necessary in the classical sense as a treatment modality.During SRP, manual and ultrasonic instruments and lasers are used.The effectiveness of conventional mechanical debridement with curettes depends on the dentist's individual skills and access to some areas (i.e.furcation, concavities, grooves and distal sites of molars) is limited.Ultrasonic devices allow less time consuming and they are easy to use, but they create noise and vibration which can be uncomfortable to the patient.Lasers can achieve excellent tissue ablation, bactericidal and detoxification effects or help with an alternative to the traditional methods of SRP began to stand out as.However, the non-surgical laser treatment there is no sufficient evidence that it is technically superior.Lasers can achieve excellent tissue ablation with bactericidal and detoxification effects and laser was assested as monotherapy and as an adjunct to SRP.However, no evidence exists that the laser is superior to traditional modalities of periodontal therapy Polishing is the following step after the SRP which eliminates most of the scratch to result the plaque retention after SRP procedure.During procedure, if polishing can perform into the subgingival area, the biofilm after SRP can also be eliminated from and has a positive impact on the healing.However, it should be noted that the rubber cup cannot able to enter this area inept which leads to be a disadvantage for the procedure.After starting to use the air polishing device in this area, this negative effect was eliminated.After comparison of pros and cons of air polishing; glycine in subgingival area, and sodium bicarbonate in supra demineralized enamel tissue was widely accepted to use for the procedure which the effect and reliability of the material were evaluated by many studies in the literature.
Amac: Bu calismada Kuzey Kibris Turk Cumhuriyeti’nin (KKTC) Lapta bolgesinde agiz ve dis sagligi profilinin cikarilmasi, beslenme, agiz sagligi ve bazi sosyo-demografik ozellikler ile curuk ve periodontal sorun gibi bazi klinik durumlarin arasinda var olabilecek iliskileri ve tedavi gereksinimlerinin arastirilmasi amaclanmistir. Yontem: KKTC Lapta Belediye Baskanliginin yardimlariyla Mayis 2011 –Mayis 2012 tarihleri arasinda; Lapta, Kayalar, Sadrazamkoy, Akdeniz, Camlibel, Kozankoy, Alemdag, Taskent, Tepebasi, Hisarkoy, Korucam, Kozan, Karsiyaka, yerlesim birimlerine gidilip her evin kapisi calinarak, muayene olmayi kabul eden gonullu herkes calismaya dahil edilmistir. Agiz saglinin degerlendirilmesi icin yapilan muayeneler sirasinda eldiven, maske, ayna, sond, islak mendil ve gazli bez gunluk olarak sterilize edilmis aletler ile muayene ve incelemeler yapilmis sonuclar istatistiksel olarak degerlendirilmistir. Bulgular: Toplamda 735 hasta muayene edilmis ve anket formu doldurulmustur. Yemek aralarinda en cok sekerli yiyecek ve icecekler tuketilmektedir. Arastirilan populasyonda dis fircasina sahip olma orani %85, hic fircalamayanlarin orani ise %8.31’dir. Dis hekimine gitme durumu incelendiginde; hayatinda hic dis hekimine gitmedigi beyan edenlerin olanlarin yuzdesinin %5,85’tir. Arastirmaya katilan bireylerin %15’inin agizlarinda hic dis bulunmadigi, yuzde elli birinde 20 ve daha uzeri sayida dis bulundugu goruldu. Muayene edilen bireylerin yuzde yetmisten fazlasinda curuk dis bulunmasina ragmen sadece yarisinda dolgu tespit edildi. Sonuc: Lapta bolgesinde en buyuk dental sorunun dis curukleri oldugunu, oral hijyen ve dogru beslenme acisindan yetersizlikler bulundugunu gostermektedir. Koruyucu dis hekimligi calismalarina onem verilmesi, halkin rutin kontroller icin dishekimine gitmesi icin ozendirilmesi ve dental tedavi hizmeti veren kurulusun kapasitesinin arttirilmasi gerektigini dusundurmektedir.
AbstractAbstractThe aim of this trial was to establish the clinical efficacy of essential oils (EO) and chlorhexidine digluconate (CHX) when used as a cooling agent with ultrasonic instrumentation, on periodontal parameters and halitosis. Ninety patients with periodontal disease were divided into the control and test group on a non- bias selection method. All patients completed a questionnaire and standard periodontal outcome variables were assessed. For both groups, the plaque index (PI), gingival index (GI), pocket depth (PD), bleeding on probing (BOP) and clinical attachment level (CAL) scores were assessed at the beginning and at the end of the treatment period. Volatile sulphur compound (VSC) levels were evaluated by a Halimeter (Interscan Corp., Chatsworth, CA, USA) prior to treatment, immediately after treatment, and 7, 14 and 30 days post-treatment. In all the groups periodontal parameter scores decreased throughout the study. Only on the 30th day the difference of PD and CAL scores were statistically significant between the control and the EO treated group. When groups were compared in relation to the VSC values a significant reduction was identified in both EO and CHX groups at the baseline and 30th day. However, the intergroup comparisons of the VSC values showed no significant differences at any time point. Within the limits of this study, ultrasonic mechanical instrumentation is effective for the management of periodontal disease and halitosis. However, using EOs as a cooling agent with ultrasonic devices has little beneficial effects on periodontal parameters when compared control and CHX groups.Key words: Halitosisperiodontal therapyantimicrobial agentsessential oilschlorhexidine
Background: Volumetric features of gingival crevicular fluid (GCF) are under the influence of many factors, including sampling variables. Standardizing such factors may enable a more precise methodology. Thus, analysis of the possible impact of the clinical periodontal status and the distinct location of sampling sites on fluid volume was performed. Methods: Clinical parameters were recorded, and fluid samples were obtained from 931 maxillary sites. The potential site‐specific volumetric differences among healthy, gingivitis, and periodontitis sites; between multirooted or single‐rooted teeth and mesio‐buccal or disto‐buccal sampling sites; and the correlations between volume and clinical measures were statistically analyzed. Results: Although volume increased in a disease‐related pattern (healthy < gingivitis < periodontitis; P <0.05), the distribution range of volume was widespread, with prominent overlaps between the different clinical periodontal conditions. Multirooted teeth presented more fluid volume, and even mesio‐buccal or disto‐buccal sites exhibited some volumetric differences ( P <0.05). Constant correlations between volume and clinical parameters could be observed only at gingivitis sites ( P <0.05). Conclusions: The spectrum of fluid volume is disease related in general. However, the wide range of volumetric distribution, the site‐specific nature, and the clear impact of the distinct sampling site on volume are important volumetric features of this biologic fluid. Whenever possible, standardization of the extent of probing depth, degree of gingival inflammation, and distinct sampling area is likely to improve the reliability of GCF methodology.