Treatment of intra-bony defect and periodontal phenotype modification therapy (PhMT): A one-year follow-up case report

Medicine, Journal Year: 2025, Volume and Issue: 104(1), P. e41191 - e41191

Published: Jan. 3, 2025

The treatment of a patient with an intrabony defect using periodontal phenotype modification therapy (PhMT) is alternative approach in correcting defects and changing phenotypes. A 27-year-old male arrived severe poor phenotype. received PhMT, which includes nonsurgical therapy, bone grafting, orthodontic treatment. After 1 year, there were considerable changes the defect, phenotype, general oral health. had profound (10 mm) (thin gingiva, high frenum attachment). (scaling root planing), grafting (allograft), (correcting tooth placement). improvements: Intrabony reduction (from 10 to 3 mm), improved (thickened decreased attachment), dental health (lower pocket depths, increased attachment levels). PhMT successfully repaired deficiency altered patient's Improved aesthetics result comprehensive treatment, addressed problem as well underlying features. efficacy abnormalities altering phenotypes demonstrated this case study. This strategy presents viable remedy for patients intricate requirements.

Language: Английский

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Advanced superimposition method to evaluate the marginal and internal fit of ceramic crowns fabricated using heat pressing techniques

PeerJ, Journal Year: 2025, Volume and Issue: 13, P. e19117 - e19117

Published: April 3, 2025

Background Digital technologies can enhance the success of permanent crowns. The present study aimed to evaluate marginal adaptation and internal fit crowns fabricated using stereolithography (SLA) digital light processing (DLP) 3D printing following scans two different intraoral scanners (IOS) (Medit i700, shape (TRIOS 3)). Methods Three typodont #14 teeth were prepared for full veneer all ceramic with three types margins—chamfer (CFL), rounded shoulder (RSFL) bevel (RSBFL). A total 360 models made divided into groups based on type scanner used impressions. Group in which MEDIT i700 was used, B TRIOS 3 (n = 360/group). subgroups as Medit i700-SLA, i700-DLP, 3-SLA 3-DLP 180/subgroup). These further sub-subgroups finish lines: CFL, RSFL, RSBFL 30 each sub-subgroups). All scanned assess discrepancies (marginal fit) at nine zones (Z1–Z9). Three-way analysis variance pairwise comparison done (Tukey HSD test) ( α 0.05). Results mean gap values lowest A-1 zone. intergroup showed minimum line design, zone Z2 0.04 ±0.001. Conclusions Regardless IOS techniques, smallest observed RSBFL, followed by RSFL CFL. all-ceramic a an SLA 3DPrinter had best fit.

Language: Английский

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Comparative Evaluation of Selected Methods for Assessing Gingival Phenotype

Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(8), P. 2669 - 2669

Published: April 14, 2025

Background/Objectives: The diagnostic assessment of soft and hard tissues surrounding the teeth, including gingival phenotype analysis, is critical for clinicians. Since multiple methods evaluating have been reported, determining optimal approach dental practitioners essential. This study aimed to evaluate using visual (VA) periodontal probe transparency method (PTM) in maxillary central incisors confirm superiority latter. Methods: included 103 individuals aged 22 29 years, all with a healthy periodontium, no history medications, prior treatment affecting gingiva. Two examiners assessed VA PTM color-coded probes. Additionally, direct measurement (DM) biometric ultrasonography was performed. Results: correlations among VA, PTM, DM (Spearman’s rank correlation test) demonstrated robust consistency (r = 0.62–0.76, p < 0.001). There medium high agreement between 0.62–0.74, 0.001), as well strong 0.63–0.76, indicating method. Conclusions: Both are reliable identifying anterior region when compared measurement.

Language: Английский

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Crown Lengthening Surgery in the Esthetic Area for Optimized Results: A Review with Surgical Recommendations

Surgeries, Journal Year: 2024, Volume and Issue: 5(4), P. 1043 - 1055

Published: Nov. 28, 2024

Background: Crown lengthening (CL) in esthetic areas has become a versatile procedure with applications many clinical situations. Knowledge concerning different periodontal phenotypes, and the supracrestal tissue attachment (STA)—former biological width—has allowed for better understanding of surgical management, allowing individualization therapy. This review presented an individualized approach to CL based on evaluating phenotype current considerations about STA, correlating them suggestive techniques. Methods: For approach, it is primarily necessary understand including relationship distance between cementoenamel junction (CEJ) bone crest (BC) position free gingival margin (FGM); secondarily, verify prepare planning (gingivectomy or osseous resection/contouring). Three phenotypes are recognized, presenting behaviors due specific characteristics implicitly correlated soft management. Results: Then, after assessing from CEJ BC, FGM, phenotype, possible individualize treatment according phenotype. In cases thin scalloped periodontium delicate gingiva, there might be presence dehiscence, fenestration, instability healing margin, bringing extra attention manipulation suggesting minimally invasive technique (no flap). A partial-thickness flap recommended thick periodontium, keeping periosteum adhered bone. B (fibrous dense gingiva resistant injuries), open full-thickness osteotomy horizontal vertical volume removal. observing first parameters, such as CEJ, KTW, then determine strategy reasonable surgeries. Conclusions: The must defined since several variables can influence dynamics tissues.

Language: Английский

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Assessment of changes in enamel colour following fixed orthodontic therapy using an advanced spectrophotometer: An in vivo study

Technology and Health Care, Journal Year: 2024, Volume and Issue: 32(5), P. 3097 - 3108

Published: May 31, 2024

BACKGROUND: Any manipulation of the surface natural teeth may result in a variation their colour. The fixed orthodontic treatment (FOT) is one such procedure which alters enamel during procedure. OBJECTIVE: To clinically evaluate colour changes associated with comprehensive FOT (to compare test and control groups) to determine relationship age gender on due by using an advanced spectrophotometer. METHODS: selection sixty patients for study was done randomly among these thirty who underwent as case group, other did not need FOT, were group. recordings spectrophotometric data standardized manner all labial circular region every anterior tooth, following debonding cleaning operations, before bracket bonding. Commission Internationale de l’Eclairage’s L*, a*, b* (lightness, red/green, blue/yellow) tooth-type characteristics used measure color, color differences (DE) between groups computed. One-way ANOVA (a < 0.05) paired t-test any characteristics. RESULTS: Fixed parameters. L* values decreased (P< 0.001), while a* increased 0.001) at end treatment. All measured tooth types showed significant change (DE); mean ranged from 1.64 2.96 DE units. CONCLUSIONS: orthodontics can teeth. CIE parameters statistically after appliances. making look darker. adolescent male had more than adult female groups.

Language: Английский

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Interdisciplinary approaches in modern dentistry: A comprehensive review

Journal of Orofacial & Health Sciences, Journal Year: 2024, Volume and Issue: 11(3), P. 107 - 111

Published: Sept. 15, 2024

Interdisciplinary collaboration in modern dentistry has become increasingly essential for providing comprehensive and effective patient care. This review explores the diverse range of interdisciplinary approaches employed contemporary dental practice. Drawing upon a synthesis literature clinical examples, this paper examines integration various specialties, including periodontics, endodontics, prosthodontics, oral surgery, orthodontics, others, to address complex issues. Key aspects such as treatment planning, communication strategies, collaborative techniques among specialists general practitioners are analyzed. Additionally, emerging technologies innovations that facilitate discussed. Through exploration case studies evidence-based practices, highlights benefits improving outcomes, enhancing satisfaction, optimizing health. By embracing approaches, professionals can better multifaceted needs patients achieve superior results.

Language: Английский

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Efficacy of the injectable platelet-rich fibrin (i-PRF) in gingival phenotype modification: a systematic review and meta-analysis of randomized controlled trials

BMC Oral Health, Journal Year: 2024, Volume and Issue: 24(1)

Published: Nov. 1, 2024

Gingival phenotype (GP), comprising gingival thickness (GT) and keratinized tissue width (KTW), plays a crucial role in preserving the integrity of periodontal tissues, thereby enhancing their resistance to trauma mechanical irritation. This systematic review meta-analysis aimed evaluate current evidence about changes GT KTW following injection injectable platelet-rich fibrin (i-PRF) patients with thin GP.

Language: Английский

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