Gingival Recession Case Study

Traditional restorative dentistry propagated early operative intervention to remove diseased tissue and bacteria. Modern dentistry, however, emphasises on arresting the caries progression and restoring the tooth with minimum tissue destruction. Minimal invasive dentistry is based on this axiom.

Relaxed in the dental chair with my dark glasses on, I had been prepped and was ready for my second surgery. My headphones played beautiful, calming classical music. A micro-current patch placed behind each of my ears would help to keep me in a relaxed state. I could taste the remnants of the orange flavored supplements used to promote the relaxation response. My biological dentist and his assistant talked in the background as we waited for the anesthetic to take effect. In this second surgery, I would have the two root canals removed from my front left tooth and the incisor tooth.

Chronic Periodontitis is an inflammatory disease of the supporting tissues of the teeth caused by specific microorganisms or groups of specific microorganisms, leading to progressive destruction of the attachment apparatus of the teeth including periodontal ligament, cementum and alveolar bone with periodontal pocket formation, and recession of the gingival tissue(1) . The clinical feature that characterizes periodontitis from gingivitis is the presence of clinically apparent attachment loss. This loss mainly is associated with changes in the density and height of subjacent alveolar bone (1). Severe generalized periodontitis affects 5–15% of any population worldwide and is a major cause of teeth loss after dental caries (2).

Welcome to Ira J. Moin, DDS! Dr. Moin is a certified prosthodontist and implantologist who has been serving the communities of Encino, Sherman Oaks, Van Nuys, Tarzana, Calabasas, and Woodland Hills, CA for 30 years. When he opened his practice in 1985, Dr. Moin dedicated himself to helping his patients achieve beautiful, comfortable, functional smiles that they can be proud of. He has since helped many, many patients achieve these kind of results with astounding success.

Are you in pain? You may need a root canal. Modern root canal procedures are stress-free, painless, and simple to perform. Before we begin, we numb the area using a local anesthetic. We then access the dental pulp using specialized rotary equipment and remove the infected material. We seal the inside of your tooth and fill the empty cavity with a substance called gutta-percha. This process eliminates all pain and prevents further infection of the tooth. If you are in need of root canal therapy, we can offer you top-notch service in a calm, comfortable environment.

Periodontal disease destructs the tissues the form around the teeth, including the gums, periodontal ligaments, and tooth sockets. A patient may notice bleeding, tender, and/or swollen gums, mouth sores, shiny appearance to the gums, or in some cases, hypertrophic gingivitis. If gingivitis isn’t taken care of in its early stages, it can result in an infection of the gums or jaw bones or in some cases, trench mouth. Trench mouth is a form of gingivitis that results when there are copious amounts of normal bacteria in the mouth. The gums become infected and form painful ulcers and gingivalgia. The words “trench mouth” comes from World War 1. Due to the lack of medical attention and supplies during this time period, many soldiers suffered from this condition. Gingivitis is also linked to many diseases and disorders, such as cardiovascular disease, diabetes mellitus, and respiratory disease. To treat gingivitis or tooth decay, dentist or a dental hygienist will perform an oral cleaning to loosen and remove plaque and/or tartar from teeth and gums. After a professional teeth cleaning, bleeding and inflammation should subside within 1 to 2 weeks with proper oral care at home. In order for gum disease to not return, good oral hygiene must take place. That includes, brushing teeth and tongue at least twice a day and flossing once. Mouthwash also helps cancel the formation of plaque. Overall, if adequate oral hygiene and regular

Periodontal surgery, also known as gum surgery, only occurs when a patient is suffering from a condition such as periodontal disease. The gums of the mouth are the connective tissues that hold the teeth in place. This form of surgery and the associated ailments can also affect the bones within the mouth, in extreme cases. As plaque develops in the mouth and rests on the tooth where the gum line starts, that plaque can work its way below the gum line. Not only does this cause cavities and tooth decay, it also causes an unhealthy erosion of the gums. Left untreated, these erosions start to form pockets underneath the gum, where more plaque and food debris can accumulate. During periodontal surgery, those pockets of infection and unsightly materials are cleaned out. This form of surgery is also used to reconstruct or reshape the gum line for aesthetic reasons. There are 8 general forms of gum surgery, each having its own purpose and procedures. During a Gingivectomy, the infections under the gum are scraped clean. This procedure is completely painless, as it is performed under anesthesia. Other common periodontal operations to ask Lennox Lin about include a Gingivoplasty, Guided Tissue Regeneration, Periodontal Flap Surgery, Periodontal Bone Graft, Osseous Surgery, Gum Grafts, and Crown

Normally the bone is trabecular type, however the older lesions might show mature lamellar bone, and it is not uncommon the presence of osteoid non-mineralized trabeculae. As regards the number of lesions found in the mineralized material varies from case to case (BISINELLI J.C, MARÇAL M.S, LEPREVOST J, 2005; SAMANESES D. P. C, BASTOS E.G, SILVA V.C, 2010; FRANÇA et al 2011;).

On the other hand, slight disease affects approximately 35% of the adult population48, 49, 50. Patients need to see the condition of their own mouth. At the initiation of every appointment, during data collection and tissue assessment, the patient should be provided a mirror to visualize with the clinician the evidence of periodontal disease, caries, gingival recession, tooth mobility, furcation involvement, etc. During periodontal probing, the patient should hear the pocket measurements as data is being recorded and collected. In a similar approach, during examination of the radiographs, the patient should be shown evidence of permanent bone loss, and contrast that to areas without bone loss. Relating the patient in the discovery process audibly and visually is a powerful tool to help patients take ownership in their own

Patient had been feeling slight mobility in his lower right second molar and premolar since past one year, patient now wanted to have treatment of

Case 10: A 25 years old healthy patient presented in the clinic for extraction of tooth #28. You heard a sound of fracture during extraction. What 's the possible diagnosis? How do you confirm the diagnosis? Discuss management.

(Hajishengallis,2014). Gingivitis, which comes before periodontitis, is an inflammation of the gums. The development of plaque from bacteria causes the gums to swell. This doesn 't bring about quick harm to the bones and tissues, however it results in disturbance of the gums. Following untreated gingivitis is periodontitis (Hajishengallis,2014). Periodontitis is the predominant damage of the periodontium, which can be the supporting tissues and bones of the teeth. This advanced form of gingivitis is also resulting from a microorganism that remains inside the mouth, which brought about infection as properly. The signs and symptoms of periodontal disease can range from a simple gum infection to fundamental harm of the the helping functions of the teeth

The infamous "root canal" is a procedure that requires filling the damaged areas of your tooth with a rubber-cement type material that seals the cracks, improves your smile, and helps hold your tooth in place. A corrective crown is then placed on top to eliminate any signs of repair.

Superficial position of tooth germs, hormonal disturbances, febrile illness, genetic factors, hypovitaminosis, and osteoblastic activity inside the tooth germ related to remodeling of alveolar bone has been suggested as etiologic factors. Natal and neonatal teeth may be associated with some syndromes like Ellis van creveld syndrome, cleft lip and palate, Hallermann- Streiff syndrome, Sotos syndrome, and congenital pachyonychia. Our patient did not have any syndrome.

Once this evaluation is complete, the dental professional will have the information necessary to determine the patient’s periodontal