Periodontal Problems Associated with the Surgical Exposure of Unerupted Teeth

1976 ◽  
Vol 3 (2) ◽  
pp. 79-85 ◽  
Author(s):  
T. G. Heaney ◽  
J. D. Atherton
Keyword(s):  
Chronic Inflammation ◽  
Oral Mucosa ◽  
Flap Technique ◽  
Unerupted Tooth ◽  
Surgical Exposure ◽  
Unerupted Teeth ◽  
Keratinized Mucosa

Conventional excisional surgical exposure of an unerupted tooth into the mobile non-keratinized alveolar mucosa results in elongation of the clinical crown, a narrow and non-functional buccal gingival zone, and a predisposition to chronic inflammation of the affected oral mucosa. Use of alternative flap techniques designed to conserve a keratinized mucosa in relation to the crown are only partially successful in avoiding these problems. Surgical exposure of teeth therefore should be avoided whenever possible. On the rare occasions when it becomes necessary, a flap technique must be used to minimise postoperative periodontal pathology.

scholarly journals Impacted teeth: Their place is in the dental arch

2019 ◽  
Vol 24 (6) ◽  
pp. 20-26 ◽  
Author(s):  
Alberto Consolaro ◽  
Mauricio de Almeida Cardoso
Keyword(s):  
Dental Arch ◽  
Impacted Teeth ◽  
Unerupted Tooth ◽  
Starting Point ◽  
Unerupted Teeth ◽  
To Receive ◽  
Over Time

ABSTRACT The starting point for the treatment of unerupted teeth should consider the fact that, biologically, the pericoronal follicle maintains the ability to release EGF and other mediators responsible for eruption over time. The eruptive events may be guided and directed, so that teeth may occupy the space prepared to receive them in the dental arch, as showed in the case presented to evidence the following principle to be considered in these cases: “Regardless of the position of an unerupted tooth, it may be biologically directed to its place in the dental arch. The orthodontist should apply a mechanics to guide it and park it at its site.”

scholarly journals CASE REPORTS Atopic allergy and chronic inflammation of the oral mucosa in a 4-year-old boy after heart transplantation – diagnostic and therapeutic difficulties

2015 ◽  
Vol 2 ◽  
pp. 176-180 ◽  
Author(s):  
Edyta Machura ◽  
Beata Chodór ◽  
Magdalena Kleszyk ◽  
Małgorzata Pindycka-Piaszczyńska ◽  
Ewelina Chrobak ◽  
...  
Keyword(s):  
Heart Transplantation ◽  
Chronic Inflammation ◽  
Oral Mucosa ◽  
Case Reports

scholarly journals Type XVIII Collagen Modulates Keratohyalin Granule Formation and Keratinization in Oral Mucosa

2019 ◽  
Vol 20 (19) ◽  
pp. 4739 ◽  
Author(s):  
Ha Thi Thu Nguyen ◽  
Mitsuaki Ono ◽  
Emilio Satoshi Hara ◽  
Taishi Komori ◽  
Midori Edamatsu ◽  
...  
Keyword(s):  
Oral Mucosa ◽  
3D Culture ◽  
Squamous Carcinoma ◽  
Mrna Levels ◽  
Loss Of Function ◽  
Granule Formation ◽  
Squamous Carcinoma Cells ◽  
Cellular Modifications ◽  
Keratinized Mucosa ◽  
Epithelial Keratinization

Epithelial keratinization involves complex cellular modifications that provide protection against pathogens and chemical and mechanical injuries. In the oral cavity, keratinized mucosa is also crucial to maintain healthy periodontal or peri-implant tissues. In this study, we investigated the roles of type XVIII collagen, a collagen-glycosaminoglycan featuring an extracellular matrix component present in the basement membrane, in oral mucosal keratinization. Histological analysis of keratinized and non-keratinized oral mucosa showed that type XVIII collagen was highly expressed in keratinized mucosa. Additionally, a 3D culture system using human squamous carcinoma cells (TR146) was used to evaluate and correlate the changes in the expression of type XVIII collagen gene, COL18A1, and epithelial keratinization-related markers, e.g., keratin 1 (KRT1) and 10 (KRT10). The results showed that the increase in COL18A1 expression followed the increase in KRT1 and KRT10 mRNA levels. Additionally, loss-of-function analyses using silencing RNA targeting COL18A1 mRNA and a Col18-knockout (KO) mouse revealed that the absence of type XVIII collagen induces a dramatic decrease in KRT10 expression as well as in the number and size of keratohyalin granules. Together, the results of this study demonstrate the importance of type XVIII collagen in oral mucosal keratinization.

scholarly journals Clinical Outcome of a New Surgical Technique for the Treatment of Peri-Implant Dehiscence in the Esthetic Area. A Case Report

2021 ◽  
Vol 11 (11) ◽  
pp. 4781
Author(s):  
Norberto Quispe-López ◽  
Carmen García-Faria ◽  
Jesús Mena-Álvarez ◽  
Yasmina Guadilla ◽  
Pablo Garrido Martínez ◽  
...  
Keyword(s):  
Connective Tissue ◽  
Poor Prognosis ◽  
Surgical Approaches ◽  
Clinical Attachment Loss ◽  
Connective Tissue Graft ◽  
Flap Technique ◽  
Tissue Graft ◽  
Keratinized Mucosa ◽  
Esthetic Area ◽  
New Surgical Technique

This study describes the clinical and esthetic outcome of n apical surgical treatment on peri-implant soft tissue dehiscence in an implant with a poor prognosis in the esthetic area. The patient presented a compromised situation of clinical attachment loss both in the 1.2 implant and in the adjacent teeth. A biphasic approach consisted firstly of a connective tissue graft accessed by apical and then, 11 months later, a palatal flap technique plus a connective tissue graft. After 20 months of healing, surgical approaches without vertical releasing incisions showed a gain in recession reduction over the implant ranging from 0.3 to 2.7 mm (CI 95%), in addition to a gain in width (2 mm) and thickness (2.3 mm) of the keratinized mucosa. With respect to the white esthetic score, 4 points were gained, and with respect to the pink esthetic score, 3 points were gained. With the use of the apical approach technique and the palatal flap technique, satisfactory results are obtained in the treatment of recessions on implants, improving the amount of keratinized mucosa and the esthetic result in an objective manner in the anterior area.

scholarly journals EVALUATION OF THE RESULTS OF COMPLEX TREATMENT OF LICHEN PLANUS OF THE ORAL MUCOSA WITH THE USE OF AUTOLOGOUS PLASMA OR HUMAN PLACENTA EXTRACT

2019 ◽  
Vol 15 (2) ◽  
pp. 37-44
Author(s):  
Ирина Усманова ◽  
Irina Usmanova ◽  
Лариса Герасимова ◽  
Larisa Gerasimova ◽  
Зухра Хисматуллина ◽  
...  
Keyword(s):  
Chronic Inflammation ◽  
Lichen Planus ◽  
Oral Mucosa ◽  
Human Placenta ◽  
Preventive Measures ◽  
The State ◽  
Complex Treatment ◽  
Autologous Plasma ◽  
Local Immunity ◽  
Somatic Status

Subject. On the basis of a comprehensive dental examination, the clinical condition of the oral mucosa was assessed. With the use of laboratory research methods, the parameters of the microta state from the surface of erosion, the state of local immunity of the oral fluid, as well as anamnesis data with the assessment of somatic status, clinical blood analysis, ultrasound examination of the state of internal organs, the tactics of the complex of phased local and General therapy were studied. In clinical conditions, the analysis of minimizing pain, the nature of the epithelialization of erosive elements and regeneration of the oral mucosa. Using the analysis of laboratory methods, the pronounced antibacterial effect, increase of local immunity factors of the oral cavity, a qualitative decrease in chronic inflammation in the oral mucosa and in the body as a whole, as well as a decrease in the depressive state of the patient were evaluated. Proven and proved the efficiency of application of this complex treatment in the early and late periods. The purpose ― is to draw the attention of practicing dentists and related specialists to the need for an effective phased scheme of diagnostic and therapeutic and preventive measures in patients with lichen planus. Material and methods. The article is based on the description of clinical observation of a patient with erosive-ulcerative form of lichen planus. Results. The use of the proposed complex of step-by-step local injection methods on the oral mucosa and General measures by dermatologists, therapists, gastroenterologists in the erosive and ulcerative form of lichen planus contributes to a better acceleration of the epithelialization process, regeneration, reducing the signs of chronic inflammation, qualitative improvement of the somatic status and quality of life of patients. Summary. The inclusion in the scheme of the complex of local and General therapeutic and preventive measures of erosive-ulcerative form of lichen planus by injection of autologous plasma (AP) and human placenta hydrolysate (HRH) is a more effective method of therapy in these patients.

Direct Traction applied to Unerupted Teeth using the Acid-etch Technique

1977 ◽  
Vol 4 (4) ◽  
pp. 211-212 ◽  
Author(s):  
N. P. Hunt
Keyword(s):  
Soft Tissue ◽  
Practical Advice ◽  
Surgical Exposure ◽  
Acid Etch ◽  
Tissue Flap ◽  
Unerupted Teeth ◽  
Soft Tissue Flap ◽  
Subsequent Replacement

The acid-etch technique for direct bonding as a means of applying traction to unerupted teeth, has been utilized for some time. This paper presents practical advice for treatment of unerupted teeth employing surgical exposure, direct bonding of orthodontic attachments for the application of traction and subsequent replacement of the soft tissue flap.

scholarly journals Maintenance of Increased Mouth Opening in Oral Submucous Fibrosis Patient Treated with Nasolabial Flap Technique

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Milind Naphade ◽  
Bhushan Bhagat ◽  
Dwarkadas Adwani ◽  
Ranjit Mandwe
Keyword(s):  
Chronic Disease ◽  
Oral Cavity ◽  
Oral Mucosa ◽  
Oral Submucous Fibrosis ◽  
Mouth Opening ◽  
Oral Carcinoma ◽  
Nasolabial Flap ◽  
Flap Technique ◽  
Submucous Fibrosis ◽  
Malignant Changes

Oral submucous fibrosis (OSMF) is an insidious chronic disease affecting any part of the oral cavity and sometimes the pharynx with epithelial atrophy leading to stiffness of the oral mucosa, causing trismus and inability to eat. However, a more serious complication of this disease is the risk of the development of oral carcinoma. A case of OSMF reported with initial interincisal mouth opening; 8 mm which was treated surgically with nasolabial flap technique followed by active mouth opening exercises for 6 months with Hister’s jaw exerciser. The patient could maintain mouth opening of 32 mm at the end of 18-months followup. The patient was observed closely for any malignant changes in the oral cavity.

The Radiographic Assessment and Subsequent Management of Unerupted Teeth

1974 ◽  
Vol 1 (4) ◽  
pp. 159-165 ◽  
Author(s):  
C. D. Parker
Keyword(s):  
Dental Arch ◽  
Radiographic Assessment ◽  
Management Decisions ◽  
Unerupted Tooth ◽  
Unerupted Teeth

The commonly used radiographic techniques to locate unerupted teeth are described. This information is valuable in deciding whether the unerupted tooth could be brought into the dental arch with a resultant improvement in the occlusion both functionally and aesthetically. If the accommodation of the unerupted tooth is not possible or desirable a decision has to be made either to retain or remove it. The various management decisions are illustrated radiographically.

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