Thursday, September 11, 2008

Implants update

Molar Uprighting with Extrusion for Implant Site Bone Regeneration and Improvement of the Periodontal Environment (Int J Periodontics Restorative Dent 2008;28:375–381.)

This case report describes the treatment of a 55-year-old man who presented with a missing maxillary first molar and mesially inclined neighboring second molar with a severe circumferential bone defect. After bone regeneration therapy with bone grafting, the second molar was uprighted orthodontically to improve the inclination and crown-to-root ratio. These treatments minimized the bone defect and developed a suitable site for an implant in the first molar position. An interdisciplinary approach using periodontal, orthodontic, and prosthodontic treatments can create a more predictable and maintainable situation. Full Paper here

Sinus Floor Elevation Using an Osteotome Technique Without Grafting Materials or Membranes
(Int J Periodontics Restorative Dent 2008;28:401–409.)

This retrospective study aimed to radiographically assess sinus floor remodeling after using a modified osteotome technique without graft materials or membranes. After pilot drilling, residual bone was fractured and raised with the schneiderian membrane to the final implant length using osteotomes. Self-tapping implants were placed, and restorations were placed 6 months later. Twenty-four patients were available for follow-up after a mean observation period of 17.6 ± 8.4 months. The implant survival rate at that time was 100%. Bone filling around the implants was measured and compared with baseline digital radiographs. New bone formation was 86.3% ± 22.1% mesially and 89.7% ± 13.3% distally. In nine cases, digital volume tomography was used to verify regeneration. Within the limitations of this study, use of the schneiderian membrane led to considerable bone regeneration, and good clinical success was achieved despite the omission of graft materials. Full paper here

There are two other excellent papers, one of them describes adverse effects of tooth whitening in detail and other describes correction of bilaterally impacted canines in a 14 year old. To read these full papers click Here Paper on Bleaching Paper on Canine impaction

Research finds milk prevents tooth decay
JADA July 2008

Encouraging children to consume milk helps reduce the risk of dental erosion and decay, according to recent US research.
The study, published in the Journal of the American Dental Association, found children who consumed more soft drinks, relative to milk and 100 per cent fruit juice, were at greater risk of developing dental caries.

The researchers collected dietary information on 369 children who were aged between three and five years at the start of the study, and again two years later. Trained dentists examined the children's teeth both at the start of the study and again two years later.

Children who had a low soft drink intake at the start of the study, but consumed a high intake of soft drink as they grew older were 1.75 times more likely to have tooth decay and receive new fillings compared with children who had a high intake of milk and fruit juice.

This new research supports previous studies in the US and the UK in which children with a high intake pattern of milk were found to have lower caries severity.2,3

According to the study authors, milk is a better alternative to soft drinks because of its potential protective factors including calcium and phosphorus. Full NEWS here

Link Between Heart Disease And Bleeding Gums

Bad teeth, bleeding gums and poor dental hygiene can end up causing heart disease, scientists heard at the Society for General Microbiology's Autumn meeting being held this week at Trinity College, Dublin.

People with poor dental hygiene and those who don't brush their teeth regularly end up with bleeding gums, which provide an entry to the bloodstream for up to 700 different types of bacteria found in our mouths. This increases the risk of having a heart attack, according to microbiologists from the University of Bristol and the Royal College of Surgeons in Ireland.

"The mouth is probably the dirtiest place in the human body," said Dr Steve Kerrigan from the Royal College of Surgeons in Dublin, Ireland. "If you have an open blood vessel from bleeding gums, bacteria will gain entry to your bloodstream. When bacteria get into the bloodstream they encounter tiny fragments called platelets that clot blood when you get a cut. By sticking to the platelets bacteria cause them to clot inside the blood vessel, partially blocking it. This prevents the blood flow back to the heart and we run the risk of suffering a heart attack."
Full Report here

For those of you who want to improve, there is an excellent book :beyond positive thinking" not negative, not positive but right thinking, you can read the book here

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