ABSTRACT
The high labial frenal attachment in mandibular anterior segment is most commonly associated with inadequate width of attached gingiva. Insufficient attached gingiva contributed to the difficulty in oral hygiene maintenance and ultimately poor gingival health. Frenectomy, vestibular extension and gingival augmentation procedures either alone or in combination are often required to maintain adequate health of the gingiva. Clinical relevance Inadequate width of keratinised gingiva contributed to the difficulty in oral hygiene maintenance and ultimately poor gingival health. Frenotomy with free gingival graft (FGG) technique is most predictable in these situations. Objective To highlight the importance of keratinised gingiva and overview of the FGG technique.
ABSTRACT
Malaysia has been experiencing modernization for the last few decades. With modernization and urbanization, also comes a change in lifestyle, which is pointed more to a sedentary lifestyle and unhealthy dietary habits. This results in a staggering rate of obesity. The aim of this study was to find out the correlation between BMI and periodontal status in Malaccan patients visiting Faculty of Dentistry, Melaka-Manipal Medical College, Malaysia. Body Mass Index (BMI) was calculated using weight in kilograms and height chart and periodontal status was examined using clinical attachment loss measurements and Community Periodontal Index (CPI). From the study, it shows that there is no significant relationship between body mass index and periodontitis. However, a higher body mass index could be a potential risk factor for periodontitis in age group 35–54 years old.
ABSTRACT
Periodontal disease, including gingivitis and periodontitis, is considered to be one of the most common diseases among population and, if left untreated, can lead to tooth loss. The disease affects subjects in all age groups but is more common in adult population. Periodontal and gingival disease is a silent disease. The chronic, most prevalent form of periodontitis progresses in a slow to moderate manner and does not exhibit any clear symptoms especially in their early stage, however, it may include period of rapid destruction. Although this disease is not lifethreatening, it is an important public health problem because of its high prevalence, public demand, and its impact on individuals and society in terms of pain, discomfort, social and functional limitations and handicap, and the effect on quality of life. Besides that, the financial impact on the individual and community is very high especially in our fast developing country as the resource for such treatment is still imported from overseas. Also, a bidirectional link has been established between periodontal disease and systemic status in patients. Thus, the purpose of the present study was to explore perceptions of periodontal health and illness and to examine attitudes and beliefs regarding prevention of gum diseases among Malaysian population.
ABSTRACT
Dentine dysplasia is an extremely rare autosomal dominant hereditary condition primarily characterized by defective dentine formation affecting both the deciduous and permanent dentitions. The aetiology of dentinal dysplasia remains imprecise to date, in spite of the numerous hypotheses put forward by various authors. Also, of late, new case reports of type I dentine dysplasias are emerging with clinical and radiographic findings which are unique and variant from the classical characteristic features of this anomaly, rendering it difficult to fit into the previously established classification systems. In this article, after a thorough review and understanding of the drawbacks of the previous classification systems and the cumulative findings from the published case reports in literature, we propose a new classification system for dentine dysplasia type I. We also present a case report which exhibited an absence of familial hereditary pattern, the absence of periradicular radiolucent lesions and osseous pathologies as well as atypical morphological defects of the molar roots which were diverse from the classical findings of the various sub types of dentine dysplasia type I reported to date. Early diagnosis and implementation of preventive and curative therapy is crucial for avoiding premature exfoliation of deciduous and permanent dentition and associated residual ridge resorption, thereby overcoming functional and aesthetic deficits. The new classification proposed in this article will help clinicians to diagnose and categorize the patients effectively, facilitating proper treatment and supportive care for all.