ABSTRACT
AIM: The aim of this Systematic Review (SR) was to assess the clinical efficacy of alternatives procedures; Acellular Dermal Matrix (ADM), Xenogeneic Collagen Matrix (XCM), Enamel Matrix Derivative (EMD) and Platelet Rich Fibrin (PRF), compared to conventional procedures in the treatment of localized gingival recessions. MATERIAL AND METHODS: Electronic searches were performed to identify randomized clinical trials (RCTs) on treatment of single gingival recession with at least 6 months of follow-up. Applying guidelines of the Preferred Reporting Items for Systematic Review and Meta-Analyses statement (PRISMA). The risk of bias was assessed using the Cochrane Collaboration's Risk of Bias tool. RESULTS: Eighteen randomized controlled trials (RCTs) with a total of 390 treated patients (606 recessions) were included. This systematic review showed that: Coronally Advanced Flap (CAF) in conjunction with ADM was significantly better than CAF alone, while the comparison between CAF+ADM and CTG was affected by large uncertainty. The CAF+EMD was significantly better than CAF alone, whereas the comparison between CAF+EMD and CTG was affected by large uncertainty. No significant difference was recorded when comparing CAF+XCM with CAF alone, and the comparison between CAF+XCM and CTG was affected by large uncertainty. The comparison between PRF and others technique was affected by large uncertainty. CONCLUSION: ADM, XCM and EMD assisted to CAF might be considered alternatives of CTG in the treatment of Miller class I and II gingival recession.
Subject(s)
Dental Enamel Proteins , Gingival Recession , Connective Tissue , Gingiva , Humans , Surgical FlapsABSTRACT
OBJECTIVE: To evaluate and compare the impact of altered smile characteristics on the perception of smile esthetics between Moroccan dentists and lay people. MATERIALS AND METHODS: Thirty-four digital smile photographs displaying alterations in crown length and width, lateral incisor gingival margin position, gingival exposition, midline diastema, and upper midline deviation were presented to a sample of 30 dentists and 30 lay people. The ratings were assessed with a visual analog scale. RESULTS: Compared to that of lay people, Moroccan dentists' evaluation of the gingival smile was more critical when the decrease in central incisor crown length was 2.5 mm (p < 0.001) or greater and when the increase in gingival exposition was 4 mm or greater (p < 0.01). Moroccan dentists were also critical in their evaluation of maxillary lateral incisor crown width alterations (p < 0.05) and incisal midline deviations (p < 0.05). However, the professionals and lay people similarly evaluated irregularities in the incisor gingival margin position. Increases in the midline diastema were judged critically by both Moroccan dentists and lay people. CONCLUSIONS: In this sample, Moroccan dentists evaluate smile esthetic alterations more critically than Moroccan lay people. This difference in perception of smile discrepancies must be taken into account during the finishing phases of orthodontic treatment and restoration of the anterior teeth in Moroccan patients.
ABSTRACT
Despite the importance of taking the primary dental impression, this act remains unfortunately neglected by most practitioners. Think to succeed a total removable prosthesis from a failed primary dental impression is a challenge for the practitioner and seems utopia. For this, you wish through our work give the importance to the choice of the mass-produced impression tray that is paramount for the success of the primary dental impression. This study examines a sample of 160 plaster primary models (80 maxillary and 80 mandibular) from primary dental impression carried out with mass-produced impression trays whether or not modified for new total edentulous patients having consulted at the University Dental centre in Casablanca for a prosthetic rehabilitation by total prosthesis. Thirty-six women and 44 men have been selected. The study showed that men have maxillary and mandibular arches longer and wider than those of women, and that the average value for several parameters measured is close to the measurements of the maxilla trays U3 and mandibular L3; Where the need for acquisition of large size dental impression tray, in accordance with the dimensions of our population in order to meet our expectations, namely: to respect the integrity of the support surfaces, to meet the mechanical qualities of the prosthesis, to restore the aesthetics and function by minimizing the grievances of the toothless total subject.
Subject(s)
Cephalometry/methods , Dental Arch/pathology , Jaw, Edentulous/pathology , Cross-Sectional Studies , Cuspid/pathology , Dental Impression Technique/instrumentation , Denture Design , Equipment Design , Esthetics, Dental , Female , Humans , Male , Mandible/pathology , Maxilla/pathology , Models, Dental , Morocco , Palate/pathology , Sex FactorsABSTRACT
Le Pemphigus vulgaire (PV) est une affection auto-immune; cette forme profonde represente 80 de tous les cas de Pemphigus. Les manifestations buccales de cette maladie sont frequentes; souvent revelatrices (75 a 80 des cas); les dentistes sont donc amenes a les reconnaitre et a participer a la prise en charge de cette pathologie. Le traitement repose essentiellement sur les corticoides et divers immunosuppresseurs par voie systemique. Le traitement local peut egalement etre utilise pour accelerer la guerison des lesions buccales persistantes. Notre travail illustre; a travers un cas clinique; le role de la collaboration dentiste-dermatologue dans la prise en charge des formes recalcitrantes de Pemphigus buccal
Subject(s)
Case Reports , Lichen Planus, Oral , Morocco , Oral Hygiene Index , PemphigusABSTRACT
Les Parodontites agressives; affections a evolution precoce; apparaissent le plus souvent chez des sujets jeunes. Elles sont caracterisees par une perte d'attache severe ainsi que des lyses osseuses importantes (1). Le traitement d'une parodontite agressive avancee necessite une prise en charge multidisciplinaire permettant d'identifier les facteurs etiologiques et de guider les choix therapeutiques. Ces facteurs peuvent etre lies au patient (appartenance a un groupe a risque limite; acceptation d'un long traitement; certitude du maintien d'un parfait controle de plaque dans le temps; demande esthetique et motivation du patient .); lies aux dents elles memes (anterieures ou posterieures ; type de lesion osseuse ; situation globale d'un secteur donne ...) ou encore lies au praticien (experience professionnelle et fiabilite des techniques instaurees; qualite de la relation praticien-patient.)(2). Le present travail a comme objectif de passer en revue; a l'aide de l'illustration d'un cas clinique; le diagnostic; le concept de traitement et la prise en charge d'une patiente agee de 22 ans qui souffrait d'une parodontite agressive generalisee avancee qui a ete traitee aux services de parodontologie; puis de prothese adjointe du CCTD de Casablanca
Subject(s)
Aggressive Periodontitis , Dental Implantation , Periodontal DebridementABSTRACT
Les parodontites agressives; affections a evolution precoce; apparaissent le plus souvent chez des sujets jeunes. Elles sont caracterisees par une perte d'attache severe ainsi que des lyses osseuses importantes (1).Le traitement d'une parodontite agressive avancee necessite une prise en charge multidisciplinaire permettant d'identifier les facteurs etiologiques et de guider les choix therapeutiques. Ces facteurs peuvent etre lies au patient (appartenance a un groupe a risque limite; acceptation d'un long traitement; certitude du maintien d'un parfait controle de plaque dans le temps; demande esthetique et motivation du patient .); lies aux dents elles-memes (anterieures ou posterieures ; type de lesion osseuse ; situation globale d'un secteur donne ...) ou encore lies au praticien (experience professionnelle et fiabilite des techniques instaurees; qualite de la relation praticien-patient.) Le present travail a comme objectif de passer en revue; a l'aide de l'illustration d'un cas clinique; le diagnostic; le concept de traitement et la prise en charge d'une patiente agee de 22 ans qui souffrait d'une parodontite agressive generalisee avancee qui a ete traitee aux services de parodontologie; puis de prothese adjointe du CCTD de Casablanca
Subject(s)
Aggressive Periodontitis/etiology , Aggressive Periodontitis/therapy , Case Reports , Disease ManagementABSTRACT
L'halitose correspond à l'odeur offensive en provenance de la cavité buccale (mauvaise haleine). Sa prévalence est variable mais reste relativement élevée, elle constitue ainsi un problème majeur et un handicap à l'intégration sociale.L'halitose est d'origine intra-orale dans 85 à 90% des cas. Les maladies parodontales et l'enduit lingual sont les principales causes orales responsables.D'un point de vue étiopathogénique, l'halitose provient des composés chimiques désodorants produits par le processus de dégradation et putréfaction bactérienne des protéines contenues dans les débris alimentaires et cellulaires, le sang et le fluide gingival.Le traitement de l'halitose est principalement étiologique. Il fait appel à une réduction mécanique des micro-organismes et de leurs substrats, par le traitement des maladies parodontales et la maitrise de l'hygiène bucco-dentaire et surtout linguale.Secondairement une approche chimique sera préconisée, elle permettra la réduction de la charge bactérienne, la diminution de l'expression des composés des gaz désodorants volatiles et leur conversion en non volatiles, ceci à l'aide d'agents antibactériens et d'agents neutralisants actifs
