ABSTRACT
Crohn's disease (CD) is an inflammatory bowel disease with oral findings, including periodontal manifestations. Anemias, such as iron deficiency and anemia of chronic disease (ACD), are the most common hematologic complications of CD. Periodontitis has systemic effects, and may tend toward anemia, which can be explained by depressed erythropoiesis. In the report presented here, the authors review a case of Crohn's disease diagnosed 10 years previous to the patient presenting with a changing anemic profile and periodontal disease. A discussion of patient and disease management is included.
Subject(s)
Anemia, Hypochromic/etiology , Crohn Disease/complications , Gingival Hyperplasia/etiology , Adult , Alveolar Bone Loss/etiology , Dental Scaling , Female , Gingival Hemorrhage/etiology , Gingivectomy , Gingivitis/etiology , Humans , Periodontal Attachment Loss/etiology , Periodontal Pocket/etiology , Root PlaningABSTRACT
The study measured the maximal occlusal forces (MOFs) and marginal bone levels (MBLs) around single implant-retained restorations over a period of 1 year and studied the correlation between them. Results showed that there was no change in MOFs at the end of 1 year and that the MBLs were stabilized by the end of 1 year. There was no statistically significant correlation between MOFs and MBLs.
Subject(s)
Alveolar Process/pathology , Bite Force , Dental Implants, Single-Tooth , Dental Prosthesis, Implant-Supported , Alveolar Process/diagnostic imaging , Cementation , Dental Implantation, Endosseous , Female , Follow-Up Studies , Humans , Image Processing, Computer-Assisted , Longitudinal Studies , Male , Prospective Studies , Radiography, BitewingABSTRACT
BACKGROUND: Multiple injections are required to anesthetize the maxilla for periodontal surgery that involves a quadrant or multiple teeth across the midline. The anterior middle superior alveolar (AMSA) field block was reported to effectively anesthetize the central incisors to the mesial aspect of the first molar of the maxilla with one or two injections. To our knowledge, the extent of anesthesia has not been reported beyond first molars in the literature. METHODS: Fifty subjects who were indicated for periodontal surgery were provided maxillary anesthesia with an AMSA injection through a conventional syringe with a 27-gauge needle. All subjects were given an AMSA injection, and after surgery, they were assigned to group 1 (requiring only the AMSA injection), group 2 (requiring one supplemental buccal infiltration), or group 3 (requiring two supplemental buccal infiltrations). Subjective and objective signs and symptoms were used to confirm the extent and profoundness of the anesthesia at 90, 120, and 180 minutes. RESULTS: Statistical significance for groups 1 and 2 was observed for anesthesia at different time intervals during the course of periodontal surgery. Pairwise comparisons of groups showed no statistical significance. The profoundness of the anesthesia extended to the last standing molar. CONCLUSIONS: The AMSA injection provided excellent, wide-spread anesthesia in all groups for the required time of surgery, and there was no significant implication among groups. The AMSA injection can be used as an effective technique to anesthetize teeth distal to the first molar up to the last standing molar in maxillary periodontal surgery.
