RESUMO
One of the most important factors in the successful placement of endosseous implants is the presence of adequate alveolar bone at the recipient site. Alveolar bone loss associated with destructive periodontal disease frequently results in osseous defects that may complicate subsequent implant placement. Typically, such defects are treated prior to or at the time of implant surgery using the principles of guided bone regeneration. Under certain circumstances, however, such defects may be managed non-surgically by orthodontic extrusion. Orthodontic extrusion can be used to increase the vertical bone height and volume and to establish a more favourable soft-tissue profile prior to implant placement. The addition, the increase in the vertical osseous dimension at interproximal sites may assist in the preservation of the interdental papillae and can further enhance gingival aesthetics. This report illustrates the treatment sequence for site development with orthodontic extrusion prior to immediate implant placement.
Assuntos
Implantação Dentária Endóssea , Doenças Periodontais/terapia , Técnicas de Movimentação Dentária , Adulto , Perda do Osso Alveolar/terapia , Processo Alveolar/patologia , Dente Suporte , Implantes Dentários para Um Único Dente , Estética Dentária , Feminino , Gengiva/patologia , Hemorragia Gengival/terapia , Gengivite/terapia , Humanos , Braquetes Ortodônticos , Fios Ortodônticos , Perda da Inserção Periodontal/terapia , Periodontite/terapia , Extração Dentária , Mobilidade Dentária/terapia , Técnicas de Movimentação Dentária/instrumentaçãoRESUMO
Psoriasis is a chronic inflammatory skin disease that rarely involves the oral cavity. In this report we describe 2 cases, initially diagnosed with cutaneous psoriasis, that present with oral lesions on the attached gingiva. The clinical appearance and differential diagnosis are presented and discussed. Case 1 describes the non-surgical management of intraoral psoriasiform lesions and the use of a free gingival graft to restore an area of gingival recession resulting from an oral lesion. The second case outlines the use of topical corticosteroid therapy as an adjunct to non-surgical periodontal therapy. Although patients with cutaneous psoriasis rarely present with oral involvement, the clinician should be aware that oral lesions may occur. Accurate diagnosis is dependent on a thorough clinical examination, a biopsy of the oral lesions, and a history of cutaneous psoriasis.
Assuntos
Doenças da Gengiva/diagnóstico , Psoríase/diagnóstico , Administração Tópica , Idoso , Anti-Inflamatórios/uso terapêutico , Betametasona/uso terapêutico , Biópsia , Síndrome da Ardência Bucal/diagnóstico , Candidíase Bucal/diagnóstico , Diagnóstico Diferencial , Seguimentos , Gengiva/transplante , Doenças da Gengiva/tratamento farmacológico , Retração Gengival/diagnóstico , Retração Gengival/cirurgia , Glucocorticoides/uso terapêutico , Humanos , Líquen Plano Bucal/diagnóstico , Masculino , Pessoa de Meia-Idade , Psoríase/tratamento farmacológico , Psoríase/cirurgia , Língua Fissurada/diagnósticoRESUMO
Despite the decline in the dental caries rate over the last 20 years, one particular segment of the population does not seem to have benefited significantly. This group is composed of infants and children afflicted with widespread caries destruction of deciduous teeth, most commonly referred to as nursing caries. Untreated cases of the disease have resulted in pain, loss of function, premature tooth loss, delays in development, hearing and speech difficulties, and psychosocial disturbances. Among these children are some of the most paramount problems that dentistry has had to face. This article specifically discusses the epidemiology, clinical characteristics, etiology, risk factors, treatment, and prevention of nursing caries, to serve as an up-to-date reference for the general dentist who treats this patient population.
