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  Guidelines for the Management of Patients with Periodontal Diseases  Popular

The American Academy of Periodontology (AAP) published these guidelines (11/28/2006) in an effort to facilitate the identification of patients with periodontal diseases who, because of their disease severity and/or risk profile, present significant challenges in treatment.
Added on: Nov 29, 2006 | File size: 0 bytes | Downloads: 1769 | Comments: 0

  Management of Dental Patients Who Are HIV-Positive  Popular

Prepared by: Research Triangle Institute-University of North Carolina Evidence-based Practice Center Research Triangle Park, NC
Arthur J. Bonito, Ph.D.
Lauren L. Palton, D.D.S.
Daniel A. Shugars, D.D.S., Ph.D.
Kathleen N. Lohr, Ph.D.
Jessica P. Nelson, B.A.
James D. Bader, D.D.S., M.P.H.
Anne W. Jackman, M.S.W.
Added on: May 07, 2003 | File size: 540 bytes | Downloads: 736 | Comments: 0

  Diagnosis and Management of Dental Caries  Popular

Prepared by: Research Triangle Institute, University of North Carolina at Chapel Hill Evidence-based Practice Center
James D. Bader, D.D.S., M.P.H.
Principal Investigator
Daniel A. Shugars, D.D.S., Ph.D.
Gary Rozier, D.D.S., M.P.H.
Kathleen N. Lohr, Ph.D.
Arthur J. Bonito, Ph.D.
Jessica P. Nelson, B.A.
Anne M. Jackman, M.S.W.
Added on: May 07, 2003 | File size: 512 bytes | Downloads: 442 | Comments: 0

  Replantation of an Avulsed Incisor After Prolonged Dry Storage: A Case Report  Popular

Management of tooth avulsion in the permanent dentition often presents a challenge. Definitive treatment planning and consultation with specialists is seldom possible at the time of emergency treatment. Replantation of the avulsed tooth can restore esthetic appearance and occlusal function shortly after the injury. This article describes the management of a child with an avulsed maxillary permanent incisor that had been air-dried for about 18 hours. The replanted incisor retained its esthetic appearance and functionality 2 years after replantation, yet the long-term prognosis is not good because of progressive replacement root resorption.
Added on: May 07, 2002 | File size: 66 bytes | Downloads: 799 | Comments: 0

  Dental Implications of Helicobacter pylori  Popular

Helicobacter pylori infections of the stomach are common worldwide and may cause serious medical problems, ranging from gastritis and its sequelae to gastric carcinoma or lymphoma. Current studies indicate that H. pylori is present in dental plaque, although the number of organisms in individual samples is very low, and these numbers appear to vary from one site to another within the mouth. The presence of this organism in plaque may be intermittent, perhaps occurring as the result of gastroesophageal reflux. It is still unclear if the low numbers of H. pylori present in the mouths of most patients would be sufficient to serve as a source of infection or reinfection for gastric conditions. Whether dental plaque is a significant source for reinfection of the gastric mucosa among patients with fair to poor oral hygiene remains to be confirmed. It has been suggested that attempting to improve oral hygiene through standard periodontal procedures would be prudent as an ancillary measure to conventional ulcer therapy, especially in patients whose gastric infections have proven recalcitrant. H. pylori may also be a cofactor in the recurrence of aphthous ulceration, especially in patients sensitized through gastric colonization and mucosal attachment.
Added on: Apr 29, 2002 | File size: 0 bytes | Downloads: 459 | Comments: 0

  Periodontal Health and Systemic Disorders  Popular

Recent studies in periodontal medicine suggest a mild to moderate association between human periodontal disease and certain systemic disorders such as diabetes mellitus, pneumonia, heart disease and preterm birth. The latest evidence, presented at a symposium entitled ÏPeriodontal Health and Systemic Disorders,Ó sponsored by the University of Western Ontario School of Dentistry, showed that indeed such an association is likely. New data suggest that this association is not indicated by traditional clinical signs of periodontal disease but rather by a cluster of host immune and inflammatory mediators. The coming era of periodontal medicine based upon molecular criteria will affect the future of periodontal diagnosis, treatment and professional practice.
Added on: Apr 01, 2002 | File size: 144 bytes | Downloads: 620 | Comments: 0

  Is There an Association Between Edentulism and Nutritional State?  Popular

The evidence suggests that edentulous individuals lack specific nutrients and, as a result, may be at risk for various health disorders. The authors have recently shown that mandibular prostheses supported by only 2 implants may significantly improve nutritional status in edentulous patients.
Added on: Apr 01, 2002 | File size: 60 bytes | Downloads: 504 | Comments: 0

  Is Periodontal Disease a Risk Factor for Coronary Artery Disease (CAD)?  Popular

Coronary artery disease (CAD) remains the principal cause of death in most developed countries, despite significant preventive and therapeutic advances. Current epidemiological data imply that recent reductions in the prevalence of this disease are unlikely to be sustained until those at high risk are more precisely targeted. Although dental (especially periodontal) infections have been recently identified as independent risk factors for CAD, current evidence is insufficient to justify treatment of such infections to arrest or reverse CAD or other systemic conditions (e.g., diabetes mellitus, stroke or adverse outcomes of pregnancies).
Added on: Apr 01, 2002 | File size: 40 bytes | Downloads: 508 | Comments: 0

  Periodontal Disease and Preterm Delivery of Low-Birth-Weight Infants  Popular

Preterm delivery of low-birth-weight infants (PLBW) remains a significant public health issue and a leading cause of neonatal death and long-term neurodevelopmental disturbances and health problems. Recent epidemiological and microbiologicalÒimmunological studies have suggested that periodontal disease may be an independent risk factor for PLBW. Postulated mechanisms include translocation of periodontal pathogens to the fetoplacental unit and action of a periodontal reservoir of lipopolysaccharides or inflammatory mediators. However, non-causal explanations for the correlation between periodontitis and PLBW can also be offered. Prospective studies, and eventually interventional studies, will be necessary before periodontitis can be considered as a causal factor for PLBW.
Added on: Apr 01, 2002 | File size: 45 bytes | Downloads: 438 | Comments: 0

  The Relationship Between Diabetes and Periodontal Disease  Popular

There is good evidence to support the claim that periodontitis may be more prevalent among diabetic patients than nondiabetic people. Similarly, studies have shown that periodontal therapy influences glycemic control in people with diabetes mellitus. Given that nearly 10% of Canadians are affected by either type 1 or type 2 diabetes (including those in whom the disease is undiagnosed), all dentists will encounter patients with diabetes. Dental practitioners must be aware of the implications of this relationship and manage their patients' periodontal care accordingly.
Added on: Apr 01, 2002 | File size: 34 bytes | Downloads: 341 | Comments: 0

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