Biological Basis of Periodontal Regeneration
The ultimate goal of periodontal therapy is homeostatic regeneration of lost attachment of alveolar bone and gingival connective tissue to the exposed root surfaces with a fully functional and healthy periodontal ligament that is covered with a healthy epithelium. This goal needs a complete understanding of the biological mechanisms inherent to healing and inflammatory processes. (Source: Dental Clinics of North America)
Source: Dental Clinics of North America - September 8, 2021 Category: Dentistry Authors: Alpdogan Kantarci Source Type: research
Evaluation and Management of Impacted Teeth in the Adolescent Patient
The most common oral and maxillofacial surgical procedure in adolescents is excision of impacted third molars. Adolescent patients should be evaluated for third molars starting around age 16 years unless symptomatic at an earlier age. The dental examination should include panorex imaging to assess development, pathologic condition, and possibility of eruption versus impaction. Various classification systems are available to identify the position and difficulty of the proposed surgical procedure. Retained impacted teeth increase the patient ’s risk of various morbidities including recurrent infection, damage to adjacent t...
Source: Dental Clinics of North America - September 7, 2021 Category: Dentistry Authors: Bryce Hartman, Edward C. Adlesic Source Type: research
Sedation and Anesthesia for the Adolescent Dental Patient
This article focuses on sedation/anesthesia of adolescent patients in the dental setting. Preoperative evaluation, treatment planning, monitoring, and management are critical components to successful sedation. The authors discuss commonly administered agents and techniques to adolescents, including nitrous oxide/oxygen analgesia. The levels and spectrum of sedation and anesthesia are reviewed. Common comorbidities are also presented as they relate to sedation of the adolescent dental patient. (Source: Dental Clinics of North America)
Source: Dental Clinics of North America - September 7, 2021 Category: Dentistry Authors: Matthew Cooke, Thomas Tanbonliong Source Type: research
Adolescent Orofacial Trauma
Facial and dental-related trauma is common in the pediatric population. Appropriate evaluation and management techniques should be followed. Initial evaluation of the medical condition of the patient should be completed with acute management of any medical-related problems as a priority. ABCDEs of pediatric trauma should be followed and a thorough head and neck and oral examination completed with appropriate imaging if indicated. Newer dental trauma treatment protocols developed by the International Association of Dental Traumatology should be followed for best outcomes. Pediatric traumatic dental injuries generally have g...
Source: Dental Clinics of North America - September 7, 2021 Category: Dentistry Authors: Mark Sosovicka, Matthew DeMerle Source Type: research
Adolescent Oral Health
DENTAL CLINICS OF NORTH AMERICA (Source: Dental Clinics of North America)
Source: Dental Clinics of North America - September 7, 2021 Category: Dentistry Authors: DEBORAH STUDEN-PAVLOVICH Source Type: research
Copyright
ELSEVIER (Source: Dental Clinics of North America)
Source: Dental Clinics of North America - September 7, 2021 Category: Dentistry Source Type: research
Contributors
DEBORAH STUDEN-PAVLOVICH, DMD (Source: Dental Clinics of North America)
Source: Dental Clinics of North America - September 7, 2021 Category: Dentistry Source Type: research
Contents
Deborah Studen-Pavlovich (Source: Dental Clinics of North America)
Source: Dental Clinics of North America - September 7, 2021 Category: Dentistry Source Type: research
Forthcoming Issues
Biologics and Biology-based Regenerative Treatment Approaches in Periodontics (Source: Dental Clinics of North America)
Source: Dental Clinics of North America - September 7, 2021 Category: Dentistry Source Type: research
Stem Cell Applications in Periodontal Regeneration
In this review, the authors consider the substantial advances that have been made in recent years in stem cell –based periodontal regeneration. These advances involve identifying dental- and nondental-derived stem cells with the capacity to modulate periodontal regeneration, human clinical trials, and emerging concepts, including cell banking, good manufacturing processes, and overall clinical translation. (Source: Dental Clinics of North America)
Source: Dental Clinics of North America - August 13, 2021 Category: Dentistry Authors: Mark Bartold, Saso Ivanovski Source Type: research
The Evolution of Surgical Techniques and Biomaterials for Periodontal Regeneration
The understanding of biological concepts in wound healing together with the evolution in biomaterials applied in periodontal regeneration allowed for improved, minimally invasive surgical techniques with a wider range of application and adapted to achieve multiple goals at the same time. Regenerating attachment was never the sole end point, but maintaining the patient's own natural dentition in health and esthetics is becoming a feasible goal even in cases considered challenging just a few years ago. In this article we report on the evolution of techniques and biomaterials and their application in esthetic and challenging ...
Source: Dental Clinics of North America - August 12, 2021 Category: Dentistry Authors: Giorgio Pagni, Lorenzo Tavelli, Giulio Rasperini Source Type: research
Decontamination and Biomodification of Periodontally Affected Root Surface for Successful Regeneration
Periodontitis is a multifactorial inflammatory condition associated with an oral microbiome dysbiosis that results in gingival inflammation and clinical attachment loss. Periodontal therapies are based on scaling and root planing to disturb the bacterial biofilm mechanically and remove calculus and contaminated cementum. Research does not support the use of root modifiers for decontamination and biomodification of periodontally affected root surfaces. Standardized clinical trials in large populations, assessing biological and patient-reported outcome measures, are necessary to evaluate candidate biomaterials for decontamin...
Source: Dental Clinics of North America - August 11, 2021 Category: Dentistry Authors: Jamil Awad Shibli, Magda Feres, Luciene C. Figueiredo, Nidia Castro dos Santos, Belen Retamal-Valdes Source Type: research
Scaffolds in Periodontal Regenerative Treatment
Successful periodontal regeneration requires the hierarchical reorganization of multiple tissues including periodontal ligament, cementum, alveolar bone, and gingiva. The limitation of conventional regenerative therapies has been attracting research interest in tissue engineering-based periodontal therapies where progenitor cells, scaffolds, and bioactive molecules are delivered. Scaffolds offer not only structural support but also provide geometrical clue to guide cell fate. Additionally, functionalization improves bioactive properties to the scaffold. Various scaffold designs have been proposed for periodontal regenerati...
Source: Dental Clinics of North America - August 10, 2021 Category: Dentistry Authors: Shuntaro Yamada, Siddharth Shanbhag, Kamal Mustafa Source Type: research
Nanomedicine and Periodontal Regenerative Treatment
Current periodontal treatments aim to control bacterial infection and decrease inflammation. To optimize contemporary conventional treatments that present limitations owing to an inability to reach the lesion site, new methods are based on nanomedicine. Nanomedecine allows delivery of host-modulatory drugs or antibacterial molecules at the lesion site in an optimal concentration with decreased toxicity and risk of systemic side effects. Chitosan and polylactic-co-glycolic acid-loaded nanoparticles, carbon quantum dots, and mesoporous silicates open new perspectives in periodontitis management. The potential therapeutic imp...
Source: Dental Clinics of North America - August 10, 2021 Category: Dentistry Authors: Olivier Huck, C éline Stutz, Pierre-Yves Gegout, Hayriye Özçelik, Nadia Benkirane-Jessel, Catherine Petit, Fareeha Batool Source Type: research
Oral Health Implications of Risky Behaviors in Adolescence
Adolescence is a time for new discoveries, which may lead teens to engage in impulsive behaviors. Although social media and the Internet have brought great benefits to the world, they can also have a negative influence on adolescents, facilitating their engagement in risky behaviors. Positive parenting and healthy friendships in adolescence have a protective effect against sensation-seeking behaviors. Dental practitioners also have a significant role in steering young patients toward healthy behaviors. They play an essential role in the early recognition, initiation of appropriate interventions, and referrals for treatment...
Source: Dental Clinics of North America - August 4, 2021 Category: Dentistry Authors: Brittaney Hill, Leda R.F. Mugayar, Marcio A. da Fonseca Source Type: research
