T-Scan® III
computerized occlusal analysis
The only clinical diagnostic device available that senses and analyzes occlusal contact forces to quantify whether a patient's bite is balanced
Tuesday, September 4, 2012
Thursday, June 14, 2012
Where are we now regrading the treatment of periodontitis?
Through the past decades, it was common to treat periodontitis,periodontal pockets and bone loss, through the use of two modalities:
1) scaling and root planning
2) flaps and osseous remodeling
It was evident that the upper two modalities were unpredictable regrading the regenration of bone,fibers and the attachment around the teeth. Although scaling and root planning eliminate the bacteria from around the teeth, the long epithelium tissue would grow in around the tooth before the bone can make its regeneration,thus preventing the bone and surrounding tissue from rebuilding back around the teeth.
Nowadys, a third modality has been introduced to the bouquet;the LANAP
The LANAP (Laser Assisted New Attachment Procedure) allows removal of the inflamed epithelium,cleaves bond between calculus and root surface and kills biofilm.Thus scaling and root planning becomes effective. The final pass with the LANAP laser stimulates osseous regenration and leads to the formation of a fibronectin clot.
According to John chrispens DDS,the Laser for use in the LANAP procedure is the Nd:YAG and namely the periolase MVP-7.2.
The patient is asked not to brush in the area for one week post LANAP therapy.
Each laser works within a specific wavelength. Nd:YAG absorbes within the range of heme(darker colors),therefore penetrates into the tissue.
The Diode laser uses heat,therefore burns the tissue and penetrates only a short distance into the gingival sulcus before causing damage to the tissues. The CO2 and Er:YAG are absorbed by H2O, which is at the surface of oral tissues and do not penetrate into the gingival sulcus. Therfore, they have little effect on the biofilm in areas greater than 2mm subgingivally. The goal of the LANAP is not biofilm control but regenration.
Some periodontists contradict this formula. They suggest a membrane to stop epithelial cells from growing down into the socket and give bone and fibroblasts a chance to grow up.They say the laser will de-epithelialize the pocket but the epithelium will still grow back.
The LANAP protocol:
A) Perio probe indicates excesssive pocket depth
B) Laser radiation vaporizes bacteria, diseased tissue, pathologic proteins, and alerts the practioner to the presence of tartar.
C) Ultrasonic scaler and special hand instruments are used to remove root surface accretions.
D) Laser is used to form a gel-clot containing stem cells from bone and Periodontal ligaments.
E) Reattachment of rete ridges to clean root surface, with a stable fibrin clot at the gingival crest to create a closed system.
F) occlusal trauma adjusted
G) New attachment is regenerated
1) scaling and root planning
2) flaps and osseous remodeling
It was evident that the upper two modalities were unpredictable regrading the regenration of bone,fibers and the attachment around the teeth. Although scaling and root planning eliminate the bacteria from around the teeth, the long epithelium tissue would grow in around the tooth before the bone can make its regeneration,thus preventing the bone and surrounding tissue from rebuilding back around the teeth.
Nowadys, a third modality has been introduced to the bouquet;the LANAP
The LANAP (Laser Assisted New Attachment Procedure) allows removal of the inflamed epithelium,cleaves bond between calculus and root surface and kills biofilm.Thus scaling and root planning becomes effective. The final pass with the LANAP laser stimulates osseous regenration and leads to the formation of a fibronectin clot.
According to John chrispens DDS,the Laser for use in the LANAP procedure is the Nd:YAG and namely the periolase MVP-7.2.
The patient is asked not to brush in the area for one week post LANAP therapy.
Each laser works within a specific wavelength. Nd:YAG absorbes within the range of heme(darker colors),therefore penetrates into the tissue.
The Diode laser uses heat,therefore burns the tissue and penetrates only a short distance into the gingival sulcus before causing damage to the tissues. The CO2 and Er:YAG are absorbed by H2O, which is at the surface of oral tissues and do not penetrate into the gingival sulcus. Therfore, they have little effect on the biofilm in areas greater than 2mm subgingivally. The goal of the LANAP is not biofilm control but regenration.
Some periodontists contradict this formula. They suggest a membrane to stop epithelial cells from growing down into the socket and give bone and fibroblasts a chance to grow up.They say the laser will de-epithelialize the pocket but the epithelium will still grow back.
The LANAP protocol:
A) Perio probe indicates excesssive pocket depth
B) Laser radiation vaporizes bacteria, diseased tissue, pathologic proteins, and alerts the practioner to the presence of tartar.
C) Ultrasonic scaler and special hand instruments are used to remove root surface accretions.
D) Laser is used to form a gel-clot containing stem cells from bone and Periodontal ligaments.
E) Reattachment of rete ridges to clean root surface, with a stable fibrin clot at the gingival crest to create a closed system.
F) occlusal trauma adjusted
G) New attachment is regenerated
Friday, June 1, 2012
Please welcome with me MR. Opalescence PF....
Please welcome with me MR. Opalescence PF....
Please welcome with me Mr. Opalescence PF........
Wednesday, May 16, 2012
Periodontal disease & the heart disease; what is the link?
Periodontal disease is a risk factor for heart disease. Periodontal pathogens found in periodontitis have been found in the endothelial lining of patients with heart disease in carotid artery surgery. It was also found that DNA from periodontal pathogens have been found in cardiac tissue.
During inflammatory process,Patients predisposed to produce inflammatory mediators such as C-reactive protein, tumor necrosis factor and interleukins when the body is challenged in some way. Sometimes a patient genetically predisposed to a certain inflammatory reaction. For example in periodontal disease one may respond with high levels of C-reactive protein, which are the same inflammatory mediators seen in cardiovascular disease.
In conclusion , up to this date we can say that periodontal disease is a risk factor for heart disease but not necessarily a causing factor to this illness. More researches have to be done.
During inflammatory process,Patients predisposed to produce inflammatory mediators such as C-reactive protein, tumor necrosis factor and interleukins when the body is challenged in some way. Sometimes a patient genetically predisposed to a certain inflammatory reaction. For example in periodontal disease one may respond with high levels of C-reactive protein, which are the same inflammatory mediators seen in cardiovascular disease.
In conclusion , up to this date we can say that periodontal disease is a risk factor for heart disease but not necessarily a causing factor to this illness. More researches have to be done.
Monday, April 30, 2012
Super white teeth, here how you get it.............
Office chairside tooth whitening
- If
you are a smoker, do not smoke for 48 hours.
- Stay
away from highly colored foods (red sauce, blueberries, etc.) and
beverages (coffee, tea, etc.) for 48 hours.
- Mild
sensitivity to hot or cold liquids may occur. This usually passes within 1-2
days. If sensitivity is severe or
persists, contact us.
- If
you experience gum sensitivity do not brush the afflicted area while
brushing your teeth.
- Immediate
whitening results can be quite dramatic due to minor dehydration of your
teeth. It is normal for the color
to tone down somewhat after treatment when your teeth rehydrate to a
natural white tone.
- Long
term results vary from patient to patient.
This can depend on the original shade of your teeth and include
habits such as smoking or drinking colored beverages (red wine, coffee,
tea, etc.)
- “Touch-up”
treatments may be needed every 6-12 months to retain color. You can ask us about different “touch-up” options such as home whitening protocol.
- Existing
fillings, crowns, bonding, etc. will not whiten. Therefore, these may need to be changed
in order to match your new smile.
- If your family or friends notice your new smile, let them know that whitening can help improve their smile too!
If you have any question?
email: dental.spa@hotmail.com
Follow me on twitter !
http://twitter.com/chayahdentalspa
Follow me on facebook !
http://facebook.com/dental.spa1
Saturday, April 21, 2012
Fusion presenting as gemination;rare case report
Gemination is a developmental anomaly of form ,which is recognized as an attempt by single tooth germ to divide resulting in a large tooth with a bifid crown &usually a common root and root canal in which the teeth count is normal when the anomalous tooth is counted.
Fusion is recognized as union of two separate tooth buds during odontogenesis,therefore one fewer tooth than normal in the dentition if the affected tooth is counted as one.
Case report: An 11 years old boy appeared in my clinic for examination. During intra oral diagnostics, tooth # 8 was not erupted yet. Clinically, it was revealed an abnormal maxillary temporary incisor retained in the mouth;two crowns joined togther. A provisional diagnosis of gemination was given since the teeth count is normal. Radiographically, two fused crowns with seperate roots and root canals were seen,along with a supernumerary tooth preventing the central incisor from erupting. A diagnosis of two temporary anomalous teeth fused together conjoined with a peg shaped anomalous supernumerary tooth embedded between the central permanent incisor and the temporary milk tooth.
A decision was made to surgically extract the temporary tooth along with the impacted peg shaped supernumerary tooth to give a way to the central permanent incisor to erupt.
**N.B. Normally,Maxillary central incisors begin to erupt at the age of 6. In this case the eruption of maxillary permanent right central incisor was delayed.
Case report: An 11 years old boy appeared in my clinic for examination. During intra oral diagnostics, tooth # 8 was not erupted yet. Clinically, it was revealed an abnormal maxillary temporary incisor retained in the mouth;two crowns joined togther. A provisional diagnosis of gemination was given since the teeth count is normal. Radiographically, two fused crowns with seperate roots and root canals were seen,along with a supernumerary tooth preventing the central incisor from erupting. A diagnosis of two temporary anomalous teeth fused together conjoined with a peg shaped anomalous supernumerary tooth embedded between the central permanent incisor and the temporary milk tooth.
A decision was made to surgically extract the temporary tooth along with the impacted peg shaped supernumerary tooth to give a way to the central permanent incisor to erupt.
**N.B. Normally,Maxillary central incisors begin to erupt at the age of 6. In this case the eruption of maxillary permanent right central incisor was delayed.
Subscribe to:
Posts (Atom)