Friday, December 14, 2012
Tuesday, December 11, 2012
Classification of Periodontal Diseases
Classifications systems are necessary in order to provide a framework to study the cause, pathogenesis and treatment of diseases in an orderly fashion. The current classification includes a section on gingival diseases.
I. GINGIVAL DISEASES
A Dental Plaque induced Gingival Diseases
1. Gingivitis associated with plaque only
2. Gingival diseases modified by systemic factors
3.Gingival disease modified by medicatons
4 Gingival disease modified by malnutrition
B Non plaque induced gingival lesions
1. Gingival diseases of bacterial origin
2. Gingival diseases of Viral origin
3.Gingival diseases of fungal origin
4. Gingival lesions of genetic origin
5 Gingival manifestations of systemic conditions and allergic reactions
6.Traumatic lesions
7. foreign body reactions
8. Non specified
II. CHRONIC PERIODONTITIS (replacement of adult periodontitis)
A Localized
B Generalized
III. AGGRESIVE PERIODONTITIS
A Localized
B Generalized
IV.PERIODONTITIS AS A MANIFESTATION OF SYSTEMIC DISEASES
A Associated with hematological disorders
B Associated with genetic disorders
C Non specific
V NECROTIZING PERIODONTAL DISEASES
VI ABCESSES OF THE PERIODONTIUM
A Gingival abscess
B Periodontal abscess
C Pericoronal abscess
VII PERIODONTITIS ASSOCIATED WITH ENDODONTIC LESIONS
VIII DEVELOPMENTAL OR ACQUIRED DEFORMITIES AND CONDITIONS
A.Tooth related deformities
B Mucogingival deformities around teeth
C Mucogingival deformities on edentulous ridges
D Occlusal trauma
Carefully adhering to this classification in assessing a periodontal condition makes it easy to develop effective treatments for this complex group of infections says Dr. Cherukuri
Friday, December 7, 2012
Thursday, December 6, 2012
Dental Bone Grafting
Bone Grafting is the replacement or augmentation of the portion of the jaw bone that anchors the teeth. It's a surgical procedure that's often done to reverse the loss or resorption of bone that may have occurred due to tooth loss, trauma, disease or ill-fitting dentures, and to rebuild the bone structure beneath the gums in preparation for the placement of dental implants or other tooth replacements.
When bone graft is implanted in the jaw, it doesn't just simply fill a void in the bone; it may also help promote new bone growth in that location. When successful, bone grafting can restore both the height and width of your jaw bone
.
There are several bone graft options, and they differ in how they help promote bone formation. They include:
Autogenous Bone Grafts. Also called autografts, these types of grafts are made from the patient's own bone, harvested from elsewhere in the body. Typical harvest sites include the chin, jaw, bone of the lower leg (tibia), hip (iliac crest) or the skull (cranium).
Autogenous bone graft has traditionally been considered the "gold standard" as a graft material because it is "live bone" complete with the living cellular elements that enhance bone growth.
A potential downside of autogenous bone grafting, however, is that it involves a second procedure to harvest the bone, which may be painful and not in some patients' best interest, depending on their condition. It also may not be a viable option in instances where the patient's overall bone quality and/or density is poor, or when a large volume of graft material is required.
Allogeneic Bone. Allogeneic bone, also called allograft, is bone derived from a genetically unrelated member of the same species. It's typically non-vital (dead) bone harvested from a cadaver, then processed using a freeze-drying method that extracts all the water via a vacuum.
Allogeneic bone cannot produce new bone on its own – Its primary mechanism of action is that it is osteoconductive, and serves as a framework or scaffold over which bone from the surrounding bony walls can grow to fill the defect or void.
Xenogenic Bone. Similar to allogeneic bone, xenogenic bone is non-vital bone derived from another species, usually a cow. Because the potential for immune rejection and contamination by viral proteins is higher in bovine bone than in human cadaver bone, xenograft material is processed at very high temperatures (600-1,000 degrees Celsius). Xenograft's mechanism of action is similar to that of allograft – it serves as an osteoconductive framework on which bone from the surrounding area can grow to fill the void.
These grafting options are preferred by many patients and dental professionals alike because they eliminate the potentially painful second harvesting procedure. However, because allograft and xenograft lack autograft's bone forming properties, bone regeneration may take somewhat longer than it does when using the patient's own bone and the outcome may be less predictable.
One of the advantages of using a bone graft substitute instead of autogenous bone is that it eliminates the need to harvest the patient's own bone, thus potentially reducing the risk and pain associated with the harvest procedure.
Contact Dr Cherukuri for more information on dental bone grafting or visit www.chinosmiles.com for more information.
When bone graft is implanted in the jaw, it doesn't just simply fill a void in the bone; it may also help promote new bone growth in that location. When successful, bone grafting can restore both the height and width of your jaw bone
.
There are several bone graft options, and they differ in how they help promote bone formation. They include:
Autogenous Bone Grafts. Also called autografts, these types of grafts are made from the patient's own bone, harvested from elsewhere in the body. Typical harvest sites include the chin, jaw, bone of the lower leg (tibia), hip (iliac crest) or the skull (cranium).
Autogenous bone graft has traditionally been considered the "gold standard" as a graft material because it is "live bone" complete with the living cellular elements that enhance bone growth.
A potential downside of autogenous bone grafting, however, is that it involves a second procedure to harvest the bone, which may be painful and not in some patients' best interest, depending on their condition. It also may not be a viable option in instances where the patient's overall bone quality and/or density is poor, or when a large volume of graft material is required.
Allogeneic Bone. Allogeneic bone, also called allograft, is bone derived from a genetically unrelated member of the same species. It's typically non-vital (dead) bone harvested from a cadaver, then processed using a freeze-drying method that extracts all the water via a vacuum.
Allogeneic bone cannot produce new bone on its own – Its primary mechanism of action is that it is osteoconductive, and serves as a framework or scaffold over which bone from the surrounding bony walls can grow to fill the defect or void.
Xenogenic Bone. Similar to allogeneic bone, xenogenic bone is non-vital bone derived from another species, usually a cow. Because the potential for immune rejection and contamination by viral proteins is higher in bovine bone than in human cadaver bone, xenograft material is processed at very high temperatures (600-1,000 degrees Celsius). Xenograft's mechanism of action is similar to that of allograft – it serves as an osteoconductive framework on which bone from the surrounding area can grow to fill the void.
These grafting options are preferred by many patients and dental professionals alike because they eliminate the potentially painful second harvesting procedure. However, because allograft and xenograft lack autograft's bone forming properties, bone regeneration may take somewhat longer than it does when using the patient's own bone and the outcome may be less predictable.
Bone Graft Substitutes
Bone graft substitutes are commercially produced synthetic products that have many of the same bone forming properties as human bone, and are a safe and proven alternative to autograft and allograft.One of the advantages of using a bone graft substitute instead of autogenous bone is that it eliminates the need to harvest the patient's own bone, thus potentially reducing the risk and pain associated with the harvest procedure.
Contact Dr Cherukuri for more information on dental bone grafting or visit www.chinosmiles.com for more information.
Friday, November 30, 2012
Tuesday, November 27, 2012
Your Child's Teeth
Children's Oral Health Habits today will have an impact on their health as an adult.
Preventative Dental care has dramitically improved the oral health of many American children. However, tooth deacy remains a serious public health problem and is the most common chronic disease that needs treatment to resolve.
Here are some simple steps to help your child enjoy a lifetime of beautiful smiles-
Prenatal care:
A balanced diet is critical for the proper development of an unborn child. Teeth begin to form in the 2nd month of pregnancy and harden between the third and sixth month. Adequate amounts of Vitamins A,C and D, protein, Calcium and Phosphorous help develop healthy teeth.
Birth to Six-
Primary(baby) teeth erupt during the first 3 years and are important in normal development for chewing, speaking, appearance and hold the space in the jaws for the permanant teeth. As the child grows, the jaws grow and make room for the larger permanant teeth that begin to erupt at age six.
-After each feeding, wipe baby's gums with a clean wet gauze or wash cloth
-Brush and floss your child's teeth until the child has developed the necessary skills
-Set a good example by cleaning your teeth every day.
-Set up a first dental visit within six months after the first tooth erupts for a well baby dental check up to assess child's risk of developing decay, evaluate and optimize floride exposure, assess growth and development of teeeth and jaws, assess oral habits, provide dietary conseling and clean teeth.
Six to Twelve-
At this stage, children begin to shed their 20 baby teeth to make room for the 32 permanent teeth. The 1st permanent molars usually erupt at age six and are often called the six-year molars. They are specially important beacuse they help determine the shape of the lower face and also affect the health and position of the other teeth.
Professional Dental visits at this stage usually involve, application of sealants, assessing need for braces, hygeine and floride treatments. Often intervention at this stage can offset need for extensive dental treatment.
Optimal Oral health is an essential part of healthy living.
WWW.CHINOSMILES.COM an oral health resource!!
Preventative Dental care has dramitically improved the oral health of many American children. However, tooth deacy remains a serious public health problem and is the most common chronic disease that needs treatment to resolve.
Here are some simple steps to help your child enjoy a lifetime of beautiful smiles-
Prenatal care:
A balanced diet is critical for the proper development of an unborn child. Teeth begin to form in the 2nd month of pregnancy and harden between the third and sixth month. Adequate amounts of Vitamins A,C and D, protein, Calcium and Phosphorous help develop healthy teeth.
Birth to Six-
Primary(baby) teeth erupt during the first 3 years and are important in normal development for chewing, speaking, appearance and hold the space in the jaws for the permanant teeth. As the child grows, the jaws grow and make room for the larger permanant teeth that begin to erupt at age six.
-After each feeding, wipe baby's gums with a clean wet gauze or wash cloth
-Brush and floss your child's teeth until the child has developed the necessary skills
-Set a good example by cleaning your teeth every day.
-Set up a first dental visit within six months after the first tooth erupts for a well baby dental check up to assess child's risk of developing decay, evaluate and optimize floride exposure, assess growth and development of teeeth and jaws, assess oral habits, provide dietary conseling and clean teeth.
Six to Twelve-
At this stage, children begin to shed their 20 baby teeth to make room for the 32 permanent teeth. The 1st permanent molars usually erupt at age six and are often called the six-year molars. They are specially important beacuse they help determine the shape of the lower face and also affect the health and position of the other teeth.
Professional Dental visits at this stage usually involve, application of sealants, assessing need for braces, hygeine and floride treatments. Often intervention at this stage can offset need for extensive dental treatment.
Optimal Oral health is an essential part of healthy living.
WWW.CHINOSMILES.COM an oral health resource!!
Friday, November 23, 2012
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