Tag: featured

Recession

Marta Mor

Gingival recession in its localized or generalized form is an undesirable condition resulting in root exposure (1).

An example of Gingival Recession

Prevalence is correlated to:

  • Vigorous tooth brushing
  • Malpositionned teeth
  • Inflammation or Periodontal disease
  • Tobacco consumption
  • Teeth grinding
  • Piercing of lip or tongue
  • Genetics

Main Syntoms:

  • Teeth appear longer than normal
  • Loose teeth
  • Teeth sensitivity
  • Tooth decay below the gum line
  • Increase in the gaps between teeth

It is of some importance a proper diagnosis and evaluation of the type of recession for the treatment predictability. Gingival recession is the process where there is a exposure of the root surface due to apical migration of the gingival margin (gum tissue). It affects a significant proportion of the adult population (1).

Several Surgical approaches have been proposed in the few years in respect to root coverage (2).

(1)  The  etiology  and  prevalence  of  gingival  recession.  MM  Kassab,  RE  Cohen  -­‐  The  Journal  of  the  American  Dental  …,  2003  -­‐  Am  Dental  Assoc
(2)  Treatment  of  multiple  recession-­‐type  defects  in  patients  with  esthetic  demands.  G  Zucchelli,  M  De  Sanctis  -­‐  Journal  of  Periodontology,  2000  -­‐  Wiley  Online   Library

Ankylos TissueCare Concept

Prashant Naik

For Attractive long-term success rate

Solid, stable and reliable for over 25 years: ANKYLOS C/X is the solution for all clinical indications – with its predictable, natural aesthetics and top mechanical stability. The tapered connection is designed for initial and long-term tissue stability. The extremely accurate TissueCare Connection has virtually no micromovement and is almost totally bacteria-proof. And it is also keyed and friction-locked – to prevent bone resorption and to ensure stable and healthy hard and soft tissue.

Stable, predictable results for you and your patients? DENTSPLY Implants ANKYLOS C/X offer: The unique tapered TissueCare Connection transfers the transition between implant and abutment to the center of the implant and prevents mechanical influences on it and microbial attack on the peri-implant tissue. It provides additional space on the implant shoulder for the surrounding soft tissue. In combination with subcrestal placement and the microstructured implant it enables deposition of bone cells up to the abutment – for additional support of the overlying soft tissue. Ideal conditions for lasting red-white aesthetics.

Ease of use with maximum functionality and aesthetically demanding results? The new ANKYLOS C/X placement system enables accurate positioning of implants with a view of the implant shoulder even with subcrestal placement. The progressive thread design makes it easy to screw the implants into position and enhances tissue retention. The keyed and friction-locked TissueCare Connection makes surgery and prosthetics completely independent from each other. And with only one diameter for all prosthetic components any abutment can be combined with any implant as desired – now with the option of indexing. For a brilliant result over the long term and economical treatment combined with lower storage requirements.

I Re-RCT + MTA

Fernando Vieira

1--Initial2--File3-Desobturation

A common difficulty in successful endodontics is a wide apical foramen especially in anterior teeth. This can lead to difficulties in obturation leading to failure.

Often these cases were treated by apicectomy and retrograde root filling, which was not the ideal for patient comfort and recovery. (1)

Now with the use of the microscope and techniques in MTA placement it is possible to treat these cases with an orthograde approach (2)

6--GP-Removal4--FInal-MTA

Here we have a wide foramen that has been successfully treated placing a 3-5mm MTA seal apically

Patient are much happier to have this approach of treatment in these complex cases.

5--Final-MTA-2

(1) Del Fabbro M, Taschieri S, Testori T, Francetti L, Weinstein RL. Surgical versus non-surgical endodontic re-treatment for periradicular lesions. Cochrane Database Syst Rev. 2007 Jul 18;(3)

(2) Kim US, Shin SJ, Chang SW, Yoo HM, Oh TS, Park DS. In vitro evaluation of bacterial leakage resistance of an ultrasonically placed mineral trioxide aggregate orthograde apical plug in teeth with wide open apexes: a preliminary study. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Apr;107(4):e52-6.