Attached gingiva Dotaz Zobrazit nápovědu
- MeSH
- dítě MeSH
- dospělí MeSH
- gingiva anatomie a histologie růst a vývoj MeSH
- lidé MeSH
- mladiství MeSH
- sexuální faktory MeSH
- věkové faktory MeSH
- Check Tag
- dítě MeSH
- dospělí MeSH
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- anglický abstrakt MeSH
- časopisecké články MeSH
- MeSH
- gingiva anatomie a histologie MeSH
- hojení ran MeSH
- lidé MeSH
- processus alveolaris MeSH
- ústní sliznice anatomie a histologie MeSH
- vestibuloplastika MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
BACKGROUND: Central incisor impaction is a rare condition with potentially severe clinical and psychological implications for the patient. Treatment techniques vary according to the pretreatment situation and individual factors. The aim of this study was to compare the esthetic outcomes and treatment times between two different approaches. MATERIALS AND METHODS: In this retrospective study, thirty-one consecutive patients (13 boys, 18 girls; average age 9.5 ± 2.3 years) with a total of 34 impacted permanent upper central incisors were included in the study. Patients were divided into two groups according to method of treatment. Group A comprised patients in whom spontaneous eruption occurred after space opening (n = 12), and Group B comprised patients in whom teeth showed no eruption and required treatment with a modified closed eruption method with palatally oriented traction (n = 19). Treatment time and esthetic outcomes were assessed and compared between groups. RESULTS: The mean treatment time was 22.0 ± 6.7 months, and all teeth were successfully aligned. No statistically significant difference in average treatment time was found between groups in baseline characteristics (p > 0.05). The amount of attached gingiva was significantly smaller when compared to contralateral reference teeth in the closed eruption group (Group B; p = 0.03). However, no difference in amount of attached gingiva was found between both groups (p = 0.26). Additionally, no difference in the clinical crown length was found between groups (p = 0.27). CONCLUSION: The closed eruption method with palatal traction directed at the peak of the alveolar crest provided results comparable to the physiologic tooth eruption.
- Klíčová slova
- Active traction, Attached gingiva, Central incisor, Closed eruption, Spontaneous eruption, Tooth impaction,
- MeSH
- dítě MeSH
- lidé MeSH
- maxila MeSH
- prořezávání zubů * MeSH
- retrospektivní studie MeSH
- řezáky MeSH
- trakce MeSH
- zaklíněný zub * terapie MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
Diagnosis of periodontal disease, a frequent disorder in dogs, rests mainly upon the assessment of changes affecting the gingiva. Loss of gingival stippling, one of the early symptoms of periodontal disease in the human, could also indicate early periodontitis in the dog. The aim of this study was to determine the presence of gingival stippling in dogs, its location on alveolar processes, its association with age and inflammation, and its relation to the microstructure of the gingiva. The study concerns clinical, scanning electron and light microscopic examination of the gingiva of 48 dogs. Stippling, i.e. the granular appearance of the gingiva resembling irregularly distributed crater-like depressions of varying sizes, was present in adult but absent in young and senescent dogs. Stippling was most prominent at the level of the canine and the carnassial teeth. In contrast to the human gingiva, depressions and elevations of the stippled gingiva of the dog were not distributed uniformly. Presence of stippling indicates the presence of well developed mucosal layers and extensive interdigitation of epithelial rete pegs and papillary layer. Interaction of inelastic collagen fibres and a high hyaluronan content within papillary layer resulting in a high turgor of tissue due to the extensive water binding capacity of hyaluronic acid could also play a role in shaping of the gingival surface. The significance of gingival stippling in the diagnosis of periodontal disease in dogs is limited, as stippling occurs in healthy but also slightly inflamed attached gingiva of adult individuals.
- MeSH
- gingiva anatomie a histologie fyziologie MeSH
- gingivitida diagnóza patologie veterinární MeSH
- nemoci psů diagnóza patologie MeSH
- psi MeSH
- stárnutí MeSH
- zvířata MeSH
- Check Tag
- psi MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
Reduced gingival thickness is one of many factors that might predispose humans to periodontal disease and subsequent gingival recession. Gingival thickness differs between individuals, and is associated with age, gender, and location on the dental arch. Different gingival phenotypes exist in the human population according to the thickness of gingiva. Similar information on gingival phenotypes in dogs is unknown. The aim of this study was to investigate the thickness of the gingiva in dogs and its relation to age, gender and location on the dental arch. For this study, 48 dogs of comparable size (40-cm at withers) were divided into three groups according to their age as follows: < 2-years of age; 2 to 8-years of age; > 8-years of age. Gingival thickness was measured in both the mandible and maxilla using a transgingival probing technique. The graded probe was inserted midway into the attached gingiva at the level of each tooth class region. Young and middle aged dogs had significantly thicker gingiva (1.67 +/- 0.17 mm and 1.68 +/- 0.18 mm, respectively) compared with older dogs (1.54 +/- 0.16 mm). There was no significant difference in gingival thickness based on location or gender Generally, the gingiva was thicker at the level of large teeth such as canine and carnassial teeth. Regions of thinner gingiva at the level of incisor and premolar teeth correlated with the regions of highest prevalence of periodontal disease found in previous studies.
- MeSH
- gingiva anatomie a histologie MeSH
- psi anatomie a histologie MeSH
- sexuální faktory MeSH
- ústní sliznice anatomie a histologie MeSH
- věkové faktory MeSH
- zubní oblouk anatomie a histologie MeSH
- zvířata MeSH
- Check Tag
- mužské pohlaví MeSH
- psi anatomie a histologie MeSH
- ženské pohlaví MeSH
- zvířata MeSH
- Publikační typ
- časopisecké články MeSH
- MeSH
- dítě MeSH
- gingiva fyziologie MeSH
- lidé MeSH
- mladiství MeSH
- parodont fyziologie MeSH
- retní uzdička fyziologie MeSH
- věkové faktory MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mladiství MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- anglický abstrakt MeSH
- časopisecké články MeSH
BACKGROUND: Dental implants are a suitable option for the replacement of some or all missing teeth. Their main function is to secure the stability of the artificial tooth. The implant material interacts with several cell types including osteoblasts, gingival fibroblasts, periodontal ligament fibroblasts and monocytes. The most common material used is pure titanium which is corrosion resistant and has an elasticity modulus similar to that of bone. In recent years, diverse modified titanium surfaces have also been developed. The wound healing around the implant is a complex process that determines how well the host can heal and accept the implanted material. For this reason, search for markers of the biocompatibility of these new materials is paramount. To identify markers found to be suitable for studying the biocompatibility of dental implants. METHODS: Review of Pubmed and Web of Science databases for the years 1958-2010. CONCLUSIONS: The surface of dental implant material should enhance firm attachment of the implant to junctional epithelium, soft connective tissue and bone. For the purposes of dental implant biocompatibility studies, a number of markers produced by osteoblasts or by cells of periodontal ligament have been proposed. In general, the most typical markers for osteoblasts and fibroblasts are alkaline phosphatase and collagen I, respectively. The involvement of both cell types in the inflammatory response is primarily evaluated by determination of tumour necrosis factor α and proinflammatory interleukins.
- MeSH
- alkalická fosfatasa metabolismus MeSH
- biokompatibilní materiály * MeSH
- endoseální implantace zubů * MeSH
- fibroblasty metabolismus MeSH
- gingiva metabolismus MeSH
- hojení ran MeSH
- kolagen metabolismus MeSH
- lidé MeSH
- osteoblasty metabolismus MeSH
- periodontální vaz metabolismus MeSH
- titan MeSH
- zubní implantáty * MeSH
- zubní materiály MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- práce podpořená grantem MeSH
- přehledy MeSH
- Názvy látek
- alkalická fosfatasa MeSH
- biokompatibilní materiály * MeSH
- kolagen MeSH
- titan MeSH
- zubní implantáty * MeSH
- zubní materiály MeSH
BACKGROUND: The medial approach for minimally invasive harvesting of a deep circumflex iliac artery (DCIA) flap is described for reconstruction of the jaw. The associated preservation of the crest of the ilium prevents the raising of the abdominal internal oblique muscle (IO) in a standard fashion. However, reconstructive surgery of composite mandibular defects includes bone and soft tissue. To achieve this goal, we combined this technique with a new perforator-based raising of the IO for reconstruction of intraoral soft tissue. METHODS: In this study, we present eight cases of patients with composite mandibular defects who underwent the myo-osseous DCIA flap procedure with an IO perforator. Virtual surgical planning was employed to preplan the size and configuration of the graft. Cutting guides were made using CAD/CAM technology. The surgical procedure followed the described medial approach for minimally invasive harvesting, leaving the iliac crest, spine, and skin intact. In addition, we completely cut and isolated the IO with its sole attachment being the ascending branch of the DCIA. We used either a surgical guide with a slot to lead through both the transverse branch of the bone and the ascending branch of the IO or a surgical guide consisting of 2 parts. RESULTS: In all instances, the flap successfully survived with a 100% success rate. There were no signs of infection, wound opening, or bleeding in either patient. Furthermore, the patients did not exhibit permanent complications related to the donor site. The internal oblique perforator flap exhibited remarkable integration in all patients and underwent rapid transformation. Notably, the flap developed keratinized mucosa (KM) that closely resembled the attached gingiva. CONCLUSION: Our study demonstrated the effectiveness of a medial approach for harvesting a newly designed more flexible chimeric myo-osseous deep circumflex iliac artery flap. By incorporating virtual surgical planning and custom-made cutting guides for obtaining deep circumflex iliac artery flaps through the medial route along with an internal oblique perforator flap, we have established a highly promising method for the rehabilitation of patients with composite mandibular defects. This approach not only improves functional outcomes, but also enhances aesthetic results to maintain patients' quality of life.
- MeSH
- arteria iliaca chirurgie MeSH
- chirurgické laloky MeSH
- design s pomocí počítače MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mandibula chirurgie MeSH
- miniinvazivní chirurgické výkony metody MeSH
- os ilium chirurgie MeSH
- senioři MeSH
- zákroky plastické chirurgie * metody MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH