Tratado de periodontia lindhe pdf


 

Tratado de Periodontia Clínica e Implantologia Oral Lindhe 4ª e.d. 2 Parte Livro de Periodontia mais usado Download as PDF or read online from Scribd. PDF | Os autores abordam a integração das restaurações e próteses com o periodonto. PDF | OBJECTIVE: The aim of this study is to evaluate, through a questionnaire, patients' awareness Periodontia da Faculdade de Odontologia São Leopoldo Mandic, pertencentes a ambos os gêneros e .. Tratado de periodontia clínica e Rylander H, Lindhe J. Terapia periodontal associada à causa.

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Tratado De Periodontia Lindhe Pdf

dentists and specialists in periodontics. Luciana de Rezende Pinto1 .. In: Lindhe J. Tratado de periodontia clínica e implantologia oral. 3rd ed. Rio de Janeiro. Periodontia em clínica integrada: da primeira visita a terapia de suporte. 7. O papel da LINDHE, J – Tratado de Periodontia clínica e Implantodontia Oral. 5 ed. Axelsson P, Lindhe J. The effect of a preventive pro- gramme . Tratado de. Periodontia Clinica e Implantologia Oral, ed 4. Rio de. Janeiro: Guanabara Koogan.

Mean age was Adolescents received instructions about the mechanical control of plaque at baseline T0 , with a reexamination after 3 months T1 and 6 months T2. Non-parametric Mann Whitney test was used to compare the differences between the two toothbrush groups and the Friedman test was used for the comparisons between times. Conclusion: Both toothbrushes were efficient in the control of supragingival plaque visible biofilm. Gengival and periodontal diseases in children and adolescents. Acta Pediatr Port ; 40 1 In: Lindhe J, Lang N. P, Karring T.

Figure 2 After extraction of tooth 11, the periodontal probe shows the lack of buccal bone plate. Figure 5 Clinical aspect three days after tooth extraction. The epithelium has migrated to the concavity found at the provisional pontic area mucosal O-ring formation.

Figure 6 Frontal aspect 60 days after tooth extraction. The provisional prosthesis was removed for a second adjustment. Figure 7 Occlusal aspect. Figure 8 A third adjustment is scheduled frontal aspect. Complex situations on implant dentistry: specialized clinical solutions 9a 9b formation at the surgical wound. One of the possible expla- nations in this delaying is that maybe the process depends on vessel networking at the connective tissue for nourish- ment of the avascular epithelial tissue.

The same process is extremely needed for vessel formation to preserve the buccal bone plate at the central incisor region. One clinical study10 demonstrated that the buccal plate thickness at upper central incisors is 1mm in average. This leads to bone necrosis, with the need for vascular complex reformation, sometimes associa- ted to a larger process of bone resorption at the buccal inner compartment.

In this way, blood originates form the hea- ling alveolar process soon after tooth removal. First, the clot does not contain vessels until angiogenesis starts. Can healing at the second Figure 9 After a third adjustment, the provisional prosthesis returns to the oral cavity. Cross-sectional view.

Figure 10 In this way, healing after conventional tooth extraction A. The periapical radiograph soon after implant placement. The provisional prosthesis is attached to the neighboring teeth. Frontal aspect. Figure 13 The same crown from an occlusal aspect.

Complex situations on implant dentistry: specialized clinical solutions 14 15a 15b 16 22 Figure 14 CBCT image after treatment evidencing bone formation at the buccal aspect. Figure 15 A. Initial aspect of the second clinical case. The probing shows the lack of buccal bone at tooth CBCT scanning of the same tooth. Figure 16 Soon after removal of tooth 21, the lack of adequate support in the buccal aspect is clinically obvious.

Prosthetically-driven alveolar reconstructions — the next step and GBR demineralized bone allograft and resorbable membrane. Other studies in dogs and humans evaluated alveolar healing after immediate implant placement.

When sites with and without implant placement were described, the dental implant could not completely prevent the bone remodeling process. In this study, differences in height were at- 23 tributed to the greater thickness of the lingual plate.

At the molar sites, no biomaterials were inserted between the bone and the im- plants, while fractures were seen at the premolar sites during im- plant placement.

Finally, the authors observed 0. Figure 18 several studies have demonstrated spontaneous healing at peri- The provisional prosthesis used on Figures 15 to 17, showing the hour-glass shape at its cervical region. Frontal view. Upper view.

[PDF] Periodontal Disease in Dogs - Semantic Scholar

One clinical, randomized multi-centric study presented dental implant placement associated to GBR technique Bio-Oss, Bio-Gide, and healing abutments. Figure 20 Observe the hour-glass shape at the cervical aspect of the provisional prosthesis to increase the mucosal thickness and the formation of a soft tissue O-ring.

Figure 21 Initial aspect of the third clinical case. The blood clot acts like a physical barrier which drives the cell movements and also provides important substances to the healing process, e. Also, before the contemporary era of implant placement, the Chompret maneuver was mandatory to appro- ximate the buccal and lingual cortical plates. Needless to say, this procedure is outdated. Even if one considers the presence of pre-existing bone defects, especially in the lack of a buccal bone plate, suturing could be contra- 25 indicated.

The prosthetically-driven alveolar reconstruction technique is indicated for defects where at least one bone wall is absent and the patient is not scheduled for immediate implant placement. Also, it depends on alveolar oc- clusion and mucosal support provided by the provisional restoration that prevents the mucoperiosteal collapsing. The alveolar defects Figures 1 to 3; Figures 15 and 16; Figures 21 to 23 are occluded by a provisional prosthesis to minimize the ingress of bacteria and food debris at the surgical defect after tooth removal, avoiding contami- nation at this area.

The aforementioned contamination is common when second intention is expected because regeneration is impeded with accompanying partial loss at the remaining bone areas. The compromised tooth is sectioned in the model and the alveolar site is carved 3mm subgingivally Figure Its concavity is placed below the gingival level aiming to form a sealed mucosal ring Figure 5. In this way, the subgingival portion of the provisional prosthesis prevents the buccal gingival tissue from collapsing over itself.

After, subgingival contact areas with the bone tissue are removed to prevent incorrect seating and tissue compression. A chlorhexidi- ne solution is used for disinfection. All subgingival aspects must be rounded and well-polished because mucosal fenestrations and exposure of the inner alveolar, non-healed portions are possible.

Once detected, this is the main drawback due 23 to the compromising of non-regenerated sites. Finally, medical prescriptions in- clude Amoxicillin mg 3 times a day during seven days , Ibuprofen mg, and Paracetamol mg for pain.

Besides, rinses with 0. The most apical part of the provisional prosthesis provides a plan disc sha- pe that occludes the alveolus. In this way, it is expected that, while 24 Figure 22 A. Periapical radiograph.

The tooth 22 soon after its removal demonstrating an amalgam restoration at the middle and apical distal aspects, as well as the lack of periodontal ligament at buccal, apical, distal, and palatal aspects. Figure 23 Also, the lack of buccal bone tissue is evident. Figure 24 The study model is prepared to receive the provisional prosthesis. Prosthetically-driven alveolar reconstructions — the next step gingival tissue healing develops and the maintenance of soft tissue volume is pro- 25 vided by the disc shape, gingival proliferation starts at the lateral aspects and at the deeper alveolar portion resulting in new bone tissue formation.

Also, during the control visits, the clinician will observe that the epithelium proliferates over the al- veolar aspect intertwined by islets of connective tissue. Normally, after three months of adjusting, a new CBCT analysis is performed Figures 9, 17, and 28 between the third and the fourth month to verify new bone formation.

Depending on the schedule for implant placement, bone density cannot 26a 26b be the same as observed in a complete healed alveolar socket due to the presence of immature medullary bone. Again, oral hygiene measures and medicaments 27 are recommended.

Figure 26 A. Lateral aspect of the provisional prosthesis. Figure 27 Clinical aspect four months after tooth extraction before transmucosal implant placement. Complex situations on implant dentistry: specialized clinical solutions 28a 28b 29 occupied by the dental root. This bone originates from the residual alveolar bone due to its high regenerative potential. In this sense, horizontal distances greater than 1. Also, the surgical 28 wound found at different clot volumes is still a controversy.

Thus, the effect of clot thickness and cell adhesion and proli- feration is a factor that urges investigation. Perhaps, its cons- tant shrinking may be interpreted as a stimulus to the healing process, which can indicates the formation of bone tissue to- wards the coronal and center of the extraction socket.

Perios- teal maintenance can be a positive factor. Figure 28 A. CBCT image four months after tooth removal. CBCT exam eight months after tooth removal with the implant already installed.

Bone density has increased. Figure 30 some advantages, such as: preservation of the morphology Final frontal aspect. A metal-free full crown with a zirconia infra-structure. Possible drawbacks include operator sensitivity and the lack of controlled clinical studies. Further well-controlled studies are necessary to unders- tand the limits and the safety of this technique. Helda Maria Barcellos Ferreira in the preparation of this manuscript. Soft tissue preservation and pink aesthetics around single immediate implant restorations: a 1-year prospective study.

Clin Implant Dent Relat Res. Immediate implant placement and provisionalization with and without a connective tissue graft: an analysis of facial gingival tissue thickness. Int J Period Rest Dent ; Facial gingival tissue stability following immediate placement and pro- visionalization of maxillary anterior single implants: a 2- to 8-year follow-up.

Int J Oral Maxillofac Implants ; Immediate function with NobelPerfect implants in the anterior dental arch. Single tooth rehabilitation using osseointegration. Quint Int ; Novaes Jr. M, Grisi MFM. Immediate placement of implants into periodontally infected sites in dogs: a histomorphometric study of bone-implant contact.

Int J Oral Maxillofac Implants ;18 3 AB, Vidigal Jr. Frontal view. Upper view. One clinical, randomized multi-centric study presented dental implant placement associated to GBR technique Bio-Oss, Bio-Gide, and healing abutments. Figure 20 Observe the hour-glass shape at the cervical aspect of the provisional prosthesis to increase the mucosal thickness and the formation of a soft tissue O-ring. Figure 21 Initial aspect of the third clinical case. The blood clot acts like a physical barrier which drives the cell movements and also provides important substances to the healing process, e.

Also, before the contemporary era of implant placement, the Chompret maneuver was mandatory to appro- ximate the buccal and lingual cortical plates. Needless to say, this procedure is outdated. Even if one considers the presence of pre-existing bone defects, especially in the lack of a buccal bone plate, suturing could be contra- 25 indicated.

The prosthetically-driven alveolar reconstruction technique is indicated for defects where at least one bone wall is absent and the patient is not scheduled for immediate implant placement. Also, it depends on alveolar oc- clusion and mucosal support provided by the provisional restoration that prevents the mucoperiosteal collapsing.

The alveolar defects Figures 1 to 3; Figures 15 and 16; Figures 21 to 23 are occluded by a provisional prosthesis to minimize the ingress of bacteria and food debris at the surgical defect after tooth removal, avoiding contami- nation at this area. The aforementioned contamination is common when second intention is expected because regeneration is impeded with accompanying partial loss at the remaining bone areas. The compromised tooth is sectioned in the model and the alveolar site is carved 3mm subgingivally Figure Its concavity is placed below the gingival level aiming to form a sealed mucosal ring Figure 5.

In this way, the subgingival portion of the provisional prosthesis prevents the buccal gingival tissue from collapsing over itself. After, subgingival contact areas with the bone tissue are removed to prevent incorrect seating and tissue compression. A chlorhexidi- ne solution is used for disinfection. All subgingival aspects must be rounded and well-polished because mucosal fenestrations and exposure of the inner alveolar, non-healed portions are possible.

Once detected, this is the main drawback due 23 to the compromising of non-regenerated sites. Finally, medical prescriptions in- clude Amoxicillin mg 3 times a day during seven days , Ibuprofen mg, and Paracetamol mg for pain.

Besides, rinses with 0.

International Journal of Dentistry

The most apical part of the provisional prosthesis provides a plan disc sha- pe that occludes the alveolus. In this way, it is expected that, while 24 Figure 22 A. Periapical radiograph.

The tooth 22 soon after its removal demonstrating an amalgam restoration at the middle and apical distal aspects, as well as the lack of periodontal ligament at buccal, apical, distal, and palatal aspects. Figure 23 Also, the lack of buccal bone tissue is evident. Figure 24 The study model is prepared to receive the provisional prosthesis.

Prosthetically-driven alveolar reconstructions — the next step gingival tissue healing develops and the maintenance of soft tissue volume is pro- 25 vided by the disc shape, gingival proliferation starts at the lateral aspects and at the deeper alveolar portion resulting in new bone tissue formation.

Also, during the control visits, the clinician will observe that the epithelium proliferates over the al- veolar aspect intertwined by islets of connective tissue. Normally, after three months of adjusting, a new CBCT analysis is performed Figures 9, 17, and 28 between the third and the fourth month to verify new bone formation.

Depending on the schedule for implant placement, bone density cannot 26a 26b be the same as observed in a complete healed alveolar socket due to the presence of immature medullary bone. Again, oral hygiene measures and medicaments 27 are recommended. Figure 26 A. Lateral aspect of the provisional prosthesis. Figure 27 Clinical aspect four months after tooth extraction before transmucosal implant placement. Complex situations on implant dentistry: specialized clinical solutions 28a 28b 29 occupied by the dental root.

This bone originates from the residual alveolar bone due to its high regenerative potential. In this sense, horizontal distances greater than 1.

Also, the surgical 28 wound found at different clot volumes is still a controversy. Thus, the effect of clot thickness and cell adhesion and proli- feration is a factor that urges investigation. Perhaps, its cons- tant shrinking may be interpreted as a stimulus to the healing process, which can indicates the formation of bone tissue to- wards the coronal and center of the extraction socket.

Perios- teal maintenance can be a positive factor. Figure 28 A.

CBCT image four months after tooth removal. CBCT exam eight months after tooth removal with the implant already installed. Bone density has increased. Figure 30 some advantages, such as: preservation of the morphology Final frontal aspect.

A metal-free full crown with a zirconia infra-structure. Possible drawbacks include operator sensitivity and the lack of controlled clinical studies. Further well-controlled studies are necessary to unders- tand the limits and the safety of this technique. Helda Maria Barcellos Ferreira in the preparation of this manuscript. Soft tissue preservation and pink aesthetics around single immediate implant restorations: a 1-year prospective study. Clin Implant Dent Relat Res. Immediate implant placement and provisionalization with and without a connective tissue graft: an analysis of facial gingival tissue thickness.

Periodontal Disease in Dogs

Int J Period Rest Dent ; Facial gingival tissue stability following immediate placement and pro- visionalization of maxillary anterior single implants: a 2- to 8-year follow-up.

Int J Oral Maxillofac Implants ; Immediate function with NobelPerfect implants in the anterior dental arch. Single tooth rehabilitation using osseointegration. Quint Int ; Novaes Jr. M, Grisi MFM. Immediate placement of implants into periodontally infected sites in dogs: a histomorphometric study of bone-implant contact. Int J Oral Maxillofac Implants ;18 3 AB, Vidigal Jr. Immediate implants placed into infected sites: a his- tomorphometric study in dogs.

Diagnosis and treatment of extraction sockets in prepara- tion for implant placement: report of three cases. Braz Dent J ; Amler MH.

The time sequence of tissue regeneration in human extraction wounds. Oral Surg. Oral Med Oral Pathol ; Analysis of the socket bone wall dimensions in the upper maxilla in relation to immediate implant placement. Clin Oral Implants Res Carlsson GE, Persson G.

Morphologic changes of the mandible after extraction and wearing of dentures. A longitudinal, clini- cal, and X-ray cephalometric study covering 5 years. Odontologisk Revy ; Modeling and remodeling of human extraction sockets. J Clin Periodontol ; Bone healing and soft tissue contour changes following single tooth extrac- tion. A clinical and radiographic month prospective study. Int J Periodontics Restorative Dent ;23 4 Ridge preservation with freeze-dried bone allograft and a collagen membrane compared to extraction alone for implant site development: a clinical and histologic study in humans.

Prosthetically-driven alveolar reconstructions — the next step J Periodontol ;74 7 J Peri- odontol ,74 7 Ridge alterations following implant placement in fresh extraction sockets: an experimental study in the dog. Bucco-lingual crestal bone change after immediate and delayed implant placement.

J Periodontol ; The jumping distance revisited. An experimental study in the dog. Clin Oral Im- plants Res ; Evaluation of titanium implants placed into simulated extraction sockets: a study in dogs.

Int J Oral Maxillofac Implants ;14 3 Hard-tissue alterations following immediate implant placement in extraction sites.

Periodontal Disease in Dogs

How does the timing of implant placement to extraction affect the outcome? Immediate implant placement with transmucosal healing in areas of aesthetic priority. A multicentre randomized controlled clinical trial. Clin Oral Im- plants Res ;18 3

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