The results of this study indicate that significant improvements from baseline occurred in VPD, HPD, CAL, and clinically detectable furcation involvement after the treatment of Class II furcation lesions with a bioabsorbable membrane with or without the adjunctive use of DFDBA. In addition, the placement of DFDBA in the furcation defect under the bioabsorbable membrane resulted in a greater mean reduction of horizontal probing depth when compared to the regenerative therapy alone.
In order for periodontal regeneration to occur, progenitor cells must migrate to the denuded root surface, attach to it, proliferate and mature into an organized and functional fibrous attachment apparatus. Significant advances have been made during the last decade in understanding the factors controlling the migration, attachment and proliferation of cells. A group of naturally occurring molecules known as polypeptide growth factors in conjunction with certain matrix proteins, are key regulators of these biological events. Of these, the fibroblast growth factors (FGFs) appear to have an important role in periodontal wound healing. The purpose of this review is to summarize current information on these growth factors with emphasis on their potential implications in periodontal wound healing and regeneration.
Diseases of the periodontium occurs in the childhood, adolescence and early adulthood, but the prevalence of periodontal diseases and tissue destruction increases with age. The increase may be caused by the cumulative effect of the number of bursts of periodontal destruction, deterioration in plaque removal efficiency, or an increase in the number of teeth retained in old age and therefore affected by plaque-indltced disease. But with appropriate periodontal therapy and self-performed plaque control, older patients can be expected to have as favorable treatment outcomes as young patients.
Report of a rare case of contact stomatitis manifesting as irregular erosions partially covered with pseudomembrane along with desquamative gingivitis in a 32-year-old female patient is presented. The patient was otherwise healthy and not taking any medication. She gave the history of using curcumin-based oral gel 2 days back. Allergy test to curcumin oral gel was found to be positive, which on detailed allergy testing proved to be the coloring agent, erythrosine present in the gel. Contrary to the popular belief some folk medicine preparations can lead to unwanted side effects due to the antigenic potential of ingredients present in them. In addition, every clinician, during differential diagnosis of oral lesions must bear in mind unwanted reactions to any local ointment.
Aggressive periodontitis, which encompasses a number of clinical entities, probably results from the mobilization of tissue"s destructive mechanisms which are common to most forms of periodontal diseases. The unique attributes of the disease process are due to the virulence of the pathogens and the host susceptibility may be due to the heritable or acquired susceptibility factors, which permit expression of periodontitis at a relatively younger age.
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