BackgroundThe aim of this study was to evaluate the clinical and microbiological effects of local application minocycline HCl 2% gel, used as an adjunct to scaling and root planing (SRP) for treatment of chronic periodontitis (CP). CP is an inflammation of periodontal tissue that is caused mainly by bacterial infection, where periodontal destruction such as loss of attachment and bone destruction occurred.MethodsA total of 81 subjects with moderate to severe periodontitis whose baseline clinical attachment loss (CAL) was ≥4 mm were randomly assigned to receive SRP alone (control group, N=39) or SRP followed by four times of local application of minocycline HCl gel (Periocline) once a week (test group, N=42). Pocket depth, CAL, and papilla bleeding index were examined at baseline, 21 days, 2, 3, and 6 months. Subgingival plaque samples were collected with sterile curettes and were analyzed by real-time polymerase chain reaction for the presence of three periodontal pathogens (Porphyromonas gingivalis [P.g.], Tannerella forsythia [T.f.], and Treponema denticola [T.d.]) at baseline, 2, 3, and 6 months.ResultsThe number of bacteria was reduced in both groups at 2 months after baseline (SRP treatment). The changes (2–6 months) in T.d. and T.f. counts in the test group were significantly lower than those in the control group. In the control group, a significant regrowth of P.g., T.f., and T.d. was observed from 2 to 6 months and of P.g. and T.f. from 3 to 6 months. On the other hand, in the test group, the number of the three bacteria did not significantly increase during the 6-month period.ConclusionThe results showed that local application of minocycline, used as an adjunct to SRP, was effective for suppressing regrowth of periodontal pathogens, suggesting its risk reduction of recurrent periodontal pathogens in CP.

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Reduction of the amount of tooth roots which are embedded in their periodontium could cause tooth mobility. Splinting a weaker tooth with a more stable one, and using the principle of the multiple-root stabilization is one way to overcome tooth mobility. Temporary splinting aims to prevent pathological migration, restore masticatory function, stabilize teeth before/after surgery, and evaluate the prognosis of periodontal treatment. The use of intracoronal splint is still controversial because there are only a few studies that have evaluated the effect of splinting on periodontal health. We report two cases to evaluate the effect of intracoronal splint on periodontal treatment. Two periodontal cases that use intracoronal splint before, during, and after periodontal regenerative therapy using bone graft. Causes of tooth mobility were removed and the splinting principles, terms and guidelines were mastered to get the maximum results of periodontal treatment. Both cases were evaluated radiographically 10 months after treatment. In these cases, intracoronal splint has supported the therapy before, during, or after surgery. Splinting is only for adjunctive therapy, and does not serve as the sole method in getting occlusal stability. ABSTRAKSplin intrakorona sebagai terapi tambahan pada perawatan periodontal: laporan dua kasus. Berkurangnya panjang akar yang tertanam dalam jaringan periodontal dapat menyebabkan kegoyangan gigi. Melakukan splin gigi yang goyang ke gigi yang lebih stabil menggunakan prinsip stabilisasi beberapa akar gigi dapat dilakukan. Splin sementara dalam perawatan periodontal bertujuan untuk mencegah migrasi patologis, mengembalikan fungsi kunyah, menstabilkan gigi sebelum/sesudah operasi, dan mengevaluasi prognosis. Penggunaan splin intrakorona masih kontroversial dan hanya ada sedikit literatur yang mendukung bahwa terapi ini berguna dalam mencapai jaringan periodontal yang sehat. Kami melaporkan dua kasus untuk mengevaluasi efek spin intrakorona dalam perawatan kasus periodontal. Splin intrakorona digunakan sebelum, selama dan sesudah terapi periodontal regeneratif yang menggunakan graf tulang. Penyebab kegoyangan gigi dihilangkan dan prinsip, syarat serta tatacara splin diikuti untuk mendapatkan hasil yang maksimal untuk perawatan periodontalnya. Kedua kasus dievaluasi secara radiograf 10 bulan setelah operasi dan memperlihatkan hasil yang baik. Splin merupakan terapi suportif sebelum selama dan sesudah operasi, namun bukan satu-satunya cara untuk mendapatkan stabilitas oklusi.

Terapi periodontitis kronis poket 4-6 mm biasanya dilakukan kuretase atau operasi flep. Skeling dan penghalusan akar(SPA) dapat mengubah kondisi klinis. Tujuan penelitian untuk mengetahui efek kllinis setelah SPA pada periodontitiskronis poket 4-6 mm. Empat puluh tiga penderita periodontitis kronis dilakukan SPA pada kunjungan awal, hari ketujuh,hari ke-14, hari ke-21, bulan kedua, bulan ketiga, dan bulan keenam. Pada kunjungan awal, bulan kedua, ketiga, dankeenam, sebelum dan setelah SPA dilakukan pemeriksaan kedalaman poket dan Indeks perdarahan gingiva (PBI). Hasilpenelitian menunjukkan terdapat penurunan kedalaman poket dan indeks perdarahan gingival ( p < 0,05) antara sebelumdan sesudah SPA. Sebagai kesimpulan, SPA dapat meningkatkan kondisi klinis pada terapi periodontitis kronis poket 4-6mm.

Introduction: Loss of teeth leads to many problems anatomically and physiologically, leading to nutritional intake disturbances, and even affect patient’s psychological condition. There are several alternatives for tooth replacement such as removable denture, fixed partial denture (bridge), and implant. This case report described a loss of a single molar and its replacement with implant.Case Report: A 36-year-old female patient came with a chief complaint of missing lower left posterior teeth 5 years ago due to big caries. Patient wanted to replace with implant. Comprehensive evaluation was done to make sure that she was indicated for dental implant. Insertion of megagen implant was done on the first phase of surgery. Implant was left for 3 months for osseointegration. Insertion of healing abutment was done on the second phase of surgery and was left for 1 week. Impression was done and a screw-retained metal porcelain crown was made for the implant.Conclusion: Rehabilitation of tooth loss with implant requires several steps which are time-consuming and expensive. However, many patients still opt for implant therapy. Compared to other alternative therapy, implant is the most comfortable form of denture, does not damage adjacent teeth, has a high survival rate, and are more cost-effective in the long run.