Management of tooth mobility in the periodontology clinic: An overview and experience from a tertiary healthcare setting

Azodo, CC; Erhabor, Paul

doi:10.4103/2384-5589.183893

Cited by 13 publications

(10 citation statements)

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“…Definisi ini menguraikan karakteristik klinis dan etiologi utama dari penyakit ini: (1) pembentukan plak mikroba, (2) peradangan periodontal, dan (3) kehilangan perlekatan periodontal dan tulang alveolar. 1,2,3 Trauma oklusi adalah salah satu faktor yang dapat memperparah periodontitis kronis. Trauma oklusi didefinisikan sebagai kerusakan pada perlekatan periodontal sebagai hasil beban oklusi yang berlebihan, sehingga menyebabkan rasa sakit atau ketidaknyamanan.…”

Section: Pendahuluanunclassified

“…Trauma oklusi dapat disebabkan oleh perubahan kekuatan oklusal dan atau berkurangnya kapasitas periodonsium untuk menahan kekuatan oklusal. 3 Trauma oklusi primer terjadi jika terdapat peningkatan kekuatan dan durasi dari tekanan oklusal yang berlebihan pada jaringan periodonsium normal atau sehat. Contoh penyebab trauma oklusi primer antara lain restorasi yang terlalu tinggi.…”

Section: Pendahuluanunclassified

“…4 Ciri-ciri trauma oklusi sekunder antara lain kegoyangan gigi yang berlebihan (mobility dinamis), terutama pada gigi yang foto rontgennya menunjukkan adanya pelebaran ligamen periodontal; defek tulang lebih sering berbentuk angular; terdapat poket infraboni; disertai adanya migrasi patologis. 3,4 Migrasi gigi patologis dapat diartikan sebagai perubahan posisi gigi (pergeseran gigi) yang terjadi akibat terganggunya keseimbangan antara faktor-faktor yang mempertahankan posisi gigi fisiologis oleh adanya penyakit periodontal. 5 Prevalensi migrasi gigi patologis pada pasien dengan penyakit periodontal telah dilaporkan berkisar dari 30,03-55,8%.…”

Section: Pendahuluanunclassified

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Pendekatan bidang ortodontik-periodontik pada perawatan migrasi gigi patologis

Damayanti

Supandi

2020

J Ked Gi Unpad

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ABSTRAKPendahuluan: Periodontal abses dapat menyebabkan migrasi gigi patologis (ekstrusi) dan defek intraoseus. Pada kondisi ini perawatan ortodontik-periodontik merupakan pendekatan terapeutik yang dapat memposisikan kembali gigi yang telah mengalami migrasi patologis dan memperbaiki kondisi periodontal. Terapi multidisiplin sangat penting dalam praktik kedokteran gigi untuk mencapai hasil yang optimal. Tujuan laporan kasus ini adalah untuk menggambarkan pendekatan bidang ortodontik-periodontik pada perawatan migrasi gigi patologis. Laporan kasus: Laki-laki, 35 tahun dengan keluhan utama gigi inisisivus kanan atas abses, goyang, dan nyeri. Secara klinis pada gigi 11 terdapat kegoyangan derajat tiga, poket periodontal bagian mesial 7mm, resesi 3mm, dan kontak prematur pada gigi 41. Pemeriksaan radiografi terlihat kerusakan tulang yang parah. Penatalaksanaan kasus, pada kunjungan pertama, pemberian medikasi oral sebagai terapi darurat, kunjungan kedua adalah scaling dan root planing, occlusal adjustment, dan splinting pada kunjungan ketiga. Kemudian pemasangan ortodontik cekat pada rahang atas dilakukan pada kunjungan berikutnya, untuk mengembalikan posisi gigi insisivus lateral yang ekstrusi. Setelah mencapai posisi yang sesuai, dilakukan bone graft pada gigi. dapat mengembalikan posisi gigi yang mengalami ekstrusi, mengurangi kegoyangan gigi dan mengembalikan fungsi estetik pasien. Simpulan: pendekatan bidang ortodontik-periodontik pada perawatan migrasi gigi patologis menunjukkan keberhasilan setelah kontrol enam bulan pasca bedah ditandai dengan gambaran panoramik adanya penambahan densitas serta tinggi tulang yang signifikan pada daerah defek, gigi insisivus sentral atas kembali ke posisi normal dan kepuasan pasien tercapai.

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Section: Pendahuluanunclassified

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Pendekatan bidang ortodontik-periodontik pada perawatan migrasi gigi patologis

Damayanti

Supandi

2020

J Ked Gi Unpad

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“…CPITN was used to assess the periodontal status. The dentition was divided into 6 sextants: upper right , upper anterior (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23), upper left (24)(25)(26)(27), lower right (47-44), lower anterior (43-33), and lower left (34-37). All teeth in each sextant were examined, with the exception of third molars.…”

Section: Data Collectionmentioning

confidence: 99%

“…[13] The continued movement of mobile teeth during oral function further damages the periodontium accelerating the disease process and thereby leading to tooth loss. [14] Tooth mobility causes occlusal instability, masticatory disturbances, esthetic challenges, and impaired quality of life. The masticatory disturbance may result in eating impairment, dietary selection restriction, and poor nutritional status which will worsen their glycemic control.…”

Section: Introductionmentioning

confidence: 99%

Periodontal characteristics of diabetic patients with tooth mobility

Ojehanon

Azodo

Erhabor

et al. 2017

Journal of Social Health and Diabetes

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Objective: To determine the periodontal characteristics of diabetic patients with tooth mobility attending the Periodontology Clinic of University of Benin Teaching Hospital (UBTH), Benin City, Nigeria. Materials and Methods: This cross-sectional observational study was conducted among diabetic patients with tooth mobility in the Periodontology Clinic in UBTH, Benin City, Nigeria. The indices recorded for the participants were gingival index, community periodontal index of treatment need, and Miller'sindex for tooth mobility. Results: A total of 54 participants who met the inclusion criteria were approached, but only 49 of them consented and participated in this study giving a 90.7% recruitment rate. The age range and mean age of the participants were 42–84 years and 63.84 ± 1.31 years, respectively. The self-reported age of diagnosis was between 41 and 70 years with a mean age of 56.22 ± 6.88 years. About two-thirds (67.3%) of the participants were males. Less than half (38.8%) of patients were visiting the dentist for the first time. Mandibular arch housed about two-thirds (64.9%) of the mobile teeth and mandibular left quadrant housed about one-third of (34.5%) the mobile teeth. Central incisor (42.3%) constituted the most mobile teeth followed by the first molar (28.9%). A total of 17.0% of the mobile teeth were Miller's Grade 3 mobility. More than one-third (28.5%) (code 3 = 26.5%, code 4 = 2.0%) of the participants had periodontal pockets. More than half (52.7%) of participants had probing pocket depth of 5 mm and above. The gingival score which had mean as 1.60 ± 0.08 was significantly associated with age of the participants. The mean probing depth was 4.86 ± 0.21 mm. The probing depth was significant with age and duration of diabetes mellitus (DM) of the participants. Conclusion: Data from this study revealed that age of diagnosis of diabetes with tooth mobility was higher than previously reported. The most mobile teeth and earliest teeth to become mobile were the mandibular incisors, and Grade 1 severity constituted the majority. DM with tooth mobility exhibited gingival score and probing depth that had a variable significant association with demographic characteristics.

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