Hereditary gingival fibromatosis: Characteristics and treatment approach.

Hereditary gingival fibromatosis (HGF) is a rare disorder characterized by a benign, non-hemorrhagic, fibrous gingival overgrowth that can appear in isolation or as part of a syndrome. Clinically, a pink gingiva with marked stippling can be seen to cover almost all the tooth, in many cases preventing eruption. HGF usually begins during the transition from primary to permanent teeth, giving rise to a condition that can have negative psychological effects at that age. As it does not resolve spontaneously, the treatment of choice is gingivectomy, which can be performed with an internal or external bevel incision, depending on each case and bearing in mind the changes that will take place at the dentogingival junction (DGJ). This paper describes clinical aspects and treatment in two eight-year-old boys with HGF, considering different facets of the surgical approach with conscious sedation in young children. Key words:Hereditary gingival fibromatosis, gingivectomy, internal bevel incision, external bevel incision, gingival overgrowth.

Decontamination of dental implant surface in peri-implantitis treatment: A literature review

Etiological treatment of peri-implantitis aims to reduce the bacterial load within the peri-implant pocket and decontaminate the implant surface in order to promote osseointegration. The aim of this literature review was to evaluate the efficacy of different methods of implant surface decontamination. A search was conducted using the PubMed (Medline) database, which identified 36 articles including in vivo and in vitro studies, and reviews of different decontamination systems (chemical, mechanical, laser and photodynamic therapies). There is sufficient consensus that, for the treatment of peri-implant infections, the mechanical removal of biofilm from the implant surface should be supplemented by chemical decontamination with surgical access. However, more long-term research is needed to confirm this and to establish treatment protocols responding to different implant characterics (AU)

Decontamination of dental implant surface in peri-implantitis treatment: a literature review.

Etiological treatment of peri-implantitis aims to reduce the bacterial load within the peri-implant pocket and decontaminate the implant surface in order to promote osseointegration. The aim of this literature review was to evaluate the efficacy of different methods of implant surface decontamination. A search was conducted using the PubMed (Medline) database, which identified 36 articles including in vivo and in vitro studies, and reviews of different decontamination systems (chemical, mechanical, laser and photodynamic therapies). There is sufficient consensus that, for the treatment of peri-implant infections, the mechanical removal of biofilm from the implant surface should be supplemented by chemical decontamination with surgical access. However, more long-term research is needed to confirm this and to establish treatment protocols responding to different implant characterics.

Periodontal regeneration in clinical practice.

The regeneration or restitution of lost supporting tissue has always been considered the ideal objective of periodontal therapy. However, attempts to convert this intention into solid clinical practice can become tremendously complex, the results of which are very different from the original intention. The aim of this article is to offer an up-to-date, general perspective on periodontal regeneration, orienting the clinician within the global strategy for oral treatment. To this end, we revise the healing process of periodontal injury, the different therapeutic approaches, the interpretation of the results, and finally, limiting factors in periodontal regeneration.

Regeneración periodontal en la practica clínica / Periodontal regeneration in clinical practice

Siempre se ha considerado que el objetivo ideal de la terapia periodontal es la regeneración o restitución de los tejidos de soporte perdidos. Sin embargo, el intentar traducir este objetivo, en actuaciones clínicas concretas puede convertirse en una tarea tremendamente compleja y cuyos resultados disten mucho del objetivo inicial.La intención de este artículo es ofrecer una perspectiva general y actualizada de la regeneración periodontal que permitaal clínico situarla dentro de la estrategia de tratamiento oral global. Para ello se revisa: el proceso de curación de la herida periodontal, los diferentes enfoques terapéuticos, la interpretación de los resultados, y por último, los factores que limitan las indicaciones de las técnicas de regeneración periodontal

The regeneration or restitution of lost supporting tissue has always been considered the ideal objective of periodontal therapy. However, attempts to convert this intention into solid clinical practice can become tremendously complex, the results of which are very different from the original intention.The aim of this article is to offer an up-to-date, general perspective on periodontal regeneration, orienting the clinician within the global strategy for oral treatment. To this end, we revise the healing process of periodontal injury, the different therapeutic approaches, the interpretation of the results, and finally, limiting factors in periodontal regeneration

Tomografía computerizada: introducción a las aplicaciones dentales / Computerized tomography: introduction to dental techniques

Introducción y objetivos: La creciente complejidad de las técnicas dentales ha conllevado un aumento paralelo en la demanda de precisión diagnóstica. El desarrollo de la implantología dental ha hecho de la tomografía computerizada (TC) una herramienta de primer orden en la planificación del tratamiento. Nuestro objetivo es exponer las capacidades y características de la imagen de TC a la hora de tomar decisiones informadas e integrar así esta técnica en sus prácticas. Los profesionales dentales deben conocer las posibilidades de la TC al hacer sus solicitudes. Material y método: Mediante una revisión de la bibliografía más actual y didáctica describimos las indicaciones actuales de la TC en el campo de la odontología. Explicaremos los fundamentos técnicos de la TC y, por último, describiremos los diferentes tipos de imágenes que se pueden obtener con este procedimiento. Nuestro estudio aborda las indicaciones, tecnología de la TC, consideraciones geométricas y modos de reconstrucción de la imagen. Esta última incluye, representación en superficie, máxima intensidad, representación volumétrica y reconstrucción multiplanar. Resultados: Exposición detallada mediante iconografía de las distintas imágenes que se pueden obtener mediante TC según el sistema de reconstrucción utilizado (AU)

Introduction and goals: The increasing complexity of dental techniques has been correlated with increased diagnostic accuracy. Dental implantology development has placed computed tomography (CT) as the first diagnostic tool in treatment planning. Our aim is to explain the capabilities and features of CT imaging in order to allow dentists to take informed decisions and integrate this technique into their work.. Also, they must know CT diagnostic capabilities in their referrals. Objectives: the aim of this paper is to show the surgical technique used. Besides, the indications, contraindications and complications are described. Material and method: By means of a review of the most updated and didactic literature, we describe the current indications of CT in the field of dentistry. Finally, we will explain CT technology and the different kind of images obtained. The article is structured as follows: indications, CT technology, geometric considerations and image reconstruction techniques. This comprises surface rendering, maximum intensity, volume rendering and multiplanar reformatting. Results: Detailed exposition by means of pictures of the different kind of images obtained by CT, according to the reconstruction techniques used (AU)

Tomografía computerizada: introducción a las aplicaciones dentales / Computerized tomography: introduction to dental techniques

Introducción y objetivos: La creciente complejidad de las técnicas dentales ha conllevado un aumento paralelo en la demanda de precisión diagnóstica. El desarrollo de la implantología dental ha hecho de la tomografía computerizada (TC) una herramienta de primer orden en la planificación del tratamiento. Nuestro objetivo es exponer las capacidades y características de la imagen de TC a la hora de tomar decisiones informadas e integrar así esta técnica en sus prácticas. Los profesionales dentales deben conocer las posibilidades de la TC al hacer sus solicitudes. Material y método: Mediante una revisión de la bibliografía más actual y didáctica describimos las indicaciones actuales de la TC en el campo de la odontología. Explicaremos los fundamentos técnicos de la TC y, por último, describiremos los diferentes tipos de imágenes que se pueden obtener con este procedimiento. Nuestro estudio aborda las indicaciones, tecnología de la TC, consideraciones geométricas y modos de reconstrucción de la imagen. Esta última incluye, representación en superficie, máxima intensidad, representación volumétrica y reconstrucción multiplanar. Resultados: Exposición detallada mediante iconografía de las distintas imágenes que se pueden obtener mediante TC según el sistema de reconstrucción utilizado

Introduction and goals: The increasing complexity of dental techniques has been correlated with increased diagnostic accuracy. Dental implantology development has placed computed tomography (CT) as the first diagnostic tool in treatment planning. Our aim is to explain the capabilities and features of CT imaging in order to allow dentists to take informed decisions and integrate this technique into their work.. Also, they must know CT diagnostic capabilities in their referrals. Objectives: the aim of this paper is to show the surgical technique used. Besides, the indications, contraindications and complications are described. Material and method: By means of a review of the most updated and didactic literature, we describe the current indications of CT in the field of dentistry. Finally, we will explain CT technology and the different kind of images obtained. The article is structured as follows: indications, CT technology, geometric considerations and image reconstruction techniques. This comprises surface rendering, maximum intensity, volume rendering and multiplanar reformatting. Results: Detailed exposition by means of pictures of the different kind of images obtained by CT, according to the reconstruction techniques used

Regeneración periodontal en defectos intraóseos de 2-3 paredes con tres membranas diferentes: Un ensayo clínico randomizado / Periodontal regeneration in two and three-wall intrabony defects by the use of three different barrier membranes. A randomized clinical study

Fundamento: El objetivo del presente artículo es valorar la eficacia clínica, medida en términos de ganancia de inserción clínica, de dos membranas reabsorbibles, frente a un control positivo, membrana no reabsorbible, en el tratamiento de defectos intraóseos de 2-3 paredes. Pacientes y método: Seleccionamos 36 pacientes en los que detectamos 43 lesiones intraóseas de 2-3 paredes. Previamente a la cirugía se registró la profundidad de sondaje y la recesión gingival (nivel de inserción clínica). Tras el abordaje con un colgajo de espesor total, el desbridamiento y medición de los defectos y la instrumentación de la pared radicular, se colocó la membrana. Se realizó un seguimiento clínico a las 1, 2, 4, 6, 8 semanas, 3, 6 y 12 meses, y radiográfico a los 6 y 12 meses. Resultados: Finalizaron el estudio 36 defectos, correspondientes a 30 pacientes. Al año hubo una reducción en la media de la profundidad de sondaje de 3,98 mm, un incremento de la recesión de 0,17 mm y la ganancia clínica de inserción (NCI) fue de 3,97 mm. No encontramos diferencias significativas entre las diferentes membranas utilizadas (AU)

Background: A study is made to evaluate the clinical efficacy, in terms of clinical attachment gained, of two resorbable membranes versus a positive control (non-resorbable membrane), in the treatment of two-three wall intrabony defects. Patients and method: We selected 36 patients in whom 43 two-three wall intrabony lesions were detected. Prior to surgery we recorded pocket depth and gingival recession (clinical attachment level). After a full thickness flap approach, debridement and measurement of the defects, and instrumentation of the root wall, the membrane was placed. Clinical follow-up was carried out after 1, 2, 4, 6 and 8 weeks, and 3, 6 and 12 months, with radiological controls after 6 and 12 months. Results: A total of 36 defects completed the study, corresponding to 30 patients. After one year a mean reduction in pocket depth of 3.98 mm was recorded, with a 0.17 mm recession increment and a clinical attachment gain (NCI) of 3.97 mm. No significant differences were observed between the different membranes used (AU)

Motivación de los pacientes en la consulta dental / Patient motivation in a dental clinic

el objetivo a largo plazo del tratamiento odontoestomatológico es la conservación de las estructuras del aparato estomatognático. Para ello, es importante que motivemos a nuestros pacientes para que cumplan con los programas de seguimiento que les propongamos. Mejorar el cumplimiento de estos programas debe ser uno de los objetivos de todo el personal de una clínica dental (AU)