Periodontics: A Complement To Orthodontics

Periodontics A Complement To Orthodontics

The periodontium is the set of supporting tissues of the teeth. Its etymology comes from the Greek para meaning “around” and odontos (tooth). It consists of all of the tissue that surrounds and supports the teeth. He understands:

  • the alveolar bone (A) of the maxilla (upper jaw) and mandible (lower jaw),
  • the periodontal (L) or dento-alveolar ligament which unites the root of the tooth to the alveolar bone which surrounds it,
  • the attached gum (G) is securely attached to the jaw bone and tooth. A minimum quantity is required to ensure the stability of the teeth,
  • the mucosa (M) is a more fragile type of gum that is mobile and not attached to the jaw bone or tooth,
  • the cementum, which is the outer layer of the dental roots,
  • nerve elements (periodontal receptors or proprioceptors, nerve fibers) and blood vessels (arterioles, venules), which are located in the soft tissue and the space occupied by the ligament between the root and the bone.
  • healthy periodontium has a specific level of gum that surrounds, covers, and protects the tooth. The arrow indicates an area of gingival recession where the level of gum has decreased and exposes part of the root.
  • A healthy gum is pale pink, firm and looks like an “orange peel.” She should not have edema, inflammation, bleeding, or ulceration.

The role of the periodontium is multiple. Not only does it support the tooth with the underlying alveolar bone, but it helps to reshape the structures subjected to forces (for example, during the application of orthodontic forces), function and age, and provides an effective barrier defense against multiple microorganisms in the oral cavity. Its integrity is essential for good dental health and dental movements during orthodontic treatment.

A COMPLEMENT TO ORTHODONTICS
  • The periodontium is of crucial importance in orthodontics because it must be healthy, intact, and of the best possible quality to allow the displacement of multiple teeth during orthodontic treatment.
  • Its structures are fragile and easily damaged if inadequate forces are used. Also, poor oral hygiene can damage or destroy its components and make it impossible to move normal teeth.
  • The quality of the periodontium can vary from one person to another, and its evaluation considers the quality and quantity of the tissues present. Heredity plays an important role in determining the type of tissue in an individual.
  • The gum consists of a keratinized epithelial tissue and collagen fibers which attach the gum to the alveolar bone and the cementum of the tooth (attached gum). This gives it resistance to masticatory stresses.

Despite the severity of the malocclusion and periodontal problems affecting individuals. Orthodontic treatment may be possible. This requires an interdisciplinary approach and regular follow-up with a periodontist during treatment. 

 

Baby Teeth Are Not Useless, They Reveal How Children Will Behave In The Future

Baby teeth are not useless, they reveal how children will behave in the future

The Massachusetts General Hospital researcher Erin Dunn is a Perez Mouse with a white coat and a strange idea in his head. “The scientific community has been trying for decades to identify people at risk of developing a mental health problem in the future, especially children. Imagine if teeth were the first step in unveiling the mystery,” explains the scientist, who is convinced that the mouths of the little ones hide evidence that would allow them to get ahead of these problems. But, according to his theory, collecting them requires speed; they are hidden in milk teeth. “What if all the information was in a resource that most parents keep in a drawer or throw away?” He imagines optimistic.

Fortunately for her, 37 parents in California did not do either. Instead, they donated a tooth of milk from their 6-year-old children to the scientists of a study designed to monitor their health for 7 years, known as the Peers and Wellness Study. During this period, the researchers evaluated the children’s behavior through questionnaires filled out by their parents and teachers. Dunn says that the work of his team has allowed to detect in these teeth parameters related to subsequent symptoms of emotional and behavioral problems such as aggressiveness, impulsivity, hostility and the habit of not paying attention or listening. According to the report, the tracks emerged after doing a high-resolution image analysis of the dental pieces,

Baby teeth

 which served to obtain data on the volume of the pulp – which is the soft tissue of the core of the teeth – and the dental enamel that covers them. “We saw that children who had a thinner enamel also tended to have more symptoms,” explains the scientist. The volume of the pulp was also related to the level of emotional and behavioral problems, says Dunn, as if he were about to open a window to the potentially ill childish mind. “Anthropologists, archaeologists and dentists focus their work on teeth continuously, but for researchers in the field of mental health this is very novel,” he adds.

The tracks are registered before the age of one year

The scientists focused on the small incisors because they are between the teeth that formed before. They begin to originate in pregnancy and usually complete their training during the first year of life. According to the scientist, these dental pieces record events that happened during those periods of time, although how they leave their trail on them is still a mystery. For Dunn, differences in enamel thickness could be related to aspects such as mother’s nutrition during pregnancy and the stress he suffered, or it could be a consequence of the way in which the baby experienced his environment … but he recognizes that it is soon to provide explanations. “We don’t know exactly what the teeth are recording and what is causing the enamel and pulp to be finer,” he admits.

In any case, what excites his curiosity is the enormous potential of the results of his research, which he announced this week at the Annual Meeting of the American Association for the Advancement of Science, (AAAS). ), in Washington. “If there is evidence of risk of developing mental problems in children’s teeth, the opportunities for prevention would be extraordinary.” And, if you are not mistaken, such tests could be very solid.

According to his analysis, the relationship between the anatomy of baby teeth and mental health is as strong as that shown by other indicators that the scientific community routinely uses. “The magnitude of the correlation was equivalent, even higher in some cases, to the associations we saw with socioeconomic status, which is one of the highest risk factors for mental health symptoms,” says the researcher. Dunn’s finding could be another unsuspected utility of baby teeth, which some dentists recommend removing before they fall because they contain stem cells.

What to Do In Case Of Gingivitis?

Your role is essential to limit or even stop the progression of gingivitis. Quality oral hygiene and follow-up are essential. Here are some tips to curb the development of gum disease.

This will prevent gingivitis from progressing to periodontitis:

What to Do In Case Of Gingivitis
  • As soon as the first symptoms of gingivitis appear , do not wait; make an appointment with your dentist who will refer you, if necessary, to a dentist specializing in the management of gum disease.
  • Respect the rhythm of scheduled consultations and care, even if you no longer have symptoms.
  • Between treatments, monitor the appearance of your teeth and gums: each time you brush, you can look at your teeth and gums yourself. Check for the absence of dental plaque (it is characterized by a white, pasty deposit on the teeth. It is thicker at the base, near the gums) and tartar (it is a hard dental deposit under the tongue). If the signs of gingivitis reappear despite treatment, it may be useful to consult again.
  • Adopt good oral hygiene to avoid the formation of dental plaque. If your gums are bleeding , you should not stop brushing your teeth, on the contrary. On the other hand, do it more delicately using a soft toothbrush and make mouthwashes with an antimicrobial product at least once a day. Consult your pharmacist.
  • Stop smoking: tobacco is an aggravating factor for gum disease . It intervenes as well in the appearance, as in the progression of the disease. This is why stopping smoking is strongly recommended.
  • Eat a healthy diet: a balanced diet without snacking contributes to good general and oral health. Remember that bacteria in dental plaque like sweet products.
What to Do In Case Of Gingivitis_1

If you want a beautiful smile, then keep your teeth clean as healthy teeth assure healthy you and a beautiful smile.

Intravenous Sedation in Oral and Maxillofacial Surgery

Professional teeth cleaning

What Is Maxillofacial Surgery?

It is a specialty of dentistry that is recognized internationally. It is interested in the diagnosis and treatment of diseases, injuries and abnormalities of the face, mouth, teeth and jaws.

The maxillofacial surgeon performs a wide range of surgical procedures from the extraction of wisdom teeth to corrections of jaw deviations, dental implants, bone grafts, cyst and tumor treatment of jaws and the treatment of fractures and malformations of the face.

untersuchung beim zahnarzt

Fear And Anxiety Of Sedation

Clinics offer a safe and effective way to control the feelings of fear and anxiety often associated with surgery with intravenous sedation.

Surgeons are training in anesthesia and resuscitation that allows them to use sedation methods to facilitate the procedures you need.

WHAT IS SEDATION?

Intravenous sedation consists of the administration of a drug that produces a mild depression of the central nervous system, thereby causing a relaxation effect in the patient.

HOW DO YOU FEEL DURING THE PROCEDURE?

Under the effect of the sedative, the patient is conscious and can understand and respond when spoken to. He is in a state of deep relaxation.

After the procedure, patients often have a partial recollection of what happened. The drug often causes amnesia (memory loss of events). The surgery sometimes seems to have lasted only a few minutes.

IN WHAT CIRCUMSTANCES IS INTRAVENOUS SEDATION USED?

Intravenous sedation is used for long-term surgical procedures which causes anxiety or discomfort in the patient (e.g., extraction of wisdom teeth, implants).

Intravenous sedation can manage moderate to severe anxiety, a situation in which sedation by the oral route or by inhalation (laughing gas) would not be as effective.

IS LOCAL ANESTHESIA STILL NECESSARY?

Yes, local anesthesia is used to control pain while intravenous sedation controls anxiety.

If the thought of getting an injection of anesthetic makes you anxious, this injection will only be performed when you are fully under the effect of sedation. The surgeon will then wait for local anesthesia to take effect before starting the procedure.

PATIENT EVALUATION

A detailed preoperative assessment will be performed to determine if the patient is fit to receive sedation. During this meeting, the surgeon will review the medical and dental history of the patient to know, among other things, whether there are allergies and reactions to drugs or contraindications to the procedure.

CAN WE DRINK AND EAT BEFORE SEDATION?

Normally, the patient must be fasted for the procedure. This implies not having eaten or drunk 6 hours before the procedure.

AFTER SEDATION…

  • Return home, accompanied by an adult, and rest for the rest of the day
  • Plan someone staying with you at home until you are alert
  • Favor light foods and do not consume alcohol
  • Do not drive a vehicle for the rest of the day
  • Take the medication prescribed by the attending surgeon, if applicable
  • Call your surgeon if there is a problem or concern
Inhalation Sedation at Clinic

Facial Rejuvenation Treatments

Many questions arise when you hear about facial rejuvenation. For example: Does it always require surgery? Could I improve without surgery? What treatments are available? Which would be the best and most appropriate for me?

We will answer all your questions about surgical and non-surgical facial rejuvenation treatments in the following article. But the most important thing is that if we are happy with ourselves, it is one of the keys to both internal and external well-being.

Blepharoplasty

Blepharoplasty is surgery that treats excess skin of the eyelids and eye bags (dark circles).

This surgery is performed in an operating room with local anesthesia or local anesthesia plus sedation, depending on each patient. The intervention usually lasts approximately 1h 30 min.

It also manages to rejuvenate the look and functionally improves vision, since excess skin can cause you to lose visibility.

There are two types of blepharoplasty:

Lower blepharoplasty

Lower blepharoplasty is an operation performed on the lower eyelids to remove an excess part of the skin and may also include an operation on the eye bags.

The objective is to give the eyes and eyes a more youthful appearance, eliminating the laxity of the lower eyelid as well as the swelling that contribute to offering a global vision of tired and aged appearance.

Upper blepharoplasty

Upper blepharoplasty is an operation that is performed on the upper eyelids.

The objective of this intervention is to eliminate the excess skin and fat of the upper eyelids, which have deteriorated as a result of aging.

The patient who performs an upper blepharoplasty looks more rejuvenated and rested, since, after the intervention the appearance is much clearer.

Facial-Rejuvenation

Face lift

The facelift treats the signs of age. The passing of the years produces a progressive aging in people that is more noticeable in the face.

An option to recover the youthful spirit of facial features includes cosmetic and beauty or aesthetic treatments. However, when they reach a certain age, these treatments can do little or no good and need more aggressive action to rejuvenate the face.

The face lift treatment, or simply facelift, is one of the most commonly used surgeries to combat wrinkles and aging marks on the face.

Although new techniques for rejuvenation and aesthetic beauty have been developed, the facelift continues to lead the most popular cosmetic surgeries.

There are basically three types of lifting:

Front lift             

The front lift treats wrinkles and raises the eyebrows.

Face lift

The face lift stretches all the muscles of the face below the skin. It also stretches the fat ball located in the center of the cheek by repositioning it and improving the nasogenian groove.

Neck lift

The neck lift treats the sagging neck skin and often the jowls, the cervical bands that originate the muscles and the fat.

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