Thursday, October 13, 2016

Periodontal regeneration

Your periodontist may recommend a regenerative procedure when the bone supporting your teeth has been destroyed due to periodontal disease. These procedures can reverse some of the damage by regenerating lost bone and tissue. During this procedure, your periodontist folds back the gum tissue and removes the disease-causing bacteria. Untreated periodontal disease leads to tooth loss through destruction of the attachment apparatus and tooth-supporting structures. Periodontal regeneration.


Major advances in periodontal therapy have resulted in paradigm shifts in the periodontal fiel resulting in more patients benefiting from care.

Early in this process, migration of appropriate mesenchymal (or adult) stem cells into the periodontal defect is required. The cells proliferate and differentiate into specialized cells responsible for the reconstruction of a functional periodontal attachment apparatus. The materials translate the AAP’s research into practical, take-home clinical applications for the dental office.


Both procedures are usually performed as part of periodontal disease treatment in order to restore the lost bone tissue. Four stages are used to successfully regenerate bone and other tissues, abbreviated with the acronym PASS: Primary closure of the wound to promote undisturbed and uninterrupted healing. Angiogenesis to provide necessary blood supply and undifferentiated mesenchymal cells.


Is periodontal (gum) disease reversible? Can bone loss be corrected in teeth?

Teeth are anchored in the jaw bone by fine ligaments and when bone is lost as a result of periodontal disease, the teeth can become mobile. Symptoms may include: bleeding gums. More specifically, the aim of North Raleigh periodontal regeneration is the proliferation and differentiation of cells to help with new attachment and growth of tooth structure, ligaments, and bones. These clinical findings are consistent with available histologic evidence.


PERIODONTAL REGENERATION WITH ENAMEL MATRIX DERIVATIVE IN RECONSTRUCTIVE PERIODONTAL THERAPY: A SYSTEMATIC REVIEW. KOOP R, MERHEB J, QUIRYNEN M. These are the tissues built to provide the needed support for your teeth. Regenerative periodontal procedure involves the creation of new alveolar bone, cementum, and periodontal ligament. Accelerated healing process (with growth factors).


Restores periodontal health. Allows for the placement of dental implants. Most often, gingivitis occurs due to poor oral hygiene, plaque, and tartar buildup.


Professional treatment can reverse the condition. Severe cases of periodontitis, an inflammatory condition initiated by an oral bacterial biofilm,. LANAP = Laser Assisted Regeneration (LAR) An FDA-cleared laser treatment called the LANAP protocol offers a less painful, more successful treatment alternative to conventional surgery. LANAP=LAR is the only scientifically, research proven methodology that in true periodontal regeneration , new bone growth and gum tissue reattachment.


Eventually, if too much bone is lost, the teeth can become loose and may need to be removed. A periodontal regenerative procedure may be called for when the bone supporting your teeth has been destroyed.

Although this is still an effective way of treating gum disease, new and more sophisticated procedures are used routinely today. In periodontal reconstructive surgery, the goal is to achieve periodontal regeneration. Classically, experimental animal model systems 32are used whereby reference notches are placed at the base of bony defects or at the apical extent of calculus deposits. Guided Tissue Regeneration – This technique uses a “membrane” or barrier to block unwanted tissue from growing into the bone, and allowing bone and ligament fibers to regenerate. Bone Grafts – Bone replacement materials are used to fill in bone defects and serve as a blue print to guide regrowth of your own bone.


Grafted bone can be taken from your own mouth, from a synthetic source, or from a tissue bank. New techniques have emerged to achieve periodontal regeneration without the drawbacks associated with conventional flap surgery. Minimally invasive surgery (MIS) is a method of surgical access that minimizes flap reflection and tissue trauma, resulting in maintenance of critical blood supply, stability of the blood clot within the wound site, and less postoperative recession over time.


Complete regeneration implies the simultaneous production of all these tissues. To be able to achieve this extracellular matrix in the target site should generate the correct signals at the appropriate time for all the tissues to form.

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