Pdf lateral periodontal cyst treated with enucleation and. Efficacy of lateral pedicle graft in the treatment of. Periodontal lateral kista nasopalatinus 510% kista nonodontogenik lainnya 1% dan primary bone cyst diambil dari buku oral pathology 2nd edition dan telah diolah kembali. Its principal component is collagen, which is embedded in a gellike matrix. It arises initially as lateral dentigerous cyst in which the tooth manage to erupt and lie finally on the lateral aspect of the root. Periodontal cyst located in the upper maxilla between the left lateral incisor and the left canine a panoramic radiography view. T he lateral periodontal cyst is a developmental cyst of odontogenic origin which is located along the lateral aspect of a tooth root. Management of periodontal disease in elderly patients gilbert, angela d. Case report female patient, 45 years old, leucoderma, complained of increase in volume in the left side of the jaw, without any reference to pain or other discomfort.
According to the american academy of periodontology, 1 acute periodontal diseases are rapid. There are many periodontal specialty programs across the united states, and while each covers the components mandated by the commission on. The coronally positioned flap is advanced coronal to its original position. A periodontal flap is a section of gingiva, mucosa, or both that is surgically separated from the underlying tissues to provide for the visibility of and access to the bone and root surface. Periodontal plastic therapeutic surgical techniques are the clinicians tools for correcting such defects. Cracked tooth syndrome could be considered a type of dental trauma and also one of the possible causes of dental pain. Usually, there is a delicate balance between the bacterial challenge and the. The initial, internal bevel incision is made after the scalloping of. It is also known as lateral periodontal abscess or parietal abscess. Localized purulent inflammation in the periodontal tissues.
With a periodontal probe, mark the depth of the periodontal pocket on the gingiva opposite the affected tooth fig. Use of emdogain in the management of a lateral periodontal cyst. Several treatment approaches have been recognized in literature for the management of this anomaly. Lateral periodontal cysts occur most frequently in the mandibular caninepremolar area in young. Case report keratocystic odontogenic tumor simulating lateral periodontal cyst and nasopalatine duct cyst. Incisions and tissue management in periodontal surgery. The mouth is divided into sextants no 8s represented by a single box chart for each sextant. Make a beveled incision in the gingiva, slightly apical to the pocket mark, to create a natural gingival contour to the gingiva following the gingivectomy fig. Clinical examination confirmed an endodontic periodontal lesion in relation to palatogingival groove. Asepsis protocol of recommended clinical guidelines for infection and hazard management prior, during and after the provision of dental hygiene services. Large lateral periodontal cyst located in the mandible between the left central and lateral incisor. Lateral periodontal cyst with extremely rare clinical. Periodontal diseases are diagnosed on the basis of clinical signs, with radiographs assisting in treatment planning decisions and in the delivery of periodontal care.
It is characterized by overgrowth of mixed pathogenic. Indiana university school of dentistry, department of oral pathology, indianapolis, indiana. It is known that the proportion of older adults in the uk population is increasing, life expectancy is increasing and that edentulism is declining. Scribd is the worlds largest social reading and publishing site. After the flap is reflected,a third incision is made in the interdental spaces coronal to the bone with a curette or an interproximal knife,and. Lateral proliferation of junctional epithelium and gingival pocket formation established gingivitis may remain quite stable for prolonged periods. The successful integration of periodontal and restorative dentistry for. Contribution of statins towards periodontal treatment. After an indeterminate period of time, an advanced lesion periodontitis may develop. Lateral periodontal cyst discussion lateral periodontal cyst is a very uncommon lesion, corresponding to 0.
Upon completion of dhy 210 clinical dental hygiene iii, the student will be competent in. The incision can be made with a gingivectomy knife, scalpel blade, or electrosurgery tip. B detail of the root divergence caused by the lesion, in a periapical radiography view. Basic periodontal examination bpe this index is measured using the who bpe probe. Jan 08, 2016 definition o a periodontal abscess is a localized purulent infection in the periodontal tissue glickman o a localized purulent inflammation of the periodontal tissues. Sharpening the face of periodontal instruments is only recommended for removing a roughened edge. One definition of cracked tooth syndrome is a fracture plane of unknown depth and direction passing through tooth structure that, if not already involving, may progress to communicate with the pulp andor periodontal. Acute periodontal lesions periodontal abscesses and. Development, anatomy and function rabia dean kings college london, united kingdom abstract this paper will explore the origin and development of the periodontal ligament pdl, its anatomical structure and function. A periodontal abscess is the third most common dental emergency. The hopeless prognosis is normally associated with epl caused by trauma or iatrogenic factors, whereas the prognosis of a tooth with an epl associated with endodontic and periodontal infections may range from favorable to hopeless, depending on the extension of the periodontal destruction around the affected tooth, and the presence and severity of the periodontal disease affecting the patients oral health. Case report keratocystic odontogenic tumor simulating. One definition of cracked tooth syndrome is a fracture plane of unknown depth and direction passing through tooth structure that, if not already involving, may progress to communicate with the pulp andor periodontal ligament. Despite the faulty incision, the periodontitis has healed through a.
Many surgical protocols have been described to achieve root coverage successfully. Sep 25, 2019 september 25, 2019 admin music leave a comment on cisto periodontal lateral pdf objetivo. Periodontal ligament is a dense fibrous connective tissue which supports and attaches the tooth to its alveolar socket see fig. Radiology of cysts of the jaws columbia university. An unusual clinicoradiographic presentation of a lateral. View the article pdf and any associated supplements and figures for a period of 48 hours. Here in this report, a 25yearold patient reported with the complaint of pain and swelling in maxillary right lateral incisor. The probe is introduced into the gingival sulcus and a light probing pressure is used around the buccal and then lingualpalatal surfaces. A crevicular incision is made from the bottom of the pocket to the bone,circumscribing the triangular wedge of tissue containing the pocket lining. If the periodontal pockets are deep and the supporting bone is lost, surgery may be necessary to help prevent tooth loss. Measure pockets by periodontal probe,and a bleeding point is produced on the outer surface of the gingiva by pocket marker. Intraoperative view following surgical removal of a lateral periodontal cyst located between the left lower canine and first premolar. Statins act through several pathways to modulate inflammation, immune response.
The lateral periodontal cyst standish 1958 the journal. Oral management implications dental abscesses usually occur due to a combination of poor dental hygiene and consumption of sugary or starchy food and drink. An apically positioned flap is one that is apically displaced from its original position to the level of the alveolar crest or about 1mm coronal to the crest. Patient factors, defect factors, predictability of coverage, nature of postoperative attachment. Usually, there is a delicate balance between the bacterial challenge and the immune response of the host. The fibres are arranged in specific groups with individual functions. The fourth edition of the glossary of periodontal terms represents four years of intensive work by many members of the academy who generously contributed their time and knowledge to its development.
Case report keratocystic odontogenic tumor simulating lateral. Pdf lateral periodontal cyst treated with enucleation. Borchard and erpenstein incisions and tissue management in periodontal surgery fig. Task force to update the glossary of periodontal terms drs.
These include gingival, transseptal, alveolar crest fig. Periodontal chart department of periodontology school. Laterally positioned pedicle flaprevised technique have been introduced by ruben, goldman and jonson as a modification of lateral sliding flap technique first described by harvey 1970. Trauma combined with inflammation increased bone loss. Discover everything scribd has to offer, including books and audiobooks from major publishers.
The flap also allows the gingiva to be displaced to a different location in patients with mucogingival involvement. Lateral periodontal cyst lpc, originated from epithelial rests in the periodontal ligament, is a noninflammatory cyst on the lateral surface of the root of a vital tooth. Nov 15, 2014 pulp in the affected lateral incisor in our case was necrotic. Aug 10, 2012 periodontal diseases are diagnosed on the basis of clinical signs, with radiographs assisting in treatment planning decisions and in the delivery of periodontal care. You may be referred to a periodontist, a dentist who specializes in the treatment of diseases that affect the supporting structures of the teeththe gum and bone tissuefor treatment. After local anesthesia 2% lignocaine hydrochloride with 1. Anatomical features, such as the apical foramen, lateral canals, and dentinal tubules, are the main pathways of communication between pulp and periodontal tissues 2, allowing for the. Serman this is an area where radiology plays an important role in assisting with the diagnosis, determining the size of the lesion and the relationship to adjacent structure. Laterally positioned flaprevised technique along with.
The flap also allows the gingiva to be displaced to a different. Tooth with marked mobility and severe attachment loss. September 25, 2019 admin music leave a comment on cisto periodontal lateral pdf objetivo. A periodontal abscess also termed lateral abscess, or parietal abscess, is a localized collection of pus i. Periodontal restorative interrelationships pdf the colgate oral care. Periodontal postdoctoral students and faculty at the following institutions. Among these conditions, the following diseases have been listed. Pulpal a inflammation of the dental pulp characterized by the formation of purulent exudate. It is a developmental odontogenic epithelialized cyst, which occurs on the lateral aspect or between the roots of vital teeth. It arises from reduced enamel epithelium, other suggest. Definition o a periodontal abscess is a localized purulent infection in the periodontal tissue glickman o a localized purulent inflammation of the periodontal tissues. Residual a abscess produced by the residues of a previous inflammatory process.
A periodontal abscess occurs alongside a tooth, and is different from the more common 2 periapical abscess, which represents the spread of. A periodontal abscess occurs alongside a tooth, and is different from the more common periapical abscess, which represents the spread of infection from a dead tooth i. Even with the option of dental implants, periodontists, restorative dentists, and general dentists alike continue to treat patients natural teeth on a daytoday. Click here to read about the new version without adobe flash. This edition incorporates revised definitions of periodontal terms that were introduced at the 1996 world workshop.
Periodontal ligament an overview sciencedirect topics. The distal suture is directly on top of the membrane, whereas the mesial suture is supported by bone. Periodontal lateral quiste periodontal lateral quiste odontogenico botrioide definicion. Tooth with extremely unfavourable clinical crown root ratio. Efficacy of lateral pedicle graft in the treatment. Page 177194 criteria for the selection of root coverage procedures. When it develops along the root surface as occurred in the case reported here, it can easily be confused with an odontogenic keratocyst or lateral radicular cyst 1. This flap is elevated from donor zone as full thickness in the mesial portion of the flap near the recession and a split thickness on the distal portion. Periodontal probe an overview sciencedirect topics. Periodontal pockets in areas where esthetics is critical. In maxillary molars, higher chance to develop periodontal access and periodontal treatment not as affective almost 10 mm pocket depth on both sides.