5.Introduction and interpretation of the European Federation of Periodontology S3 level clinical practice guideline for treatment of periodontitis.
Jin Long SHAO ; Yang YU ; Chun Xu LYU ; Shao Hua GE
Chinese Journal of Stomatology 2022;57(12):1202-1208
2018 international classification of periodontal and implant diseases relates the classifications with the approaches of prevention and treatment based on the stages and grades of disease. European Federation of Periodontology (EFP) evaluated the available evidences following the methodological guidance of the Association of Scientific Medical Societies in Germany and the Grading of Recommendations Assessment, Development and Evaluation (GRADE), and published the EFP S3 level clinical practice guideline for the treatment of stage Ⅰ-Ⅲ and Ⅳ periodontitis in 2020 and 2022, respectively. The present manuscript gives introduction and interpretation based on the EFP S3 level clinical practice guideline and Chinese national conditions. On the base of the diagnostic key points of staging and grading, it introduces in detail the step treatment procedures of stageⅠ-Ⅲ periodontitis as well as the multi-disciplinary treatment procedures of stage Ⅳ periodontitis, compares the similarities and differences between the step and phase procedures, and then proposes a strategy for determining the recall interval more suitable for Chinese clinicians. The present manuscript aims to help dentists to learn and grasp the key points more quickly and accurately on the clinical application of the guideline and to assist them in making the optimal treatment plans after judging and evaluating the specific clinical circumstances, so as to maximize the chances of favorable outcome.
Humans
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Periodontal Diseases/therapy*
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Periodontics
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Periodontitis/therapy*
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Tooth
6.Treatment and restoration of residual root and crown: part III. Fundamental treatment for preservation of residual crown and root.
Zhong-ying NIU ; Sheng-gen SHI
Chinese Journal of Stomatology 2005;40(3):253-254
Humans
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Periapical Diseases
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therapy
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Periodontal Diseases
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therapy
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Tooth Crown
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injuries
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Tooth Diseases
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therapy
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Tooth Root
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injuries
7.Endodontic treatment enhances the regenerative potential of teeth with advanced periodontal disease with secondary endodontic involvement.
Eun Young KWON ; Yunjung CHO ; Ju Youn LEE ; Sung Jo KIM ; Jeomil CHOI
Journal of Periodontal & Implant Science 2013;43(3):136-140
PURPOSE: The aim of this study was to identify a role for endodontic intervention in enhancing the regenerative potential of the periodontal ligament when combined with periodontal treatment in seriously involved teeth with a secondary endodontic component. METHODS: Patients who exhibited radiolucency extending to the periapical region, abnormal electric pulp testing values, and deep probing depth derived from primary periodontal disease with secondary endodontic involvement were included. Intentional root canal treatment was applied to those teeth in which the apical lesions were presumed to communicate with those of the periodontal lesion of the teeth that remained vital. In all three selected cases, regenerative periodontal therapy incorporating either bone graft or guided tissue regeneration was instituted 3 months after the endodontic intervention. RESULTS: Remarkable enhancement in radiographic density was noticeable around the affected teeth as evidenced by changes in radiopacity. There was a significant reduction in the probing pocket depth and gain in the clinical attachment level. Chewing discomfort gradually disappeared from the commencement of the combined treatment. CONCLUSIONS: An intentional endodontic intervention may be a worthwhile approach for the sophisticated management of teeth suffering from serious attachment loss and alveolar bone destruction with concomitant secondary endodontic involvement.
Dental Pulp Cavity
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Guided Tissue Regeneration
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Humans
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Periodontal Attachment Loss
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Periodontal Diseases
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Periodontal Ligament
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Root Canal Therapy
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Stress, Psychological
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Tooth
9.Periodontics is the foundation for any other dental field.
Chinese Journal of Stomatology 2011;46(9):516-518
10.Treatment of a tooth with severe periodontal involvement using intentional replantation: case report
Youn Kyung CHOI ; Kyoung Hwa JUNG ; Ju Youn LEE ; Ji Young JOO ; Hyun Joo KIM ; Eun Young KWON
Journal of Dental Rehabilitation and Applied Science 2019;35(2):98-104
Although intentional replantation is frequently used as a treatment modality for endodontic problems, severe periodontal involvement has usually been regarded as a contraindication. However, there are some studies suggesting that intentional replantation could be a successful treatment alternative for periodontally involved teeth. This paper reports the treatment of a tooth with severe periodontal involvement using intentional replantation. The tooth, which had had root canal therapy due to endodontic-periodontal combined lesion but showed extensive bone loss, was gently extracted and replanted after thorough debridement of the root surface. By intentional replantation, a tooth with severe periodontal involvement in this case could be preserved, without extraction, over the course of a 3-year follow-up period.
Alveolar Bone Loss
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Debridement
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Follow-Up Studies
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Periodontal Attachment Loss
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Periodontal Diseases
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Replantation
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Root Canal Therapy
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Tooth Replantation
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Tooth