Periodontal Screening, Where Are We Now? A Narrative Review Prevention of diseases begins with screening. An ideal screening tool identifies patients at an early stage to facilitate appropriate treatment modalities with the aim of preventing symptom manifestation, reducing disease severity, and improving health outcomes. Disease screening has been a fundamental component of preventive medicine and dentistry. In the context of periodontal disease, the basic periodontal examination (BPE) is one of the screening tools available. There is a high prevalence of periodontal diseases worldwide, indicating a global issue. Despite the significance of periodontal screening, it remains underutilized both globally and locally. The lack of routine screening contributes to poor assessment and treatment of periodontal disease. This article focuses on the epidemiology of periodontal disease, the associated challenges, current screening practices, and the future directions of periodontal screening. By addressing these issues, early detection and management of periodontal disease can be improved, ultimately enhancing oral health outcomes.

Managing Recurrent Traumatic Gingival Ulceration Secondary to Aberrant Frenal Attachment with Modified Kazanjian Vestibuloplasty: A Case Report The current study described tooth 45 buccal high frenum attachment of a 56-year-old male patient associated with shallow vestibule adjacent to the edentulous ridge of missing tooth 46 management. The patient reported recurring traumatic ulcers on teeth 44 and 45 buccal gingiva due to frequent toothbrush slippage. The patient also requested an implant for missing tooth 46. A modified Kazanjian vestibuloplasty was performed before replacing the missing tooth. Subsequently, the patient was reviewed at one and two weeks, one month, and monthly for up to six months. The patient did not report traumatic ulcer development within the surgery site and improved plaque control. Consequently, performing mucogingival surgery in cases of inadequate keratinised tissue width, decreased vestibular depth, and high muscle pull is recommended. The procedure facilitates plaque control, reduces or halts gingival recession, and enhances comfort during tooth brushing.

ABSTRACT Various grafting materials are utilised to facilitate regeneration. There is currently a paradigm shift towards applying poly lactic-co-glycolic acid (PLGA), which is regarded as an excellent scaffold for tissue engineering. Concentrated growth factor (CGF) has also been reported to promote wound healing. Nevertheless, the role of PLGA microspheres as a substitute for bone graft material with CGF in bone regeneration remains unclear. This study was designed to evaluate the effect of CGF with PLGA on bone formation and the expression of alkaline phosphatase (ALP) following socket preservation. PLGA microspheres were prepared using double solvent evaporation method and observed under scanning electron microscopy (SEM). A 6 mL of rabbit’s blood was collected from the marginal ear vein and centrifuged to obtain CGF. Blood was also collected for ALP assessment from 24 New Zealand White (NZW) male rabbits subjected to the first upper left premolar extraction. Sockets were filled with CGF, PLGA, CGF+PLGA or left empty and observed with microscopic computed tomography (micro-CT) at four weeks and eight weeks. The SEM image revealed a spherical shape with interconnected pores on the surface of the PLGA particles. Repeated measures ANOVA were used to evaluate the effect of time and treatment (p < 0.05) with significant differences in bone width, height, volume, volume fraction and expression of ALP was observed with CGF+PLGA. Both CGF and PLGA have the potential as the alternative grafting materials and this study could serve as an ideal benchmark for future investigations on the role of CGF+PLGA in bone regeneration enhancement.
Bone Regeneration ; Platelet-Derived Growth Factor ; Polylactic Acid-Polyglycolic Acid Copolymer