Opinions on the interdependence between diabetes mellitus and oral periodontal disease are controversial. Experimental and clinical investigations carried out so far have not brought unique results. General objective of our research is to investigate on the strictly defined group of subjects aged 35-44 with diabetes mellitus type I the influence of metabolic control HbA1C on changes of periodontium and other organs. According to duration of diabetes mellitus the patients are divided into subdecade and postdecade groups. This group consists of 56 patients out of which 33 patients are with subdecade and 23 with postdecade insulin-dependent diabetes mellitus. In this group periodontal pocket depths, gingival index, number of extracted teeth and the volume of nonstimulated saliva are measured in comparison with a control group. The incidence of oral diseases and complications in other organs of insulin-dependent patients in subdecade and postdecade period are also examined and recorded. Periodontal diabetic disease is verified by pathohistological findings. Values of HbA1C in either subdecade or postdecade group with diabetes mellitus are above normal values. Values of periodontal pocket depths as well as the values of gingival index are substantially greater at insulin-dependent diabetes mellitus patients compared to the control group.

Diabetes mellitus and periodontal diseases

Current concepts in the management of periodontitis

Statement of problem Monolithic zirconia prostheses are emerging as a promising option in the implant-based rehabilitations of edentulous patients, yet their clinical performance is not fully documented. Purpose The purpose of this systematic review was to assess the clinical performance of complete-arch implant-supported monolithic zirconia fixed dental prostheses. Material and methods The electronic databases PubMed, Science Direct, and Cochrane Library were searched for clinical studies on complete-arch implant-supported monolithic zirconia fixed dental prostheses. Human studies with a mean follow-up of at least 1 year and published in an English-language peer-reviewed journal up to June 2015 were included. Two independent examiners conducted the search and the review process. Results The search generated 903 titles. Eighteen qualifying studies were retrieved for full-text evaluation. Nine studies were included on the basis of preestablished criteria. Eight studies reported satisfactory clinical and esthetic outcomes. One study demonstrated prosthesis failure. Clinical studies are lacking on the long-term outcome of complete-arch implant-supported monolithic zirconia prostheses. Conclusions Complete-arch dental implant restoration with monolithic zirconia is associated with high short-term success. Despite the many advantages and short-term favorable reports, studies of longer duration are necessary to validate the broad application of this therapy.

Complete-arch implant-supported monolithic zirconia fixed dental prostheses: A systematic review.

Systematic review of short- (5-10 years) and long-term (10 years or more) survival and success of full-arch fixed dental hybrid prostheses and supporting implants.

Alveolar ridge augmentation can be completed with various types of bone augmentation materials (autogenous, allograft, xenograft, and alloplast). Currently, autogenous bone is labeled as the “gold ...

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Human Studies of Vertical and Horizontal Alveolar Ridge Augmentation Comparing Different Types of Bone Graft Materials: A Systematic Review

The two most common forms of oral disease, dental caries and periodontal disease, share their main etiologic factor, dental plaque. By specifically targeting their main etiologic factor, bacteria in dental plaque, cause-related therapy allows clinicians and patients to achieve successful control of these diseases. Clinicians should continuously guide and educate patients to understand the pathophysiology of their diseases so that patients will actively participate in the therapy by mechanically removing dental plaque at home. When this is combined with professional intervention (ie, removal of active caries and periodontal mechanical debridement) as well as frequent maintenance therapy, dental caries and periodontal disease can be successfully managed and controlled. This review outlines the steps and components of cause-related therapy as well as its proven long-term clinical benefit.

Cause-related therapy: a review and suggested guidelines.

Cause-related therapy is key in the management and resolution of the two most common oral diseases: dental caries and periodontal disease. This is the first phase of treatment for those diseases. The aim is to remove, reduce, or eliminate the main causes of the disease. When referring to caries and periodontal disease, the primary etiology is bacterial plaque so the cause-related therapy phase should include plaque control as a major component. This can be achieved by constantly and continuously educating patients about the pathophysiology of the diseases and by helping them develop proper daily plaque removal techniques. Furthermore, various professional therapeutic interventions are delivered as necessary to eliminate or suppress other etiologic or risk factors. In this case series, the principles of proper cause-related therapy are demonstrated through three cases that were successfully managed by nonsurgical periodontal therapy. Biologic and clinical rationales are also discussed.

Nonsurgical periodontal therapy based on the principles of cause-related therapy: rationale and case series.

Biologic complications around dental implants may be categorized into peri-implant mucositis and peri-implantitis Peri-implant mucositis is defined as reversible inflammation in the peri-implant mucosa without any apparent bone destruction Peri-implantitis refers to inflammatory process that resulted in destruction of alveolar bone and attachment Potential etiologic and contributing factors to both diseases are discussed in this review By targeting and eliminating the etiologic factors nonsurgically as well as surgically, dental implants presenting with peri-implant diseases may be rescued, and then maintained with proper long-term peri-implant supportive therapy Furthermore, clinical cases and their management are presented to demonstrate the available treatment options Implant therapy should be carefully planned and executed with consideration of potential etiologic and contributing factors to developing biologic complications During the initial consideration, patients should be informed of the potential biologic complications in dental implant therapy Clinicians should monitor implants for any development or recurrence of peri-implant disease to ensure timely therapeutic intervention

TaeHyun Kwon

Papers

Current concepts in the management of periodontitis

Systematic review of short- (5-10 years) and long-term (10 years or more) survival and success of full-arch fixed dental hybrid prostheses and supporting implants.

Cause-related therapy: a review and suggested guidelines.

Nonsurgical periodontal therapy based on the principles of cause-related therapy: rationale and case series.

Nonsurgical and surgical management of biologic complications around dental implants: peri-implant mucositis and peri-implantitis