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Furcation Defects
In dentistry, a furcation defect is bone loss, usually a result of periodontal disease, affecting the base of the root trunk of a tooth where two or more roots meet (''bifurcation'' or ''trifurcation''). The extent and configuration of the defect are factors in both diagnosis and treatment planning.Ammons WF, Harrington GW: Furcation, The Problem and Its Management. In Newman, Takei, Carranza, editors: ''Carranza's Clinical Periodontology'', 9th Edition. Philadelphia: W.B. Saunders Co. 2002. page 826-7. A tooth with a furcation defect typically possessed a more diminished prognosis owing to the difficulty of rendering the furcation area free from periodontal pathogens. For this reason, surgical periodontal treatment may be considered to either close the furcation defect with grafting procedures or allow greater access to the furcation defect for improved oral hygiene. Root trunk length The distance between the cementoenamel junction (CEJ) and the furcation entrance is called th ...
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Dentistry
Dentistry, also known as dental medicine and oral medicine, is the branch of medicine focused on the Human tooth, teeth, gums, and Human mouth, mouth. It consists of the study, diagnosis, prevention, management, and treatment of diseases, disorders, and conditions of the mouth, most commonly focused on dentition (the development and arrangement of teeth) as well as the oral mucosa. Dentistry may also encompass other aspects of the craniofacial complex including the temporomandibular joint. The practitioner is called a dentist. The history of dentistry is almost as ancient as the history of humanity and civilization, with the earliest evidence dating from 7000 BC to 5500 BC. Dentistry is thought to have been the first specialization in medicine which has gone on to develop its own accredited degree with its own specializations. Dentistry is often also understood to subsume the now largely defunct medical specialty of stomatology (the study of the mouth and its disorders and dis ...
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Periodontal Disease
Periodontal disease, also known as gum disease, is a set of inflammatory conditions affecting the tissues surrounding the teeth. In its early stage, called gingivitis, the gums become swollen and red and may bleed. It is considered the main cause of tooth loss for adults worldwide. In its more serious form, called periodontitis, the gums can pull away from the tooth, bone can be lost, and the teeth may loosen or fall out. Halitosis (bad breath) may also occur. Periodontal disease typically arises from the development of plaque biofilm, which harbors harmful bacteria such as ''Porphyromonas gingivalis'' and ''Treponema denticola''. These bacteria infect the gum tissue surrounding the teeth, leading to inflammation and, if left untreated, progressive damage to the teeth and gum tissue. Recent meta-analysis have shown that the composition of the oral microbiota and its response to periodontal disease differ between men and women. These differences are particularly notable in t ...
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Cementoenamel Junction
In dental anatomy, the cementoenamel junction (CEJ) is the location where the enamel, which covers the anatomical crown of a tooth, and the cementum, which covers the anatomical root of a tooth, meet. Informally it is known as the neck of the tooth. The border created by these two dental tissues has much significance as it is usually the location where the gingiva (gums) attaches to a healthy tooth by fibers called the gingival fibers. Active recession of the gingiva reveals the cementoenamel junction in the mouth and is usually a sign of an unhealthy condition. The loss of attachment is considered a more reliable indicator of periodontal disease. The CEJ is the site of major tooth resorption. A significant proportion of tooth loss is caused by tooth resorption, which occurs in 5 to 10 percent of the population. The clinical location of CEJ which is a static landmark, serves as a crucial anatomical site for the measurement of probing pocket depth (PPD) and clinical attachment l ...
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Commonly Used Terms Of Relationship And Comparison In Dentistry
This is a list of definitions of commonly used terms of location and direction in dentistry. This set of terms provides orientation within the oral cavity, much as anatomical terms of location provide orientation throughout the body. Terms Combining of terms Most of the principal terms can be combined using their corresponding combining forms (such as ''mesio-'' for ''mesial'' and ''disto-'' for ''distal''). They provide names for directions (vectors) and axes; for example, the coronoapical axis is the long axis of a tooth. Such combining yields terms such as those in the following list. The abbreviations should be used only in restricted contexts, where they are explicitly defined and help avoid extensive repetition (for example, a journal article that uses the term "mesiodistal" dozens of times might use the abbreviation "MD"). The abbreviations are ambiguous: (1) they are not spe ...
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Irving Glickman
Irving Glickman (January 17, 1914 – October 2, 1972) was an American clinical researcher described as "the father of periodontology Periodontology or periodontics (from Ancient Greek , – 'around'; and , – 'tooth', genitive , ) is the Specialty (dentistry), specialty of dentistry that studies supporting structures of Tooth, teeth, as well as diseases and conditions th ..." and an author. He was one of the first to classify furcation defects and the role of occlusal trauma on periodontal disease. Career In 1941, Glickman joined the Tufts University faculty and became chair of the Department of Periodontology in 1948. In the 1950s, Glickman developed the bone factor concept about the factors that determine the severity of periodontal destruction, and developed a classification system for furcation involvement In 1965, Glickman proposed a theory involving the relation of occlusal trauma to periodontal disease which led to further research in animal models. Personal ...
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Periodontal Pocket
In dental anatomy, the gingival and periodontal pockets (also informally referred to as gum pockets) are dental terms indicating the presence of an abnormal depth of the gingival sulcus near the point at which the gingival (gum) tissue contacts the tooth. Tooth gingival interface The interface between a tooth and the surrounding gingival tissue is a dynamic structure. The gingival tissue forms a crevice surrounding the tooth, similar to a miniature, fluid-filled moat, wherein food debris, endogenous and exogenous cells, and chemicals float. The depth of this crevice, known as a sulcus, is in a constant state of flux due to microbial invasion and subsequent immune response. Located at the depth of the sulcus is the epithelial attachment, consisting of approximately 1 mm of junctional epithelium and another 1 mm of gingival fiber attachment, comprising the 2 mm of biologic width naturally found in the oral cavity. The sulcus is literally the area of separation ...
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Gingiva
The gums or gingiva (: gingivae) consist of the mucosal tissue that lies over the mandible and maxilla inside the mouth. Gum health and disease can have an effect on general health. Structure The gums are part of the soft tissue lining of the mouth. They surround the teeth and provide a seal around them. Unlike the soft tissue linings of the lips and cheeks, most of the gums are tightly bound to the underlying bone which helps resist the friction of food passing over them. Thus when healthy, it presents an effective barrier to the barrage of periodontal insults to deeper tissue. Healthy gums are usually coral pink in light skinned people, and may be naturally darker with melanin pigmentation. Changes in color, particularly increased redness, together with swelling and an increased tendency to bleed, suggest an inflammation that is possibly due to the accumulation of bacterial plaque. Overall, the clinical appearance of the tissue reflects the underlying histology, both in hea ...
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Dental Radiography
Dental radiographs, commonly known as X-rays, are radiographs used to diagnose hidden dental structures, malignant or benign masses, bone loss, and cavities. A radiographic image is formed by a controlled burst of X-ray radiation which penetrates oral structures at different levels, depending on varying anatomical densities, before striking the film or sensor. Teeth appear lighter because less radiation penetrates them to reach the film. Dental caries, infections and other changes in the bone density, and the periodontal ligament, appear darker because X-rays readily penetrate these less dense structures. Dental restorations (fillings, crowns) may appear lighter or darker, depending on the density of the material. The dosage of X-ray radiation received by a dental patient is typically small (around 0.150 mSv for a full mouth series), equivalent to a few days' worth of background environmental radiation exposure, or similar to the dose received during a cross-country airplane f ...
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Periodontal Probe
In dentistry, a periodontal probe is a dental instrument which is usually long, thin, and blunted at the end. Its main function is to evaluate the depth of the pockets surrounding a tooth in order to determine the periodontium's overall health. For accuracy and readability, the instrument's head has markings written on it. Use Proper use of the periodontal probe is necessary to maintain accuracy. The tip of the instrument is placed with light pressure of 10-20 gramsWilkins, 1999 into the gingival sulcus, which is an area of potential space between a tooth and the surrounding tissue. It is important to keep the periodontal probe parallel to the contours of the root of the tooth and to insert the probe down to the base of the pocket. This results in obscuring a section of the periodontal probe's tip. The first marking visible above the pocket indicates the measurement of the pocket depth. It has been found that the average, healthy pocket depth is around 3 mm with no b ...
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Millimetre
330px, Different lengths as in respect of the electromagnetic spectrum, measured by the metre and its derived scales. The microwave is between 1 metre to 1 millimetre. The millimetre (American and British English spelling differences#-re, -er, international spelling; International System of Units, SI unit symbol mm) or millimeter (American and British English spelling differences#-re, -er, American spelling) is a Units of measurement, unit of length in the International System of Units (SI), equal to one thousandth of a metre, which is the SI base unit of length. Therefore, there are one thousand millimetres in a metre, and there are ten millimetres in a centimetre. One millimetre is equal to micrometres or nanometres. Since an inch is officially defined as exactly 25.4 millimetres, a millimetre is equal to exactly (≈ 0.03937) of an inch. Definition Since 1983, the metre has been defined as "the length of the path travelled by light in vacuum during a time interval of ...
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