The flap also allows the gingiva to be displaced to a different location in patients with mucogingival involvement. Pdf lateral periodontal cyst treated with enucleation and. Periodontal ligament an overview sciencedirect topics. Incisions and tissue management in periodontal surgery. 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. Laterally positioned flaprevised technique along with. T he lateral periodontal cyst is a developmental cyst of odontogenic origin which is located along the lateral aspect of a tooth root. 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. Despite the faulty incision, the periodontitis has healed through a. Among these conditions, the following diseases have been listed. The distal suture is directly on top of the membrane, whereas the mesial suture is supported by bone. 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 lateral. Use of emdogain in the management of a lateral periodontal cyst. The coronally positioned flap is advanced coronal to its original position. In maxillary molars, higher chance to develop periodontal access and periodontal treatment not as affective almost 10 mm pocket depth on both sides. B detail of the root divergence caused by the lesion, in a periapical radiography view. Statins act through several pathways to modulate inflammation, immune response.
Many surgical protocols have been described to achieve root coverage successfully. Efficacy of lateral pedicle graft in the treatment of. A periodontal abscess occurs alongside a tooth, and is different from the more common 2 periapical abscess, which represents the spread of. Cracked tooth syndrome could be considered a type of dental trauma and also one of the possible causes of dental pain. Lateral periodontal cyst with extremely rare clinical.
It is characterized by overgrowth of mixed pathogenic. 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. 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 cyst located in the upper maxilla between the left lateral incisor and the left canine a panoramic radiography view. It is known that the proportion of older adults in the uk population is increasing, life expectancy is increasing and that edentulism is declining. Even with the option of dental implants, periodontists, restorative dentists, and general dentists alike continue to treat patients natural teeth on a daytoday. 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. 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. Upon completion of dhy 210 clinical dental hygiene iii, the student will be competent in. After local anesthesia 2% lignocaine hydrochloride with 1. 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. Scribd is the worlds largest social reading and publishing site.
Definition o a periodontal abscess is a localized purulent infection in the periodontal tissue glickman o a localized purulent inflammation of the periodontal tissues. 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. Periodontal lateral kista nasopalatinus 510% kista nonodontogenik lainnya 1% dan primary bone cyst diambil dari buku oral pathology 2nd edition dan telah diolah kembali. Page 177194 criteria for the selection of root coverage procedures. Pdf lateral periodontal cyst treated with enucleation.
It arises from reduced enamel epithelium, other suggest. Lateral proliferation of junctional epithelium and gingival pocket formation established gingivitis may remain quite stable for prolonged periods. Several treatment approaches have been recognized in literature for the management of this anomaly. 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. Indiana university school of dentistry, department of oral pathology, indianapolis, indiana. Tooth with marked mobility and severe attachment loss.
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. View the article pdf and any associated supplements and figures for a period of 48 hours. These include gingival, transseptal, alveolar crest fig. With a periodontal probe, mark the depth of the periodontal pocket on the gingiva opposite the affected tooth fig. The incision can be made with a gingivectomy knife, scalpel blade, or electrosurgery tip. 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. Periodontal ligament is a dense fibrous connective tissue which supports and attaches the tooth to its alveolar socket see fig. 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.
Measure pockets by periodontal probe,and a bleeding point is produced on the outer surface of the gingiva by pocket marker. The fibres are arranged in specific groups with individual functions. The lateral periodontal cyst standish 1958 the journal. According to the american academy of periodontology, 1 acute periodontal diseases are rapid. Oral management implications dental abscesses usually occur due to a combination of poor dental hygiene and consumption of sugary or starchy food and drink. Nov 15, 2014 pulp in the affected lateral incisor in our case was necrotic. The mouth is divided into sextants no 8s represented by a single box chart for each sextant. 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. The successful integration of periodontal and restorative dentistry for.
Acute periodontal lesions periodontal abscesses and. Case report keratocystic odontogenic tumor simulating. The flap also allows the gingiva to be displaced to a different. There are many periodontal specialty programs across the united states, and while each covers the components mandated by the commission on. Periodontal chart department of periodontology school. 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. Sep 25, 2019 september 25, 2019 admin music leave a comment on cisto periodontal lateral pdf objetivo. An unusual clinicoradiographic presentation of a lateral. Contribution of statins towards periodontal treatment. Sharpening the face of periodontal instruments is only recommended for removing a roughened edge. The initial, internal bevel incision is made after the scalloping of. Task force to update the glossary of periodontal terms drs. September 25, 2019 admin music leave a comment on cisto periodontal lateral pdf objetivo. Clinical examination confirmed an endodontic periodontal lesion in relation to palatogingival groove.
Lateral periodontal cyst discussion lateral periodontal cyst is a very uncommon lesion, corresponding to 0. 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. The probe is introduced into the gingival sulcus and a light probing pressure is used around the buccal and then lingualpalatal surfaces. Periodontal diseases are diagnosed on the basis of clinical signs, with radiographs assisting in treatment planning decisions and in the delivery of periodontal care.
Radiology of cysts of the jaws columbia university. Residual a abscess produced by the residues of a previous inflammatory process. Periodontal plastic therapeutic surgical techniques are the clinicians tools for correcting such defects. Periodontal postdoctoral students and faculty at the following institutions. Efficacy of lateral pedicle graft in the treatment. 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.
Large lateral periodontal cyst located in the mandible between the left central and lateral incisor. Periodontal probe an overview sciencedirect topics. Basic periodontal examination bpe this index is measured using the who bpe probe. Here in this report, a 25yearold patient reported with the complaint of pain and swelling in maxillary right lateral incisor. This edition incorporates revised definitions of periodontal terms that were introduced at the 1996 world workshop. Borchard and erpenstein incisions and tissue management in periodontal surgery fig. Periodontal restorative interrelationships pdf the colgate oral care. 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.
If the periodontal pockets are deep and the supporting bone is lost, surgery may be necessary to help prevent tooth loss. The pleiotropic effects of statins have been evaluated to assess their potential benefit in the treatment of various inflammatory and immunemediated diseases including periodontitis. A periodontal abscess is the third most common dental emergency. Intraoperative view following surgical removal of a lateral periodontal cyst located between the left lower canine and first premolar. 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. A crevicular incision is made from the bottom of the pocket to the bone,circumscribing the triangular wedge of tissue containing the pocket lining. Usually, there is a delicate balance between the bacterial challenge and the. 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. 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. Patient factors, defect factors, predictability of coverage, nature of postoperative attachment.
A periodontal abscess also termed lateral abscess, or parietal abscess, is a localized collection of pus i. Periodontal lateral quiste periodontal lateral quiste odontogenico botrioide definicion. Trauma combined with inflammation increased bone loss. The lateral periodontal lateral cyst is a developmental odontogenic cyst defined as a radiolucent lesion which develops along the lateral aspect of an erupted vital tooth, in which an inflammatory etiology and a diagnosis of collateral keratocyst have been excluded based on clinical and histological grounds 2. 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. Management of periodontal disease in elderly patients gilbert, angela d.
Pulpal a inflammation of the dental pulp characterized by the formation of purulent exudate. Localized purulent inflammation in the periodontal tissues. Click here to read about the new version without adobe flash. Asepsis protocol of recommended clinical guidelines for infection and hazard management prior, during and after the provision of dental hygiene services. Usually, there is a delicate balance between the bacterial challenge and the immune response of the host. After an indeterminate period of time, an advanced lesion periodontitis may develop. It is also known as lateral periodontal abscess or parietal abscess. Discover everything scribd has to offer, including books and audiobooks from major publishers. Periodontal pockets in areas where esthetics is critical. Tooth with extremely unfavourable clinical crown root ratio. It is a developmental odontogenic epithelialized cyst, which occurs on the lateral aspect or between the roots of vital teeth.