Treatment of intrabony defects from labial-cervical-vertical groove.

| Posted in: Science Health Sciences

Journal name: Journal of Indian Society of Periodontology
Original article title: Labial-cervical-vertical groove: A silent killer-Treatment of an intrabony defect due to it with platelet rich fibrin
The Journal of Indian Society of Periodontology (JISP) publishes original scientific articles on periodontology (the study of supporting structures of teeth) and oral implantology. It is a bimonthly open-access journal with special issues for specific occasions.
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Original source:

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Author:

Mishal P Shah, Sheela K Gujjari, Kinnari M Shah


Journal of Indian Society of Periodontology:

(A bimonthly open-access journal)

Full text available for: Labial-cervical-vertical groove: A silent killer-Treatment of an intrabony defect due to it with platelet rich fibrin

Year: 2014 | Doi: 10.4103/0972-124X.128260

Copyright (license): CC BY-NC-SA


Summary of article contents:

Introduction

Dental deformities, including labial-cervical-vertical groove (LCVG), are morphological anomalies that can lead to periodontal complications. LCVG manifests as a vertical groove on the labial surface of the maxillary incisors, potentially resulting in localized periodontal destruction and other clinical challenges such as plaque accumulation and gingival pocket formation. Although anatomical variations like LCVG are known to be associated with periodontal disease, there have been limited investigations into their treatment. The case presented in this article details the treatment of an intrabony defect associated with LCVG using platelet-rich fibrin (PRF), a promising regenerative approach in periodontal therapy.

Platelet-Rich Fibrin in Periodontal Treatment

PRF is a second-generation platelet concentrate, constructed from a patient’s own blood, that has gained attention for enhancing wound healing and tissue regeneration. The preparation involves collecting blood and centrifuging it to separate components, leading to the formation of a fibrin mesh that retains a high concentration of platelets. PRF benefits periodontal healing by gradually releasing growth factors essential for tissue regeneration, including vascular endothelium growth factor (VEGF) and platelet-derived growth factor (PDGF). In the case detailed, PRF was utilized in conjunction with sealing the LCVG using glass ionomer cement, illustrating its potential effectiveness in addressing periodontal defects linked to dental anomalies.

Conclusion

The application of PRF in treating intrabony defects associated with LCVG demonstrates not only its role in promoting healing but also its importance in managing complex periodontal conditions. The successful resolution of the patient's symptoms, combined with significant bone regeneration and clinical improvement, highlights PRF as a valuable option in periodontal surgeries involving anatomical anomalies like LCVG. Further research and case studies may establish PRF as a standard treatment modality in similar situations, providing a more comprehensive understanding of its efficacy in periodontal tissue repair and regeneration.

FAQ section (important questions/answers):

What is a labial-cervical-vertical groove (LCVG) in teeth?

LCVG is a developmental anomaly appearing as a groove on the labial surface of maxillary incisors, extending from the enamel to the root. It can lead to plaque accumulation, gingival pockets, and periodontal issues.

How was the patient diagnosed with an intrabony defect?

The 47-year-old male patient presented with pus discharge and pain, which, upon clinical and radiographic examination, revealed localized bone loss and an LCVG associated with his maxillary left central incisor.

What treatment was performed for the intrabony defect?

The treatment involved sealing the LCVG with glass ionomer cement and using platelet-rich fibrin (PRF) to fill the intrabony defect, promoting healing and regeneration of bone tissues.

What are the benefits of using platelet-rich fibrin (PRF)?

PRF, prepared from a patient's own blood, enhances wound healing by releasing growth factors that promote tissue regeneration and has been successful in various surgical procedures, including periodontal treatments.

What was the outcome of the periodontal treatment at follow-ups?

At 3 and 6 months post-treatment, the patient showed significant improvement, with reduced pocket depth, stable periodontal health, and evidence of bone regeneration in the treated area.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Treatment of intrabony defects from labial-cervical-vertical groove.”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Surface:
The surface refers to the outermost layer of a part, such as the enamel layer of a tooth. The treatment of tooth issues involves addressing the condition of the surface, as any defects or grooves, like the labial-cervical-vertical groove (LCVG), can impact the overall health of periodontal tissues and contribute to disease progression.

2) Table:
In a medical or dental context, 'table' may refer to tabulated data or findings. This could relate to a summary of treatment outcomes or various aspects of dental health, enabling practitioners to draw comparisons and make informed decisions based on established research and documented cases regarding effective treatment methodologies.

3) Blood:
Blood is crucial for the body, serving multiple functions including nutrient transport, immune responses, and healing. In dental treatments, like the case described, blood is drawn to prepare platelet-rich fibrin (PRF), which aids in tissue regeneration and healing by promoting the release of growth factors necessary for repairing damaged structures.

4) Disease:
In this context, 'disease' specifically refers to periodontal diseases that affect the health of gums and supporting structures of teeth. Such diseases, which can arise from bacterial infections, can lead to significant complications if not managed, emphasizing the importance of early detection and appropriate treatment methods as highlighted in the article.

5) Post:
The term 'post' can refer to postoperative care or instructions. After surgical procedures, such as those involving the treatment of periodontal defects, patients receive post-operative guidance to maximize healing, manage discomfort, and prevent complications, which is vital for achieving optimal recovery and successful treatment outcomes.

6) Accumulation (Accumulating, Accumulate):
Accumulation, in the dental field, often refers to the build-up of plaque, calculus, and other materials on tooth surfaces. This accumulation is significant as it is a major contributor to periodontal disease progression, highlighting the necessity for effective oral hygiene practices and professional cleanings to maintain gum health and prevent complications.

7) Glass:
In this context, 'glass' refers to materials like glass ionomer cement used in dentistry. This type of cement is utilized to seal grooves or defects in teeth, providing stability, biocompatibility, and aiding in the repair of dental structures. Its use helps minimize complications associated with defects like LCVG.

8) Rich (Rch):
The term 'rich' particularly pertains to platelet-rich fibrin (PRF) in the medical context. The richness of PRF in growth factors plays an important role in accelerating regeneration and healing processes. Thus, ensuring that patients benefit from enhanced healing post-surgery, leading to improved outcomes in dental procedures.

9) Inflammation:
Inflammation is a biological response to harmful stimuli, often characterized by redness, swelling, and pain. In periodontal disease, inflammation in the gingival tissues can lead to the formation of periodontal pockets and further complications. Managing inflammation is key to restoring periodontal health and preventing further tissue degradation.

10) Dressing:
A 'dressing' in a medical sense usually refers to a covering placed over a wound to protect it. In this case, periodontal dressing is applied post-surgery to protect the surgical site, maintain stability, and facilitate the healing process while preventing infections and complications as the recovery proceeds.

11) Grafting:
Grafting is a technique used in periodontal surgery where materials (like PRF) are placed into the area of bone loss to promote healing and regeneration. The use of grafts is crucial for restoring the architecture of periodontal tissues and correcting defects like LCVG while encouraging the body to heal adequately.

12) Sah:
Shah likely refers to a researcher or author who contributed valuable work on the application of platelet-rich fibrin in dental treatments. Referencing recognized professionals in the field strengthens the validity of associated research findings and encourages further exploration into innovative treatment methodologies in dentistry.

13) Tear:
The term 'tear' can allude to the specific shape and characteristics of radiolucency observed in dental radiographs. This shape often corresponds to specific types of defects or lesions, which are vital for diagnosis and treatment planning, allowing dental professionals to understand the extent of the issue presented.

14) Pain:
Pain signifies a discomfort experienced by patients, often prompting them to seek dental care. In this case study, dull intermittent pain was the patient's primary complaint, indicating underlying periodontal issues. Addressing pain effectively is important in dental practice, as it can significantly enhance patient satisfaction and compliance with treatment plans.

15) Male:
The term 'male' in this context indicates the gender of the patient discussed in the case report. Gender can be relevant in medicine as it may influence the prevalence of certain conditions, treatment responses, and patient-specific factors that need to be considered in personalized treatment plans and outcomes.

16) Transmission:
Transmission typically refers to the spread of diseases, such as periodontal infections, from one individual to another. Understanding transmission dynamics is important for developing preventive strategies and educating patients on maintaining oral health to avoid the spread of infections, emphasizing the importance of proper hygiene practices.

17) Transformation (Transform, Transforming):
Transforming in this context may pertain to regenerative processes initiated by growth factors found in treatments like PRF. These processes are crucial for facilitating tissue healing and restoration after surgical interventions, underscoring the innovations in dental treatments aimed at effectively addressing complex conditions like periodontal diseases.

18) Measurement:
Measurement in dentistry often refers to assessing clinical parameters, such as probing depths or bone levels. Accurate measurement is essential for diagnosing periodontal conditions, monitoring treatment efficacy, and guiding further interventions. It helps clinicians evaluate the success of surgical outcomes post-treatment in maintaining periodontal health.

19) Observation:
Observation is essential in the context of clinical practice. Regular follow-up examinations allow practitioners to monitor a patient's condition over time, assessing treatment efficacy and making necessary adjustments for improved outcomes. Systematic observation ensures that any complications or concerns are addressed swiftly during recovery.

20) Discussion:
Discussion in a clinical or academic article represents a section where findings are analyzed, implications are explored, and conclusions are drawn. It serves as an essential reflective space for practitioners to consider case outcomes, align with existing literature, and propose recommendations for best practices in dental treatment.

21) Antibiotic (Antibacterial):
Antibiotics are medications utilized to treat bacterial infections and were prescribed in this case to prevent postoperative infections. Their use is particularly important in conjunction with surgical interventions in periodontal treatment, addressing the potential for infections that could impede healing and affect the overall treatment success.

22) Knowledge:
Knowledge signifies the information and understanding gathered through research and clinical practice. It is vital in dentistry for driving advancements in treatment methodologies, refining protocols, and ensuring that healthcare professionals remain informed about the latest techniques, materials, and evidence-based practices in patient care.

23) Hygiene (Hygienic):
Hygiene refers to the practices that promote health, especially regarding oral care. Effective oral hygiene is crucial in preventing periodontal disease, ensuring plaque control, and maintaining the stability of treatment outcomes. Educating patients about hygiene contributes to better long-term results and overall oral health.

24) Sharman (Sarma, Sharma, Sarman):
Sharma, like Shah, may refer to a notable researcher in the field of dental treatments involving platelet-rich fibrin. Citing contributions from various respected professionals adds credibility to research findings and highlights the collaborative efforts within the dental community to explore effective therapeutic interventions.

25) Pearl:
Pearl could refer to an 'enamel pearl,' which is a developmental anomaly that can impact dental health. In the context of periodontal treatment, recognizing such conditions is important for accurate diagnosis and effective treatment development, emphasizing the need to address anatomical variations during clinical procedures.

26) Study (Studying):
Study refers to a systematic investigation employing the scientific method to evaluate specific hypotheses. Studies in dental research help establish the safety and efficacy of treatments, such as the use of PRF in clinical settings, guiding evidence-based practices and enhancing the overall quality of patient care.

27) Silk:
Silk refers to a material often used for sutures in surgical procedures. In this case, silk sutures facilitated the closure of the surgical site, promoting wound healing while minimizing complications associated with infection or dehiscence, thereby contributing to successful outcomes in periodontal surgical interventions.

28) Wall:
Wall typically refers to the structure within the dental architecture that may be affected in cases of periodontal disease. In the context of intrabony defects, the condition of the bone walls surrounding the periodontal tissues is essential for evaluating the extent of disease and planning for surgical intervention.

Other Health Sciences Concepts:

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Discover the significance of concepts within the article: ‘Treatment of intrabony defects from labial-cervical-vertical groove.’. Further sources in the context of Health Sciences might help you critically compare this page with similair documents:

Clinical examination, Periodontal health, Oral hygiene instruction, Periodontal examination, Bone regeneration, Post-operative instructions, Platelet-rich-fibrin.

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