Neetha J Shetty
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Effect of Gingival Biotype on the Progression of Periodontal Disease Mranali K Shetty; Neetha J Shetty
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 1 (2022): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v16i1.17875

Abstract

Background: The causes that interfere with the outcome of dental treatment is gingival biotypeScalloped –thin and flat-thick are the types of gingival biotypes. Periodontal diseases progress differentlyin response to plaque associated inflammation. While periodontal pocket may be the result in flat thickgingival biotype , gingival recession may be the result of scalloped and thin gingival biotype. With thisbackground this study aimed at evaluating the relation between gingival biotype and the progression ofperiodontal diseases .Materials and Methods: Sixty systemically healthy subjects between 30-50years of age, diagnosedwith chronic periodontitis who visited outpatient department of Manipal college of dental sciences,Mangalore, India, took part in the study. The subjects were explained about the study, and writtenconsent was obtained. A thorough dental examination with a comprehensive survey of maxillary centralincisors and lateral incisors was performed to assess the following clinical parameters: Bleeding onprobing, probing pocket depth, loss of attachment, gingival thickness and gingival recession . Thecollected data was subjected to statistical analysis.Results: The mean Gingival thickness for the central incisor, lateral incisor, and canine were 1.11 mm,1.01 mm, and 0.82 mm, respectively. ANOVA test was done to compare the gingival thicknessbetween the incisors which was statistically significant with a value < 0.001. The PosthocTukey tests comparing gingival recession showed a mean difference of 1.324* and wasstatistically significant with a p value of < 0.001. Comparison of probing pocket depth showeda mean difference of 0.882* which again was statistically significant with a p value of < 0.001.
Esthetic and Prosthetic Rehabilitation of Maxillary Lateral Incisor: A Case Report Neetha J Shetty; Sweta Pradhan
Indian Journal of Forensic Medicine & Toxicology Vol. 16 No. 3 (2022): Indian Journal of Forensic Medicine and Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v16i3.18296

Abstract

Introduction: The maxillary anterior region poses the highest number of aesthetic challenges in implant dentistryas any tooth loss in the region leads to bone resorption and collapse of gingival architecture leaving inadequatebone for implant placement. However, immediate implant placement and provisionalization has been a viableoption for replacing failing maxillary anterior teeth as it preserves the vertical existing osseous and gingivalarchitecture. A proper case selection guided by an appropriate step-by-step treatment plan can ensure the successof any immediate implant placement.Case Summary: This case report describes atraumatic extraction of a fractured right maxillary lateral incisor,followed by immediate placement of a dental implant in the prepared socket. Implant was successfully loaded andwas functional during 24 months follow up period. The patient exhibited no clinical or radiologic complicationspost operatively. Recall visits exhibited patient’s high-level confidence of smile with optimum satisfaction andsuccessful aesthetic outcome.Conclusion: Immediate implant placement into fresh extraction socket reduces the treatment time, cost, preservesthe gingival aesthetic and increases the comfort of the patient.