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Combination Treatment of Splinting with Wire Composite and Artificial Tooth Pontic for Improved Aesthetics: A Case Report Ersa, Savana; Amalia, Martina
Indonesian Journal of Case Reports Vol. 2 No. 1 (2024): June 2024
Publisher : Heca Sentra Analitika

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60084/ijcr.v2i1.142

Abstract

Advanced bone loss in patients with periodontitis often leads to increased tooth mobility, sometimes resulting in tooth loss. The mobility of teeth necessitates splinting to optimize periodontal treatment outcomes in terms of aesthetics and periodontal health. This case report presents a novel approach using an artificial tooth pontic as a periodontal splint, utilizing wire stabilization to prevent severe tooth mobility and enhance esthetics. A 37-year-old male with aggressive periodontitis (Stage III, Grade C) exhibited extensive periodontal destruction, particularly in the upper and lower anterior regions. Pathological migration was evident following the loss of teeth 31 and 41, with additional anterior teeth in the lower jaw showing mobility and trauma from occlusion, notably tooth 33. The patient underwent nonsurgical periodontal therapy, including scaling, subgingival debridement, occlusal adjustment, and splinting. Stabilization was achieved by applying a wire splint from teeth 34 to 43, incorporating an artificial tooth pontic. Subsequent evaluations revealed improvements in clinical parameters such as probing pocket depth, tooth mobility, and bleeding on probing during supportive periodontal therapy visits. The splint remained stable, and the patient expressed satisfaction with their appearance remaining unaffected. This case demonstrates that severe tooth mobility can be effectively stabilized using a composite wire splint and an artificial tooth pontic, enhancing the patient's esthetic outcomes.
The Effectiveness of Salvadora persica (miswak) on Periodontal Health, Literature Review Ersa, Savana; Ervina, Irma
Journal of Syiah Kuala Dentistry Society Vol 9, No 1 (2024): June 2024
Publisher : Dentistry Faculty

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24815/jds.v9i1.36558

Abstract

Periodontal disease is a global prevalent burden on well-being and health-related quality of life. Adequate plaque control on a daily routine basis is the most critical thing to achieve periodontal health. Using toothbrushes in combination with dentifrices is one of the most common methods of oral hygiene maintenance. However, natural chewing sticks such as Salvadora persica are still used in many developing countries due to their low cost and religious background. Salvadora persica displays precious biotherapeutics capacity for antimicrobial, antiviral, antioxidant, and anti-inflammatory effects. Recently, a lot of Salvadora persica extract has been found in dentifrices, mouthwash, chewing Gum, and even local delivery drugs such as periodontal chips, which are still in the research stage.The present review aims to summarize the evidence of various pharmacological and therapeutic aspects of the effectiveness of Salvadora persica in promoting periodontal health and the treatment of periodontal disease.