Re: Periodontal tt goal important

March 7, 2012

both are correct, the ptt involves many complex procedures including flap surgery and regeneration, the aim of flap surgery is to promote healing by junctional epithelium ( after root cleaning and bone shaping) whereas the regeneration involves methods to regenerate the tissues lost through periodontal disease which included regeneration of cementum, bone and pdl. PTT also includes reducing gingival recession by various methods where aim is for a more coronal level attachment. From: miral_hasan <miral_hasan@...>

Sent: Wednesday, 7 March 2012, 10:51 Subject: Periodontal tt goal important

Hi all

Is the aim of period tt is to reduce pocket by encouraging a new epi and /oronnective tissue attachment at a more coronal level?churchill222

OR only epithelial as mentioned in mastersdentistry where CT attach is not required at all?

Thanks

Miral

March 7, 2012

Thanks Fatima may be I didn't make myself clear,I meant is it an epi or ct attachment?in Churchill say both in MD say only epi attach is the goal NOT CT ATTACHMENT???Sent from my iPadOn 7 Mar 2012, at 11:11, Aqsa Fatima Burki <aqsaburki@...> wrote:

both are correct, the ptt involves many complex procedures including flap surgery and regeneration, the aim of flap surgery is to promote healing by junctional epithelium ( after root cleaning and bone shaping) whereas the regeneration involves methods to regenerate the tissues lost through periodontal disease which included regeneration of cementum, bone and pdl. PTT also includes reducing gingival recession by various methods where aim is for a more coronal level attachment. From: miral_hasan <miral_hasan@...>

Sent: Wednesday, 7 March 2012, 10:51 Subject: Periodontal tt goal important

Hi all

Is the aim of period tt is to reduce pocket by encouraging a new epi and /oronnective tissue attachment at a more coronal level?churchill222

OR only epithelial as mentioned in mastersdentistry where CT attach is not required at all?

Thanks

Miral

March 7, 2012

I would say Both From: Miral <miral_hasan@...> " " < > Sent: Wednesday, 7 March 2012, 13:28 Subject: Re: Periodontal tt goal important

Thanks Fatima may be I didn't make myself clear,I meant is it an epi or ct attachment?in Churchill say both in MD say only epi attach is the goal NOT CT ATTACHMENT???Sent from my iPadOn 7 Mar 2012, at 11:11, Aqsa Fatima Burki <aqsaburki@...> wrote:

both are correct, the ptt involves many complex procedures including flap surgery and regeneration, the aim of flap surgery is to promote healing by junctional epithelium ( after root cleaning and bone shaping) whereas the regeneration involves methods to regenerate the tissues lost through periodontal disease which included regeneration of cementum, bone and pdl. PTT also includes reducing gingival recession by various methods where aim is for a more coronal level attachment. From: miral_hasan <miral_hasan@...>

Sent: Wednesday, 7 March 2012, 10:51 Subject: Periodontal tt goal important

Hi all

Is the aim of period tt is to reduce pocket by encouraging a new epi and /oronnective tissue attachment at a more coronal level?churchill222

OR only epithelial as mentioned in mastersdentistry where CT attach is not required at all?

Thanks

Miral

March 7, 2012

I thought it was connective tissue...cos in GTR..the main aim is to prevent

epithelial proliferation and promote connective tissue attachment....pls correct

me....thnx...

March 7, 2012

Hi miralI actually got your point ,what you want to ask.Definitely,it is much better to achieve epithelial attachment and connective tissue attachment.As it forms your biological width.I think maintaining the depth of epithelial attachment without further loss of attachment becomes a goal after flap surgery of a pocket. Aqsa has already explained it.Its a huge topic i guess and we cant explain things in just few lines. From: Aqsa Fatima Burki <aqsaburki@...> " " < > Sent: Wednesday, 7 March 2012 1:42 PM Subject: Re: Periodontal tt goal important

I would say Both From: Miral <miral_hasan@...> " " < > Sent: Wednesday, 7 March 2012, 13:28 Subject: Re: Periodontal tt goal important

Thanks Fatima may be I didn't make myself clear,I meant is it an epi or ct attachment?in Churchill say both in MD say only epi attach is the goal NOT CT ATTACHMENT???Sent from my iPadOn 7 Mar 2012, at 11:11, Aqsa Fatima Burki <aqsaburki@...> wrote:

both are correct, the ptt involves many complex procedures including flap surgery and regeneration, the aim of flap surgery is to promote healing by junctional epithelium ( after root cleaning and bone shaping) whereas the regeneration involves methods to regenerate the tissues lost through periodontal disease which included regeneration of cementum, bone and pdl. PTT also includes reducing gingival recession by various methods where aim is for a more coronal level attachment. From: miral_hasan <miral_hasan@...>

Sent: Wednesday, 7 March 2012, 10:51 Subject: Periodontal tt goal important

Hi all

Is the aim of period tt is to reduce pocket by encouraging a new epi and /oronnective tissue attachment at a more coronal level?churchill222

OR only epithelial as mentioned in mastersdentistry where CT attach is not required at all?

Thanks

Miral

March 7, 2012

The aim of periodontal therapy is to re-establish the original architecture i.e. obtain a connective tissue and epithelial attachment. This is "regeneration". Following surgical or non-surgical therapy, it has been shown that actually more often than not, we only get an epithelial attachment (aka a long junctional epithelium), which has been shown to be stable over time. The is known as "repair".And yes, the aim of GTR is exactly that - regeneration of the connective tissue and epithelial attachment.Ideal = connective tissue + epitheliumReality = Long junctional epithelium only. From: kanika_sahil@...Date: Wed, 7 Mar 2012 23:20:01 +0800Subject: Re: Periodontal tt goal important

Hi miralI actually got your point ,what you want to ask.Definitely,it is much better to achieve epithelial attachment and connective tissue attachment.As it forms your biological width.I think maintaining the depth of epithelial attachment without further loss of attachment becomes a goal after flap surgery of a pocket. Aqsa has already explained it.Its a huge topic i guess and we cant explain things in just few lines. From: Aqsa Fatima Burki <aqsaburki@...> " " < > Sent: Wednesday, 7 March 2012 1:42 PM Subject: Re: Periodontal tt goal important

I would say Both From: Miral <miral_hasan@...> " " < > Sent: Wednesday, 7 March 2012, 13:28 Subject: Re: Periodontal tt goal important

Thanks Fatima may be I didn't make myself clear,I meant is it an epi or ct attachment?in Churchill say both in MD say only epi attach is the goal NOT CT ATTACHMENT???Sent from my iPadOn 7 Mar 2012, at 11:11, Aqsa Fatima Burki <aqsaburki@...> wrote:

both are correct, the ptt involves many complex procedures including flap surgery and regeneration, the aim of flap surgery is to promote healing by junctional epithelium ( after root cleaning and bone shaping) whereas the regeneration involves methods to regenerate the tissues lost through periodontal disease which included regeneration of cementum, bone and pdl. PTT also includes reducing gingival recession by various methods where aim is for a more coronal level attachment. From: miral_hasan <miral_hasan@...>

Sent: Wednesday, 7 March 2012, 10:51 Subject: Periodontal tt goal important

Hi all

Is the aim of period tt is to reduce pocket by encouraging a new epi and /oronnective tissue attachment at a more coronal level?churchill222

OR only epithelial as mentioned in mastersdentistry where CT attach is not required at all?

Thanks

Miral

March 7, 2012

Thank you so much .What really confused me us that in Master dentistry in the questions n answers section....they said only epithelial coz if CT contacted the root there will be root resorption?,Sent from my iPadOn 7 Mar 2012, at 15:34, n l <nleow@...> wrote:

The aim of periodontal therapy is to re-establish the original architecture i.e. obtain a connective tissue and epithelial attachment. This is "regeneration". Following surgical or non-surgical therapy, it has been shown that actually more often than not, we only get an epithelial attachment (aka a long junctional epithelium), which has been shown to be stable over time. The is known as "repair".And yes, the aim of GTR is exactly that - regeneration of the connective tissue and epithelial attachment.Ideal = connective tissue + epitheliumReality = Long junctional epithelium only. From: kanika_sahil@...Date: Wed, 7 Mar 2012 23:20:01 +0800Subject: Re: Periodontal tt goal important

Hi miralI actually got your point ,what you want to ask.Definitely,it is much better to achieve epithelial attachment and connective tissue attachment.As it forms your biological width.I think maintaining the depth of epithelial attachment without further loss of attachment becomes a goal after flap surgery of a pocket. Aqsa has already explained it.Its a huge topic i guess and we cant explain things in just few lines. From: Aqsa Fatima Burki <aqsaburki@...> " " < > Sent: Wednesday, 7 March 2012 1:42 PM Subject: Re: Periodontal tt goal important

I would say Both From: Miral <miral_hasan@...> " " < > Sent: Wednesday, 7 March 2012, 13:28 Subject: Re: Periodontal tt goal important

Thanks Fatima may be I didn't make myself clear,I meant is it an epi or ct attachment?in Churchill say both in MD say only epi attach is the goal NOT CT ATTACHMENT???Sent from my iPadOn 7 Mar 2012, at 11:11, Aqsa Fatima Burki <aqsaburki@...> wrote:

both are correct, the ptt involves many complex procedures including flap surgery and regeneration, the aim of flap surgery is to promote healing by junctional epithelium ( after root cleaning and bone shaping) whereas the regeneration involves methods to regenerate the tissues lost through periodontal disease which included regeneration of cementum, bone and pdl. PTT also includes reducing gingival recession by various methods where aim is for a more coronal level attachment. From: miral_hasan <miral_hasan@...>

Sent: Wednesday, 7 March 2012, 10:51 Subject: Periodontal tt goal important

Hi all

Is the aim of period tt is to reduce pocket by encouraging a new epi and /oronnective tissue attachment at a more coronal level?churchill222

OR only epithelial as mentioned in mastersdentistry where CT attach is not required at all?

Thanks

Miral

March 7, 2012

Hi, you are right, that is really confusing.I know that the classic periodontal regeneration studies showed regeneration in terms of Sharpey fibre attachment to the root surface. There has definitely been evidence of root resorption lacunae,but from my understanding this is not standard. From: miral_hasan@...Date: Wed, 7 Mar 2012 16:40:32 +0000Subject: Re: Periodontal tt goal important

Thank you so much .What really confused me us that in Master dentistry in the questions n answers section....they said only epithelial coz if CT contacted the root there will be root resorption?,Sent from my iPadOn 7 Mar 2012, at 15:34, n l <nleow@...> wrote:

The aim of periodontal therapy is to re-establish the original architecture i.e. obtain a connective tissue and epithelial attachment. This is "regeneration". Following surgical or non-surgical therapy, it has been shown that actually more often than not, we only get an epithelial attachment (aka a long junctional epithelium), which has been shown to be stable over time. The is known as "repair".And yes, the aim of GTR is exactly that - regeneration of the connective tissue and epithelial attachment.Ideal = connective tissue + epitheliumReality = Long junctional epithelium only. From: kanika_sahil@...Date: Wed, 7 Mar 2012 23:20:01 +0800Subject: Re: Periodontal tt goal important

Hi miralI actually got your point ,what you want to ask.Definitely,it is much better to achieve epithelial attachment and connective tissue attachment.As it forms your biological width.I think maintaining the depth of epithelial attachment without further loss of attachment becomes a goal after flap surgery of a pocket. Aqsa has already explained it.Its a huge topic i guess and we cant explain things in just few lines. From: Aqsa Fatima Burki <aqsaburki@...> " " < > Sent: Wednesday, 7 March 2012 1:42 PM Subject: Re: Periodontal tt goal important

I would say Both From: Miral <miral_hasan@...> " " < > Sent: Wednesday, 7 March 2012, 13:28 Subject: Re: Periodontal tt goal important

Thanks Fatima may be I didn't make myself clear,I meant is it an epi or ct attachment?in Churchill say both in MD say only epi attach is the goal NOT CT ATTACHMENT???Sent from my iPadOn 7 Mar 2012, at 11:11, Aqsa Fatima Burki <aqsaburki@...> wrote:

both are correct, the ptt involves many complex procedures including flap surgery and regeneration, the aim of flap surgery is to promote healing by junctional epithelium ( after root cleaning and bone shaping) whereas the regeneration involves methods to regenerate the tissues lost through periodontal disease which included regeneration of cementum, bone and pdl. PTT also includes reducing gingival recession by various methods where aim is for a more coronal level attachment. From: miral_hasan <miral_hasan@...>

Sent: Wednesday, 7 March 2012, 10:51 Subject: Periodontal tt goal important

Hi all

Is the aim of period tt is to reduce pocket by encouraging a new epi and /oronnective tissue attachment at a more coronal level?churchill222

OR only epithelial as mentioned in mastersdentistry where CT attach is not required at all?

Thanks

Miral

March 7, 2012

I think it should be only epithelial attachment because the original junctional epi is only epi so they are talking about tissue in direct contact with the root .May be if CT in direct contact then osteoclasts would be formed thus in tissue reg the membrane block both the ging epi n CT so the pleuri pot cells diff into cementoblasts n osteoblasts coz these are specialised CT .....but in Churchill they say reg of both???Sent from my iPadOn 7 Mar 2012, at 16:47, n l <nleow@...> wrote: