Guest guest Posted March 8, 2012 Report Share Posted March 8, 2012 because of pulpal necrosis,nerve supply is lost... From: ARTHUR TADEVOSYAN <arthur_tadevosyan@...> " " < > Sent: Wednesday, 7 March 2012 7:39 PM Subject: Re: GRANULOMA WHY PERIAPICAL GRANULOMA BECOME ASYMPTOMATIC ? From: n l <nleow@...> Sent: Wednesday, 7 March 2012, 15:34 Subject: RE: Periodontal tt goal important 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 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 8, 2012 Report Share Posted March 8, 2012 CAN YOU PLEASE EXPLAIN MORE. THANK YOU From: Sajithakumari Sivaprem <ssajithakumari@...> " " < > Sent: Thursday, 8 March 2012, 10:21 Subject: Re: Re: GRANULOMA because of pulpal necrosis,nerve supply is lost... From: ARTHUR TADEVOSYAN <arthur_tadevosyan@...> " " < > Sent: Wednesday, 7 March 2012 7:39 PM Subject: Re: GRANULOMA WHY PERIAPICAL GRANULOMA BECOME ASYMPTOMATIC ? From: n l <nleow@...> Sent: Wednesday, 7 March 2012, 15:34 Subject: RE: Periodontal tt goal important 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 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 8, 2012 Report Share Posted March 8, 2012 Hi Arthur, periapical granuloma is formed as a result of c/c low grade infection in a non vital tooth...since all the nerves are lost pain is not felt...but tenderness to percussion and dull ache on biting(periodontal pain receptors) can be present which can be ignored by the patient...unless an acute exacerbation occurs... hope that is all you wanted to know...regardssajitha. From: ARTHUR TADEVOSYAN <arthur_tadevosyan@...> " " < > Sent: Thursday, 8 March 2012 10:26 AM Subject: Re: Re: GRANULOMA CAN YOU PLEASE EXPLAIN MORE. THANK YOU From: Sajithakumari Sivaprem <ssajithakumari@...> " " < > Sent: Thursday, 8 March 2012, 10:21 Subject: Re: Re: GRANULOMA because of pulpal necrosis,nerve supply is lost... From: ARTHUR TADEVOSYAN <arthur_tadevosyan@...> " " < > Sent: Wednesday, 7 March 2012 7:39 PM Subject: Re: GRANULOMA WHY PERIAPICAL GRANULOMA BECOME ASYMPTOMATIC ? From: n l <nleow@...> Sent: Wednesday, 7 March 2012, 15:34 Subject: RE: Periodontal tt goal important 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 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 8, 2012 Report Share Posted March 8, 2012 THANK YOU!! I WAS JUST WONDERING ABOUT TENDER TO PERCUSSION. BUT NOW ALL CLEAR. From: Sajithakumari Sivaprem <ssajithakumari@...> " " < > Sent: Thursday, 8 March 2012, 13:36 Subject: Re: Re: GRANULOMA Hi Arthur, periapical granuloma is formed as a result of c/c low grade infection in a non vital tooth...since all the nerves are lost pain is not felt...but tenderness to percussion and dull ache on biting(periodontal pain receptors) can be present which can be ignored by the patient...unless an acute exacerbation occurs... hope that is all you wanted to know...regardssajitha. From: ARTHUR TADEVOSYAN <arthur_tadevosyan@...> " " < > Sent: Thursday, 8 March 2012 10:26 AM Subject: Re: Re: GRANULOMA CAN YOU PLEASE EXPLAIN MORE. THANK YOU From: Sajithakumari Sivaprem <ssajithakumari@...> " " < > Sent: Thursday, 8 March 2012, 10:21 Subject: Re: Re: GRANULOMA because of pulpal necrosis,nerve supply is lost... From: ARTHUR TADEVOSYAN <arthur_tadevosyan@...> " " < > Sent: Wednesday, 7 March 2012 7:39 PM Subject: Re: GRANULOMA WHY PERIAPICAL GRANULOMA BECOME ASYMPTOMATIC ? From: n l <nleow@...> Sent: Wednesday, 7 March 2012, 15:34 Subject: RE: Periodontal tt goal important 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 Quote Link to comment Share on other sites More sharing options...
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