STATEMENT OF PURPOSE
When a procedure as basic as scaling and root planning and the sight of reduced post-operative inflammation – seeing the gingiva turn to a benign pink from red gives you a sense of fulfillment and satisfaction that is incomparable, you know that being a Periodontist is everything you have ever wanted. Holding a scalpel, incising the gingival and periodontal tissues and raising a flap almost perfectly for the very first time, is perhaps one of the most exhilarating experiences I have ever had and, at the risk of sounding too dramatic, the clockwise and anti-clockwise turning of the wrist during suturing is nothing short of sheer poetry in motion to me. As a teenager, I read Doctors by Erich Segal and instantly, my love for medical sciences was born. Though, I was certain that I wanted to pursue a career in health sciences, dentistry was not always what I had in mind for a career. But it was my father’s dream and I decided to live it. In 2009, at the beginning of my first term in
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When I set my sights on something like I have for a Master of Science in Periodontics, a part of me automatically starts chalking out a plan B. This is not tantamount to not having faith in my abilities but it is just how I’m wired. But this is where the Observership in Periodontology Program has been different. From the time I started, subtly I have not felt the need to look for a plan B. It has made me realize, beyond all reasonable doubt what I want in life and where I will find it. Not only has it provided me with exposure to state of the art Periodontic surgical procedures but also laid down the scientific foundation and environment for my future professional goal of pursuing an Advanced Education in Periodontics. It’s been a long journey from reading Doctors to knowing exactly what I want and it is extremely comforting. It also drives me to work towards getting what I want, harder than ever
Dentistry is a humbling, intellectually and physically challenging specialty and several events in my life have instilled me with the qualities to face these challenges. At this point, my educational
Sams speak to us about periodontology. I was hoping to hear a great review of periodontology for national boards. Especially details about the procedures for implants, gingival grafts, laser periodontology therapy and osseous surgery. In addition, I also wanted to know about Dr. Sams education and the education experience needed to be a periodontist Also, I wanted to know more about what he expects from his dental hygienist working at his dental
My dad is a physiologist, an uncle studied internal medicine, their wives both family doctors, cousins that are orthopedics and dentists. As an infant I was already listening to medical terminologies and following my dad around the medical school he used to teach at. My father introduced me to his career from a very young age and as I grew older my love and passion for the field grew as well. Therefore, because of my early life environment I always wanted to pursue a medically related career. However, it was not the only reason for my ambition. Since I was a little girl my mom has suffered from a dental issue in one of her front teeth. Although she doesn’t talk about it much, she told me once that when she was in fourth grade, she fell, breaking one of her front teeth. Years passed and she could not be help much since back then there was no interest in dental health, even though it is still a free examination. It was not until she was fifteen that she got an implant. Her experience drove me to be increasingly interested in the dental field more so than any other area of medicine. Mainly because I have always been curious as to the forms of treatments she underwent and how they have impacted her today. However, it was not until I finished high school that I asked myself the famous question “what do you want to be in the future?” because I was on my way to college where everything was going to be getting more
You know the importance of regularly visiting your dentist when it comes to maintaining the oral hygiene of your mouth. But when should you be visiting a periodontist? On the island of Maui, Implant Center of Maui is the go-to for all your periodontal needs. The dentistry clinic has been the go-to for residents for over 30 years, as the establishment provides a comfortable ambiance and a skilled staff.
Periodontics is the study of gums and other areas around the teeth. Dentists will often send patients outside of the office for the treatment of advanced gum disease, or for complications of gum disease, such as lost bone and gum tissue. This is another reason our practice is different from others – we have a Periodontist (Dr. Nguyen) on our staff!
The periodontal pocket, however, remains and if dental plaque continual to refuge the bacteria associated with the disease, potential for a further destructive phase exists. The disease may then require advanced treatment. If left un treated , the disease continues with progressive ,leading to mobility and subsequent tooth loss.
Periodontal disease is a prevailing health concern in the United States and one of the main cause of tooth loss in the country. Various surveys have been done to assess the periodontal status. The early survey assessed the periodontal status using visual method and later NHANES III i.e., National Health and Nutrition Examination Survey used the probe to measure the periodontal pocket depth and gingival recession at only 2 sites per tooth at 2 randomly selected quadrants as per the article “Prevalence of Periodontitis in Adults in the United States: 2009 and 2010” by P.I. Eke. B.A. Dye, L., Wei. G.O., Thornton-Evans, & R.J. Genco published in 2012. This survey had a drawback as it underestimated the disease. The CDC periodontal disease surveillance came up with evidence explaining the need for full mouth periodontal examination to establish a baseline data by which we can calculate the prevalence of periodontitis in the U.S. population. Gingival recession and pocket depth was measured at 6 sites per tooth for all teeth excluding the 3rd molars.
It’s amazing how something as simple as paint could create something so beautiful. To be able to turn the old and discarded into something new and intricate. From a young age, I began to develop a passion for painting and creating artwork. It helped me develop a keen eye to detail and a steady hand. My decision to pursue a career in dentistry is because of the intricate manual work and patient interaction involved that other professional fields do not necessarily encompass.
For more advanced forms of periodontal disease, your dentist may suggest one of several types of surgical procedures to fully eradicate inflammation and abscesses. Your options include grafts where lost bone is replaced with man-made materials or where exposed roots get covered; regeneration where lost tissue is encouraged to regrow using stimulating proteins and other materials; and flap surgery where gums are lifted away, tartar is removed, and gums are then sutured back.
In conclusion, the clinical assessment, as a whole, determined that the patient has controlled generalized, severe, diffused gingivitis, and uncontrolled severe periodontitis. Treatment notes indicate that the periodontitis was diagnosed as controlled, but the recent jump from a periodontal case type II to a periodontal case type IV is indicative of uncontrolled periodontitis. Determination was made by the inflammation present, bleeding index, color of the free and attached gingiva, radiographs, probe depths, recession, and CAL mentioned above. Treatment plan modifications were implement to compensate for the patients increased gingivitis and periodontal status.
Both surgical and non-surgical therapeutic modalities have been used in the treatment of periodontal diseases. Non-surgical periodontal treatment is the starting point of periodontal therapy and the first recommended
The periodontal treatment that Dr. Alina de la Torre recommends depends on the stage of the disease. If the disease is caught during the first stage (gingivitis) and no damage has occurred, Dr. de la Torre will most likely recommend one or two regular cleanings. If the disease has progressed to stage two or three, a deep cleaning will be recommended. If the pockets neglect to heal, periodontal surgery to reduce the pocket depths may be necessary.
Many definitions of periodontitis have been used, but there is no accepted standard. In 2003, the Centres for disease control and prevention and AAP appointed a working group to develop further standardized clinical case definitions for population based studies of periodontitis.(10) This classification defines periodontitis in terms of probing depth and clinical attachment level (10) and hence, this classification has been used in this study.
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Periodontal disease is very common, and is widely regarded as the second most common dental disease worldwide after dental caries. Periodontitis is initiated by gram negative tooth associated microbial biofilm that elicit a host response which result in bone and soft tissue destruction. The chief treatment modality for periodontal health is scaling and root planing either during surgical intervention or in a non-surgical approach with the endpoint of bringing a root surface that is biologically acceptable for healing processes. [1] These mechanical procedures are accomplished by using sonic-ultrasonic, manual and rotary instruments with the intention of removing subgingival biofilm, calculus & endotoxins from the root surface and also to accomplish a maintainable