Bob Genco: a life in periodontology.
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Biomedical subjects
Publications and source records attributed to D Walter Cohen.
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The free gingival graft is one of the most versatile and predictable procedures in current use. A review of the significant contributions leading to this procedure is presented. Reports of the free graft series of King and Pennel, as well as the reaction to its initial presentation by members of the Philadelphia Society of Periodontology, are introduced to the dental literature. The chronology of events leading to the rediscovery of the gingival graft procedure in the early 1960s suggests independent and nearly simultaneous clinical innovation took place in Sweden and the United States. Therefore, though fully acknowledging Hilding Björn's seminal contribution, substantial credit must be given to colleagues King and Pennel for introducing the gingival graft procedure to periodontics.
BACKGROUND: The authors describe how oral disease, particularly periodontal disease, may place certain patients at increased risk of developing cardiovascular disease and stroke. RESULTS: Although the precise mechanisms of interaction are not clear, two biological mechanisms that may explain the relationship are presented. In addition, the authors describe the dental management issues that need to be understood in treating patients compromised by cardiovascular disease. CONCLUSIONS AND CLINICAL IMPLICATIONS: The patient with cardiovascular disease may present a challenge to the dental health care provider, depending on the degree of hemodynamic compromise and the stability of his or her condition.
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