Long-term periodontal maintenance.
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Biomedical subjects
Publications and source records attributed to E F Sugarman.
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This case documents the course and treatment of a severe reaction to an unusual foreign body. A tooth brush bristle was lodged in the lower anterior areas between the cuspid and lateral incisor teeth. Although the patient noted some original discomfort, severe pain and bone destruction did not occur until 6 weeks after the original symptoms began. Treatment involved full thickness flap reflection of the involved area. The histologic examination showed a typical foreign body reaction to the bristle. All teeth remained vital throughout the disease process and healing phase. Healing was uneventful and the lost bone completely regenerated.
This report has proposed that the term, periodontosis, be discarded and replaced with the term, precocious periodontitis. The literature review has shown that, although the exact causative agents are unknown, certain microbiological reactions do occur and the condition is a periodontitis. The term, precocious periodontitis, has been suggested because the disease entity differs from chronic periodontitis in some of its characteristic features and etiologic factors. Three important local etiologic factors are: (1) contact and eruption of the first molars, (2) occlusal traumatism, and (3) ineffective oral hygiene. The recent literature concerning possible hereditary characteristics, bacteriological findings, and immunological reactions has been cited. The reports presented showing successful results of therapy were selected to illustrate that this condition can have the same prognosis and response to therapy as other similarly involved cases of periodontitis as a clinical entity with a definitive treatment responsibilities.
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