Osseous defects: proper terminology revisited.
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Biomedical subjects
Publications and source records attributed to R N Eskow.
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The condition of delayed or altered passive eruption exists in adults when the gingival unit remains positioned on the convex prominence of the enamel rather than at or in proximity to the cementoenamel junction. Treatment protocol is based on periodontal, esthetic, and prosthetic considerations. In addition, the gingival/osseous relationship becomes important for proper diagnosis and treatment. The purpose of this article is to increase awareness of the pathognomonic signs and symptoms of delayed passive eruption so that appropriate treatment can be rendered.
The primary responsibility of the clinician treating a patient with implant dentistry is to provide a long-term favorable prognosis. In consideration of changes in implant materials and restorative designs, familiarity with the relationship of the periimplant tissues to the implant components is essential. Maintaining healthy tissues requires understanding the influence of the intraoral bacterial flora, recognizing deviations from health, and initiating an appropriate preventive protocol. Various implements that are available for plaque control and debridement are discussed.
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The authors describe a 22-year-old man with osteolytic mandibular and maxillary lesions. Biopsy substantiated the presence of Langerhans cell histiocytosis (eosinophilic granuloma). Levels of serum angiotensin-converting enzyme (ACE) were elevated repeatedly. After definitive therapy with excision and bone grafting, ACE levels returned to normal. The role of histiocytes in ACE production is discussed. Langerhans cell histiocytosis should be considered in the diagnosis of conditions occurring with elevation of serum ACE levels and clinical findings similar to sarcoidosis.
Single-tooth replacement in contemporary dentistry is often accomplished with an osseointegrated implant-supported restoration. To accomplish this in an esthetically acceptable manner requires a thorough course of treatment, including diagnosis, treatment planning, surgery and restorative and preventive care. This article discusses surgical considerations that are applicable before implant placement, as well as at the time of stage I and II surgery. Furthermore, the interrelationship between the tissues and the restoration is addressed. Preservation of the result by preventive-care protocol is shown to be essential.
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Explore the source record for details and available documents.