پایان نامه ارزیابی مشکلات پریودنتال مولردوم ماگزیلاری پس از برداشتن پیونداستخوان از ناحیه توبروزیته

فهرست:

چکیده.. 1

فصل اول:کلیات و مروری بر متون و مقالات

(۱-۱)مقدمه:.. 4

(٢-۱)کلیات:.. 6

(۱-٢-۱)تعریف پریودنتیت:.. 6

(٢-٢-۱) نحوه پراکندگی بیماری:.. 7

(۳-٢-۱)انواع پریودنتیت:.. 9

(۴-٢-۱)عوامل خطرساز بیماری:.. 10

(۵-٢-۱)تشخیص پریودنتیت:.. 12

(۶-٢-۱)عوامل مرتبط بانقص پریودنتال در دیستال مولردوم:.. 13

(۷-٢-۱)اصول طراحی فلپ:.. 14

(۸-٢-۱)مروری بر آناتومی ماگزیلا:.. 16

(۹-٢-۱)سطح خلفی یا سطح زیرگیجگاهی ماگزیلا:.. 17

(۱۰-٢-۱)مواد پیوند استخوانی:.. 19

(۱۱-٢-۱)تهیه استخوان از منابع داخل دهانی:.. 25

(۳-۱)مروری برمطالعات انجام شده:.. 28

(۴-۱)بیان مسئله و ضرورت انجام تحقیق:.. 37

(۵-۱)اهداف و فرضیات:.. 41

فصل دوم: مواد وروش ها

(۱-٢)جمعیت مورد مطالعه:.. 44

(٢-٢)روش نمونه گیری:.. 44

(۳-٢)حجم نمونه:.. 44

(۴-٢)روش اجرای طرح:.. 44

(۵-٢)معیارهای ورود و خروج مطالعه:.. 45

(۶-٢)شیوه و ابزار گردآوری اطلاعات:.. 45

(۷-٢)شاخص پلاک ایندکس Silness & Leo (PI):.. 46

(۸-٢)شاخص ضریب لثه ای (GI):.. 47

(۹-٢) شاخص عمق پاکت (PD):.. 47

(۱۰-٢)شاخص ازدست دادن چسبندگی لثه (AL): 48

(۱۱-٢)شاخص خونریزی هنگام پروب کردن (BOP):.. 48

(۱٢-٢)عملیات جراحی:.. 49

(۱۳-٢)اندازه گیری های پس از جراحی:.. 53

(۱۴-٢)جدول متغیرها:.. 54

(۱۵-٢)روش تجزیه و تحلیل داده ها و بررسی آماری: 55

فصل سوم: یافته ها و نتایج

(۱-۳)عمق پاکت:.. 56

(٢-۳)شاخص پلاک:.. 59

(۳-۳)ازدست دادن چسبندگی لثه:.. 61

(۴-۳)شاخص لثه:.. 63

(۵-۳)شاخص خونریزی:.. 65

فصل چهارم: بحث

فصل پنجم: نتیجه گیری و پیشنهادات

(۱-۵)نتیجه گیری:.. 78

(٢-۵)نقاط قوت ومحدودیت های مطالعه:.. 78

(۳-۵)پیشنهادات:.. 80

فصل ششم: منابع

Reference. 75

چکیده انگلیسی.. 80

ضمائم

منبع:

Reference:

1. Silva FM, Cortez AL, Moreira RW, Mazzonetto R. Complications of intraoral donor site for bone grafting prior to implant placement. Implant Dent. 2006 Dec;15(4):420-6.

2. Novak MJ, Novak KF. Chronic periodontitis. In:  Newman MG, Takei HH, Klokkevold PR, Carranza FA. Carranza's clinical periodontology. 10th ed. Philadelphia: Elsevier; 2006. P: 494-9.

3.Socransky SS, Haffajee AD, Goodson JM, Lindhe J. New concepts of destructive periodontal disease. J Clin Periodontol, 1984; 11(1): 21-32.

4.Beck JD, Arbes SJ. Epidemiology of gingival and periodontal diseases. In: Newman MG, Takei HH, Klokkevold PR, Carranza FA. Carranza's clinical periodontology. 10th ed. Philadelphia: Elsevier; 2006. P: 125-7.

5.Papapanou PN. Risk assessments in the diagnosis and treatment of periodontal diseases. J Dent Educ, 1998; 62(10): 822-39.

6.Sanz M, Newman MG, Quirynen M. Advanced diagnostic techniques. In: Newman MG, Takei HH, Klokkevold PR, Carranza FA. Carranza's clinical periodontology. 10th ed. Philadelphia: Elsevier; 2006. P: 579.

7.Tetradis S, Carranza FA, Fazio RC, Takei HH. Radiographic aids in the diagnosis of periodontal disease. In: Newman MG, Takei HH, Klokkevold PR, Carranza FA. Carranza's clinical periodontology. 10th ed. Philadelphia: Elsevier; 2006. P: 561.

8.Carranza FA, Takei HH. Clinical diagnosis. In: Newman MG, Takei HH, Klokkevold PR, Carranza FA. Carranza's clinical periodontology. 10th ed. Philadelphia: Elsevier; 2006. P: 541-54.

9.Oxford GE,Quintero G,Stuller CB,Gher ME.Treatment of 3ᵗͪ molar-induced periodontal defects with guided tissue regeneration.J Clin Periodontal 1997;24:464-9

10.Penarocha Diago M ,Galan Gil S.Vestibular bone window for the extraction of impacted lower third molars :four case reports.Med Oral Patol Oral Cir Bucal 2008 ; 13::E508-10

11.Dodson TTB .Is there a role for reconstructive techniques to prevent periodontal defects after third molar surgery ? .Oral Maxillofac Surg Clin North Am 2007 ; 19:99-104

12.Dodson TB . Management of mandibular third molar extraction sits to prevent periodontal defects . J Oral Maxilllofac Surg 2004 ; 62:1213-24.

13.Leung WK ,Corbet EF ,Kan KW ,Lo EC ,Liu JK .A regimen of systematic periodontal care after removal of impacted mandibular third molars manages periodontal pockets assosiated with the mandibular second molars.J Clin Periodontal 2005 ; 63:766-70

14.Sammartino G,Tia M,Marenzi G,di Lauro AE,D̛ Agostino E,Claudio PP.Use of autologous platelet-rich plasma (PRP) in periodontal defect treatment after extraction of impacted mandibular third molars.J Oral Maxillofac Surg.2005;63:766-770.

15.Pons-Vicente O ,Valmaseda-Castellon E , Berini-Aytes L , GayEscoda C .Effect on pocket depth and attachment level of manual versus ultrasonic scaling of lower second molars following lower third molar extraction : a randomized controlled trial . Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2009 ; 107:e11-9

16.Suarez-Cunqueiro MM, Gutwald R, Reichman J, Otero-Cepeda XL, Schmelzeisen R. Marginal flap versus paramarginal flap in impacted third molar surgery: a prospective study. Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics. 2003;95(4):403-8.

17.Jakse N, Bankaoglu V, Wimmer G, Eskici A, Pertl C. Primary wound healing after lower third molar surgery: evaluation of 2 different flap designs. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002 Jan;93(1):7-12.

18.Williams PL,Warwick R,Dyson M,Bannister LH:Gray`s Anatomy.37th ed.United Kingdom:Churchill Livingstone CO.1989.P.267-359.

19.Han TJ, Park KB, Surgical aspest of dental implants .in:Newman MG, Takei H, Carranza FA. Clinical periodontology.

 9th ed. Philadelphia London, Newyork, st. louis, Sydney, toronto: W.B. Saunders CO; 2002. P: 905-921.

20. Coceancig PL. Alveolar bone grafts distal to the lower second molar. J Maxillofac Oral Surg. 2009 Mar;8(1):22-6.

21.Klockkevold PR, Jovanovic SA. Advaned Implant  surgery and bone grafting techniques. In Newmexn MG, Take HH, Carranza FA..Carranza's clinical periodontology. 9th ed. Philadelphia, W.B. Saunders Co, 2002; P: 905.

22.Sweet JB, Butler DP. Predisposing and operative factors: effect on the incidence of localized osteitis in mandibular third-molar surgery. Oral Surg Oral Med Oral Pathol. 1978 Aug;46(2):206-15.

23.Kugelberg CF. Periodontal healing two and four years after impacted lower third molar surgery. A comparative retrospective study. Int J Oral Maxillofac Surg. 1990 Dec;19(6):341-5.

24.Kugelberg CF, Ahlstrom U, Ericson S, Hugoson A, Kvint S. Periodontal healing after impacted lower third molar surgery in adolescents and adults. A prospective study. Int J Oral Maxillofac Surg. 1991 Feb;20(1):18-24.

25.Absi EG, Shepherd JP. A comparison of morbidity following the removal of lower third molars by the lingual split and surgical bur methods. Int J Oral Maxillofac Surg. 1993 Jun;22(3):149-53.

26.Craig M. Misch, DDS, MDS. Use of the mandibular ramus as a donor site for onlay bone grafting .J Oral Implantol. 2000;26(1):42-9.

27.Peng KY, Tseng YC, Shen EC, Chiu SC, Fu E, Huang YW. Mandibular second molar periodontal status after third molar extraction.J Periodontol. 2001 Dec;72(12):1647-51.

28.Kan KW,Liu JK,Lo EC,Corbet EF,Leung WK. Residual periodontal defects distal to the mandibular second molar 6-36 months after impacted third molar extraction. J Clin Periodontol. 2002 Nov;29(11):1004-11.

29.Chang HH, Lee JJ, Kok SH, Yang PJ. Periodontal healing after mandibular third molar surgery--A comparison of distolingual alveolectomy and tooth division techniques. Int J Oral Maxillofac Surg. 2004 Jan;33(1):32-7.

30.Schwartz-Arad D, Levin L, Sigal L. Surgical success of intraoral autogenous block onlay bone grafting for alveolar ridge augmentation. Implant Dent. 2005 Jun;14(2):131-8.

31.Richardson DT, Dodson TB. Risk of periodontal defects after third molar surgery: An exercise in evidence-based clinical decision-making. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005 Aug;100(2):133-7.

32.Krausz A,Machtei E,peled M.Effects of lower third molar extraction on attachment level and alveolar bone height og adjacent second molar ,Int Oral Maxillofac Surg 2005;34(7):756-60.

33. Novak MJ. Classification of diseases and conditions affecting the periodontium. In: Newman MG, Takei HH, Klokkevold PR, Carranza FA. Carranza's clinical periodontology. 10th ed. Philadelphia: Elsevier; 2006. P: 100-6.

34.Coceancig PL. Alveolar bone grafts distal to the lower second molar. J Maxillofac Oral Surg. 2009 Mar;8(1):22-6.

35.Pietrokovski J :The bony residual ridge in man,J Prosthet Dent.1975; 34:456-462

36.Carlsson G, Persson G: Morphologic changes of the mandible after extraction and wearing of dentures :alongitudinal clinical and x-ray cephalometric study covering 5 years ,Odontol Rery.1967;18:27-54.

37.Misch CM ,Misch CE ,Resnik RR,et al.Reconstruction of maxillary alveolar defects with mandibular symphysis grafts for dental implants:A preliminary procedural report.Int J Oral Maxillofac Implants.1992; 7:360-366.

38.Tolstunov L. Maxillary tuberosity block bone graft: innovative technique

and case report. J Oral Maxillofac Surg. 2009 Aug;67(8):1723-9.

39.Misch CE ,Dietsh F:Bone grafting materials in implant dentistry ,Implant Dent .1993;2:158-161.

40.Loe H. The Gingival Index, the plaque index and the retention index systems. J Periodontol.1967; 38: 610.

41.Sisk AL, Hammer WB, Shelton DW, Joy ED, Jr. Complications following removal of impacted third molars: the role of the experience of the surgeon. J Oral Maxillofac Surg. 1986 Nov;44(11):855-9

42.Adeyemo WL :Do pathologies associated with impacted lower third molars justify prophilactic removal ? A critical review of the literature . Oral Surg Oral Med Oral pathol .2006; 102:448

43.Misch CM .Enhance maxillary implant sites through symphysis bone graft.Dental Implantol Update. 1991; 2:101-104.

44.Carolyn D,George H , Blakey H.Second molar periodontal inflammatory disease after third molar removal in young advits,J Oral Maxillofac Surg 2010;68:3000-3006.

45.Blakey GH ,parker DW.Hell DJ,etal;the impact of removal of third molars on periodontal pathology.J Oral Maxillofac Surg 2000;67-245.

46.Ash M,Coctich E, Magwarad J:A study of periodontal hazards 3rd molars.J.periodontal 1692;33:209.

47.Grondahl HG ,Lekholm U.Influence of mandibular third molars on related supporting tissues.Int J Oral Surg 1973;2:137.

48. Marmary Y, Brayer L, Tzukert A, Feller L. Alveolar bone repair following extraction of impacted mandibular third molars. Oral Surg Oral Med Oral Pathol. 1986 Apr;61(4):324-6.(Abstrect)