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- Bertl, Kristina
(författare)
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Gingivainvaginationen bei kieferorthopädischem Lückenschluss
- 2015
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Ingår i: Wissen Kompakt. - : Springer Zahnmedizin. - 1863-2637. ; :3
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Gingivainvaginationen treten mit einer hohen Prävalenz von 35 bis 100 % während des kieferorthopädischen Lückenschlusses nach Zahnextraktion auf. Sie sind häufiger im Unterkiefer anzutreffen und können okklusal, vestibulär, oral oder durchgängig von vestibulär nach oral vorliegen. Relevante Folgen von Gingivainvaginationen sind ein verzögerter oder auch inkompletter Lückenschluss. Die Ätiologie ist nach wie vor nicht eindeutig geklärt, aber der Zeitrahmen von Zahnextraktion bis zum Beginn des Lückenschlusses sowie die Dauer des Lückenschlusses werden als wichtige Einflussfaktoren beschrieben. Da Gingivainvaginationen auch mit einer erhöhten Anzahl an Rezidiven durch Lückenöffnung nach Abschluss der kieferorthopädischen Behandlung assoziiert sind und eventuell eine ästhetische Beeinträchtigung für den Patienten darstellen können, sollten sie vor Abschluss des Lückenschlusses exzidiert werden.
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- Bertl, Kristina, et al.
(författare)
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Hyaluronanprodukte in der Therapie von Gingivitis- und Parodontitispatienten : Eine Literaturübersicht
- 2015
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Ingår i: Parodontologie. - : Quintessence. - 0937-1532. ; 26:4, s. 423-433
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Tidskriftsartikel (refereegranskat)abstract
- Application of hyaluronan (HY) in periodontal treatment has recently increased due to its bacteriostatic and anti-in ammatory pro- perties. This review is based in part on a recent systematic review and also includes newly published studies such as those on gingivitis patients. It summarizes the thera- peutic possibilities of HY application as a monotherapy and as an adjunct in the treatment of gingivitis and periodontitis. Based on literature searches in 3 databases, 18 controlled trials were identi ed. When comparing the HY test group with the control group, the majority of the clinical trials reported (a) a signi cant improvement in gingival indices of gingivitis patients and (b) a signi cant but clinically moderate reduction in bleeding on probing and probing pocket depth after nonsurgical treatment of periodontitis patients. The effect of HY application on clinical attachment level gain after surgical regenerative treatment remains unclear. Because no unexpected side effects were reported after HY-application, its use can thus be considered safe. However, due to the considerable heterogeneity of the available studies, in terms of product diffe- rences and varying application modalities, no recommendation can be provided re- garding the appropriate HY administration or the effective amount for the treatment of gingivitis or periodontitis.
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- Bertl, Kristina, et al.
(författare)
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Kieferorthopädie bei Parodontitispatienten : Worauf sollte man Acht geben? [Orthodontic Therapy in Periodontitis Patients: What Should be Taken Care of?]
- 2017
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Ingår i: Informationen aus Orthodontie und Kieferorthopädie. - : Georg Thieme Verlag KG. - 0020-0336 .- 1439-4200. ; 49:01, s. 11-17
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Forskningsöversikt (refereegranskat)abstract
- Objective To provide an overview on "orthodontic therapy in periodontitis patients" by addressing the following three questions: (1) At which time point can orthodontic treatment start in periodontitis patients? (2) What should be considered during orthodontic treatment? (3) Can teeth with a reduced periodontium be maintained after orthodontic treatment? Results In general, the scientific evidence on this topic is mainly based on preclinical, retrospective studies, and case series; controlled clinical trials are scarce. Nevertheless, it is clear, that orthodontic tooth movement should be performed only in periodontally healthy (i.e., non-inflamed) tissues, otherwise further attachment loss might occur. Therefore, cause-related periodontal therapy should always precede orthodontic treatment and supportive periodontal treatment should be continuously provided during orthodontic therapy. Yet, up-to-now, there is no clear treatment recommendation regarding the time-point and type of any surgical intervention before orthodontic treatment. In relation to treatment of patients with vertical defects it is, however, not clear whether an open flap debridement is sufficient or application of any additional regenerative material will improve the prognosis. The results of orthodontic treatment can be successfully preserved on the long-term – also on a reduced periodontium – if sufficient stabilization and periodontal maintenance is provided. Conclusion Orthodontic therapy has no negative influence on teeth with a reduced but healthy periodontium and the results can be maintained for a large period of time. Hence, cause-related periodontal therapy should always precede orthodontic treatment to establish inflammation-free conditions, but up-to-now there is no clear recommendation regarding the time-point and type of periodontal surgical interventions.
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- Bertl, Kristina
(författare)
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Kieferorthopädie und gingivale Rezessionen
- 2015
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Ingår i: Informationen aus Orthodontie und Kieferorthopädie. - : Georg Thieme Verlag KG. - 0020-0336 .- 1439-4200. ; 47:02, s. 86-92
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Tidskriftsartikel (övrigt vetenskapligt/konstnärligt)abstract
- Objective: Based on the following 3 questions an overview is given on the topic “orthodontic treatment and gingival tissue recessions”: (1) Should orthodontic treatment be considered as risk factor for developing gingival tissue recessions? (2) Is a “prophylactic” soft tissue augmentation before orthodontic treatment justified to prevent gingival tissue recessions? (3) Should a root coverage procedure of a gingival tissue recession be performed before or after orthodontic treatment?
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- Bertl, Kristina
(författare)
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Kieferorthopädie und gingivale Rezessionen
- 2016
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Ingår i: ZWR - Das Deutsche Zahnärzteblatt. - : Georg Thieme Verlag KG. - 0044-166X .- 1439-9148. ; 125:9, s. 416-422
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Forskningsöversikt (övrigt vetenskapligt/konstnärligt)
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