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Journal of Periodontology Mar 2012Individuals with human immunodeficiency virus (HIV) have an increased risk of developing health problems, including some that are life threatening. Today, dental...
BACKGROUND
Individuals with human immunodeficiency virus (HIV) have an increased risk of developing health problems, including some that are life threatening. Today, dental treatment for the population with a positive HIV diagnosis (HIV+) is comprehensive. There are limited reports on the outcomes of intraoral surgical therapy in patients with HIV, such as crown lengthening surgery (CLS) with osseous recontouring. This report investigates the outcome of CLS procedures performed at an urban dental school in a population of individuals with HIV. Specifically, this retrospective clinical analysis evaluates the healing response after CLS.
METHODS
Paper and electronic records were examined from the year 2000 to the present. Twenty-one individuals with HIV and immunosuppression, ranging from insignificant to severe, underwent CLS. Pertinent details, including laboratory values, medications, smoking history/status, and postoperative outcomes, were recorded. One such surgery is described in detail with radiographs, photographs, and a videoclip.
RESULTS
Of the 21 patients with HIV examined after CLS, none had postoperative complications, such as delayed healing, infection, or prolonged bleeding. Variations in viral load (<48 to 40,000 copies/mL), CD4 cell count (126 to 1,260 cells/mm(3)), smoking (6 of 21 patients), platelets (130,000 to 369,000 cells/mm(3)), and neutrophils (1.1 to 4.5 × 103 /mm(3)) did not impact surgical healing. In addition, variations in medication regimens (highly active anti-retroviral therapy [18]; on protease inhibitors [1]; no medications [2]) did not have an impact.
CONCLUSIONS
The results of this retrospective analysis show the absence of postoperative complications after CLS in this population with HIV. Additional investigation into this area will help health care practitioners increase the range of surgical services provided to this group of patients.
Topics: Adult; Aged; Anti-HIV Agents; Antiretroviral Therapy, Highly Active; CD4 Lymphocyte Count; Crown Lengthening; Crowns; Dental Care for Chronically Ill; Dental Caries; Female; Follow-Up Studies; HIV; HIV Infections; HIV Protease Inhibitors; Humans; Leukocyte Count; Male; Middle Aged; Neutrophils; Periodontal Dressings; Platelet Count; Postoperative Complications; Retrospective Studies; Smoking; Surgical Flaps; Viral Load; Wound Healing; Young Adult
PubMed: 21780902
DOI: 10.1902/jop.2011.110318 -
Journal (Canadian Dental Association) Oct 1998N-butyl cyanoacrylate is an effective tissue adhesive which is hemostatic and bacteriostatic. It can be considered an alternative to conventional sutures in soft-tissue...
N-butyl cyanoacrylate is an effective tissue adhesive which is hemostatic and bacteriostatic. It can be considered an alternative to conventional sutures in soft-tissue surgery. The author presents two cases demonstrating the use of the material. Case One shows its use in free gingival graft surgery. Case Two shows its use post-biopsy.
Topics: Biopsy; Enbucrilate; Gingiva; Humans; Periodontal Dressings; Tissue Adhesives
PubMed: 9812430
DOI: No ID Found -
BMC Oral Health Feb 2016
Erratum to: Bone healing after low-level laser application in extraction sockets grafted with allograft material and covered with a resorbable collagen dressing: a pilot histological evaluation.
PubMed: 26860738
DOI: 10.1186/s12903-016-0173-4 -
The Journal of Clinical Pediatric... 2002This report presents a case of a completely intrusive luxation of an immature permanent central incisor in a 7 years 9 months-old girl. Because there are severe...
This report presents a case of a completely intrusive luxation of an immature permanent central incisor in a 7 years 9 months-old girl. Because there are severe intrusive trauma and cortical alveolar bone fracture, it was impossible to reposition with orthodontic or surgical method alone. The intruded tooth was repositioned to healthy alveolar bone level by using surgical extrusion and stabilization with sutures and periodontal pack. After healing of adjacent bone, the intruded maxillary central incisor erupted orthodontically by removable orthodontic appliance. It was moved from a high position to level of adjacent tooth in about 7 months. A radiograph was taken 6 months after ceasing forced eruption, which demonstrated minor root resorption, but the alveolar bone height had increased.
Topics: Alveolar Process; Child; Female; Humans; Incisor; Maxillary Fractures; Orthodontic Appliances, Removable; Periodontal Dressings; Radiography; Root Resorption; Suture Techniques; Tooth Avulsion; Tooth Movement Techniques; Wound Healing
PubMed: 12175126
DOI: 10.17796/jcpd.26.4.kgt012v05862h434 -
Journal of Periodontology Jun 1979
Comparative Study
Topics: Aerosols; Animals; Biometry; Cyanoacrylates; Female; Gingiva; Gingival Hemorrhage; Haplorhini; Macaca mulatta; Male; Periodontal Diseases; Periodontal Dressings; Periodontium; Sutures; Wound Healing
PubMed: 110916
DOI: 10.1902/jop.1979.50.6.305