Rajaram Vijayalakshmi

Abstract

Gingival recession is the exposure of the root surface resulting from migration of the gingival margin apical to the cementoenamel junction (CEJ). It may be localized or generalized and can be associated with one or more tooth surfaces. Even though gingival recession may occur without any symptoms it can give rise to pain from exposed dentin, patient concern about loss of the tooth, poor esthetics or root caries. The denuded root surfaces cause deterioration in the esthetic appearance, dentin hypersensitivity, and inability to perform proper oral hygiene procedures. The Bernotti V-Y flap is a coronally advanced flap technique with a “VY” flap design, which consist of a microsurgery technique with or without connective tissue graft, that will improve mucosal biotype and keratinized band in a predictable way for isolated mucosal recession, dehiscence and translucent tissue at teeth or implant sites. It is a conservative flap design, inspired by Semilunar and Modified Semilunar Tarnow’s technique, to minimize interproximal crestal bone loss and possible loss of papillae around teeth or implants, marginal mucosal position is stabilized avoiding adverse aesthetic outcomes. Miller’s Class I and II recession defects with a minimum height of (two) 2 mm are suitable to be selected to perform the Bernotti V-Y flap. The Bernotti V-Y flap consist of a pedicle flap, making a ¨V ¨incision apically to the recession defect and the flap is coronally advanced. Stability and aesthetic outcomes are achieved with the Bernotti V-Y flap. Keywords: Bernotti VY, Gingival recession, Root coverage.

View Article

Abstract

Obesity is a condition where the utilization and distribution of nutrients and energy status poses to be a challenge at cell and organism levels. Obesity is often associated with increased lipid and blood glucose levels, which may have deleterious consequences for the host response leading to alterations in T cells and monocytes/macrophages, as well as an increased cytokine production. Periodontitis, is an inflammatory disease process that results in permanent destruction of the supporting apparatus of the teeth, including the loss of gingival connective tissue, destruction of the periodontal ligament and resorption of alveolar bone. It is associated with increased prevalence of cardiovascular morbidity and mortality. There is a rationale that indicates that the presence of periodontal pockets which can harbor pathogenic microorganisms can evoke a host response and elicit a systemic effect. A potential interaction among obesity, periodontitis, and chronic disease incidence has been reported. This literature review aims at elaborating the possible inter-relationship between obesity and periodontal disease. Articles for this overview were procured from search engines google, google scholar and PubMed. Keywords: Obesity, Periodontitis, Inflammation, Cytokines.

View Article

Abstract

Artificial Intelligence (AI) is gaining a lot of momentum in recent times in almost all walks of life. The unfolding of AI programs over the years makes analysis of complex datasets and logical interpretation of it possible article introduces the applications of AI in dentistry and further aims to emphasize the various applications specific to the field of Periodontics and Implantology. From helping the dentist interpret dental radiographs and clinically evaluate patients more efficiently to helping the dental students hone their hand skills, the possibilities are immense. Currently in clinical dentistry, AI is still a fantastic idea on paper, but with greater research and financial backing, it can most certainly be our reality in the near future.   Keywords: Artificial Intelligence, Field of Periodontics and Implantology

View Article