A. Miremadi ,
Volume 9, Issue 1 (8 1996)
Abstract
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AR-SA In present study, 12 patents (10 F/2M) of 19-42
years with gingival recession in 14 sites of the mouth were recruited.
Inclusion criteria were considered and following primary treatments,
measurements (sulcus depth as well as depth and width of gingival recession and
distance between a fixed point and gingival margin ) were done. Free gingival
graft from palate was harvested by envelope technique and using saturated
citric acid. The distance between a fixed point and gingival margin and sulcus depth were recorded after 1,2,3,6
month post surgery. In addition, The depth of gingival recession from CEJ was
measured 6 month post operatively. Based on tables and statistical methods, the
root coverage was 65.35%. by 3 weeks after surgery, the graft was united with
the adjacent tissues.
A A. Khoshkhoonejad , A A. Miremadi , N. abolfazli ,
Volume 11, Issue 3 (8 1998)
Abstract
The present clinical trial was designed to evaluate the regenerative potential of periodontal tissues in degree II furcation defects at mandibular molars of human using a slow-resorbing collagen membrane and a surgical treatment technique based on the principles of guided tissue regeneration.The patient sampleinclude 8 subjects who had periodontal lessions in right and left mandibular molars regions, including moderate to advance periodonal destruction within the radicular area. Following a baseline examination including recording the clinical measurements (PD, Al, HC, F.G.M) , the furcation- involved molars were randomly assigned in each patient to either a test or a control treatment procedure. Included the evevation of mucoperiosteal flaps, recording measurement from the cemento enamel junction (C.E.J) directly coronal to the furcation area to the alveolar crest and to the base of the defect-Horizontal furcation measurements were also made using a William's probe, finally a collagen membrrane placed on the involved area to cover the entrance of the furcation and adjucent root surfaces as well as a portion of the alveolar bone apical to the crest. The flaps were repositioned and secured with interdental sutures. A procedure identical to the one used at the test teeth was Performed at the control teeth region with the exception of the placement of the collagen membrance. Following surgery all patients were placed on a plaque control regimen. All Patients received normal postsurgical care and at 6 month post-surgery were scheduled for re-entry surgery. Before re-entry surgery all clinical parameters recorded again. The re-entry mucoperiosteal flaps were designed to expose the furcation area for measurements, as describedabove. There was clinical improvement in all measurements made in both the test and control patients (especially in test group) over the 6 month period. The horizontal and vertical furcation measurements did yield a statistically significant imporvement when companing the test patients to the control.
Sa. Miremadi , Ar. Rokn , A. Nikbakht ,
Volume 15, Issue 4 (9 2003)
Abstract
In the past two decades, replacement of the missing teeth with implant borne prosthesis has become a treatment modality, accepted by the scientific community for fully and partially edentulous patients. The aim of the present study is to evaluate retrospectively, 502 ITI dental implants application, in partial and complete edentulous patients, treated in two private centers, based on clinical and radiographic parameters.One hundred and forty patients, with 502 ITI dental implants, who were treated from 1994 to 2000 in two private centers, were investigated. For such patientsT a minimum of one year and a maximum of six years were passed since prosthesis placement over implants, so they were cooperative subjects. There was a significant relation between implant type and bone loss, so was between the presence and absence of BOP and the rate of bone loss. From totality 502 implants, 6 implants (28%) and 4 implants (1.4%) were lost, in maxilla and mandible, respectively. The total success rate was 98%. This rate, in maxilla with 212 implants was 97.2% and in mandible with 90 implants was 98.6%. The mean value of bone loss (RBL) and periodontal pocket depth (PPD) during 6 years, for the remaning 492 implants were 0.93±0.39mm and 1.99mm, respectively. The results showed that ITI dental implants, with a success rate of more than 97%, can be used as a desirable treatment choice in partial and complete edentulous patients.
M. Paknegad , A. Miremadi , M. Tabatabaei-E-Yazdi , M. Khodadad-E- Motarjemi ,
Volume 16, Issue 2 (8 2003)
Abstract
Statement of Problem: The correlation between the activity of aspartate aminotransferase (AST) and alkaline phosphatase (ALP) enzymes in gingival sulcular fluid (GCF) with inflammation and periodontal attachment loss has been proved, however there are not adequate studies about dental implants.
Purpose: The aim of present study was to investigate the presence and activity level of AST & ALP and their correlation with pocket depth (PD) and bleeding of peri-implant slcular fluid (PISF), and to evaluate the possibility of using these assessments as a diagnostic index in oral implantology.
Material and Methods: In this study, 41 implants as test group and 41 contralateral teeth as control group, in 21 patients were evaluated. At first visit, the general information about implants and the values of pocket probing depth (PPD), modified sulcus bleeding index (mSBl) and modified plaque index (mPI) were recorded. At the second visit, samples of GCF/PISF were collected. AST & ALP activity was determined spectrophotometrically and data were analyzed by "t", "Mann-Whitney" tests and Pearson Spearman correlation coefficient.
Results: The results showed that there was a significant difference in the activity of AST between two study groups (P<0.0001). The average activity of ALP in test group was more than control group but the difference was not significant. After elimination of the confounding variables, the average AST in test group was 54.6 (S£=2.3) and in control groups was 44.8 (SE=2.3) (P=0.004). The average ALP in test group (SE=2.2) and in control (SE=2.2) were 36.6 and 35.4, respectively. Values of AST and ALP were positively correlated with other clinical parameters such as PD and mSBI which was significant in test group.
Conclusion: The present study suggests that PISF analysis could be considered as a proper diagnostic strategy in the evaluation of dental implant success.