This pool of pathogens can be an additional source of pathogens for the recurrence of inadequately treated periodontitis (figure 2). 4 Scanning electron microscopy has revealed that organisms of a dysbiotic biofilm can invade intact cementum through microchannels. Therefore, post-treatment retained calculus is related to the perpetuation of periodontal disease. High-powered transmission electron microscopic assay has revealed calculus to be a porous mineralized structure-like a dry sponge-allowing viable periodontal pathogens to live within and on the surface of its framework. The critical question is: can a root surface with retained calculus be compatible with health? This, for some, is the removal of loosely attached biofilm and endotoxins, and some calculus. Nevertheless, over the past several years, for a variety of reasons, clinicians, educators, and state board examiners have diminished the significance of complete calculus removal in favor of establishing a “biocompatible root surface” to achieve periodontal health. 3įor decades, the beneficial effect of calculus removal on the resolution of inflammation has been well-known. Calculus will often remain depending on the pocket depth, root anatomy, furcation involvement, mode of attachment, the time spent in removal, and the operator’s skill and experience (figure 1). Scaling and root planing is very effective in reducing clinical inflammation and probing depths when the subgingival calculus is removed. Achievement of long-term treatment success requires a combination of definitive root surface debridement, appropriate periodontal maintenance therapy, patient compliance, and devotion to excellent oral hygiene. Progressive periodontal bone loss and its associated deleterious systemic effects are the result of inflammation that occurs when a pathogenic subgingival biofilm interacts with the host’s immune system. 2 In fact, when evaluating tooth loss due solely to periodontal disease, patients with chronic periodontal disease were 10 times more likely to keep their natural teeth versus teeth that were replaced with dental implants. A recent study reported that dental implant failures are five times more likely in patients with recurrent periodontal disease than in those who are stable after treatment. 1 Incomplete scaling and root planing, with fractured subgingival calculus, is responsible for much recurrent periodontal disease, and this impacts dental implant success rates. Continued abuse of our services will cause your IP address to be blocked indefinitely.The reported incidence of abutment screw fracture is slightly less than 1%. Please fill out the CAPTCHA below and then click the button to indicate that you agree to these terms. If you wish to be unblocked, you must agree that you will take immediate steps to rectify this issue. If you do not understand what is causing this behavior, please contact us here. If you promise to stop (by clicking the Agree button below), we'll unblock your connection for now, but we will immediately re-block it if we detect additional bad behavior. Overusing our search engine with a very large number of searches in a very short amount of time.Using a badly configured (or badly written) browser add-on for blocking content.Running a "scraper" or "downloader" program that either does not identify itself or uses fake headers to elude detection.Using a script or add-on that scans GameFAQs for box and screen images (such as an emulator front-end), while overloading our search engine.There is no official GameFAQs app, and we do not support nor have any contact with the makers of these unofficial apps. Continued use of these apps may cause your IP to be blocked indefinitely. This triggers our anti-spambot measures, which are designed to stop automated systems from flooding the site with traffic. Some unofficial phone apps appear to be using GameFAQs as a back-end, but they do not behave like a real web browser does.Using GameFAQs regularly with these browsers can cause temporary and even permanent IP blocks due to these additional requests. If you are using the Brave browser, or have installed the Ghostery add-on, these programs send extra traffic to our servers for every page on the site that you browse, then send that data back to a third party, essentially spying on your browsing habits.We strongly recommend you stop using this browser until this problem is corrected.
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