Bøger af Deepak Grover

In 1892, Sir William Osler noted, ¿If it were not for the great variability among individuals medicine might as well be a science and not an art¿. This statement now a century old still embodies the influence of genetic variability on treatment outcomes both in Medicine and in Periodontics. Although, periodontitis does not follow Mendelian inheritance patterns, evidence is mounting of important hereditary influences. In fact, in developed countries, the strongest risk predictor of many common illness including diabetes, heart diseases and cancer is family history. Knowledge of hereditary influence of disease is not a new finding and it seems likely that oral cavity is excluded from genetic factors. An important problem related to research in the hereditary of periodontitis is that, whatever the cause of the disease, the symptoms are the same: deepening of periodontal pocket, loss of attachment and bone loss. The more susceptibility factors an individual has inherited, the greater the genetic predisposition and higher the chance for early development of periodontitis.

¿From mobility to stability¿ is what every Periodontist aims at. For centuries dentists have been trying to stabilize loose teeth. The periodontally compromised dentition offers many opportunities to debate the efficacy of splinting. It frequently addresses the therapeutic goals of treatment, including patient comfort with mastication and retention of teeth after orthodontic intervention. Dental splints that are properly placed and contoured enable effective patient self-care and contribute to a positive prognosis. Continued success cannot occur without scrupulous patient self-care. With the combination of proficient clinical skill, appropriate dental material selection, good communication and comprehensive health education, both providers and patients can benefit from aesthetic, functional and healthy dental splints. We hope that these notes will provide a straightforward theoretical base on which the post-graduate and undergraduate may build knowledge on mobility and splinting and develop an interest in the speciality of Periodontics.