What is new attachment?

(nū ă-tach’mĕnt) Union of connective tissue or epithelium with a root surface that has been deprived of its original attachment apparatus; the new attachment may be epithelial adhesion and/or connective tissue adaptation or attachment and may include new cementum.

What is new attachment in periodontics?

On the contrary, the term new attachment is used when this joining of tissues (epithelial and/or connective) is produced on an area of the radicular surface previously affected by periodontitis, and where no viable periodontal tissue remained (6).

Does clinical attachment loss mean bone loss?

In general, significant attachment loss preceded bone loss by 6 to 8 months. At 4 mm, attachment loss was found to predict subsequent bone loss with a true positive ratio of 60% and a false positive ratio of 5%, indicating a high degree of predictive discrimination.

What is clinical attachment loss in periodontitis?

Clinical attachment loss occurs when the collagen fibers of the periodontal ligament detach from the cementum on the root surfaces of teeth, causing the gingiva to migrate toward the roots of the teeth, exposing the roots and eventually causing the affected tooth to loosen, migrate, or fall out.

Is clinical attachment loss permanent?

Clinical attachment loss is an indicator of destructive periodontal disease, which means that the damage incurred from clinical attachment loss is irreversible.

What is clinical attachment?

Clinical attachment is defined as a work placement carried out in a hospital or team, where a doctor shadows another col- league to find out about their work and how the National Health Service (NHS) works (British Medical Association, 2015).

What is the meaning of attachment loss?

Connective tissue attachment loss refers to the pathological detachment of collagen fibers from cemental surface with the concomitant apical migration of the junctional or pocket epithelium onto the root surface.

What is the difference between GBR and GTR?

Introduction. Guided tissue regeneration (GTR) and guided bone regeneration (GBR) are surgical techniques performed to regenerate, respectively, the tooth supporting tissues (GTR) and the alveolar bone in edentulous areas (GBR).

How is attachment loss diagnosed?

A diagnosis is made by inspecting the gum tissue around the teeth both visually and with a probe. X-rays may also be used to evaluate bone loss around the teeth. Treatment for periodontal disease includes good oral hygiene practices and regularly scheduled professional teeth cleanings.

What is new attachment in dentistry?

New attachment is the ideal, desired goal, which each periodontist today are trying to achieve in every possible way. Reattachment of the soft tissues to the tooth, with or without bone regeneration, has been observed clinically as far back as 1893 by Allport and 1894 by Younger, Leonard, and ohters.

Can new bone attachment be achieved by cells originating from periodontal ligament?

This new attachment extended in coronal direction to a level 5 mm coronal to the alveolar bone crest. This finding suggests that new attachment can be achieved by cells originating from the periodontal ligament and demonstrates that the concept that the periodontitis affected root surface is a major preventive factor for new attachment is invalid.

What is attachment loss in periodontology?

Periodontology – Clinical Attachment Loss Clinical attachment loss is the primary manifestation of periodontal disease. The fibers of the periodontal ligament attach the teeth to the alveolar bone, connecting with the cementum that covers the roots of the teeth.

Can new connective tissue attachment form on a previously periodontitis involved root surface?

New attachment following surgical treatment of human periodontal disease The present experiment was undertaken to test the hypothesis that new connective tissue attachment may form on a previously periodontitis involved root surface provided cells originating from the periodontal ligament are enabled to repopulate the root surface during healing.