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Occlusion is the last assessment to make for a fully seated crown. Articulating foils and shim stock are needed to check for occlusion. Both crown and adjacent teeth should hold shim stock firmly in the intercuspal position (ICP).A large flame shaped diamond bur is used to reduce high areas. Once ICP has been re-established the excursions can be checked preferably with a different coloured foil. Occasionally, it may be necessary to adjust the tooth opposing a restoration to avoid crown perforation or exposure of rough opaque porcelain.

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Periodontal disease is a chronic bacterial infection of the oral cavity, and it disproportionately affects African Americans. It's also been implicated as a potential risk factor for chronic kidney disease (CKD).

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To investigate this potential link, researchers led by Vanessa Grubbs, MD (University of California, San Francisco analyzed 699 African American adults who underwent complete dental examinations
In a study of blacks with normal kidney function, those with severe periodontal disease developed CKD at 4 times the rate of those without severe periodontal disease. The study that will be presented at ASN Kidney Week 2014 November 11-16 at the Pennsylvania Convention Center in Philadelphia, PA.
During an average follow-up of 4.8 years, there were 21 (3.0%) new CKD cases. Participants with severe periodontal disease had a 4.2-fold greater incidence of CKD after adjusting for various factors (age, sex,diabetes, hypertension, smoking, and income) compared with those without severe periodontal disease.
"Because periodontal disease is common and can be prevented and treated, targeting it may be an important path towards reducing existing racial and ethnic disparities in chronic and end-stage kidney disease," said Dr. Grubbs.
It’s always easier to take care of your periodontal health rather than causing yourself endless list of systemic diseases related to peridontitist.
Study: "The Association between Periodontal Disease and Kidney Function Decline in African Americans: the Jackson Heart Study" (Abstract FR-OR916)

 

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