Clean up margin in PAP

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Aug 6th, 2022
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How to clean up margin in PAP

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hi this is Kevin with garrison dental solutions and today I am lucky enough to be here in Beverly Hills California with dr. Matthew Nejad and dr. jawed is going to take us through some of the tips and tricks to deal with deep margin elevation that he has been working diligently to develop this beautiful technique and heamp;#39;s going to share some of that with you here today hey guys so as I mentioned Iamp;#39;m dr. Matt Nejad and Iamp;#39;m very excited to share with you some of my experience and technique of the margin elevation procedure which is something that I think has a lot of potential to expand our conservative restorations minimizing the use of crowns because a lot of times people go towards crowns when we could have still been doing more conservative biomedic restorations so Iamp;#39;m going to give you a little bit of a breakdown on the procedure when to use it and how to have better success with it so behind me over here we have a typical example of a deep carious le

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If LEEP doesnt remove all of the abnormal cells, you may have to have LEEP again, or your doctor or nurse may recommend more tests or a different treatment.
Usually, you can have more laser treatment or a LLETZ. Or you may need to have a cone biopsy. Your doctor may ask you to have a hysterectomy if: the abnormal cells come back more than once.
Results. At 6 months after LEEP the overall HPV infection persistence rate was 40.9 %, at 12 months 20 % and at 18 months 11.8 %. Type 16 showed the highest persistence rate: 27.3 % at 6 months, 12.7 % at 12 months and 10 % at 18 months after LEEP.
If your Pap test showed only healthy cervical cells, it is called a negative result. Sometimes the results will say the cells found were normal. You wont need any more treatment or testing until youre due for your next Pap test and pelvic exam.
(MAR-jin) The edge or border of the tissue removed in cancer surgery. The margin is described as negative or clean when the pathologist finds no cancer cells at the edge of the tissue, suggesting that all of the cancer has been removed.
A positive margin after LEEP (defined as a histopathological finding of CIN along the specimen margin regardless of the CIN grade) is a well-defined predictor of persistent/recurrent disease [4, 11, 12, 14].
If the margins are positive, you may need a repeat procedure. In addition, six months following a LEEP, youll have a follow-up appointment that includes Pap and HPV tests. In some cases, abnormal cells are found again. If this happens, you may require another LEEP.
Having positive margins, HPV, or both after your LEEP procedure can contribute to CIN persistence or recurrence after the procedure.

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