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Lee, Young-Soo, und Hye-Sun Shin. „Association between Diet Quality and Periodontitis in Korean Population“. Korean Society of Oral Health Science 10, Nr. 3 (30.09.2022): 32–42. http://dx.doi.org/10.33615/jkohs.2022.10.3.32.
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Objectives: The aim of this study was to examine the association between the diet quality and periodontiti for Korean population.
Methods: The total number of participants in the KNHANES was 7,943. Periodontitis was defined as Community Periodontal Index. Diet quality was evaluated using the Korean Healthy Eating Index (KHEI) following adequacy, moderation, and balance components.
Results: The lowest KHEI total score was associated with periodontitis and severe periodontitis. Especially, lower fruit intake was associated with periodontitis, while lower have breakfast, lower total fruits, meat fish, eggs, and beans intake, and lower carbohydrate and fat energy balance were associated with severe periodontitis.
Conclusions: Diet quality had a more significant effect on severe periodontitis than on periodontitis. It is necessary to pay attention to diet quality to better oral health.
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Rams, Thomas E., Charles E. Hawley, Eugene J. Whitaker, John E. Degener und Arie J. van Winkelhoff. „Centipeda periodontii in human periodontitis“. Odontology 103, Nr. 3 (19.07.2014): 286–91. http://dx.doi.org/10.1007/s10266-014-0166-1.
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Pischon, N., N. Heng, J. P. Bernimoulin, B. M. Kleber, S. N. Willich und T. Pischon. „Obesity, Inflammation, and Periodontal Disease“. Journal of Dental Research 86, Nr. 5 (Mai 2007): 400–409. http://dx.doi.org/10.1177/154405910708600503.
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The prevalence of obesity has increased substantially over the past decades in most industrialized countries. Obesity is a systemic disease that predisposes to a variety of co-morbidities and complications that affect overall health. Cross-sectional studies suggest that obesity is also associated with oral diseases, particularly periodontal disease, and prospective studies suggest that periodontitis may be related to cardiovascular disease. The possible causal relationship between obesity and periodontitis and potential underlying biological mechanisms remain to be established; however, the adipose tissue actively secretes a variety of cytokines and hormones that are involved in inflammatory processes, pointing toward similar pathways involved in the pathophysiology of obesity, periodontitis, and related inflammatory diseases. We provide an overview of the definition and assessment of obesity and of related chronic diseases and complications that may be important in the periodontist’s office. Studies that have examined the association between obesity and periodontitis are reviewed, and adipose-tissue-derived hormones and cytokines that are involved in inflammatory processes and their relationship to periodontitis are discussed. Our aim is to raise the periodontist’s awareness when treating obese individuals.
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Paty, Diana Sofia Patrocinio, Nara Santos Araujo, Guilherme Nunes de Carvalho, Pedro Yoshito Noritomi, Jorge Vicente Lopes da Silva, Daniel Takanori Kemmoku, Jean Nunes dos Santos und Patricia Ramos Cury. „Using the Response Surface Methodology for Periodontitis Diagnosis“. Journal of Health Sciences 25, Nr. 3 (25.10.2023): 153–58. http://dx.doi.org/10.17921/2447-8938.2023v25n3p153-158.
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AbstractResponse surface methodology (RSM) consists of mathematical and statistical techniques to develop models which help to understand the influence of various factors on a dependent variable of interest. The feasibility of RSM use to detect cases of periodontitis and its correlated factors has not yet been evaluated. This study developed mathematical models for periodontitis diagnosis independent of periodontal probing using the RSM. Demographic, socioeconomic, behavioral, systemic, local factors, and periodontitis were assessed in 176 volunteers. Periodontitis case was defined according to three different definitions: 1) ≥3 sites with clinical attachment level (CAL) ≥4 mm; 2) at least one site with CAL ≥4 mm and bleeding on probing; 3) ≥2 proximal sites with CAL ≥3 mm and ≥2 proximal sites with probing depth (PD) ≥4 mm (not on the same tooth) OR 1 site with PD ≥5 mm. 4th-degree polynomial equations showed high coefficients of determination (R²= 1) and were used to represent the mathematical models of periodontitis cases. According to definition 1, the diagnosis of periodontitis was accurate by including in the model: age, sex, education level, plaque index (PI), number of missing teeth, previous hygiene instructions, and body mass index (BMI). According to definition 2, the diagnosis of periodontitis was accurate by including in the model: age, sex, education level, income, PI, previous oral hygiene instructions, frequency of brushing and type of toothbrush, and use of mouthwash in the model. For an accurate diagnosis of periodontitis according to definition 3, the model included: age, education level, IP, number of missing teeth, previous oral hygiene instruction, BMI, and diabetes. The multifactorial mathematical models were able to diagnosis periodontitis according to different periodontitis case definitions using only variables of easy evaluation and non-invasive. Keywords: Periodontal Diseases. Diagnosis. Theoretical Model. Logistic Models. ResumoA metodologia de superfície de resposta (MSR) consiste em técnicas matemáticas e estatísticas para desenvolver modelos que ajudam a entender a influência de vários fatores em uma variável dependente de interesse. A viabilidade do uso da MSR para detectar casos de periodontite e seus fatores correlacionados ainda não foi avaliada. Este estudo desenvolveu modelos matemáticos para diagnóstico de periodontite independente da sondagem periodontal usando a MSR. Fatores demográficos, socioeconômicos, comportamentais, sistêmicos, locais e periodontite foram avaliados em 176 voluntários. O caso de periodontite foi definido de acordo com três definições diferentes: 1) ≥3 locais com nível de inserção clínica (NIC) ≥4 mm; 2) Um local com NIC ≥4 mm e sangramento à sondagem; 3) ≥2 locais proximais com NIC ≥3 mm e ≥2 locais proximais com profundidade de sondagem (PS) ≥4 mm (não no mesmo dente) OU 1 local com PS ≥5 mm. Equações polinomiais de 4º grau apresentaram altos coeficientes de determinação (R²= 1) e foram utilizadas para representar os modelos matemáticos dos casos de periodontite. De acordo com a definição 1, o diagnóstico de periodontite foi preciso ao incluir no modelo: idade, sexo, escolaridade, índice de placa (IP), número de dentes perdidos, instruções de higiene anteriores e índice de massa corporal (IMC). De acordo com a definição 2, o diagnóstico de periodontite foi preciso ao incluir no modelo: idade, sexo, escolaridade, renda, IP, instruções prévias de higiene bucal, frequência de escovação e tipo de escova dental e uso de enxaguatório bucal no modelo. Para um diagnóstico preciso de periodontite de acordo com a definição 3, o modelo incluiu: idade, escolaridade, IP, número de dentes perdidos, instrução prévia de higiene oral, IMC e diabetes. Os modelos matemáticos multifatoriais foram capazes de diagnosticar a periodontite de acordo com diferentes definições de casos de periodontite usando apenas variáveis de fácil avaliação e não invasivas. Palavras-chave: Doenças Periodontais. Diagnóstico. Modelo Teórico. Modelos Logísticos.
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Yıldırım, Hatice Selin, Nimet Gül Görgülü, Kübra Kundak und Leyla Kuru. „Kronik Periodontitis ile Agresif Periodontitisin Farklılıkları“. European Journal of Research in Dentistry 2, Nr. 3 (30.12.2019): 119–23. http://dx.doi.org/10.35333/erd.2019.100.
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Koffi-Coulibaly, Nadin Therese, Zocko Ange Desire Pockpa und Gnaba Samson Mobio. „Prevalence and severity of periodontitis among adults in Côte d’Ivoire according to the new EFP/AAP periodontal disease classification“. Journal of Advanced Periodontology & Implant Dentistry 13, Nr. 2 (28.11.2021): 76–83. http://dx.doi.org/10.34172/japid.2021.018.
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Background. To describe the prevalence and severity of periodontitis in patients attending the Periodontics Service of the Cocody University Hospital at Abidjan.Methods. This retrospective observational study reviewed records of patients aged 20-80 years who attended the Periodontics Service between January 2014 and December 2018. Periodontitis was diagnosed, according to the 2018 EFP/AAP new classification of Periodontal and Peri-Implant Diseases and Conditions. Chi-square test, 1-factor Anova test, and logistic regression were performed for analysis.Results. A total number of 596 patients were included. The mean age was 44.94 ± 14.34 years and 59.20% of were males. 2 (0.40%) patients were classified as Stage I, 221 (37.08%) as Stage II, and 373 (62.58%) as Stage III/V; the extent of periodontitis was generalized in 39.77% of patients. PD ≥ 6 mm, missing teeth ≥ 5 and mobile teeth were present in 47.15%, 26.35% and 25.50% of the sample, respectively.Severity of periodontitis were associated with age (p < 0.001), socio-economic status (p=0.001), diabetes (p < 0.001), missing teeth (p < 0.001) and smoking (p=0.009). Age (OR= 1.59, 95% CI: 1.11-2.26) and missing teeth (OR= 2.31, 95% CI: 1.08-4.89) were identified as independent risks indicators.Conclusion. The prevalence and severity of periodontitis were high. Risks indicators identified may allow early detection and management of groups at high risk in Côte d’Ivoire.
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Laine, M. L., S. A. Morré, L. S. Murillo, A. J. van Winkelhoff und A. S. Peña. „CD14 and TLR4 Gene Polymorphisms in Adult Periodontitis“. Journal of Dental Research 84, Nr. 11 (November 2005): 1042–46. http://dx.doi.org/10.1177/154405910508401114.
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Bacterial deposits, smoking, and host genetic factors play a major role in an individual’s predisposition to periodontitis. Bacterial components are recognized by CD14 and toll-like receptor 4 (TLR4), resulting in a NF-κB-based inflammatory response. We hypothesized that functional CD14 and TLR4 polymorphisms contribute to periodontitis susceptibility. We aimed to investigate the occurrence of CD14-260C>T, TLR4 299Asp>Gly, and 399Thr>Ile gene polymorphisms in adult periodontititis. DNA was collected from 100 patients with severe periodontitis and from 99 periodontally healthy controls. The gene polymorphisms were determined by the PCR technique. The presence of the periodontal pathogens Porphyromonas gingivalis and Actinobacillus actinomycetemcomitans, and whether the subjects smoked, was included in the analyses. The CD14-260T/T genotype was found in 34.0% of periodontitis patients and in 20.2% of controls. Logistic regression analysis adjusted for gender, age, smoking, and prevalence of P. gingivalis and A. actinomycetemcomitans showed an association between the CD14-260T/T genotype and periodontitis (P = 0.004, OR 3.0, 95% CI 1.4–6.9). We conclude that the CD14-260T/T genotype contributes to the susceptibility to severe periodontitis in Dutch Caucasians.
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Herawati, Dahlia. „Terapi Kombinasi Root Debridement dan Antibiotik terhadap Periodontitis Agresif“. Majalah Kedokteran Gigi Indonesia 19, Nr. 1 (20.10.2016): 200. http://dx.doi.org/10.22146/majkedgiind.15426.
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Latar Belakang. Kerusakan periodontal yang signifikan secara klinis selama dewasa atau awal masa dewasa dikenal sebagai periodontitis agresif. Perawatan standar scaling dan root planing sering kurang memuaskan hasilnya sehingga perlu mempelajari periodontitis agresif secara tuntas dan terapi yang harus diberikan sehingga perawatan bisa memberikan hasil yang optimal. Tujuan. Untuk mengupas tentang periodontitis agresif agar bisa menegakkan diagnosis, serta mendapatkan hasil yang optimal dalam perawatannya. Ringkasan Pembahasan. Gigi goyah disebabkan oleh sedikit atau rapuhnya tulang alveoler pendukung gigi sehingga gigi tidak bisa menjalankan fungsinya. Periodontitis agresif menyerang seseorang, diketahui oleh dokter gigi sering tidak dari awal, akan tetapi setelah penyakit tersebut berlanjut. Skrening melalui foto Rontgen pada penderita periodontitis usia awal dewasa berguna untuk mengetahui secara dini periodontitis agresif. Pada perawatan regeneratif dengan mengganti tulang alveoler yang hilang, terlebih dahulu menghentikan aktivitas periodontitis agresif, yaitu dengan memberikan antibiotik dikombinasi dengan root debridement baik secara bedah maupun non bedah. Kesimpulan. 1. Mengenali dan merawat periodontitis agresif secara dini dapat mencegah kerusakan jaringan periodontal yang berat. 2. Perawatan periodontitis agresif terutama mengeliminir bakteri dengan kombinasi tindakan mekanis root debridement dan pemberian antibiotik yang tepat dalam jagka waktu yang cukup secara konsisten. 3. Pemberian antibiotik sebaiknya berdasarkan tes laboratorium bakteri resiten. Background. Periodontal destruction is clinically significant during adulthood or early adulthood is known as aggressive periodontitis. Nursing standard scaling and root planing is often less satisfactory result, so need to study of periodontits aggressive thoroughly and therapy should be given so that treatments can provide result that optimal. The Purpose. To investigated the aggresive periodontitis in order to establish the diagnosis, and obtain optimal results in treatment. Summary of Discussion. Wobbly tooth caused by a slightly or bone fragility alveoler supporting the teeth so the teeth can not perform its function. Aggressive periodontitis someone attack, is is known by dentist often not from the beginning, but after the disease continues. Screening through X-ray in periodontitis someone attack, it is known by dentists often not from the beginning, but after the disease continues. Screening through X-ray in periodontitis patients with adult early age is useful to know early aggresive periodontitis. In the regenerative treatment by replacing the lost bone alveoler, first stop the activities of aggresive periodontitis, namely by giving antibiotics combination with root debridement either surgery or non surgical. Conclusion. 1. Recognizing and treating aggressive periodontitis early can prevent severe damage to periodontal tissues. 2. Treatment of aggressive periodontitis, especially action to eliminate the bacteria with a combination of mechanical root debridement and giving appropriate antibiotics within a sufficient period of time is concictently. 3. The given antibiotics should be based on laboratory tests of resistant bacteria.
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Sudhakar, U., JA Sivaranjani und MC Dayan. „Interleukin-1 as a Marker of Periodontitis with Oral Carcinoma – A Biochemical Study“. Journal of Oral Health and Community Dentistry 7, Nr. 3 (2013): 137–39. http://dx.doi.org/10.5005/johcd-7-3-137.
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ABSTRACT AIM This biochemical study aimed at evaluating the level of interleukin-1beta in patients with oral squamous cell carcinoma as a reflection of amount of bone destruction leading to periodontitis in comparison with the normal healthy individuals. MATERIAL & METHOD The subjects were grouped under four major categories like chronic periodontits, chronic periodontitis with oral squamous cell carcinoma and squamous cell carcinoma alone and the control. Each group consisted of 10 subjects each. Unstimulated whole saliva was collected from each subject. IL-1 in saliva was measured by enzyme linked immunosorbent assay. RESULTS In the present study, IL-1 was significantly more in patients with cancer and periodontitis than patients with only cancer. When compared with the normal subjects IL-1 value was significantly more in subjects with carcinoma (0.016). CONCLUSION This study presents the first evidence of association between level of salivary biomarker interleukin 1 in subjects with periodontitis and in oral squamous cell carcinoma.
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Еловикова, Татьяна, Tat'yana Elovicova, Елена Гайсина, Elena Gaysina, Артем Приходкин und Artem Prihodkin. „USE OF ANTIBACTERIAL DRUGS FOR THE TREATMENT OF AGGRESSIVE PERIODONTITIS“. Actual problems in dentistry 15, Nr. 1 (06.05.2019): 10–15. http://dx.doi.org/10.18481/2077-7566-2019-15-1-10-15.
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Background. Aggressive forms of periodontitis are a group of periodontal diseases characterized by rapid development, significant bone loss, few clinical manifestations, weak inflammatory and immune response, a small number of microorganisms, not proportional to the severity of destruction. According to modern ideas about the etiology of aggressive forms of periodontitis, the main reason for their development – the penetration of periodontal tissue Aggregatibacter actinomycetemcomitans. Therefore, aggressive forms of periodontitis may require adjunct antibacterial therapy.
Objective ― to determine and analyze the most effective methods of antibiotic therapy in patients with aggressive forms of periodontitis.
Methods. A literary review of the studies of Russian and foreign scientists on the development of approaches to improving the effectiveness of antibiotic therapy of aggressive forms of periodontitis in patients, using scientific search library databases PubMed, Medline, Cochrane, Elibrary. The main selection of materials was carried out by keywords. 37 publications were found.
Results. The review describes the main methods of modern antibiotic therapy of aggressive forms of periodontitis, the main advantages of antibacterial drugs.
Conclusion. In modern periodontics, there is a significant interest in the problem of antibiotic therapy of aggressive forms of periodontitis; various modes of antibiotics are studied. Most studies of this pathology are devoted to the use of moxifloxacin, azithromycin and a combination of amoxicillin and metronidazole. Additional use of antibiotics leads to better results in the treatment of aggressive forms of periodontitis.
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Ghosh, Sandip, Balaji R, Priyanka Yadav und Somen Bagchi. „Prevalence of periodontal diseases among patients attending at Dr. R. Ahmed dental college & hospital, Kolkata, W.B.“ International Journal of Oral Health Dentistry 8, Nr. 1 (15.03.2022): 59–63. http://dx.doi.org/10.18231/j.ijohd.2022.012.
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Periodontal disease is a public health problem and is associated with systemic diseases. Periodontitis is a highly prevalent disease in developed and developing country across all age group & gender. Majority of population in the developing countries suffer from different stages and grades of periodontitis which causes alveolar bone loss, tooth mobility and tooth loss.A cross-sectional study was conductedon 2220 dentate person including both male & female aged from 20 to 65 reported in the Department of Periodontics in 3 months It was observed estimated prevalence of periodontitis increased with age which is much higher among subjects with poor oral hygiene practice and females are suffering more than male. The current study collected significant data for prevalence Inadequate and/or improper maintenance of Oral hygiene confirmed as the most important predictor for periodontitis. Severity was found to be increased with increasing age also more in female than male.The effect of age and gender on the progression of periodontitis seemed to be less important when good oral hygiene is practiced.
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Rustrián-Campillo, Michelle, Miguel Hazael Russell-Hernández, Miguel Eric García-Rivera und María Gabriela Nachón-García. „De periodontitis agresiva a periodontitis: modificaciones en su clasificación y tratamiento a través del reporte de caso“. UVserva, Nr. 11 (25.04.2021): 93–104. http://dx.doi.org/10.25009/uvs.v0i11.2748.
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Introducción: En la Clasificación de las Enfermedades y Afecciones Periodontales y Periimplantarias de 2018, la periodontitis agresiva (PA), se considera como enfermedad periodontal estadio IV, grado C, patrón incisivo molar. Consiste en una patología bucal que ocurre en individuos aparentemente sanos, con periodontitis, rápida pérdida de inserción, destrucción ósea y agregación familiar. A lo largo de décadas esta enfermedad ha sufrido cambios en su definición y clasificación. Objetivo: Describir por medio del caso clínico las características y tratamiento de la periodontitis agresiva en la clasificación periodontal más reciente. Reporte de caso: hombre de 49 años, diagnosticado con periodontitis agresiva generalizada (PAG), con base en los hallazgos clínicos y radiográficos. Se realizó un tratamiento integral, con seguimiento de tres años, observando recidiva de la enfermedad. Conclusión: la implementación del uso de indicadores séricos y exámenes microbiológicos podría mejorar la clasificación actual y facilitar el diagnóstico y manejo del paciente. Palabras clave: Periodontitis agresiva; enfermedad periodontal estadio IV-grado C; clasificación periodontal; diagnóstico periodontal. From aggressive periodontitis to periodontitis: modifications in its classification and treatment through the case reportIntroduction: In the Classification of Periodontal and Peri-implant Diseases and Conditions of 2018, aggressive periodontitis (AP) is considered stage IV, grade C periodontal disease, molar incisor pattern. It consists of an oral pathology that occurs in apparently healthy individuals, with periodontitis, the rapid loss of attachment, bone destruction, and familial aggregation. Over the decades, this disease has changed its definition and classification. Objective: To describe aggressive periodontitis's characteristics and treatment in the most recent periodontal through the clinical case category. Case report: 49-year-old man, diagnosed with generalized aggressive periodontitis (PAG), based on clinical and radiographic findings. Comprehensive treatment was carried out, with a three-year follow-up, observing recurrence of the disease. Conclusion: The implementation of serum indicators and microbiological examinations could improve the current classification and facilitate the patient's diagnosis and management.Keywords: aggressive periodontitis, stage IV-grade C periodontal disease, periodontal classification, periodontal diagnosis.
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Hudyono, Rikko, und Jenny Sunariani. „MECHANISMS OF PERIODONTITIS - INDUCED ATHEROSCLEROSIS“. Indonesian Journal of Tropical and Infectious Disease 1, Nr. 3 (06.09.2010): 138. http://dx.doi.org/10.20473/ijtid.v1i3.2197.
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Nowadays CVD become the most common cause of death in US and worldwide. Atherosclerosis plays an important role in CVDs pathogenesis. Atherosclerosis decreases the elasticity of the vascular. Atherosclerosis shares the same risk factor as CVD, in which obesity, hyperlipidemia, hypertension and lack of physical activity may initiate it. However, 50% of all CVD patients are lack of the usual causes of CVD. The purpose of this review is to reveal the mechanism of periodontitis-induced atherosclerosis. Inflammation and autoimmune disease might play an important role in initiate the CVD. Periodontitis is one of the oral diseases which can cause systemic inflammation and may induce the atherosclerosis. Porphyromonas gingivalis (Pg) which is the major cause of periodontitis can induce it by expressing protein gp130 in its fimbriae. Periodontics patients are prone to have bacteremia by daily routine oral hygiene activity. Chronic bacteremia may alter the endothelial physiology, which is resulted in neointima formation, EC dysfunction, and lipid accumulation. It is concluded that periodontitis may play an important role in initiation and progression of atherosclerosis.
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Nasution, Aini Hariyani, Lidya Irani Nainggolan und Widianto Meydhyono. „Comparison of matrix metalloproteinase-13 and tissue inhibitor of metalloproteinase-1 levels and alveolar bone density in chronic periodontitis before and after scaling and root planning“. Majalah Kedokteran Gigi Indonesia 8, Nr. 2 (24.11.2022): 98. http://dx.doi.org/10.22146/majkedgiind.66221.
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Periodontitis is typically associated with disorders characterized by compromised tooth-supporting tissue. Damage to periodontal tissue is caused by an imbalance between matrix metalloproteinases and their inhibitors. Decreased tissue inhibitor and elevated matrix metalloproteinase levels result in collagen connective tissue and bone degradation. Several studies have shown that high levels of matrix metalloproteinase-13 (MMP-13) and low levels of tissue inhibitor of metalloproteinase-1 (TIMP-1) are also found in gingival crevicular fluid and saliva of patients with periodontitis. The purpose of this study was to determine the comparison of MMP-13 levels, TIMP-1 levels of saliva and bone density in patients with chronic periodontitis before and after scaling and root planning (SRP). The study samples were selected from patients who came for treatment at the Periodontics Installation of Universitas Sumatera Utara. A total of 16 patients were selected (n = 16) with a diagnosis of chronic periodontitis. The result showed that salivary MMP-13 levels in chronic periodontitis patients before SRP were higher than salivary MMP-13 levels after SRP and the difference was statistically significant (p < 0.05). It was also revealed that salivary TIMP-1 levels and alveolar bone density in chronic periodontitis patients before SRP were lower than that after SRP and the difference was statisticallysignificant (p < 0.05). There was a positive correlation between clinical parameters and salivary MMP-13 levels in patients with chronic periodontitis before and after SRP, but it was not statistically significant (p > 0.05). There was a negative correlation between clinical parameters and salivary TIMP-1 levels in patients with chronic periodontitis before and after SRP, but it was not statistically significant (p > 0.05).
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Sana Shah, Mahrukh Shah, Abid Laghari und Prof Shaheen Shah. „PREVALENCE OF PERIODONTITIS IN PARAMEDICAL STAFF WORKING IN A MEDICAL COLLEGE.“ JMMC 5, Nr. 2 (19.05.2015): 54–57. http://dx.doi.org/10.62118/jmmc.v5i2.359.
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:The present study was aimed at assessing the periodontal status of paramedical staff, the sample was of 91male adults, data was collected by interview, examination was done to find the periodontal status.Methodology: Written consent was taken. Demographic details were recorded, including age ,gender, educational status and income .Age groups were stratified into 25-35 years ,36-45 years and 46-60 years. Educationallevel classified into illiterate or primary matric-Intermediate, graduate and above.Income groups were stratified asless than 10 thousand,10 thousand to 20 thousand and 20 thousand and above. Examination was done, the attachment loss and pocket depth was recorded with the help of periodontal probe HU FRIEDY PCP 2 with ,2-,4-,6-,8-,10-.12mm graduation .It was positioned parallel to the long axis of the tooth at each site, bleeding from thegums was also recorded.Result: Our results show that there were 91male adults and average age range was 25-60years. Periodontitis inage group 25 t0 35years was 62%,age group 36 to 45years was 72%,and in age group 46 to 60years was 88%.Itwas highest in old age.When periodontitis was compared in the three groups according to income status,the periodontitis was 23% ,41% ,34% in staff getting salary less than10 thousand,10 to 20 thousand more than 20 thousand rupees respectively.When periodontitis was compared in the three groups according to educational status, the periodontitis was 64%in illiterate and primary educated,it was 40% in staff who were matriculate or inter pass, and periodontitis was20% in graduate respectivelyConclusion: periodontits is highly prevalent and is common in low income,less eduatated and older individuals.Keywords: Periodontitis, Pocket Depth, Clinical Attachment Loss.
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Patnaik, B. Bharghavi, Gautami S. Penmetsa, Keerthi Vinnakota, Alluri Venkata Ramaraju und Rama Krishna Alla. „Identification of Dermal Crease Patterns as a Link between Genetics and Periodontitis: Reliability and Credibility“. Journal of Forensic Science and Medicine 10, Nr. 2 (April 2024): 106–10. http://dx.doi.org/10.4103/jfsm.jfsm_70_23.
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Introduction: The disruptions in the ectodermal layer during intrauterine growth in the process of the formation of epidermal ridges can be linked to the association between dermatoglyphics and abnormalities of the tooth and periodontium. Given the genetic linkage of periodontal disease this study was hypothesized at observing the association of chronic periodontitis, aggressive periodontitis, and individuals with healthy periodontium as per the 1999 AAP classification of periodontitis with their fingerprint patterns and ridge count. Materials and Methods: Patients belonging to an age cohort of 18–50 who visited the department of periodontics and implantology were included in the study. Patients’ periodontal status was determined and was enrolled in the study. A total of 114 subjects were compared, where 38 subjects belonged to the individual group of periodontal condition that are designated as Group A (healthy), Group B (chronic periodontitis), and Group C (aggressive periodontitis). A total of 1140 fingerprints were collected. They were analyzed and classified according to their patterns and also the ridges were counted. Results: The comparison between three groups showed a statistically significant difference between increased percentage frequency of radial loops (28%) in chronic periodontitis and plain whorls (26.3%) in aggressive periodontitis. There was a significant difference between ridge count among all the three groups, the highest being in healthy and the least between aggressive periodontal conditions. Conclusion: Observations of the study show that there was a difference in fingerprint pattern between patients of all the three periodontal conditions indicating a link between epidermal ridges and condition of periodontium.
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Irwin, Chris, Brian Mullally, Hassan Ziada, Edith Allen und Patrick J. Byrne. „Periodontics: 2. Risk Factors and Susceptibility in Periodontitis“. Dental Update 34, Nr. 5 (02.06.2007): 270–76. http://dx.doi.org/10.12968/denu.2007.34.5.270.
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Bartold, P. Mark. „Lifestyle and periodontitis: The emergence of personalized periodontics“. Periodontology 2000 78, Nr. 1 (09.09.2018): 7–11. http://dx.doi.org/10.1111/prd.12237.
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Hossain, Md Zahid, Hammam I. Fageeh, Fadul A. Gader und M. Yunis Saleem. „Relationship of Blood Glucose Level and Severity of Periodontitis in Patients attended the Outpatient Periodontics Clinic of College of Dentistry, King Khalid University, Saudi Arabia“. City Dental College Journal 9, Nr. 2 (21.10.2012): 7–11. http://dx.doi.org/10.3329/cdcj.v9i2.12313.
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Aims: A prospective cross-sectional study was performed involving 30 patients who attended the College of Dentistry outpatient Periodontics clinic of King Khalid University, Abha, Kingdom of Saudi Arabia during the period of 12th March -12th May, 2011. Methods: Clinical data were recorded from the randomly selected 30 patients where periodontitis was indexed after Loe H: J Periodontol 38 (suppl):610, 1967 and modified from Russel AL: J Dent Res 35:350, 1956. Diabetic conditions were determined by 2 separate fasting plasma glucose (FPG) levels determinations [100~125 mg/dL at 8 hours fasting] and oral glucose tolerance test (OGTT) [140~199 mg/dL at 2 hours after 75-g glucose load]. Results: Among 30 patients, mean age 33}7 (range 18~54) years, males 70% and females 30% were divided into three groups: i) 10 periodontitis patients having diabetes mellitus (DM), ii) 10 non-diabetic periodontitis patients and iii) 10 patients were not suffering from periodontitis or DM as a control group. Results revealed that patients having diabetes had more moderate to severe forms of periodontitis 50% (p<0.05) including type 2 (80%) than type1 (20%) DM, (p<0.05). Similarly, 80% of the periodontitis patients were found suffering from moderate to severe forms of periodontitis (p<0.05) in uncontrolled group (20%) of DM patients. Conclusion: The present study proved a clear relationship with the patients having diabetes and periodontitis including severity of the diseases and glycemic control. Using these results, a greater effort can be made in providing periodontal as well as overall health to the population of at or around of Abha city of Saudi Arabia. DOI: http://dx.doi.org/10.3329/cdcj.v9i2.12313 City Dental College J. Volume-9, Number-2, July-2012
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Shetty, Mamatha, und Dipen Talaviya. „DETERMINATION OF SALIVARY URIC ACID LEVELS IN PERIODONTITIS AND HEALTH: A CASE CONTROL STUDY“. Journal of Health and Allied Sciences NU 02, Nr. 04 (Dezember 2012): 54–56. http://dx.doi.org/10.1055/s-0040-1703613.
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AbstractThe aim of this case-control study was to determine whether periodontitis was associated with impaired salivary antioxidant uric acid level. Sixty patients attending a routine dental check-up at department of periodontics AB Shetty memorial institute of dental science were recruited for the study. Thirty patients with periodontitis (case) and 30 patients with healthy periodontium (control) were included in the study. Periodontitis was defined as clinical attachment loss (CAL) ≥ 3mm in 30% of total sites examined (AAP-1999). CAL was measured from cemento-enamel junction to the base of pocket depth in mm using William's graduated probe. The teeth that was examined are (Ramfjord index teeth) 16, 21, 24, 36, 41, 44. l-2ml saliva was collected from patient in sterile glass vial and send for estimation of uric acid immediately. The uric acid level was measured in spectrophotometer. The result was statistically analyzed by student's t test. The mean value of uric acid level in periodontitis was 4.449 mg/dl.The mean value of uric acid level in healthy patient was 4.878 mg/dl. The study concluded that the level of uric acid in periodontitis patients was comparatively less than the normal patients. However, this difference was not statistically significant (p > 0.05)
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Steffens, João Paulo, João Paulo Fogacci, Cristiano Roberto Grimaldi Barcellos, Cristina da S. Schreiber de Oliveira, Fábio Vidal Marques, Joaquim Custódio Jr., Roberta Santos Tunes, Luiz Antônio de Araújo und Ricardo Guimarães Fischer. „Clinical management of the interrelationship between diabetes and periodontitis: joint guidelines by the Brazilian Society of Periodontology (SOBRAPE) and the Brazilian Society of Endocrinology and Metabolism (SBEM)“. Brazilian Journal of Periodontology 32, Nr. 1 (01.04.2022): 90–113. http://dx.doi.org/10.14436/0103-9393.32.1.090-113.oar.
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OBJECTIVE: The clinical management of the interrelationship between diabetes and periodontitis is a challenge for all parties involved in health care. For this reason, this project aims to provide subsidies for the implementation of routines that increase the partnership between endocrinologists, periodontists, and other health professionals in the patient care team. MATERIAL AND METHODS: The Brazilian Society of Periodontology – SOBRAPE and the Brazilian Society of Endocrinology and Metabolism – SBEM appointed specific committees to develop joint guidelines addressing the interrelationship between diabetes and periodontitis. Results: Guidelines were developed for patients, physicians, dentists, and teams working in the Unified Health System. CONCLUSION: The application of the guidelines can provide a complete approach to patients with diabetes and periodontitis, with a consequent improvement in quality of life, and an improvement in medical parameters, with possible cost reduction for all medical and dental activities.
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Patil, Sudhir R., Komal D. Walia, Surabhi Gigras und Veena HR. „Association between Obesity and Periodontitis in a South Indian Population: A Cross-sectional Study“. Journal of Contemporary Dentistry 7, Nr. 2 (2017): 103–6. http://dx.doi.org/10.5005/jp-journals-10031-1194.
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ABSTRACT Aim The aim of the study was to assess the relationship between obesity and periodontal status as well as evaluate its association with other demographic variables like age and gender among patients in KLE Society’s Institute of Dental Sciences, Bengaluru, Karnataka, India. Materials and methods A total of 200 patients (aged between 18 and 70 years) visiting the KLE Dental College in Bengaluru were analyzed for obesity and periodontal status. The body mass index (BMI) was used as an indicator of obesity and calculated as the ratio of the subject’s body weight (in kg) to the square of the height (in meters). Periodontal status was evaluated using community periodontal index (CPI). The relationship between BMI and periodontal status was assessed using binary multiple logistic regression analysis. Results Results indicated a positive correlation between BMI and periodontitis in the study group. Logistic regression analysis revealed that risk of periodontitis increases by 38% for each 1 kg/m2 increase in BMI. The risk of periodontitis increases with increase in age and influence of gender is not found to be significant. Conclusion Obesity could be a potential risk factor for periodontitis. Estimation of the BMI could, thus, be used in periodontal risk assessment. Clinical significance Obesity, as measured by BMI, is hypothesized to be involved in immunoinflammatory alterations, including periodontitis. The study also showed that obesity can be a potential risk factor for periodontitis. The BMI measurement should be used regularly as a part of periodontal risk assessment. Moreover, periodontists should counsel obese persons regarding the possible oral complications of obesity, to diminish morbidity for these individuals. How to cite this article Gigras S, Patil SR, Veena HR, Walia KD. Association between Obesity and Periodontitis in a South Indian Population: A Cross-sectional Study. J Contemp Dent 2017;7(2):103-106.
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Chopra Sukhmeet Kour, Tanya. „Dermatoglyphics and Periodontitis“. International Journal of Science and Research (IJSR) 12, Nr. 4 (05.04.2023): 447–51. http://dx.doi.org/10.21275/sr23406095650.
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Seniya, KM, KV Baiju und R. Ambili. „Evaluation of Salivary Glycated Albumin in Periodontitis Patients with and without Type 2 Diabetes Mellitus and its Changes with Non-surgical Periodontal Therapy“. Nigerian Journal of Clinical Practice 26, Nr. 9 (September 2023): 1257–63. http://dx.doi.org/10.4103/njcp.njcp_503_22.
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ABSTRACT Background: Bidirectional relationship exists between diabetes mellitus and periodontitis. Glycated albumin is an emerging biomarker to assess intermediate glycemic control. Salivary glycated albumin has not been evaluated in periodontitis. Aim: The aim of the study was to compare salivary glycated albumin in periodontitis patients with and without diabetes mellitus before and after periodontal therapy. Materials and Methods: This comparative cross-sectional study was conducted in the Department of Periodontics. Ninety subjects (mean age 41.8 ± 6.82) were categorized into three groups. Clinical examination and saliva sample collection were done at baseline and 4 weeks after scaling and root debridement. Salivary glycated albumin levels were estimated using an enzyme-linked immunosorbent assay. One-way analysis of variance with post hoc test and paired t-test was done for inter- and intra-group comparison. The optimal cut-off value was calculated using the receiver operating characteristic curve and by maximization of the Youden index. Results: Mean salivary glycated albumin was the highest in diabetic patients followed by non-diabetic periodontitis patients and least in healthy controls. All the intergroup comparisons were significant. A cut-off value of 72.19 ng/ml of salivary glycated albumin could predict diabetic status with a sensitivity and specificity of 75%. Salivary glycated albumin was significantly reduced in a similar manner in both groups after periodontal therapy (19.4% and 18.5%). Conclusion: Periodontitis patients with diabetes mellitus were presented with the highest salivary glycated albumin. Non-surgical periodontal therapy resulted in a similar reduction of salivary glycated albumin in periodontitis with and without diabetes mellitus.
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Sivadas T, Greeshma, und Bindu R Nayar. „Assessment of oral health related quality of life (OHRQL) in patients with periodontitis: A cross sectional survey“. IP International Journal of Periodontology and Implantology 6, Nr. 4 (15.02.2022): 212–21. http://dx.doi.org/10.18231/j.ijpi.2021.037.
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Health related quality of life is attaining more attention and is considered as an important marker of patients’ perception of disease. The impact of oral diseases on the oral health related quality of life (OHRQL) is of immense importance, but very few studies exist on the impact of periodontitis on quality of life. : This study was aimed to find out the relationship between periodontitis and OHRQL.A cross sectional survey was conducted at the outpatient Department of Periodontics, Government Dental College, Thiruvananthapuram, Kerala among 158 patients presented with periodontitis who satisfied the inclusion criteria.Data collection was done by using a proforma for recording age, gender and socioeconomic status. Clinical periodontal parameters such as clinical attachment loss (CAL), probing pocket depth (PPD), simplified oral hygiene index (OHI-S), gingival index (GI) using UNC 15 probe were examined. OHRQL was assessed using the Malayalam version of OHIP-14.Descriptive statistics were used to describe quantitative and qualitative variables. Association between periodontitis and OHRQL was analysed using Spearman’s correlation coefficient. Severity of periodontitis and OHRQL and each domains of quality of life and was determined using Kruskal-Wallis test.There is statistically significant association of OHRQL with CAL (r=0.16; p= 0.04). Other periodontal parameters (PPD, OHIS and GI) depicted a very weak positive correlation with OHRQL but none was statistically significant (r=0.15, p=0.07; r=0.13, p=0.10 and r=0.14, p=0.08 respectively). There is no statistically significant association between severity of periodontitis and OHRQL (p=0.24). The maximum affected domains are physical pain, psychologic discomfort and physical disability among the seven domains. Periodontitis have a definite impact on the OHRQL of this selected population. The perception of OHRQL can vary with difference in cultural background and between individuals. Further long term studies with a larger sample size and comparison with a healthy periodontium is necessary to validate the results.
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Di Spirito, Federica, Maria Pia Di Palo, Antonio Rupe, Federica Piedepalumbo, Alessandra Sessa, Giuseppina De Benedetto, Serena Russo Barone und Maria Contaldo. „Periodontitis in Psoriatic Patients: Epidemiological Insights and Putative Etiopathogenic Links“. Epidemiologia 5, Nr. 3 (26.07.2024): 479–98. http://dx.doi.org/10.3390/epidemiologia5030033.
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Psoriasis, a systemic autoimmune disorder primarily affecting the skin, manifests through erythematous plaques and scales, impacting approximately 2–3% of the global population. Chronic periodontitis, a prevalent oral disease characterized by the destruction of tooth-supporting tissues, affects roughly 10–15% of adults worldwide. Emerging evidence suggests a bidirectional relationship between psoriasis and chronic periodontitis, supported by epidemiological studies indicating a higher prevalence of periodontitis among individuals with psoriasis and vice versa. Both conditions are chronic inflammatory diseases marked by dysregulated immune responses and altered cytokine profiles, notably involving proinflammatory cytokines such as TNF-α and IL-17. Clinical studies highlight a reciprocal impact of treating one condition on the other, underscoring the necessity of interdisciplinary collaboration between dermatologists and periodontists in managing patients with both conditions. This narrative review provides a comprehensive overview of the relationship between psoriasis and chronic periodontitis, examining epidemiological associations, shared inflammatory pathways, genetic insights, microbial dysbiosis, environmental factors, and clinical implications. The review emphasizes the importance of integrated care approaches and the potential for targeted therapeutic interventions to improve both psoriatic and periodontal patient outcomes, advocating for further research into the molecular and cellular mechanisms underpinning the comorbidity of these diseases.
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Pillalamarri, Madhavi, Peddinti Harika, Sravanthi Gojuvaka, Samrin Saba, Uma Devi Dasari und Siddhartha Lolla. „Evaluation of Periodontitis Prevention by Using Traditional Medicinal Plants“. International Journal of TROPICAL DISEASE & Health 45, Nr. 5 (03.04.2024): 45–51. http://dx.doi.org/10.9734/ijtdh/2024/v45i51533.
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Periodontitis is a serious gum infection that damages gums and can destroy the jawbone. It is a disease of the tissue surrounding the tooth structure. It's usually brought on by bad brushing and flossing practices that let plaquea sticky layer of bacteria accumulate and solidify on the teeth. The gums get swollen, red, and bleeding at first. In this perspective, the various mouth disinfection, etc. This study helps to examine the number of herbal plants to evaluate the periodontitis infection. As therapeutic and preventive measures, such as mechanical instrumentation, gingival irrigation, and oral hygiene. Lack of access to contemporary medical care is one of the primary causes of periodontitis in the global population. The present review aims to determine the pharmacological uses of a number of therapeutic herbs. Phytochemical constituents are mainly responsible for periodontitis is allicin; allin; musilage; albumin; alpha-glutamyn peptides; volatile acids; amino acids as methionine, lucine, cystine, vitamin C, demethoxycurcumin, curcuminoids, bisdemethoxycurcumin, volatile oils, tannins, flavonoids, cocumarins, phenylproponoids, naphthalene, analogs, lipids, vitamins, phytodterols. The medicinal plants which are used for the periodontitid activity are Curcuma longa, Aradiachta indica, Aloe barbadens is miller, Syzygium aromaticum, Allium sativum Cinnamomum verum, piper cubeba etc. due to their phytochemical constituents and biological active components which shows beneficial effects.
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Vishwas, Anjum, und Aseem Shiromany. „Oral Malodor-A Menace To Periodontist“. Bangladesh Journal of Medical Science 11, Nr. 2 (24.07.2012): 74–79. http://dx.doi.org/10.3329/bjms.v11i2.9355.
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Oral malodor significantly affects our daily social life. It affects a large population and is a psychological setback to those suffering from it. This common disease has been really ignored for too long by periodontists, even though the most common cause is related to subgingival microbiota and coating of the tongue. It has been proved that a link exists between oral malodor and periodontal disease. Similar processes exist for the development of oral malodor and the progression of periodontitis. Compounds associated with oral malodor like volatile sulfur compounds (VSCs) are mainly produced by the gram negative, anaerobic bacteria associated with periodontitis. These VSC may further contribute to the etiology and pathogenesis of periodontal disease, so the purpose of this review article was to correlate the relationship between oral malodor and adult periodontitis. DOI: http://dx.doi.org/10.3329/bjms.v11i2.9355 Bangladesh Journal of Medical Science Vol. 11 No. 02 April 2012: 74-79
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Fares, Hussein Nasser, Halim Nagem Filho, Nasser Hussein Fares, Giordana Gregório Fritsch und Rafael Julivan Gomes da Silva. „Doença periodontal e risco de complicações da Covid-19“. Full Dentistry in Science 12, Nr. 47 (2021): 126–31. http://dx.doi.org/10.24077/2021;1247126131.
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The Covid-19 complexity is caused by severe inflammation and some signs are common with periodontitis. The attributes of periodontitis are pathophysiological in response to cytokines, which are chemotactic and recruit inflammatory cells. This article aims to investigate a probable link between periodontal disease that increases severity of Covid-19 and to consider the risk factors that influence the outcome of Covid-19 infections and the importance of periodontal health in prevention. Dental surgeons are high-risk professionals, especially periodontists, due to the frequent use of ultrasound and other aerosol-generating surgical instruments. In fact, in addition to the nasal passages, the mouth is a privileged place of contamination. Urgent or emergent dental care is often invasive and requires aerosolization. It is plausible that periodontitis aggravates an inflammatory process resulting from the infection, problems often linked to the most serious cases of Covid-19.
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Flemmig, Thomas F. „Periodontitis“. Annals of Periodontology 4, Nr. 1 (Dezember 1999): 32–37. http://dx.doi.org/10.1902/annals.1999.4.1.32.
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Schaudinn, Christoph, Amita Gorur, Duane Keller, Parish P. Sedghizadeh und J. William Costerton. „Periodontitis“. Journal of the American Dental Association 140, Nr. 8 (August 2009): 978–86. http://dx.doi.org/10.14219/jada.archive.2009.0307.
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Borgnakke, Wenche S., Michael Glick und Robert J. Genco. „Periodontitis“. Journal of the American Dental Association 144, Nr. 7 (Juli 2013): 764–66. http://dx.doi.org/10.14219/jada.archive.2013.0180.
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Preshaw, Philip M., und Susan M. Bissett. „Periodontitis“. Endocrinology and Metabolism Clinics of North America 42, Nr. 4 (Dezember 2013): 849–67. http://dx.doi.org/10.1016/j.ecl.2013.05.012.
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Rakic, Mia, Natasa Pejcic, Neda Perunovic und Danilo Vojvodic. „A Roadmap towards Precision Periodontics“. Medicina 57, Nr. 3 (03.03.2021): 233. http://dx.doi.org/10.3390/medicina57030233.
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Periodontitis is among the most common health conditions and represents a major public health issue related to increasing prevalence and seriously negative socioeconomic impacts. Periodontitis-associated low-grade systemic inflammation and its pathological interplay with systemic conditions additionally raises awareness on the necessity for highly performant strategies for the prevention and management of periodontitis. Periodontal diagnosis is the backbone of a successful periodontal strategy, since prevention and treatment plans depend on the accuracy and precision of the respective diagnostics. Periodontal diagnostics is still founded on clinical and radiological parameters that provide limited therapeutic guidance due to the multifactorial complexity of periodontal pathology, which is why biomarkers have been introduced for the first time in the new classification of periodontal and peri-implant conditions as a first step towards precision periodontics. Since the driving forces of precision medicine are represented by biomarkers and machine learning algorithms, with the lack of periodontal markers validated for diagnostic use, the implementation of a precision medicine approach in periodontology remains in the very initial stage. This narrative review elaborates the unmet diagnostic needs in periodontal diagnostics, the concept of precision periodontics, periodontal biomarkers, and a roadmap toward the implementation of a precision medicine approach in periodontal practice.
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Irma Ervina, Gabriel Jonathan Panggabean, Pitu Wulandari und Martina Amalia. „Quality Of Life of Menopausal Women Suffering from Periodontitis Relating to Dental Conditions“. Dentika: Dental Journal 25, Nr. 2 (12.12.2022): 78–84. http://dx.doi.org/10.32734/dentika.v25i2.8563.
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Menopause describes the cessation of a woman’s menstrual period due to the ovaries’ shutdown of estrogen and progesterone production. Decreased levels of these hormones cause menopause symptoms and reduce the quality of life. Therefore, this study aims to determine how the quality of life of postmenopausal women and the practice of periodontics in Medan City are related to the condition of teeth. A descriptive method was used with a cross-sectional design to adapt the questionnaires. The number of samples was 60 people based on medical record data at the periodontics installation of the RSGM USU and dentists’ practice in Medan. Furthermore, a Likert scale was used to assess the quality of life of postmenopausal women with periodontitis. The results showed that the quality of life, which strongly influenced the teeth, was Stage IV Grade B. In terms of social relations, the most decisive influence on the condition of the teeth was appearance. The aspect of the physical ability which strongly influences the condition is chewing hard food. In conclusion, menopausal women with periodontitis influence their quality of life from aspects of physical ability, social relations, general health, and psychology. Key words: quality of life, menopausal women, periodontitis, dental conditions
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Ali, Syed Muhammad, und Syed Mahmood Haider. „PERIODONTAL STATUS“. Professional Medical Journal 25, Nr. 12 (08.12.2018): 1961–65. http://dx.doi.org/10.29309/tpmj/18.4382.
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Thalassemia is a worldwide disease. 5-8% of Pakistani population (approx. 8–10 millions) are carrying thalassemia genes. It causes various abnormalities in different organs of patients. In Pakistan (to the best of our knowledge) no research work on oral and maxillofacial manifestation has been carried out, therefore present study was under taken. Setting: Abbasi Shaheed Hospital Karachi with collaboration of Husaini Institute of Blood Diseases Karachi, Fatimid Foundation and National institute of Oral Diseases Karachi Pakistan. Period: 2 years June 2013 to June 2015. Objectives: To assess the prevalence of periodontal disease and compare with age in thalassemia patient. Study Design: The sample consisted of 200 patients with Thalassemia Major, 120 males and 80 females aged 5 to 35years, with the mean age18.1. The sample was divided into three subgroups according to age. Clinical examination were carried out to assess the prevalence of change statistical differences in frequencies of percentage between the three groups. Aims of study: The aim of this study was to evaluate the frequency of periodontal status of Thalassemic patients and correlate with age from population of Karachi. Methods and Materials: 200 diagnosed β – thalassemia major patients, were randomlyselected form the Patients who were registered for their treatment. Their clinical examination and percentage of recorded feature were calculated and cross tabulated with age and (Ramfjords PDI Index) were used for evaluation of periodontitis and result were deduced. Results: Themost prominent features recorded were periodontitis in 82.5 normal patients were 17.5, Mild periodontitis 45.5% %; Moderate periodontitis 30 %; Severe periodontitis 7%. Conclusion: The increase in severity of Periodontistis increases with age and duration, necessitate regular surveillance and counselling in order to reassure the patient, reduce Periodontitis in thalassemia patients and improve the overall condition and life style of Patients.
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Kumar, Ashish. „Referral of a Periodontal Patient- When & Why?“ Journal of Oral Health and Community Dentistry 1, Nr. 1 (Januar 2007): 23–26. http://dx.doi.org/10.5005/johcd-1-1-23.
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ABSTRACT PLast two decades have seen vast increase in the knowledge of the periodontal disease process, its pathology & also a sudden rise in various treatment modalities to cure it. With periodontitis being one of the most common diseases affecting the oral cavity, the interest in periodontics has risen over last decades. Still the referral process for periodontal patients is not as common as for other specialties of dentistry. This is despite the fact that it may not be possible for many of the general dentists to effectively treat periodontal patients and provide optimal care. The general dentists need to understand what periodontists do & what value they bring to patient care as the scope of periodontal practice has broadened. This article stresses on the importance of referral process of a periodontal patient in general practice as team approach always works better.
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Atarbashi-Moghadam, Fazele, Mohammadreza Talebi, Farnaz Mohammadi und Soran Sijanivandi. „Recurrence of periodontitis and associated factors in previously treated periodontitis patients without maintenance follow-up“. Journal of Advanced Periodontology & Implant Dentistry 12, Nr. 2 (10.12.2020): 79–83. http://dx.doi.org/10.34172/japid.2020.010.
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Background. Preventive dentistry, including supportive periodontal therapy (SPT), is one of the most critical areas of attention. Despite SPT’s importance in the long-term success of periodontal treatment, the patients’ adherence to it is weak. The present study aimed to evaluate of periodontal disease’s recurrence rate and its related factors in periodontal patients without regular follow-up. Methods. A cross-sectional study was set in a specialized periodontics clinic in Tehran, Iran. Patients with periodontitis who completed periodontal therapy during 2005–2014 and did not adhere to the maintenance phase were evaluated. The periodontal history of the patients was updated. The previous diagnoses of patients according to their previous periodontal charts were revised by AAP 2015 criteria. Then, periodontal parameters were assessed, and current periodontal status was evaluated. Statistical analyses consisted of Fisher’s exact test, t-test, Man-Whitney test, and Kruskal-Wallis test. Spearman’s correlation coefficient was used to assess the relationship between factors and variables. Results. Fifty patients were evaluated, including 29 males and 21 females. There was a significant relationship between the initial diagnosis and recurrence rate of periodontitis (P=0.017). There was also a significant relationship between the recurrence of periodontitis and the years elapsed since the initial treatment (P=0.027, r = 0.353). Smoking significantly affected tooth loss (P=0.001). Conclusion. Patients with severe periodontitis need more attention to participate in supportive periodontal care. The patients must be aware of the disadvantages of neglecting this phase and be reminded of regular follow-up.
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Cafiero, Carlo, Gianrico Spagnuolo, Gaetano Marenzi, Ranieri Martuscelli, Michele Colamaio und Stefania Leuci. „Predictive Periodontitis: The Most Promising Salivary Biomarkers for Early Diagnosis of Periodontitis“. Journal of Clinical Medicine 10, Nr. 7 (03.04.2021): 1488. http://dx.doi.org/10.3390/jcm10071488.
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The primary cause of tooth loss in the industrialized world is periodontitis, a bacterial anaerobic infection whose pathogenesis is characterized by composite immune response. At present, the diagnose of periodontitis is made by a complete status check of the patient’s periodontal health; full-mouth plaque score, full-mouth bleeding score, probing depth, clinical attachment level, bleeding on probing, recessions, mobility, and migration are evaluated in order to provides a clear picture of the periodontal conditions of a single patient. Chair-side diagnostic tests based on whole saliva could be routinely used by periodontists for a very early diagnosis of periodontitis, monitoring, prognosis, and management of periodontal patients by biomarker detection, whose diagnostic validity is related to sensitivity and specificity. Recent paper reviews and meta-analyses have focused on five promising host derived biomarkers as candidate for early diagnosis of periodontitis: MMP-8 (Metalloproteinase-8), MIP-1α (Macrophage inflammatory protein-1 alpha), IL-1 β (Interleukin-1 beta), IL-6 (Interleukin-6), and HB (Hemoglobin), and their combinations. Chair-side Lab-on-a-chip (LOC) technology may soon become an important part of efforts to detect such biomarkers in saliva medium to improve worldwide periodontal health in developed nations as well as in underserved communities and poor countries. Their applications in preventive and predictive medicine is now fundamental, and is aimed at the early detection of risk factors or the presence or evolution of the disease, and in personalized medicine, which aims to identify tailor-made treatments for individual patients. The aim of the present paper is to be informative about host derived periodontal biomarkers and, in particular, we intend to report information about the most important immune response derived biomarkers and Hemoglobin as candidates to be routinely utilized in order to obtain a chair-side early diagnosis of periodontal disease.
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Koppolu, Pradeep, Abdullah M. A. Alshahrani, Mohammad A. Y. Ghawas, Mohammed S. A. Almuqbil, Lingam A. Swapna und Abdulmalik K. H. Almuhaydib. „Estimation of vitamin D levels using a chairside diagnostic test kit in patients with gingivitis and periodontitis: A cross-sectional study“. Journal of International Society of Preventive and Community Dentistry 13, Nr. 5 (2023): 402–9. http://dx.doi.org/10.4103/jispcd.jispcd_50_23.
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Abstract Aim: Periodontitis is an inflammatory condition of the periodontium that is instigated by microbial biofilms developed on the teeth. The purpose of the study was to ascertain the vitamin D status of gingivitis and periodontitis patients while maintaining a healthy group as the control using simple low-cost chairside pre-coated with 25-OH Vitamin D antigen rapid test kits. Materials and Methods: From outpatients visiting the college’s periodontics clinics, a total of 101 patients were screened. The study sample includes 38 patients in the periodontitis group, 32 in the gingivitis group, and 31 in the healthy group. A middle-digit needle was used to collect blood samples, which were put into a test cassette with membrane that had been coated with 25-OH Vitamin D antigen on the test line area of the strip. Vitamin D Quick Test (Natejah) Semi-quantitatively detects 25-hydroxyvitamin D (25 (OH) D) in human finger-stick complete blood at a cutoff convergence of 30 ± 4 ng/mL. Vitamin D blood levels below 80 nmol/L are considered to have deficient vitamin 25(OH)D levels. Clinical parameters between healthy, gingivitis, and different stages of periodontitis subjects were compared using one-way ANOVA and Tukey’s multiple comparison. Fisher’s exact test was done to compare vitamin D levels in the three groups. Results: Fisher’s exact test revealed that there was a statistically significant increase in the number of subjects with stages 4 and stage 3 periodontitis who lacked vitamin D levels (less than 80 nmol/L). Whereas least deficient in Vit D were noticed among Healthy and Gingivitis subjects. When compared to healthy individuals, gingivitis, and various stages of periodontitis had significantly higher mean PI values in a Tukey’s multiple comparison. Vitamin D deficiency was found to be 27.5% in subjects with gingivitis and 71.5% in subjects with periodontitis. Conclusion: Periodontitis is associated with vitamin D deficiency, in contrast to gingivitis and healthy subjects. The severity of periodontitis was likewise linked to the amount of vitamin D in the individual’s blood. When compared to expensive, time-consuming, and laborious laboratory methods, the findings of this study suggest that a simple inexpensive chairside pre-coated with 25-OH Vitamin D antigen rapid test kits can be considered a viable alternative for determining vitamin D levels.
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Gupta, Sujaya, Anjana Maharjan, Bhageshwar Dhami, Pratikshya Amgain, Sanjeeta Katwal, Bidhya Adhikari und Ashutosh Shukla. „Status of Tobacco Smoking and Diabetes with Periodontal Disease“. Journal of Nepal Medical Association 56, Nr. 213 (31.10.2018): 818–24. http://dx.doi.org/10.31729/jnma.3610.
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Introduction: Periodontitis is multifactorial disease that along with dental caries remains one of the commonest cause of tooth loss worldwide. Effective management requires clear understanding of risk factors. Smoking has a dose-dependent effect on periodontium. Similarly, individuals with diabetes have severe forms of periodontal diseases. We aim to assess the prevalence of periodontal disease in dental patients in relation to smoking and diabetes.
Methods: The study was conducted among 522 patients visiting the Periodontics Department, Kantipur Dental College. Individuals willing to participate had to sign an informed consent and undergo interview and clinical examination. Data collection, done on a structured proforma, was analysed using SPSS 20.0.
Results: Prevalence of periodontitis was 372 (71.3%), diabetes 33 (6.3%) and smoking as 138 (26.4%). Hypertension was observed in 64 (12.3%) patients and family history of diabetes among 94 (18%). Among the 372 periodontitis patients, smoking behaviour was present in 120 (32.3%), diabetes in 32 (8.6%), family history of diabetes in 72 (19.4%) and hypertension in 62 (16.7%). Conversely, 120 (87%) smokers, 33 (97%) diabetics, 72 (76.6%) with family history of diabetes, 62 (96.9%) hypertensive, 216 (41.4%) male and 156 (29.9%) female participants had periodontitis. Smoking behaviour was more in males: 115 (39.4%) compared to 23 (10%) females.
Conclusions: Periodontitis was significantly associated with smoking, diabetes, hypertension and age. It is recommended that tobacco cessation and diabetes control be promoted as an integral component of periodontal therapy and oral health be included as an essential element of general health when conducting national health surveys.
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Silva, Adriano Flores da, Erika Thaís Cruz da Silva, Suellen Rabelo Rocha da Costa, Priscila Lima Bezerra, Aretha Helen Aragão Lourenço und Ítalo de Macedo Bernardino. „O uso do aloe vera como coadjuvante no tratamento periodontal“. Research, Society and Development 10, Nr. 1 (03.01.2021): e7110111511. http://dx.doi.org/10.33448/rsd-v10i1.11511.
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Objetivo: Revisar os estudos mais atuais na literatura sobre a eficácia da Aloe Vera como coadjuvante no tratamento periodontal. Material e Métodos: Foram selecionados artigos científicos publicados entre os anos de 2013 e 2019, através dos bancos de dados PubMed e Google Scholar com os seguintes descritores em português e inglês respectivamente, “Gengivite (Gengivitis)”, “Periodontite (Periodontitis)”, “Aloe (Aloe)”, “Medicamentos Fitoterápicos (Phytotherapeutic Drugs)”, “Periodontia (Periodontics)” e “Odontologia (Dentistry), escolhidos mediante consulta nos Descritores de Ciências da Saúde – DECs da BIREME. Resultados: A Aloe Vera é uma planta medicinal com ações semelhantes ao da Clorexidina e superior a outros fitoterápicos na diminuição dos sinais clínicos das doenças periodontais. Conclusão: A Aloe Vera é um medicamento fitoterápico com propriedades antibacterianas e anti-inflamatórias, comprovado através de testes clínicos e laboratoriais, capaz de agir com segurança na diminuição dos patógenos periodontais e, por isto, é eficaz como coadjuvante no tratamento periodontal.
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Thapa, Sachita, Arjun Hari Rijal, Manoj Humagain, Simant Lamichhane und Sita Bhusal. „Prevalence of Tooth Loss due to Periodontitis in Patients Visiting Tertiary Care Hospital“. Journal of Nepalese Society of Periodontology and Oral Implantology 7, Nr. 2 (31.12.2023): 55–59. http://dx.doi.org/10.3126/jnspoi.v7i2.62608.
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Introduction: Epidemiological studies have been showing that caries is the main reason for tooth loss. But nowadays, it seems to show an increasing trend of tooth loss due to periodontal reasons rather than caries. The retention of natural teeth can improve the quality of life by maintaining the ability to chew and digest food. Thus, directly or indirectly periodontitis leading to tooth loss affects quality of life.
Objective: To determine the prevalence of tooth loss in periodontitis patients.
Methods: A cross-sectional study was done in Department of Periodontology and Oral Implantology from June 2023 to September 2023 after obtaining ethical clearance from institutional review committee. Study participants were patients diagnosed as periodontitis according to world workshop in periodontics 2017 classification and prevalence of tooth loss was recorded according to the history of mobile tooth. Poor prognosis and hopeless prognosis were counted as to be extracted tooth in the study. Collected data were entered into the excel sheet and further statistical analysis was done using SPSS v.20.
Results: Mean of tooth loss due to periodontitis was found to be 3.74±3.285 and tooth to be extracted is 1.94±1.884.
Conclusion: As the age increases number of tooth loss increases, likewise current smokers have more amount of tooth loss than that of former and nonsmokers. Likewise, mandibular anterior region was most common for prevalence for tooth loss.
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Sarmet Smiderle Mendes, Mariana, Ana Gabriela Logatto de Oliveira, Maria Aparecida Neves Jardini, Letícia Dantas Gross, Isabela Lorrane Mota do Nascimento und Ana Carolina de Andrade Buhatem Medeiros. „RISCO CARDIOVASCULAR E PLANEJAMENTO ODONTOLÓGICO EM INDIVÍDUOS OBESOS COM PERIODONTITE: UMA REVISÃO INTEGRATIVA“. Revista da Sociedade de Cardiologia do Estado de São Paulo 33, Nr. 4 (10.12.2023): 483–87. http://dx.doi.org/10.29381/0103-8559/20233304483-7.
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A obesidade é uma condição caracterizada pelo acúmulo excessivo de gordura corporal que prejudica a resistência imunológica do organismo. O tecido adiposo também funciona como um reservatório de mediadores inflamatórios que levam ao processo inflamatório crônico do hospedeiro nas doenças periodontais e provocam respostas imunológicas desreguladas. O estresse oxidativo local e sistêmico pode ser o elo inicial entre a doença periodontal e a obesidade, o que pode gerar maior susceptibilidade e infecções bacterianas. Metodologia: Realizou-se uma revisão integrativa por meio da busca nas bases de dados PubMed, Embase, Lilacs e Scopus com os descritores: “Obesity”, “Periodontitis”, “Chronic Periodontitis”, “Aggressive Periodontitis”, “Heart Disease Risk Factors” e “Cardiovascular Diseases”, com a combinação dos termos “AND” e “OR” no modo avançado com sua respectiva tradução para cada base de dados. Foram incluídos artigos publicados em inglês, português e espanhol, sem restrição de tempo, desde que estivessem disponíveis na íntegra e abordassem o tópico em questão. Foram identificados 2.368 artigos nas bases de dados. A partir da seleção conforme critérios de elegibilidade, oito estudos foram incluídos nessa revisão. Conclusão: A obesidade e a periodontite têm sido associadas a alterações no metabolismo lipídico, hiperglicemia, aumentando potencialmente o risco cardíaco e diabetes entre pacientes que apresentam um ou ambos os fatores. Essas comorbidades crônicas podem influenciar a prioridade do cuidado, deixando a saúde oral em segundo plano. Orientações relevantes para o planejamento odontológico dos pacientes obesos com periodontite devem estar inseridas no acompanhamento com a equipe multidisciplinar
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Jawzali, Jwan Ibrahim. „Salivary Interleukin 6 and Sialic acid in Periodontitis“. Brazilian Journal of Oral Sciences 17 (03.04.2018): 1–12. http://dx.doi.org/10.20396/bjos.v17i0.8651896.
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Aim: Periodontitis is the major multi –factorial chronic infectious oral diseases in dentate people. Sialic acid regulates innate immunity response that release cytokines. The study aimed to evaluate interleukin-6 levels in periodontittsis and its relation to clinical features, total sialic acid and its fraction and total proteins to clarify its role. Material and Methods: The study was observational case-control study, carried out in periodontology clinic, College of Dentistry / Erbil /Iraq. A total of 60 participants were recruited in this study, They were divided into three groups: control group represent systemically and periodontally healthy subjects, clinically, diagnosed dentate periodontitis group and partial edentulous group.The data was collected through interview questionnaire, clinical periodontal examination, and biochemical tests for salivary; IL-6.total sialic acid and its fraction, and salivary total proteins Statistical analysis was done by statistical Package for Social Sciences. Results: Statistical analysis showed a significant (P≤ 0.01) highest value of total sialic acid in periodontitis. While the highest value of IL-6 was in partial edentulous group. Old ages increased salivary IL-6 significantly. In periodontitis there was significantly association of IL-6 with probe pocket depth, mobility scores of teeth, protein bonund sialic acid and significant negative association with lipid bound sialic acid in precipitate. While in partial edentulous IL-6 associated significantly with gingival index and free sialic acid in precipitate and negatively with probe pocket depth. Conclusions: Salivary sialic acid and IL-6 are periodontitis biomarkers in dentate. Pleiotropic role of IL-6 can be diagnosed by sialic acid levels. It depends on age, (which affects number of teeth and salivary flow rate), and treatment conditions.
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Devi, Sakthi, Mythili Swaminathan, Senthil Murugappan, Karthikeyan Ilangovan und Anitha Kannaiyan. „Assessment of Periodontal Inflamed Surface Area and Its Relationship with Glycemic Control in Type 2 Diabetes“. Journal of Health Sciences & Research 7, Nr. 1 (2016): 6–11. http://dx.doi.org/10.5005/jp-journals-10042-1025.
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ABSTRACT Introduction The objective of this study is to assess the periodontal inflamed surface area (PISA) and its relationship with glycemic control in type 2 diabetes with and without periodontitis. Materials and methods A study was performed on 60 out-patients (males and females) reporting to the Department of Periodontics, Rajah Muthiah Dental College and Hospital and the Diabetic Clinic, Rajah Muthiah Medical College, Annamalai Nagar, Chidambaram, Tamil Nadu. The age of the study subjects ranged from 40 to 60 years. Patients having HbA1c levels > 7 mg/dl were diagnosed as type 2 diabetes mellitus and were enrolled in the study. The selected patients were divided into two groups of 30 patients each, with at least eight remaining teeth present: Group I - Diabetic patients with periodontitis (test) with probing pocket depth (PPD) of 3 to 10 mm and bleeding on probing (BOP), and Group II - Diabetic patients without periodontitis (periodontally healthy as control) with PPD not exceeding 3 mm and limited BOP. Subjects were excluded if they were under systemic antibiotics 3 months prior and during the study and if they have undergone periodontal treatment 6 months prior to the study. Results When HbA1c increased, the PISA values also increased in type 2 diabetic patients with and without periodontitis. Conclusion The cross-sectional clinical study reveals that there is a linear association between diabetes and PISA in type 2 diabetic patients with and without periodontitis. How to cite this article Devi S, Murugappan S, Swaminathan M, Ilangovan K, Mangalekar SB, Kannaiyan A. Assessment of Periodontal Inflamed Surface Area and Its Relationship with Glycemic Control in Type 2 Diabetes. J Health Sci Res 2016;7(1):6-11.
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Marawar, Anagha, Pramod Marawar, D. H. Nandal, Rahul Kunkulol und Sandeep Narwane. „Evaluation of antioxidant potential of melatonin in periodontitis: a prospective clinic-biochemical study“. International Journal of Basic & Clinical Pharmacology 8, Nr. 6 (23.05.2019): 1331. http://dx.doi.org/10.18203/2319-2003.ijbcp20192198.
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Background: The present study was done with an objective to evaluate the effect of melatonin as an antioxidant in patients suffering from periodontitis.Methods: This study was conducted in the Department of Periodontics, Rural Dental College, Loni. Patients of chronic periodontitis, of age between 18 to 65 years of either gender ready to give informed consent to participate in the study were included. Postoperative patients, patients having night duties, drivers and those using heavy machinery, pregnant women, lactating mothers, patients with any clinically significant systemic disease and patients on any other drugs were excluded from the study. Patients were divided into three Groups. Group A included patients who underwent SRP (Scaling and Root Planning) alone, Group B included patients who underwent SRP & supplemented with Vitamin E 200 IU daily at night for 4 weeks. Group C included patients who underwent SRP & supplemented with tablet melatonin 3 mg daily at night for 4 weeks. Estimation of Malondialdehyde (MDA) for serum lipid peroxidation8, Superoxide dismutase (SOD) and Glutathione peroxidase (GPx) was done on day 0, day 30, day 60 and day 90.Results: A total 240 patients were enrolled in the study. It was demonstrated that there was considerable oxidative stress in periodontitis patients, as established by high serum MDA levels, which was reduced significantly by melatonin reflecting its antioxidant potential. Pretreatment levels of SOD and GPx also were low, which were improved with the treatment of melatonin far better than with vitamin E.Conclusions: Melatonin acts as an antioxidant in the patients of periodontitis which has positive effect on biochemical parameters of periodontitis, conferring a new facet to the management of periodontitis and an attempt to impede the disease progression.
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Abdulsalam, Lubna, und Sarhang Gul. „Validity of a Self-reported Questionnaires for Periodontitis in a Kurdish Population of Sulaimani City/Iraq“. Sulaimani Dental Journal 9, Nr. 2 (01.12.2022): 11–22. http://dx.doi.org/10.17656/sdj.10153.
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Validity of a Self-reported Questionnaires for Periodontitis in a Kurdish Population of Sulaimani City/Iraq Lubna O. Abdulsalam* , Sarhang S. Gul* * Periodontics Department, College of Dentistry, University of Sulaimani, Sulaimani, Iraq. Submitted: July 21, 2022, Accepted: September 27, 2022, Published: December 1, 2022. DOI: https://doi.org/10.17656/sdj.10153 Abstract Objective: Full-mouth clinical periodontal evaluations in large surveys may not be practicable. Therefore, the questionnaire can be used to reduce cost and time. Therefore, this study aimed to evaluate two previously used questionnaires to determine periodontitis and compare them in the Kurdish population. Methods: The two different questionnaires used were previously examined in different populations. Full mouth periodontal examination of bleeding on probing, pocket depth, clinical attachment loss, furcation involvement, and recession were recorded. The case definition of periodontitis is based on the 2017 classification. The receiver operating characteristic curve, area under the curve (AUC), and logistic regression were used to examine the validity of each questionnaire. Results: Self-reported questionnaires had a useful discriminative capability for detecting periodontitis patients. In questionnaire1, (Q1) has the uppermost true positive result (79.2%), and the strongest crude associations were seen for Q3 (17.72) and 4 (10.9). Whereas, in questionnaire 2, the most frequent positive response was to the Q12 (77.2%), and the strongest crude associations were detected for the Q2 (13.76%) and Q6 (20.78%). The combinations of questions revealed increasing the AUC. Conclusions: The use of several self-reported questions revealed a good performance for screening periodontitis in the Kurdish population, especially those related to patient awareness about periodontal disease, bleeding of the gum, treatment, and diagnosis that had been carried out for patients previously by a dentist.
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Eke, Paul I., Hua Lu, Xingyou Zhang, Gina Thornton-Evans, Wenche S. Borgnakke, James B. Holt und Janet B. Croft. „Geospatial distribution of periodontists and US adults with severe periodontitis“. Journal of the American Dental Association 150, Nr. 2 (Februar 2019): 103–10. http://dx.doi.org/10.1016/j.adaj.2018.09.021.
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Payne, Jeffrey B., Lorne M. Golub, Geoffrey M. Thiele und Ted R. Mikuls. „The Link Between Periodontitis and Rheumatoid Arthritis: A Periodontist’s Perspective“. Current Oral Health Reports 2, Nr. 1 (24.12.2014): 20–29. http://dx.doi.org/10.1007/s40496-014-0040-9.
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