scholarly journals Quantitative Assessment of Gingival Inflammation in Patients Undergoing Nonsurgical Periodontal Therapy Using Photometric CIELab Analysis

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Deepti Shrivastava ◽  
Kumar Chandan Srivastava ◽  
Kiran Kumar Ganji ◽  
Mohammad Khursheed Alam ◽  
Ibrahim Al Zoubi ◽  
...  
Keyword(s):  
Chronic Periodontitis ◽  
Periodontal Therapy ◽  
Clinical Parameters ◽  
Gingival Inflammation ◽  
Digital Photographs ◽  
Probing Depth ◽  
Nonsurgical Periodontal Therapy ◽  
Before And After ◽  
Group A ◽  
Group B

Visual inspection and gingival indices have been traditionally used for diagnosis of gingival inflammation. These methods are prone for subjective variability. Thus, the study is aimed at evaluating gingival inflammation quantitatively by using CIELab colour space value obtained from digital photographs. An experimental study was conducted with 27 patients each in group A (gingivitis) and group B (chronic periodontitis, CP). Preoperative and postoperative (1 month) photographs of maxillary anterior sextant were recorded to evaluate CIELab coordinate values. Simultaneously, clinical parameters such as bleeding on probing (BOP) and periodontal probing depth (PPD) along with indices such as plaque index (PI), gingival index (GI), and sulcus bleeding index (SBI) were evaluated before and after the nonsurgical periodontal therapy. Data was presented as the mean ± SD , and a paired t -test was used for the testing hypothesis with p < 0.05 considered as significant. Data analysis was carried out with Statistical Package for the Social Sciences (SPSS) version 21. A significant reduction ( p < 0.001 ) is seen in all the clinical parameters and indices before and after the intervention in chronic periodontitis patients. Similar results were seen in gingivitis patients ( p < 0.001 ) except for PPD. A significant ( p < 0.001 ) reduction in postoperative values of the a ∗ and b ∗ coordinates was seen in CP patients; whereas, only the a ∗ coordinate value reported a significant ( p < 0.001 ) reduction in the gingivitis group of patients. The Δ E of the gingivitis and chronic periodontitis groups was 2.25 and 2.96, respectively. Within the confinements of the study, estimating the gingival colour with the help of CIELab values taken via digital photographs can be an excellent valuable tool to assess the gingival colour as a sign of gingival inflammation.

scholarly journals Correlation of Blood and Salivary pH Levels in Healthy, Gingivitis, and Periodontitis Patients before and after Non-Surgical Periodontal Therapy

Diagnostics ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. 97
Author(s):  
Pradeep Koppolu ◽  
Sunkara Sirisha ◽  
Soumya Penala ◽  
Pathakota Krishnajaneya Reddy ◽  
Dalal H. Alotaibi ◽  
...  
Keyword(s):  
Alveolar Bone ◽  
Clinical Parameters ◽  
Ph Values ◽  
Probing Depth ◽  
Biomarker Analysis ◽  
Salivary Ph ◽  
Before And After ◽  
Group A ◽  
The Difference ◽  
Group B

Periodontitis is an infectious illness which leads to the inflammation of protective tissues around the teeth and the continuous loss of alveolar bone and conjunctive tissue. Biomarker analysis in serum and saliva helps in the evaluation of disease progression and activity. It is also established that every inflammatory change along with resultant damage of tissues ends up in altered pH values in the fluids and tissues. Aim: To correlate the connection of pH levels in both blood as well as saliva in healthy, periodontitis, and gingivitis patients. Materials and Methods: The current research involved 145 subjects amidst the age of 20 and 55 years. The subjects were split into three different groups: healthy (Group A), gingivitis (Group B), and finally chronic periodontitis (Group C). The recording of clinical parameters was done by gingival index (GI), probing depth (PD), and plaque index (PI). pH of saliva and blood was analyzed with the help of digital single electrode pH meter. Subjects have gone through scaling and root planning (SRP) coupled with the instructions of oral hygiene. They were recalled post 4 weeks, and saliva and blood samples were gathered for analyzing pH. Results: Clinical parameters GI and PI were statistically important in both group C as well as group B post SRP. A crucial change has been observed in attachment levels (AL) and PD in the case of periodontitis group post SRP. The difference in the salivary pH values were significant between group B vs. C and A vs. C before the treatment because the values for group C were acidic, whereas in groups B and A the pH was alkaline. After the treatment, the values were still significant because the pH has become more alkaline compared to preoperative value in both group B and C. Saliva’s pH levels have demonstrated a statistically significant reduction in group C post SRP. Conclusion: Salivary pH levels and blood evidently became alkaline in the group C patients post SRP and there is a positive correlation between them and the clinical parameters.

scholarly journals Nonsurgical Periodontal Therapy decreases the Severity of Rheumatoid Arthritis: A Case–control Study

2016 ◽  
Vol 17 (6) ◽  
pp. 484-488 ◽  
Author(s):  
Neha Khare ◽  
Bhavuk Vanza ◽  
Deepak Sagar ◽  
Kumar Saurav ◽  
Rohit Chauhan ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Oral Hygiene ◽  
Case Control Study ◽  
Case Control ◽  
Periodontal Therapy ◽  
Clinical Observations ◽  
Nonsurgical Periodontal Therapy ◽  
Group A ◽  
Group B ◽  
Control Study

ABSTRACT Introduction Rheumatoid arthritis (RA) and periodontitis are common chronic inflammatory conditions. Several studies suggested a relationship between RA and periodontitis. Recent studies have shown a beneficial effect of periodontal treatment on the severity of active RA. So the aim of this study was to examine the effect of nonsurgical periodontal therapy on the clinical parameters of RA. Materials and methods A total of 60 subjects with moderateto- severe chronic generalized periodontitis and active RA in the age range 18 to 65 were selected for the study. They were divided into two groups. Group A (control group) consisted of 30 subjects with chronic generalized periodontitis and RA, and group B of 30 subjects with chronic generalized periodontitis and RA and they received nonsurgical periodontal therapy (scaling, root planning, and oral hygiene instructions). Evaluation of clinical observations of Simplified Oral Hygiene Index (OHI-S), gingival index (GI), bleeding on probing (BOP), probing pocket depth (PPD), clinical attachment level (CAL), number of swollen joints (SJ), number of tender joints (TJ), values of erythrocyte sedimentation rate (ESR), visual analogue scale (VAS) for patient's global assessment, 3 months disease activity score (DAS) index, and C-reactive protein (CRP) was done at baseline and 3 months. Statistical evaluation of clinical observations was carried out. Results Group B subjects who received nonsurgical periodontal therapy showed statistically significant improvement in all periodontal and RA parameters at 3 months, compared with group A who did not receive periodontal therapy. Conclusion It can be concluded from the result that nonsurgical periodontal therapy may contribute to reduction in severity and symptoms of RA. Clinical significance Rheumatoid arthritis patients should be evaluated for periodontitis and treated for the same in order to reduce its severity level. How to cite this article Khare N, Vanza B, Sagar D, Saurav K, Chauhan R, Mishra S. Nonsurgical Periodontal Therapy decreases the Severity of Rheumatoid Arthritis: A Case–control Study. J Contemp Dent Pract 2016;17(6):484-488.

scholarly journals A Comparative Study Regarding the Efficiency of Two Different Systems of Chlorhexidine Release in Periodontal Therapy

2001 ◽  
Vol 71 (3) ◽  
Author(s):  
Ionut Luchian ◽  
Ioana Martu ◽  
Mihaela Moscalu ◽  
Giorgio Nichitean ◽  
Sorina-Mihaela Solomon ◽  
...  
Keyword(s):  
Periodontal Disease ◽  
Comparative Study ◽  
Slow Release ◽  
Periodontal Therapy ◽  
Effective Solution ◽  
Topical Gel ◽  
Probing Depth ◽  
Group A ◽  
Group B ◽  
Root Planning

Supragingival scaling and especially the subgingival one represent together with root planning (SRP) the main elements of periodontal therapy. Chlorohexidine gluconate represents an realiable option as an anstiseptic that can be associated with SRP in order to reduce the probing depth (PD). The current research involved selecting 30 pacients with periodontal disease and at least one situs with PD greater than 5 mm. The patients were randomly and equally divided into three groups that were named A, B and C. The patients that were included in Group A received SRP without any additional substances. At the level of Group B the patients received SRP and inside the pockets with PD greater than 5 mm we applied the topical gel Glucosite Gel (Cerkamed) for three consecutive times, every 24 hours. Patients that were included in Group C were treated using SRP and at the level of pockets with PD greater or equal with 5 mm we applied the product PerioChip (Dexcel). Our results proved that for all three groups the values of PD recorderd after treatment were significantly lower compared to the initial ones (p]0.05) but in case of group C (SRP+PerioChip) the the drop of the PD values were significantly higher. After treatment the values of PBI were significantly lower in the case of patients included in group C (SRP+PerioChip) in comparison with the ones recorded in patients included in group A (SRP) (p=0.00053) or group (SRP+Glucosite) (p=0.0178). The slow release of chlorohexidine gluconate into periodontal pockets is an effective solution, superior to the topical application of this active product.

Alkaline Phosphatase Levels Before and After Nonsurgical Periodontal Therapy

2019 ◽  
Vol 3 (2) ◽  
pp. 62-65
Author(s):  
Shaili Pradhan ◽  
Pramod Kumar Koirala
Keyword(s):  
Alkaline Phosphatase ◽  
Chronic Periodontitis ◽  
Correct Diagnosis ◽  
Serum Levels ◽  
Periodontal Therapy ◽  
Inflammatory Conditions ◽  
Nonsurgical Periodontal Therapy ◽  
Before And After ◽  
Periodontal Destruction ◽  
Supporting Structures

Introduction: Chronic periodontitis is a multifactorial disease resulting in the inflammation and destruction of the supporting structures. Early detection of periodontal changes, prognosis and efficacy of treatment have been monitored by Alkaline Phosphatase Levels (ALP) levels. Objective: This study was carried out to determine level of ALP in saliva and serum before and after periodontal therapy. Methods: This pretest posttest study included 22 patients with generalised chronic periodontitis (GCP). The patients received nonsurgical periodontal therapy (NSPT). Saliva and serum levels of ALP were measured at baseline and after two months of periodontal therapy. Results: Twenty-two patients of mean age 44 years were analysed. Participants had significantly better periodontal parameters after two months. Salivary ALP levels, which were high at baseline, decreased after periodontal treatment. A significant positive correlation (0.0001) was found between the salivary levels of ALP and periodontal inflammatory conditions. Gingival index was found directly proportional with salivary ALP level but not with serum ALP. Conclusion: Periodontal therapy lowered the levels of ALP saliva in GCP patients with high ALP levels. Biochemical analysis of enzymes found in saliva may help in patients’ evaluation to determine the control and progression of periodontal destruction and aid in a correct diagnosis, prognosis and, consequently, better treatment.

scholarly journals TO EVALUATE IMMUNOMODULATORY EFFECT (Ig A) OF LICORICE ON PERIODONTAL HEALTH STATUS IN CHRONIC PERIODONTITIS PATIENTS BEFORE AND AFTER PERIODONTAL THERAPY

2020 ◽  
pp. 75-77
Author(s):  
K. Ramya ◽  
Pavuluri Aravind Kumar ◽  
Musalaiah S.V.V.S. ◽  
Mandalapu Narendra Babu
Keyword(s):  
Health Status ◽  
Immune Function ◽  
Chronic Periodontitis ◽  
Serum Levels ◽  
Immunomodulatory Effect ◽  
Periodontal Health ◽  
Before And After ◽  
Licorice Extract ◽  
Group A ◽  
Group B

INTRODUCTION: Several dietary additives are reported to be effective to enhance the immune function. Licorice has been frequently used as herbal medicine to supress inflammation. It has anti stress effects, enhance detoxification in liver and supress inflammatory reaction and enhance the immune function. OBJECTIVES: To evaluate effect of licorice on immunomodulatory (Ig A) before and after SRP METHODOLOGY: Twenty subjects were randomly assigned into two groups. Group A (Supplemented with licorice along with SRP ). Group B (SRP Only). All the clinical parameters like gingival index, probing depth, clinical attachment level along with serum levels of Ig A were evaluated before and after SRP. RESULTS: There was a statistically significant increase of Ig A levels in group A compared to group B. CONCLUSION: The present study showed that licorice extract significantly effect on enhancing the immunomodulatory effect not only the periodontal health status of chronic periodontitis and also significant effect on overall health status.

scholarly journals Evaluation of serum and salivary alkaline phosphatase levels in chronic periodontitis patients before and after nonsurgical periodontal therapy

2018 ◽  
Vol 22 (6) ◽  
pp. 487 ◽  
Author(s):  
RenganathMurugan Jeyasree ◽  
Ramakrishnan Theyagarajan ◽  
Vidya Sekhar ◽  
Manisundar Navakumar ◽  
Ebenezer Mani ◽  
...  
Keyword(s):  
Alkaline Phosphatase ◽  
Chronic Periodontitis ◽  
Periodontal Therapy ◽  
Nonsurgical Periodontal Therapy ◽  
Before And After

scholarly journals Comparison of oral malodors before and after nonsurgical periodontal therapy in chronic periodontitis patients

2017 ◽  
Vol 12 (2) ◽  
pp. 156-160 ◽  
Author(s):  
Sao-Shen Liu ◽  
Earl Fu ◽  
Hsiao-Pei Tu ◽  
Min-Wen Fu ◽  
Chia-Te Lin ◽  
...  
Keyword(s):  
Chronic Periodontitis ◽  
Periodontal Therapy ◽  
Nonsurgical Periodontal Therapy ◽  
Before And After

scholarly journals Effect of nonsurgical periodontal therapy on the level of salivary antioxidants in patients with generalized moderate-to-severe chronic periodontitis

2019 ◽  
Vol 11 (1) ◽  
pp. 21-27
Author(s):  
Ferena Sayar ◽  
Roya Shariatmadar Ahmadi ◽  
Mostafa Montazeri
Keyword(s):  
Chronic Periodontitis ◽  
Periodontal Diseases ◽  
Periodontal Therapy ◽  
Clinical Parameters ◽  
Pocket Depth ◽  
Clinical Attachment Loss ◽  
Periodontal Tissues ◽  
Reducing Ability ◽  
Nonsurgical Periodontal Therapy ◽  
Oxidative Agents

Background. In the course of periodontal diseases, polymorphonuclear leukocytes (PMNs) produce oxidative agents and free radicals, thus triggering oxidant-antioxidant disequilibrium in the saliva. Due to the reduction of antioxidant protective effect, oxidative stress is induced, destroying periodontal tissues. This study aimed to investigate the consequences of the non-surgical phase of periodontal therapy on the level ofsalivary antioxidantsin patients with generalized moderate-to-severe chronic periodontitis. Methods. Un-stimulated salivary samples were collected from 43 patients with generalized moderate-to-severe chronic periodontitis for 5 minutes. Clinical parameters, including clinical attachment loss (CAL), bleeding on probing (BoP) and pocket depth (PD), were recorded in each tooth and subsequently, scaling and root planing (SRP) was carried out. After four weeks, salivary samples were collected once again, and the above-mentioned clinical parameters were recorded. Following centrifugation and freezing at a temperature of -80°C, salivary samples were examined simultaneously in a single day, and the level of their antioxidants was measured with ferric reducing ability of plasma (FRAP) method using a spectrophotometer. Results. The concentration of salivary antioxidants significantly increased four weeks following the non-surgical periodontal therapy (P<0.0001). Moreover, the clinical parameters of CAL, BoP and PD showed a significant decrease in 4 weeks as well (P<0.0001). Conclusion. The level of salivary antioxidants in patients with generalized moderate to severe chronic periodontitis significantly increased after etiotropic periodontal therapy, indicating the possible beneficial influence of periodontal therapy on the level of salivary antioxidants in patients suffering from periodontitis.

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