Is change in probing depth a reliable predictor of change in clinical attachment loss?

The aim of this study was to investigate the potential use of salivary IL1β in early-stage diagnostics of peri-implant inflammation in partially and totally edentulous patients rehabilitated with dental implants. Patients were classified according to peri-implant probing depth and bleeding upon probing in groups of healthy individuals or in groups of individuals with peri-implant inflammation. Data on plaque index, clinical attachment loss, suppuration, and mobility were also assessed. Saliva was collected without stimulation, and the levels of IL-1β were determined by ELISA. Healthy groups demonstrated significantly lower levels of IL-1β compared with the inflammation groups. No difference in IL-1β levels was observed between partially edentulous or totally edentulous patients. Salivary IL-1β may be useful for the diagnosis and monitoring of early peri-implant inflammation, particularly in edentulous patients.

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Association between Hemoglobin Level and Severity of Chronic Periodontitis

Journal of King Abdulaziz University-Medical Sciences ◽

10.4197/med.17-1.6 ◽

2010 ◽

Vol 17 (1) ◽

pp. 53-64 ◽

Cited By ~ 1

Author(s):

Hind A. Aljohani

Keyword(s):

Chronic Periodontitis ◽

Hemoglobin Level ◽

Missing Teeth ◽

Clinical Attachment Loss ◽

Bleeding On Probing ◽

Attachment Loss ◽

Probing Depth ◽

Significant Difference ◽

King Abdulaziz University ◽

The Mean

The aim of this study is to investigate the association between hemoglobin level and the severity of chronic periodontitis. Data were collected from 124 systemically healthy chronic periodontitis patients, referred to the Division of Periodontology, Faculty of Dentistry, King Abdulaziz University. Medical history, dental history, and periodontal parameters such as bleeding on probing. Plus probing depth, clinical attachment loss and distance from cement-enamel junction to gingival margin, furcations, mobility and number of missing teeth] were recorded. Blood samples were collected to measure the hemoglobin level. The correlation between hemoglobin and the means of clinical attachment loss and bleeding on probing was insignificant. There was no significant difference in the mean hemoglobin level for individuals with different severity of periodontitis among male and females. The mean hemoglobin found to be insignificantly correlated with the number of missing teeth. No association between hemoglobin levels and periodontal status was found. Further longitudinal studies with larger sample size are needed to investigate this association, and the effect of periodontal treatment on hemoglobin level.

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Association of Periodontal Disease and Polycystic Ovarian Syndrome: A Systematic Review and Meta-analysis with Trial Sequential Analysis

The Open Dentistry Journal ◽

10.2174/1874210601913010478 ◽

2019 ◽

Vol 13 (1) ◽

pp. 478-487 ◽

Cited By ~ 1

Author(s):

Fathima F. Farook ◽

Ka Ting Ng ◽

Nuzaim MNM ◽

Wen J. Koh ◽

Wan Y. Teoh

Keyword(s):

Periodontal Disease ◽

Polycystic Ovarian Syndrome ◽

Plaque Index ◽

Gingival Index ◽

Clinical Attachment Loss ◽

Bleeding On Probing ◽

Attachment Loss ◽

Probing Depth ◽

Healthy Cohort ◽

Ovarian Syndrome

Introduction: Several articles have suggested a potential synergistic relationship between periodontal disease and systemic inflammatory diseases, such as Polycystic Ovarian Syndrome (PCOS) and diabetes mellitus. However, the associations between periodontal disease and PCOS population remain unclear in the literature. Objective: The primary aim of this review is to examine the associations between periodontal disease and PCOS with different scoring methods, namely clinical attachment loss, probing depth, gingival index, percentage of bleeding on probing and plaque index. Methods: MEDLINE, EMBASE and CENTRAL were systematically searched for observational studies and case-control studies from its inception until 2nd June, 2019. Case reports, case series, non-systematic reviews and trials published as abstracts were excluded. Results: Four articles (614 subjects) were included for analysis. Out of 614 subjects, 329 PCOS patients were compared to 285 healthy subjects. In comparison to healthy cohort, women with PCOS had a statistically significant increase in clinical attachment loss (MD: 0.34, 95% CI: 0.13-0.55, ρ=0.002), probing depth (MD: 0.35, 95%CI: 0.21-0.48, ρ<0.001), gingival index (MD: 0.70, 95% CI: 0.70-1.11, ρ<0.001) and percentage of bleeding on probing (MD: 34.41, 95% CI: 20.23-48.59, ρ<0.001). No difference was demonstrated in plaque index (MD: 0.42, 95% CI: -0.29-1.12, ρ=0.24) for both PCOS and healthy cohort. Conclusion: PCOS is significantly associated with a higher severity of the periodontal disease. This association should be emphasized during the management of PCOS patients, by including referral to dentists or periodontists for regular mechanical debridement of plaque and periodontal maintenance.

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Second Attempt of Guided Tissue Regeneration on a Previous Successfully Grafted Site with Periodontal Breakdown—A 5-Year Follow-up

European Journal of Dentistry ◽

10.1055/s-0041-1731841 ◽

2021 ◽

Author(s):

Lean Heong Foo

Keyword(s):

Tissue Regeneration ◽

Guided Tissue Regeneration ◽

Clinical Attachment Loss ◽

Attachment Loss ◽

First Case ◽

Tissue Resistance ◽

Probing Depth ◽

Periodontal Breakdown ◽

Chinese Male

AbstractGuided tissue regeneration (GTR) has been proven to promote attachment and regeneration of periodontal tissue. However, there is a 20 to 40% incidence of attachment loss on regenerated attachments reported in the literature. To my knowledge, this is the first case report on a second attempt in GTR on a previous successful grafted site with clinical attachment loss. A healthy 17-year-old Chinese male patient had GTR performed with xenograft particles and bovine resorbable membrane on his root-canal treated, fused upper right lateral incisor and upper right canine (#12-#13) in 2007. Probing depth on the mid-palatal region of #12-#13 was reduced to 4 mm and maintained for the next 4 years. But in the fifth year, probing depth increased to 11 mm with no endodontic symptoms, and a second attempt of GTR using the same materials was carried out. The probing depth at the surgical site was reduced to 4 mm and successfully maintained for another 5 years. Irregular maintenance and the presence of plaque retentive factor could have caused the clinical attachment loss on #12-#13. This case shows it is possible to attempt GTR on a previous successfully grafted site. GTR did not increase tissue resistance against periodontal breakdown. Hence, proper maintenance planning for GTR sites is important to prevent periodontal breakdown.

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Periodontal status in female psychiatric patients

Colombia Medica ◽

10.25100/cm.v40i2.639 ◽

1969 ◽

Vol 40 (2) ◽

pp. 167-176

Author(s):

María Isabel Portilla ◽

Ana Cristina Mafla ◽

John Jairo Arteaga

Keyword(s):

Mental Illness ◽

Mental Hospital ◽

Psychiatric Patients ◽

Clinical Attachment Loss ◽

Periodontal Status ◽

Attachment Loss ◽

Probing Depth ◽

Gingival Enlargement ◽

Furcation Involvement ◽

Systemic Condition

Objective: To establish the periodontal status in female psychiatric patients from «Nuestra Señora del Perpetuo Socorro» Mental Hospital at Pasto, Colombia in 2007. Methodology: We evaluated 59 patients and assessed Quigley-Hein and sulcus bleeding indexes, clinical attachment loss, probing depth, gingival enlargement, tooth displacement, and furcation involvement. Variables such as age, hospitalization, mental illness, other systemic condition and psychiatric medications were analyzed. Results: The Quigley-Hein Index was 3.05, SD=1.56, sulcus bleeding index on probing index was 3.08, SD=1.54. Of the women 49.2% had a clinical attachment loss (CAL) of 7 mm. There was an increasing percentage of CAL from 5 to 7 mm in patients with more than 10 years of hospitalization. Women with schizophrenia and mental retardation showed CAL from 2 to 7 mm. Patients who ingested antipsychotics-antiparkinsonians had CAL of 17 mm. Conclusions: Periodontal disease is severe in these patients and might be influenced by hospitalization, mental illness, and medication.

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Treating periodontitis-A systematic review and meta-analysis comparing ultrasonic and subgingival hand scaling at different pocket probing depths.

10.21203/rs.2.13066/v1 ◽

2019 ◽

Author(s):

Xin Zhang ◽

Zixuan Hu ◽

Xuesong Zhu ◽

Jun Chen ◽

Wenjie Li

Keyword(s):

Meta Analysis ◽

Loss Reduction ◽

Weighted Mean ◽

Clinical Attachment Loss ◽

Attachment Loss ◽

Randomized Controlled ◽

Probing Depth ◽

Operation Duration ◽

Subgingival Scaling

Abstract Background: Mechanical plaque removal has been commonly accepted to be the basis for periodontitis treatment. The study aims to compare the effectiveness of ultrasonic subgingival scaling and subgingival hand scaling at different initial pocket probing depths in periodontitis treatment. Methods: Public databases were searched. Weighted mean pocket probing depths and clinical attachment loss reduction differences estimated by random effects model. Results: Ten randomized controlled trials were included out of 1,434 identified. Selected outcomes were pocket probing depth and clinical attachment loss. Initial pocket probing depth and follow-up periods formed subgroups. For 3-month follow-up: (1) too few shallow initial pocket studies available; (2) medium depth studies were unmergeable; (3) deep studies were adequate. No statistical differences between pocket probing depth nor clinical attachment loss reduction between ultrasound and hand groups. For 6-month follow-up: (1) too few shallow initial pocket probing depth studies for analysis; (2) medium initial pocket probing depth studies favored hand scaling. No statistical differences observed in clinical attachment loss reduction between the two approaches; (3) deep initial pocket probing depth studies showed hand scaling superior by both measures. Conclusion: When initial pocket probing depths were ≥4mm, pocket probing depth results, clinical attachment loss reduction, and other outcomes indicated subgingival hand scaling was superior. When operation duration and comfort were considered, ultrasonic debridement was.

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Treatment of Gingival Recession with Microinvasive Surgical Technology

Journal of Nanomaterials ◽

10.1155/2021/9972879 ◽

2021 ◽

Vol 2021 ◽

pp. 1-6

Author(s):

Qiong Cao ◽

Ruohuang Lu ◽

Jun Chen ◽

Hao Pan ◽

Hui Feng ◽

...

Keyword(s):

Gingival Recession ◽

Class I ◽

Root Coverage ◽

Clinical Attachment Loss ◽

Attachment Loss ◽

Surgical Technology ◽

Keratinized Tissue ◽

Probing Depth ◽

Subepithelial Connective Tissue Graft ◽

Mandibular Teeth

Objective. The purpose of this clinical research was to evaluate the result of microinvasive surgical technology: vestibular incision subperiosteal tunnel access (VISTA) and subepithelial connective tissue graft (SCTG) in multiple gingival recession. Methods. A total of 20 patients with 25 Miller I and 30 Miller III gingival recession teeth were treated with VISTA+SCTG. The data at baseline and 12 months were assessed: probing depth (PD), clinical attachment loss (CAL), gingival recession depth (RD), gingival recession width (RW), width of keratinized tissue (WKT), and gingival biotype (GB), and percentage of root coverage (RC) and complete root coverage (CRC) were calculated. Results. The average root coverage was 1.52 ± 0.70 mm in Miller I and 0.82 ± 0.79 mm in Miller III. The mean root coverage rate was 99.00 % ± 5.00 % in Miller I and 60.73 ± 37.90 % in Miller III. The width of clinical attachment loss of keratinized tissue was significantly improved. Conclusions. VISTA and SCTG are effective in the treatment of both Miller class I and III multiple gingival recessions. Gingival increment in Miller class I is better than that in III. It is the same for maxillary and mandibular teeth.

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Prevalence of Porphyromonas gingivalis fimA II genotype in generalized aggressive periodontitis patients

Brazilian Journal of Oral Sciences ◽

10.20396/bjos.v15i3.8649601 ◽

2017 ◽

Vol 15 (3) ◽

pp. 176

Author(s):

Richelle Soares Rodrigues ◽

Catarina Martins Tahim ◽

Virgínia Regia Silveira ◽

Nadia Accioly Pinto Nogueira ◽

Rodrigo Otavio Rego

Keyword(s):

Porphyromonas Gingivalis ◽

Aggressive Periodontitis ◽

Clinical Parameters ◽

Older Individuals ◽

Chain Reaction ◽

Clinical Attachment Loss ◽

Attachment Loss ◽

Gingival Bleeding ◽

Probing Depth ◽

Polymerase Chain

Purpose: The objective of this study was to evaluate the prevalence of Porphyromonas gingivalis (Pg) and its filmA II genotype in a sample of Brazilian patients with generalized aggressive periodontitis (GAgP) and to correlate the presence of each pathogen/genotype eith clinical parameters. Methods: We used polymerase chain reaction (PCR) to evaluate the presence of Pg and filmA II genotype in subgingival plaque samples collected from the deepest site of 45 Brazilian patients aged 15-40 years with GAgP and correlated findings with age and clinical parameters (plaque index, gingival bleeding index, probing depth and clinical attachment loss). Results: Pg was identified in 64.4% patients. FilmA II genotype was present in 82.6% of Pg-positive patients. The presence of Pg and filmA II genotype was significantly associated with greater clinical attachment loss at the sampled periodontal site. Pg-positive patients were slightly older than Pg-negative patients. Conclusions: Pg and filmA II genotype were highly prevalente in Brazilian patients with GAgP. Pg was more commonly observed in slightly older individuals and in sites with more clinical attachment loss.

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POS0581 PERIODONTAL DISEASE IN RHEUMATOID ARTHRITIS: RESULTS FROM A COHORT AT TREATMENT WITH BIOLOGICAL, CLASSICAL AND TARGETED SYNTHETIC DMARDs

Annals of the Rheumatic Diseases ◽

10.1136/annrheumdis-2021-eular.3970 ◽

2021 ◽

Vol 80 (Suppl 1) ◽

pp. 524.1-524

Author(s):

R. Dos-Santos ◽

F. Otero ◽

E. Perez-Pampín ◽

A. Mera Varela

Keyword(s):

Rheumatoid Arthritis ◽

Oral Health ◽

Periodontal Disease ◽

Disease Activity ◽

Health Problem ◽

Multivariable Analysis ◽

Testing Time ◽

Univariable Analysis ◽

Clinical Attachment Loss ◽

Attachment Loss

Background:Periodontal disease (PD) has been widely studied in the pathogenesis of rheumatoid arthritis (RA). As well, its relationship with severity and disease activity, has also been investigated with ambiguous results. It has been suggested that the improvement of oral health could enhance disease activity scores.1 PD prevalence worldwide stands around 60% in older adults (>65 years) and its frequency increases with aging.2Objectives:To asses oral health in RA patients and to identify predictors of PD in this population.Methods:Patients diagnosed of RA at treatment with biological, classical or targeted synthetic disease modifying anti-rheumatic drugs (b/cs/tsDMARDs) in the aforementioned hospital during 2020 performed a dental review with a specialized periodontal odontologist. Oral health patterns were given for all patients, following criteria of American Academy of Periodontology, and reevaluation of disease activity was made 2 months later.Clinical, demographic and treatment data were collected from participants.Univariable logistic regression was performed to identify predictors of PD. Variables with p<0.20 were selected for multivariable analysis.Stata 15.1 was used to perform statistical analysis.Results:81 patients were recruited. 82.72% were female. Mean age was 56.17 years (SD 14.15) and mean time since diagnosis was 15.58 years (SD 8.17). 25% were current or past smokers. 21 patients had comorbidities (arterial hypertension the most frequent). 66.67% were rheumatoid factor (RF) positive and 72.73% anti-citrullinated peptide autoantibody (ACPA) positive. Median erythrocyte sedimentation rate (ESR) was 12 mm (IQR 6;23) and mean C-reactive protein (CRP) was 0.48 mg/dl (SD 1.18). Mean disease activity score (DAS28-VSG) at the testing time was 2.62 (SD 1.21) and after 2 months was 2.39 (SD 0.97). 96.30% of patients were at treatment with csDMARDs, 64.20% with glucocorticoids, 96.30% with bDMARDs and 6 patients with tsDMARDs.Univariable analysis identified higher age, at least one autoantibody positive and ESR/CRP as potential predictors of medium/severe PD (p<0.20). Multivariable testing including these variables pointed out higher age, lower ESR and at least one autoantibody positive (OR 1.09 [CI95% 1.04-1.14] p=0.001, OR 0.18 [CI95% 0.04-0.95] p=0.044 and OR 0.94 [CI95% 0.88-1.00] p=0.042, respectively) as predictors of medium or severe PD (≥3 mm interdental clinical attachment loss).Univariable analysis identified higher age, the presence of any comorbidity and anti tumour-necrosis factor alpha treatment (anti-TNF) as potential predictors of severe PD (p<0.20). Multivariable testing including these variables pointed out higher age (OR 1.15 [CI95%1.02-1.30] p=0.026) as predictor of severe PD (≥5 mm interdental clinical attachment loss).Conclusion:Periodontal disease is still an extended health problem among the entire population. Its prevalence in RA is increased, therefore higher age and RF or ACPA positive are risk factors for developing severe PD. This analysis might suggest that an aggressive management of PD could implement better responses in DAS28. Also anti-TNF treatment could delimit a “penumbra” group of patients at risk of developing severe PD, where intensive manage could modify the final outcome.References:[1]C O Bingham, M Moni. Periodontal disease and rheumatoid arthritis: the evidence accumulates for complex pathobiologic interactions. Curr Opin Rheumatol. 2013;25(3):345-353.[2]P Carvajal. Periodontal disease as a public health problem: the challenge for primary health care. Rev Clin Periodoncia inplantol. 2016;9(2):177-183.Disclosure of Interests:None declared

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