scholarly journals Effect of periodontal therapy on maxillary sinus mucous membrane thickening in chronic periodontitis: A split-mouth study

2018 ◽  
Vol 12 (3) ◽  
pp. 166-173
Author(s):  
Vrushali N. Lathiya ◽  
Abhay P. Kolte ◽  
Rajashri A. Kolte ◽  
Dhawal R. Mody

Background. This study evaluated the effect of periodontal therapy on mucous membrane thickening in maxillary sinus in chronic periodontitis patients using radiovisiography (RVG) and cone-beam computed tomography (CBCT). Methods. The study population included 30 patients diagnosed with chronic periodontitis, exhibiting bilateral mucosal thickening of maxillary sinus. The selected sites were randomly assigned to group I (control group - not receiving periodontal therapy) and group II (test group - receiving periodontal therapy). The clinical parameters and mucosal thickening of the maxillary sinus were evaluated at baseline and after 9 months. Results. There was a significant decrease in the PPD, CAL as well as mucosal thickening in group II while, group I showed an increase in these parameters. In group II at the end of 9 months the mean mucosal thickening reduction as assessed by CBCT was 0.76±0.18, 0.73±0.24, 0.88±0.42 and 1.13±0.43 mm at the most anterior point (AP), the most posterior point (PP), the mid-point (MP), point of maximum thickness (MT) as well as in the length of the thickened mucosal lining, respectively. Conclusion. The results of our study indicated a reduction in the mucosal thickening of the maxillary sinus after surgical periodontal therapy. The trial was registered with the Clinical Trial Registry of India (Trial REF/ 2016/02/010805).

2020 ◽  
Vol 6 (1) ◽  
pp. 31-35
Author(s):  
Dr. Sonal Saxena ◽  
Dr Karan Punn ◽  
Dr Divya Dubey ◽  
Dr Vivek Srivastava ◽  
Dr Ajita Meenawat ◽  
...  

Introduction: Periodontal dressings, also known as periodontal packs, have been employed over centuries for the purpose of protection of surgical sites. Many modifications have been made to improve their physical and therapeutic properties. Hence this study was designed to compare and evaluate the clinical efficacy of light cured periodontal dressing to most widely used non-eugenol pack. Materials and method: Ten patients suffering from generalized chronic periodontitis, requiring periodontal flap surgeries on contralateral sides of the arch were selected and randomly divided into two groups: Group I (Control group) and Group II (Test group). In Group I, non-eugenol periodontal dressing and in Group II light cured periodontal dressing was applied at the surgical sites. Clinical parameters that were assessed on day 7 after the removal of the pack are debris index, plaque scores and gingival index. Patients were also be assessed for acceptance and compliance of the material. All the data recorded was then statistically analysed. Result: Group II showed better results when compared with the control group on debris index, plaque scores and gingival index, though the differences were found to be statistically insignificant. Group II also showed better results in terms of esthetics, associated mucosal problems, retention of the dressing and over all patient satisfaction.Conclusion: Light cured periodontal dressing showed better patient acceptability and compliance and could be considered to be a clinically efficient and alternative to the non-eugenol pack as the periodontal dressing.


Author(s):  
S. Kh. Dombayan ◽  
I. V. Panova ◽  
G. M. Letifov

The aim of the study was to assess the level of blood neuron specific enolase (NSE) in children with chronic gastroduodenitis (CGD) depending on Hеlicobacter pylori (HP), the severity of the inflammatory process, sex. The study involved 73 children with CGD. Group I– children with CGD associated with HP (HP CGD+); group II – with CGD not associated with HP (CGD, HP–). The control group (GK) – 28 healthy children. In the diagnosis of the disease, the endoscopic and morphological methods were used; the urease, microscopy, molecular biological and serological tests were performed to verify HP. The elevated levels of NSE were revealed in children groups I and II compared with GK (p < 0.01, p < 0.01). High levels of NSE in serum were observed in boys with CGD HP+ compared with girls with CGD HP+ (p < 0.01). Similar changes related to the gender were identified in group II (p < 0.01). In group I the highest values of NSE were identified with erosive gastroduodenitis (p < 0.01). In group II the opposite direction of enzyme changes was revealed and depended on the severity of the disease. Тhe increase of NSE in the blood of children with CGD HP+ and HP-indicates the presence of enzyme in the mechanisms of the inflammatory process in the mucous membrane gastroduodenal area outside the continuum of HP-infection. A multidirectional character of NSE changes depending on the characteristics of lesions mucous membrane gastroduodenal zone in groups I and II does not exclude the NSE involvement into the mechanisms of formation of the severity of the disease. Higher levels of NSE in boys as in CGD, HP+ and HP – do not exclude the relations of NSE and sex hormones.


2017 ◽  
Vol 8 (3) ◽  
pp. 177-182
Author(s):  
Umesh P Verma

ABSTRACT Aim The present study was primarily designed to evaluate the outcome of guided bone graft regeneration in peri-implant defects by combining recombinant human platelet-derived growth factor-BB (rhPDGF-BB) and granules of beta-tricalcium phosphate (B-TCP) mounted by resorbable biomesh membrane. Secondary objective was to determine the value of resorbable barrier membrane to improve the efficacy of the growth factormediated regeneration. Materials and methods A randomized controlled study comprised 14 participants (8 males and 6 females, mean age 37 years, range 19—55 years), in which a total of 15 implants (10 in maxilla and 5 in the mandible) were placed. Fifteen implant sites were randomly divided by picking a code into three groups: Test group I (n = 5) ß-TCP + rhPDGF (0.3 mg/mL) + biomesh, test group II (n = 5) ß-TCP + rhPDGF, and control (n = 5) ß-TCP + biomesh. The experimental site was examined clinically for the gingival status and radiographically for the bone status. Results Statistically significant difference in preoperative and postoperative measurements was observed for test groups I and II in all the parameters except width; in contrast, there was no significant difference observed for the control group from baseline to 5 months postoperatively. On intergroup comparison, statistically significant difference was observed between test group I vs control group and test group II vs control group, but it was not significant between test groups I and II, which was further confirmed using global performance scale score. Conclusion It concluded that rhPDGF-BB and ß-TCP mounted by resorbable biomesh membrane played a synergistic role in the management of peri-implant defects. Clinical significance Bone regenerated using ß-TCP with rhPDGF-BB in the reversal of peri-implant defects. How to cite this article Arora R, Verma UP, Dixit J, Lal N. Synergistic Effects of Growth Factor, Bone Graft, and Resorbable Barrier Membrane in Management of Dehiscence and Fenestration of Dental Implants. World J Dent 2017;8(3):177-182.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yiping Wei ◽  
Bo Zhang ◽  
Gang Yang ◽  
Tao Xu ◽  
Wenjie Hu ◽  
...  

Abstract Background Information regarding the reaction of bone augmentation in terms to sinus mucosa thickness of periodontally compromised molar extraction sites is limited. This retrospective study aimed to analyze the effect of ridge preservation procedures following the extraction of molars with severe periodontitis on the healing pattern of adjacent maxillary sinus mucosal membranes. Methods Thirty-one periodontally compromised maxillary molar teeth either receiving ridge preservation (test group, n = 20) or undergoing spontaneous healing (control group, n = 11) were investigated. Cone-beam computed tomography (CBCT) scanning was performed before the extraction procedure and repeated 6 months later. The mucosa thickness (MT) of the adjacent periodontally compromised molar tooth was measured from CBCT images before tooth extraction and after 6 months of healing at nine assigned measurement points. The data were analyzed at α = 0.05. Results The prevalence of pre-extraction maxillary sinus mucosal thickening was 60.0% and 63.6% in the test and control groups, respectively. The average MT of the thickened sinus mucosa before tooth extraction was 3.78 ± 2.36 mm in the test group and 4.63 ± 3.20 mm in the control group (P = 0.063). The mean mucosal thickening reductions in the thickened MT subjects after 6 months of healing were 2.20 ± 2.05 mm (test group) and 2.64 ± 2.70 mm (control group), P = 0.289. The differences of MT between the time prior to extraction and after 6 months of healing were statistically significant within both groups (P < 0.05). Conclusions Following extraction of molars with severe periodontitis, a reduction in swelling of the Schneiderian membrane has been observed regardless of the addition of a DBBM socket graft. However, a mucosal thickness > 2 mm was still frequently observed.


2018 ◽  
Vol 51 (2) ◽  
pp. 99 ◽  
Author(s):  
Alhidayati Asymal ◽  
Eha Renwi Astuti ◽  
Rini Devijanti

Background: Periodontitis is an inflammatory disease caused by specific microorganisms that attacks tooth-supporting tissues, P. gingivalis bacteria are mostly found in patients suffering from chronic periodontitis which is usually diagnosed by means of clinical and radiographic examination. The latter play important roles in the management of periodontitis, including: establishing diagnosis, determining treatment plans and evaluating the results of treatment. Unfortunately, the use of X-rays to perform such radiographic examination has negative effects since the body’s various parts, especially the head, are not well protected from the effects of X-ray radiation. Purpose: This research aimed to analyze the effects of dental X-ray exposure on the number of macrophages and lymphocytes in experimental subjects suffering from periodontitis. Methods: 36 rats that had been diagnosed with chronic periodontitis were divided into three groups, namely: a control group, treatment group I (exposed to a 0.16 mSv dose of radiation) and treatment group II (exposed to a 0.32 mSv dose of radiation). These subjects were subsequently sacrificed on the third and fifth days after treatment. Thereafter, histopathological examination was performed to identify any changes in the number of macrophages and lymphocytes. Results: The results of an HSD test confirmed that, on the third day, there were significant differences in the number of lymphocytes between the control group and treatment group I, as well as between the control group and treatment group II. On the fifth day, there were also significant differences in the number of lymphocytes between the control group and treatment group I, as well as between treatment group I and treatment group II. Similarly, there was a significant difference in the number of macrophage cells on the third day between the control group and treatment group I. On the fifth day, there were also significant differences in the number of macrophage cells between the control group and treatment group I, as well as between treatment group I and treatment group II. Conclusion: Dental x-ray exposure at a dose of 0.16 mSv can elevate the number of macrophages and lymphocytes on the third and fifth days. On the other hand, dental x-ray radiation at a dose of 0.32 mSv can reduce the number of macrophages on day 3 as well as the number of lymphocytes on the third and fifth days.


Author(s):  
Dennis Amaechi ◽  
I. P. Ekpe ◽  
E. D. Edet ◽  
M. C. Madu

Background of the Study: Lead effects were assessed by analyzing the impacts of the extract on the liver enzyme concentrations and hematology parameters. Materials and Methods: Thirty five male wistar rats weighing 85-110 g were distributed into five groups consisting of seven rats each. Group I served as control group, group II served as the test group, groups III, IV and V served as treatment groups. Lead acetate solution was given to the rats orally at a dose of 50 mg/kg body weight and 200 mg/kg of fruit extracts for 14 days. On day 15, biochemical analysis were carried out. Results: Effects of extracts showed that ALT,AST and ALP concentration in group II was observed to be significantly (p<0.05) higher than the control and treatment groups with values. The hematology results showed that lead did not cause a significant reduction in the packed cell volume, white blood cell and red blood cell counts. However, the group treated with carrot and garden egg showed slight increase in RBC and WBC count when compared with the positive and negative control groups. Conclusion: From the results above, it showed that the fruits extract have hematopoietic potentials and hence aid in the hepatoprotection of the liver of lead induced Wistar rats.


2017 ◽  
Vol 6 (1) ◽  
pp. 6-13 ◽  
Author(s):  
Ameet Mani ◽  
Shubangi Mani ◽  
Sugandha R Saini

ABSTRACT Aim: This study aims to find out the effects of Probiotics, delivered with a lozenge for its effect on clinical and microbiological parameters in subjects with chronic periodontitis after scaling and root planing (SRP). Materials and methods: A total of 40 generalized mild to moderate chronic periodontitis subjects were finally enrolled in a double-blind, placebo-controlled, randomized clinical study. Selected subjects after SRP were randomly divided into two groups: Group I (test group) with 20 subjects receiving probiotic tablet once daily and group II (control group) receiving placebo tablets once daily. Clinical parameters and bacterial count for Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, Prevotella intermedia, Fusobacterium nucleatum were evaluated at baseline, 2, and 4 months after the medication. Results: On comparative evaluation between the two groups, results indicated that group I (probiotic group) exhibited statistically significant reduction in both clinical and microbiological levels than group II (control group) over the entire span of the study. Conclusion: Our results proved that daily oral supplementation of probiotics could be a useful adjunct to SRP in chronic periodontitis patients. How to cite this article Mani A, Saini R, Saini SR. Efficacy of Oral Probiotics as an Adjunct to Scaling and Root Planing in Nonsurgical Treatment Outcome of Generalized Chronic Periodontitis Patients: A Clinico-Microbiological Study. Int J Experiment Dent Sci 2017;6(1):6-13.


2018 ◽  
Vol 5 (4) ◽  
pp. 3756-3759
Author(s):  
Dr. Suryakanth Malgikar ◽  
Dr. Madanika P

Periodontitis is seen as resulting from a complex interplay of bacterial infection and host response, modified by behavioral and systemic risk factors.There is high prevalence of endemic fluorosis among the patients in certain regions in India and scarcity of information on the effects of levels of fluoride in serum and saliva to the periodontal disease severity. Aim of the present study was to estimate the levels of fluoride in serum and saliva and in ground water of chronic periodontitis subjects in the endemic fluorosed area and to correlate the levels of fluoride in serum and saliva to the periodontal disease severity.140 subjects were divided into two groups. Group I (Test group) consisted of 100 dental subjects diagnosed with dental fluorosis and chronic periodontitis. Group II (Control group) consisted of 40 non-fluorosed subjects. Ion selective electrode method was used for assessingthe fluoride in serumand saliva. There was no significant correlation between salivary and serum fluoride levels and the periodontal disease severity. However the mean salivary fluoride levels were found to significantly influence the dental fluorosis severity (p<0.005*).


Author(s):  
Nwadike Constance ◽  
Dike-Ndudim Joy ◽  
Oly-Alawuba Nkeiruka ◽  
Ezekwe Ahamefula ◽  
Akanazu Chidimma ◽  
...  

The study was carried out to investigate the protective effects of bi-herbal formulation of aqueous extracts of Vernonia amygdalina and Gongronema latifolium against gentamicin induced nephrotoxicity and liver injury in rats. Forty (n=40) male Wistar albino rats were procured and separated into five groups. Groups I and II served as normal control and experimental control respectively. Groups III to V served as test groups. Rats of experimental control (group II) and test groups were induced with lethal dose of gentamicin. Test groups III and IV were placed on herbal formulation of aqueous extracts of V .amygdalina  and G. latifolium respectively, whereas rats in test group V received bi-herbal formulation of aqueous extracts of V. amygdalina and G. latifolium. Nephrotoxic indices such as urea reduced significantly (p<0.05) in test groups (III, IV, and V) when compared to experimental control (group II) and normal control (group I). Creatinine also reduced significantly (p<0.05) in test groups III and V against group II (experimental control), and increased insignificantly (p>0.05) in test group V when compared to normal control (group I). Rats induced with gentamicin had upsurge in liver enzymes indicating possible compromise of hepatocellular integrity but the ameliorating effects of the herbal formulations were seen clearly in test groups in this study as they tried to protect the hepatocellular integrity. The bi-herbal formulation of aqueous extract of 5% v/v each of V. amygdalina and G. latifolium offered the best protection as observed in this study. This study has revealed the protective effects of bi-herbal formulation of aqueous extract of V. amygdalina  and G. latifolium against gentamicin induced nephrotoxicity and liver injury in rats.


2014 ◽  
Vol 41 (1) ◽  
pp. 37-44 ◽  
Author(s):  
Bl. Yaneva ◽  
E. Firkova ◽  
E. Karaslavova

Summary Chronic periodontitis is a result of polymicrobial infection and its treatment aims removal of dental calculus and biofi lm from the periodontal pocket. Many hand and power-driven instruments are created for this purpose. In recent years, lasers are widely discussed tools for periodontal therapy. The aim of the present study is to evaluate the early microbiological and clinical effectiveness of the Er:YAG laser in the treatment of chronic periodontitis. 30 patients with moderate chronic periodontitis were enrolled in the study. Using a split-mouth design they were treated either with Er:YAG laser (chisel tip, 100 mJ, 15 Hz, 5-6 water spray)-test group or with Gracey curettes- control group. Probing pocket depth (PPD), gingival recession (GR), clinical attachment level (CAL), bleeding on probing and plaque presence were evaluated at baseline and one month after the therapy. Microbiological samples were taken from the deepest four pockets of each quadrant from 20 randomly selected patients (n = 80). They were evaluated using real time PCR for periodontal pathogens from the red complex (Porphyromonas gingivalis, Treponema denticola and Tannerella forsythia). One month after therapy in the control group PPD decreased from 4.59 mm to 3.36 mm, the CAL gain was 1.09 mm and the reduction of bleeding and plaque - from 87.9% to 33.7% and from 75.9% to 40.9%, respectively. In the test group PPD decreased from 4.58 mm to 3.15 mm, the CAL gain was 1.37mm and the reduction of bleeding and plaque was from 85.6% to 25.9% one month after the treatment. The results were statistically significant in favour of the laser group (p < 0.05). Microbiological analysis revealed that the pathogens from the red complex decreased 3 times in the control and 6 times in the test group. Therefore, the Er:YAG laser demonstrate pronounced early effectiveness in chronic periodontitis treatment and would be appropriate alternative of the conventional periodontal therapy.


Sign in / Sign up

Export Citation Format

Share Document