Significance of the Width of Keratinized Mucosa on the Health Status of the Supporting Tissue Around Implants Supporting Overdentures

2009 ◽  
Vol 35 (5) ◽  
pp. 232-237 ◽  
Author(s):  
Mehdi Adibrad ◽  
Mohammad Shahabuei ◽  
Mahasti Sahabi
Keyword(s):  
Health Status ◽  
Index Score ◽  
Plaque Index ◽  
Gingival Index ◽  
Bleeding On Probing ◽  
Probing Depth ◽  
Bone Level ◽  
Keratinized Mucosa ◽  
Attachment Level ◽  
Periodontal Attachment

Abstract Our objective was to determine the association between keratinized mucosa width and the health status of the supporting tissue around implants supporting overdentures. Sixty-six functioning dental implants were examined. Periodontal parameters measured included gingival index, plaque index, bleeding on probing, probing depth, mucosal recession, periodontal attachment level, radiographic bone level, and width of keratinized mucosa. A negative correlation was found between keratinized mucosa width and mucosal recession and periodontal attachment level. When data were dichotomized by keratinized mucosa width, the mean gingival index score, plaque index score, and bleeding on probing were significantly higher for those implants with a narrow zone (<2 mm) of keratinized mucosa. A wider mucosal band (≥2 mm) was associated with less mucosal recession and periodontal attachment loss compared with a narrow (<2 mm) band. The absence of adequate keratinized mucosa around implants supporting overdentures was associated with higher plaque accumulation, gingival inflammation, bleeding on probing, and mucosal recession.

scholarly journals Association of Personality Traits with Oral Health Status: A Cross-Sectional Study

2017 ◽  
Vol 4 (2) ◽  
Author(s):  
Dr. Sneha Meshram ◽  
Dr. Deepti Gattani ◽  
Dr. Akhilesh Shewale ◽  
Dr. Swapneel Bodele
Keyword(s):  
Health Status ◽  
Oral Health ◽  
Personality Traits ◽  
Oral Hygiene ◽  
Oral Health Status ◽  
Index Score ◽  
Plaque Index ◽  
Eysenck Personality Questionnaire ◽  
Gingival Index ◽  
The Impact

Background-Gingivitis is inflammation of gingival. The most common cause of gingivitis is poor oral hygiene. Personality is the combination of characteristics or qualities that form an individual’s distinctive character. The oral health of the people may be affected by different personality characters. .The aim of the study was to assess the impact of the personality traits on oral hygiene performance and gingival health in dental OPD patients. Objectives-To assess the relationship between different personality traits with oral hygiene index score, gingival index score, plaque index score, oral hygiene practice, other habits, dental visits, income groups, education. Materials and Methods- In total 620 subjects of Department of Periodontlogy from Swargiya Dadasaheb Kalmegh Smruti dental College and Hospital, Nagpur India were selected for the study. The personality characters were assessed by using the Eysenck Personality Questionnaire Revised Short-form (EPQRS). Based on this questionnaire, the subjects were divided in to three subgroups Extroversion, Neuroticism and Psychoticism. Result-It was found that Simplified Oral Hygiene Index, Plaque Index Gingival Index was more in person with neuroticism type of personality. Conclusion -The findings of the present study suggested that there exist no co relation between various personality traits and associated oral health status. However further trials should be conducted in future to validate the present findings.

NovaboneTM dental putty as a potential regenerative material for treating horizontal defects in chronic periodontitis patients.

2019 ◽  
Vol 11 (2) ◽  
pp. 2-10
Author(s):  
Dr. Shruthi Raveendran ◽  
Dr. Shruthi S ◽  
Dr. Nisha K J ◽  
Dr. Sanjeela Guru ◽  
Dr. Parichaya Batra ◽  
...  
Keyword(s):  
Bone Defects ◽  
Plaque Index ◽  
Gingival Index ◽  
Pocket Depth ◽  
Clinical Attachment Level ◽  
Probing Pocket Depth ◽  
Calcium Phosphosilicate ◽  
Bone Level ◽  
Open Flap Debridement ◽  
Attachment Level

ntroduction: Periodontitis is a multifactorial disease, which, when not adequately treated, is followed with progressive attachment loss which leads to tooth mobility and eventually tooth loss. Periodontal regenerative surgery aims to regenerate and reconstruct the lost periodontal tissue. Regeneration with novabone putty has shown to be effective in reducing probing pocket depth, gain in clinical attachment level and increase in horizontal bone level. Aim: This interventional clinical trial was to evaluate the osseous regenerative potential of a calcium phosphosilicate bioactive glass NOVABONE TM in the treatment of horizontal bone defects. Materials and method: A total of 20 sites with horizontal bone defect was treated with open flap debridement with intra marrow penetration and novabone putty. Statistical analysis: Plaque index, gingival index and radiographic determination were analysed by paired t test. Probing pocket depth and clinical attachment levels were analysed by Wilcoxon Signed Ranks Test. Result: There was significant reduction seen in plaque index, gingival index, probing pocket depth and radiographic crestal level when compared between baseline and 12 months respectively (2.48 ± 0.44, 2.92 ± 0.39, 6.80 ± 0.89, 8.29 ± 0.87) and (1.89 ± 0.42, 1.92± 0.51, 3.00± 0.67, 5.48 ± 0.89) and significant gain in clinical attachment level from 4.40 ± 0.96 to 1.20 ± 0.91. Conclusion: The present study showed novabone putty significantly improved the clinical parameters in horizontal bone defects.

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

2019 ◽  
Vol 13 (1) ◽  
pp. 478-487 ◽  
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.

scholarly journals Efficacy of glycine powder air-polishing combined with scaling and root planing in the treatment of periodontitis and halitosis: A randomised clinical study

2017 ◽  
Vol 45 (3) ◽  
pp. 1168-1174 ◽  
Author(s):  
Ayse Caygur ◽  
Mohammed R. Albaba ◽  
Atilla Berberoglu ◽  
Hasan Guney Yilmaz
Keyword(s):  
Plaque Index ◽  
Scaling And Root Planing ◽  
Gingival Index ◽  
Pocket Depth ◽  
Clinical Attachment Level ◽  
Bleeding On Probing ◽  
Air Polishing ◽  
Root Planing ◽  
Attachment Level ◽  
Time Point

Introduction This study was performed to evaluate the clinical efficacy of using the Perio-Flow device (Electro Medical Systems, Nyon, Switzerland) adjunctively with mechanical instrumentation on periodontal parameters and halitosis. Materials and Methods Sixty patients who presented with a 4- to 6-mm probing pocket depth were recruited for the study. Patients were randomly assigned to scaling and root planing (SRP) or SRP + glycine powder air-polishing (GPAP). For both groups, the plaque index, gingival index, pocket depth, bleeding on probing, and clinical attachment level scores were recorded at baseline and 1 month. Volatile sulphur compounds (VSCs) were measured by a Halimeter (Interscan Corp., Chatsworth, CA, USA) at baseline, immediately after treatment, and at 7, 14, and 30 days. Results Both groups showed significantly lower plaque index, gingival index, pocket depth, bleeding on probing, and clinical attachment level gain scores at 1 month than at baseline. No significant differences were found between the groups at any time point. The VSCs were significantly different at 1 month compared with baseline in both groups. However, the intergroup comparisons of VSCs were not statistically significant at any time point. Conclusion Within the limits of this study, SRP is effective for treatment of periodontitis and halitosis. However, using GPAP adjunctively with mechanical instrumentation has no beneficial effects on halitosis or periodontal parameters.

scholarly journals Single tooth restoration in the maxillary esthetic zone using a one-piece ceramic implant with 1 year of follow-up: case series

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Miren Vilor-Fernández ◽  
Ana-María García-De-La-Fuente ◽  
Xabier Marichalar-Mendia ◽  
Ruth Estefanía-Fresco ◽  
Luis-Antonio Aguirre-Zorzano
Keyword(s):  
Case Series ◽  
Biological Properties ◽  
Titanium Implants ◽  
Plaque Index ◽  
Marginal Bone Loss ◽  
Bleeding On Probing ◽  
Probing Depth ◽  
Zirconia Implants ◽  
Ceramic Implant

Abstract Background Oral implants have helped clinicians to improve the quality of life for many patients. The material of choice for dental implants currently remains titanium type IV, whose mechanical and biological properties have been proven throughout the history of implantology. Yet, this material is not exempt from complications. For these reasons, ceramic alternatives to titanium have emerged. Thus, the purpose of this study is to evaluate peri-implant hard and soft tissue stability with the use of a one-piece ceramic implant (Straumann® PURE Ceramic Implant) during 1 year of follow-up. Study design One-piece all-ceramic zirconia (ZrO2) implants were placed to replace single missing teeth in the esthetic zone. Six to 8 weeks after the procedure, the definitive prosthesis was fabricated. At the time of prosthesis, placement (T0) photographs and periapical radiographs were taken, and the following clinical parameters were recorded: probing depth (PD), plaque index (PI), bleeding on probing (BOP), suppuration on probing (SOP), distance from gingival margin to incisal edge (GM-IE), and Jemt papilla index (JPI). Follow-up appointments were scheduled at 4 (T4), 8 (T8), and 12 (T12) months, when the same parameters were recorded. In addition, plaque control was reinforced and prophylaxis was carried out. In this last appointment, a final periapical radiograph was taken to assess marginal bone loss. Results A total of 32 zirconia implants were placed in 28 patients (16 women and 12 men, aged between 34 and 67 years). The survival and success rate were 96.9%. The increase in probing depth from baseline to 12 months was 0.78 mm. Assessments of plaque index and bleeding on probing showed a slight increase throughout the study. Conclusions The results obtained with the Straumann® PURE Ceramic implants show them to exhibit very good clinical behavior. The survival rate of the implants of our pilot study was 96.9%. For these reasons, we can say that zirconia implants could be an alternative to titanium implants in the esthetic zone.

scholarly journals Appropriate Oral Hygiene Motivation Method for Patients with Fixed Appliances

2007 ◽  
Vol 77 (6) ◽  
pp. 1085-1089 ◽  
Author(s):  
Zuhal Yetkin Ay ◽  
Mözgür Sayın ◽  
Yener Özat ◽  
Tuba Goster ◽  
A. Onur Atilla ◽  
...  
Keyword(s):  
Oral Hygiene ◽  
The Other ◽  
Plaque Index ◽  
Gingival Index ◽  
Verbal Information ◽  
Bleeding On Probing ◽  
Orthodontic Patients ◽  
Fixed Appliances ◽  
The Difference

Abstract Objective: To determine the most appropriate oral hygiene motivation method (OHMM) for orthodontic patients with fixed appliances. Materials and Methods: A total of 150 orthodontic patients, scheduled for their regular controls, were included in this study. The patients were divided into five groups (n = 30) according to the verbal OHMM and instructed as follows: only verbal information (V), verbal information with demonstration on model (M), verbal information with demonstration on model and self application by the patient (M+A), verbal information using the illustration catalog (I), and verbal information using the illustration catalog and self application by the patient (I+A). All of the applications of the patients were made under the supervision of the clinicians. The periodontal parameters (plaque index [PI], gingival index [GI], and bleeding on probing [BOP]) were recorded at the baseline (before the instructions of the OHMM), 1 week later, and 4 weeks after the OHMM. Results: All periodontal parameters showed significant decreases after 4 weeks in all OHMM groups (P &lt; .05). I+A group has significantly lower PI scores and BOP percentages than the other groups (P &lt; .05) after 4 weeks. The difference between the V group and M+A, I, and I+A groups in the GI scores were significant (P &lt; .05), and the I+A group has presented the lowest GI score. Conclusions: The OHMM applied by the patients under the supervision of the clinician seemed to be more successful in the elimination of plaque and inflammatory symptoms in patients with fixed appliances.

scholarly journals Aspectos clínicos, microbiológicos e tratamento periodontal em pacientes fumantes portadores de doença periodontal crônica: revisão da literatura

2016 ◽  
Vol 73 (4) ◽  
pp. 325
Author(s):  
Gabriela Alessandra Da C. Galhardo Camargo ◽  
Mariana Gouvea Latini Abreu ◽  
Renata Dos Santos ◽  
Marcio Alves Crespo ◽  
Leticia De Faria Wenderoscky
Keyword(s):  
Gingival Recession ◽  
Periodontal Therapy ◽  
Clinical Aspects ◽  
Gingival Index ◽  
Periodontal Pathogens ◽  
Clinical Attachment Level ◽  
Qualitative And Quantitative ◽  
Probing Depth ◽  
Microbiological Parameters ◽  
Attachment Level

Objective: the aim of this study was to evaluate, through literature review, clinical aspects (plaque index, gingival index, probing depth, gingival recession and clinical attachment level) and microbiological (qualitative and quantitative presence of periodontal pathogens) in smokers patients and the response to periodontal therapy. Material and Methods: it was selected scientific articles published between the years 1978 and 2014. We were selected scientific articles from MEDLINE, PUBMED and LILACS databases. Results: there are controversies between tobacco and clinical and microbiological parameters. Conclusion: based on the evaluated studies we can conclude that there are significant clinical and microbiological differences in smoking patients and impaired response to periodontal therapy.

scholarly journals Analysis of Vitamin D Receptor Gene Polymorphism in Chronic Periodontitis among Saudi Population

2021 ◽  
Vol 2 (01) ◽  
pp. 12-16
Author(s):  
Fathy M. Elfasakhany ◽  
Omaima N. Al-Qahtani ◽  
Asmaa M. Badri ◽  
Hala A. Abuelela
Keyword(s):  
Vitamin D ◽  
Vitamin D Receptor ◽  
Receptor Gene ◽  
Equilibrium Analysis ◽  
Plaque Index ◽  
Control Group ◽  
Saudi Population ◽  
Bleeding On Probing ◽  
Probing Depth ◽  
The Mean

Abstract Objective Genetic and environmental factors have important roles in the development of periodontitis. We aimed to assess the relation of vitamin D receptor (VDR) ApaI and TaqI polymorphisms and the susceptibility of periodontitis in Saudi population in Makkah region. Materials and Methods In total, 86 unrelated patients with moderate-to-severe periodontitis and 86 controls were enrolled in this study. Evaluation of the periodontal state was performed by using plaque index, bleeding on probing, probing depth, and attachment loss. Extraction of genomic DNA from peripheral blood and genotyping of VDR gene ApaI G/T (rs7975232) and TaqI T/C (rs731236) polymorphisms were performed by utilizing polymerase chain reaction and restriction digestion. Results There were statistically significant differences between both groups regarding the mean bleeding on probing, mean probing depth, mean plaque index, and the mean attachment level (p < 0.001) indicating that the matching based on the investigated groups was adequate. The examined populations were in Hardy-Weinberg equilibrium. Analysis of the genotype and allele frequencies of both VDR ApaI and TaqI single nucleotide polymorphisms revealed that they were statistically indifferent between the control group and the periodontitis subjects (p> 0.05). Conclusion These results suggested that VDR ApaI and TaqI polymorphisms might not be related to the susceptibility of periodontal disease in the Saudi subjects in Makkah region.

scholarly journals Influence of Different Composites and Polishing Techniques on Periodontal Tissues near Noncarious Cervical Lesions: A Controlled, Randomized, Blinded Clinical Trial

2019 ◽  
Vol 13 (04) ◽  
pp. 635-641
Author(s):  
Nancielli Teixeira ◽  
Mariana Benedetti Ferreira Webber ◽  
Carlos Augusto Nassar ◽  
Veridiana Camilotti ◽  
Marcio José Mendonça ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Time Factor ◽  
Gingival Index ◽  
Cervical Lesions ◽  
Bleeding On Probing ◽  
Periodontal Tissues ◽  
Probing Depth ◽  
Long Term Effect ◽  
Friedman's Test

Abstract Objectives This study evaluated the long-term effect on gingival tissues near noncarious cervical lesions after restoration with different composites in association with two different polishing techniques. Materials and Methods This study was conducted on 60 patients as a randomized, split-mouth, single-blind clinical trial and divided into four groups (n = 15) and restored using different composites (Tetric N-Ceram nanohibride or Z350 XT nanoparticles) and polishing materials (Astropol or Sof-Lex). The periodontal parameters analyzed were Silness–Löe plaque index; Silness–Löe gingival index; probing depth, clinical insertion level; and bleeding on probing. Periodontal analysis was performed before scaling and root planing at 30, 60, 120, and 180 days after restoration. Statistical Analysis The data submitted to the Friedman’s test were employed for comparison between groups (p < 0.05). Results Statistically significant differences between Z350/Astropol and other groups were observed for visible plaque and probing depth. Gingival index Tetric/Sof-Lex, the time factor did not influence the results. All experiment groups exhibited statistically significant differences in the clinical level of insertion when the follow-up time was considered. Percentage of bleeding on probing, in which there was a difference only with regard to group Tetric/Sof-Lex when the time factor was considered. Conclusion The evaluated composites and polishing techniques did not exhibit differences in performance in the periodontal parameters analyzed at the end of 6 months of evaluation.

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