Problems of dental preservation and complex therapy of chronic generalized periodontitis

2021 ◽  
Vol 27 (1) ◽  
pp. 71-78
Author(s):  
Igor S. Kopetsky ◽  
Lyudmila V. Pobozhieva ◽  
Alyona I. Kopetskaya ◽  
Juliya V. Shevelyuk
Keyword(s):  
Bone Loss ◽  
Service Life ◽  
Tooth Loss ◽  
Periodontal Diseases ◽  
Epidemiological Studies ◽  
Periodontal Pocket ◽  
Treatment Result ◽  
Entire Group ◽  
Related Factors ◽  
Anterior Teeth

Epidemiological studies have reported the prevalence of inflammatory periodontal diseases of 85%90% in individuals aged 30 years. Predicting the possibility of preserving teeth is an important integral part of treatment planning for periodontitis. Traditionally, the prognosis is based on the likelihood of tooth loss. The article presents a review of the literature characterizing the factors that affect the prognosis of the service life of teeth in case of periodontitis. For the literature review, a literature search was performed on the MedLine, EMBASE, CyberLeninka, and eLibrary databases. The following factors should be considered when assessing the long-term prognosis in patients with the highest risk for tooth loss: severity of periodontitis, smoking, bruxism, number of abutment teeth, age, type of tooth, depth of probing the periodontal pocket, bone loss, furcation involvement, root mobility and proportions, and tooth crowns. Indicators for molar loss include furcation lesion, bone loss progression, endodontic treatment, persistent periodontal pocket, age, female sex, smoking, and diabetes mellitus. A favorable treatment result and preservation of teeth depend on the entire group of teeth, with the following values: 85% in single-rooted anterior teeth, 78% in premolars, and 47% in molars. The low accuracy of standard predictive tooth loss indices can be explained by the point that the indices are mainly based on factors related to teeth and do not take into account the influence of patient-related factors. Thus, predicting the service life of teeth with periodontitis is a difficult task and requires taking into account both individual indicators of periodontal status and general factors.

scholarly journals The validity of the Community Periodontal Index of Treatment Needs (CPITN) in epidemiological studies of periodontal diseases

2020 ◽  
Vol 10 (2) ◽  
pp. 44-48
Author(s):  
Abdulsamet Tanık ◽  
Mehmet Gül
Keyword(s):  
Roc Curve ◽  
Gold Standard ◽  
Periodontal Diseases ◽  
Epidemiological Studies ◽  
Periodontal Pocket ◽  
Treatment Needs ◽  
Clinical Attachment Loss ◽  
Periodontal Index ◽  
Community Periodontal Index ◽  
Index Sensitivity

Objectives: The aim of this study was to evaluate the validity of partial CPITN (PCPITN) and full-mouth CPITN (FCPITN) indexes from CPITN index versions used in the diagnosis of periodontal disease. Method: The study included 1,000 patients over the age of 20. The clinical attachment loss examination and clinically assisted full-mouth periodontal examination (gold standard) including the depth of the periodontal pocket on probing and dental stones were performed. PCPITN and FCPITN index versions were compared with the gold standard oral examination. Sensitivity, specificity and diagnostic estimation tables were statistically created from the obtained data. Results: For Gingivitis, the sensitivity of the PCPITN index was found to be 68.88%, specificity was 85.94% and the field value under the Receiver Operating Characteristic (ROC) curve was 0.6893. For periodontitis, FCPITN index sensitivity was 89.28%, specificity was 96.56% and field value under the ROC curve was 0.931. Conclusion: Although FCPITN and PCPITN indexes have a near moderate value in the diagnosis of gingivitis, they were found to be more effective in the diagnosis of periodontitis. We think that the FCPITN index is particularly effective in the diagnosis of periodontitis.   How to cite this article: Tanık A, Gül M. The validity of the Community Periodontal Index of Treatment Needs (CPITN) in Epidemiological Studies of Periodontal Diseases. Int Dent Res 2020;10(2):44-48. https://doi.org/10.5577/intdentres.2020.vol10.no2.3   Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

scholarly journals Replacement of Missing Anterior Teeth in a Patient with Chronic Mouth Breathing and Tongue Thrusting

2013 ◽  
Vol 2013 ◽  
pp. 1-5 ◽  
Author(s):  
Satheesh B. Haralur ◽  
Ali Saad Al-Qahtani
Keyword(s):  
Tooth Loss ◽  
Periodontal Diseases ◽  
Mouth Breathing ◽  
Open Bite ◽  
Nasal Breathing ◽  
Anterior Open Bite ◽  
Posterior Teeth ◽  
Anterior Teeth ◽  
Anterior Guidance ◽  
Patient Will

The loss of anterior teeth has serious functional, esthetic disabilities, in addition to compromising the patients' quality of life. Various etiologies can be attributed to the anterior tooth loss, including trauma, caries, and periodontal diseases. The chronic mouth breathing due to nasal adenoids is known to enhance the gingival and periodontal diseases. The dental literature proves the association of nasal breathing, tongue thrusting, and anterior open bite. Arch shape and tooth position are primarily determined by the equilibrium of the forces from tongue and perioral musculature. Increased force from tongue musculature in the tongue thrusting patient leads to flaring of anterior teeth, making them susceptible for periodontal and traumatic tooth loss. Replacement of the anterior teeth in this patient will also help in restoration of anterior guidance, which is critical for the health of temporomandibular joint, posterior teeth, and musculature.

scholarly journals Prevalence and Reasons for Tooth Loss in a Sample from a Dental Clinic in Brazil

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Andréia Affonso Barretto Montandon ◽  
Elizangela Partata Zuza ◽  
Benedicto Egbert Corrêa de Toledo
Keyword(s):  
Tooth Loss ◽  
Periodontal Diseases ◽  
Age Groups ◽  
Dental Clinic ◽  
Convenience Sample ◽  
Brazilian Sample ◽  
Anterior Teeth ◽  
Age Dependent ◽  
Tooth Type ◽  
Clinical Records

Purpose.To evaluate the prevalence and reasons for teeth extractions in a sample from a dental clinic in Brazil.Methods.The prevalence of teeth mortality was analyzed by gender, age, tooth type and reasons for extraction on 800 teeth of 439 subjects, whose data was collected in clinical records in a convenience sample.Results.The groups with range from 35 to 44 years, 45 to 54 years and 55 to 64 years revealed significantly greater number of teeth extractions than other age groups (P<0.0001). The anterior teeth loss increased significantly with aging, while the tooth mortality of premolar and molar were higher in younger people. The caries was the more prevalent reason for tooth mortality among young and adults up to 44 years old, while the periodontal disease was the main reason for extractions from 45 years old until range of 81 years (P<0.0001).Conclusions.It can be suggested that some reasons for tooth loss were age-dependent, but the caries and the periodontal diseases were the main reasons for tooth mortality in this Brazilian sample.

Microbiological substantiation of application of phytopreparations in treatment of inflammatory periodontal diseases

2019 ◽  
Vol 24 (3) ◽  
pp. 196-202 ◽  
Author(s):  
S. A. Abdurakhmanova ◽  
G. S. Runova ◽  
M. S. Podporin ◽  
E. V. Tsareva ◽  
E. V. Ippolitov ◽  
...  
Keyword(s):  
Tooth Loss ◽  
Periodontal Diseases ◽  
Adult Population ◽  
Experimental Studies ◽  
Herbal Medicines ◽  
Growth Dynamics ◽  
Integrated Approach ◽  
Bacterial Populations ◽  
Streptococcus Constellatus ◽  
Urgent Task

Relevance: Inflammatory-destructive periodontal diseases are the most complicated and became the main cause of tooth loss in adult population. Herbal medicines have a variety of pharmacological properties, so the development and introduction of new forms for the treatment of inflammatory periodontal diseases is an urgent task today.Purpose – experimental evaluation of effectiveness of the use of herbal medicines “Tonzinal” and “CM-1” in relation to the priority periodontal pathogenes.Materials and methods: in experimental studies, the basis for the experiment was the system for the cultivation of microorganisms in real time – the Revers-Spinner RTS-1 bioreactor. With the priority strains of periodontitis pathogens, the study of the growth dynamics of the culture was carried out in several parallels.Results: herbal medicines “CM-1” and “Tonsinal” has a multilateral therapeutic effect, exerting a diverse influence on the key stages of development of such bacterial populations as Aggregatibacter actinomycetemcomitans, Streptococcus constellatus, Candida albicans.Conclusion: tan integrated approach in the treatment of patients with inflammatory periodontal diseases is promising and will contribute to a more prolonged remission and increase the effectiveness of treatment. 

scholarly journals Development of a prognostic tool: based on risk factors for tooth loss after active periodontal therapy

2021 ◽  
Author(s):  
Sonja Rahim-Wöstefeld ◽  
Dorothea Kronsteiner ◽  
Shirin ElSayed ◽  
Nihad ElSayed ◽  
Peter Eickholz ◽  
...  
Keyword(s):  
Risk Factors ◽  
Decision Making ◽  
Tooth Loss ◽  
Treatment Plan ◽  
Periodontal Therapy ◽  
Outcome Variable ◽  
Individual Treatment ◽  
Risk Indicator ◽  
Related Factors ◽  
Prognostic Tool

Abstract Objectives The aim of this study was to develop a prognostic tool to estimate long-term tooth retention in periodontitis patients at the beginning of active periodontal therapy (APT). Material and methods Tooth-related factors (type, location, bone loss (BL), infrabony defects, furcation involvement (FI), abutment status), and patient-related factors (age, gender, smoking, diabetes, plaque control record) were investigated in patients who had completed APT 10 years before. Descriptive analysis was performed, and a generalized linear-mixed model-tree was used to identify predictors for the main outcome variable tooth loss. To evaluate goodness-of-fit, the area under the curve (AUC) was calculated using cross-validation. A bootstrap approach was used to robustly identify risk factors while avoiding overfitting. Results Only a small percentage of teeth was lost during 10 years of supportive periodontal therapy (SPT; 0.15/year/patient). The risk factors abutment function, diabetes, and the risk indicator BL, FI, and age (≤ 61 vs. > 61) were identified to predict tooth loss. The prediction model reached an AUC of 0.77. Conclusion This quantitative prognostic model supports data-driven decision-making while establishing a treatment plan in periodontitis patients. In light of this, the presented prognostic tool may be of supporting value. Clinical relevance In daily clinical practice, a quantitative prognostic tool may support dentists with data-based decision-making. However, it should be stressed that treatment planning is strongly associated with the patient’s wishes and adherence. The tool described here may support establishment of an individual treatment plan for periodontally compromised patients.

scholarly journals Regular Exercise and Depressive Symptoms in Korean Older Adults

2021 ◽  
Vol 18 (1) ◽  
pp. 303
Author(s):  
Young-Mee Kim ◽  
Sung-il Cho
Keyword(s):  
Depressive Symptoms ◽  
Grip Strength ◽  
Multivariate Logistic Regression Analysis ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Hand Grip Strength ◽  
Regular Exercise ◽  
Older Individuals ◽  
Related Factors ◽  
Hand Grip

Prior studies have found that exercise has a positive effect on depressive symptoms in the general population. For older individuals, however, the association between exercise and depressive symptoms is conclusive. We examined whether regular exercise is related to depressive symptoms in 5379 Korean adults aged ≥55 years using data from a 2016 survey administered in the Korean Longitudinal Study of Aging. We used the 10-item Center for Epidemiological Studies–Depression scale to assess depressive symptoms. We performed a multivariate logistic regression analysis to investigate the relationship between regular exercise and depressive symptoms, adjusting for sociodemographic characteristics, self-rated health, number of chronic diseases, body mass index, hand-grip strength, physical disability, cognitive impairment, and health behavior. Interaction terms, including regular exercise and health-related factors, were also added. We found that a lack of regular exercise was significantly related to an increased frequency of depressive symptoms (OR = 1.18, 95% CI = 1.03–1.35). Moreover, hand-grip strength may increase the effect of regular exercise on depressive symptoms in individuals 65 years and older (OR = 1.01 vs. 1.70, 95% CI = 1.05–1.96). Our results suggest that it is important to encourage older individuals to exercise regularly as a means of relieving depressive symptoms.

Wear and microwear on the teeth of a moose (Alces alces) population in Manitoba, Canada

1986 ◽  
Vol 64 (11) ◽  
pp. 2467-2479 ◽  
Author(s):  
William G. Young ◽  
Therese M. Marty
Keyword(s):  
Tooth Loss ◽  
Microscopic Analysis ◽  
Tooth Wear ◽  
Incisor Tooth ◽  
Electron Microscopic ◽  
Tooth Structure ◽  
Microwear Analysis ◽  
Anterior Teeth ◽  
Scanning Electron Microscopic ◽  
Scanning Electron Microscopic Analysis

A group of wild moose from Manitoba, Canada, were documented as having excessive tooth wear. Replicas of one incisor tooth were collected from 16 individuals and from 19 controls for comparison by volumetric and scanning electron microscopic analysis. All animals were aged from tooth cementum lines. Tooth replicas were cast from silicone rubber impressions in epoxy resin and sputter coated with gold. Tooth wear with age was compared statistically by measuring crown height, percent tooth loss, interfacet distance, and facet area on the incisors. The unique pattern of wear on the anterior teeth of affected moose was described. In affected animals, crown heights were significantly reduced and percent tooth loss was excessive. Microwear analysis found that an abrasive agent, acting predominantly in a lingual to labial direction, had been responsible for loss of enamel and dentine incisally and interproximally, and on the facial and lingual surfaces to a lesser extent. Interdental facets became involved by vertical abrasion. Control teeth showed fewer but coarser scratches and only approached the pattern of wear found in affected moose in a few individuals in old age. The loss of tooth structure would lead to diminished cropping efficiency and damage to the periodontium.

An efficient treatment of biofilm-induced periodontitis using Pt nanoclusters catalysis

Nanoscale ◽  
2021 ◽  
Author(s):  
Tao Wu ◽  
Jiahui Sun ◽  
Jie Lei ◽  
Qihang Fan ◽  
Xiuyu Tang ◽  
...  
Keyword(s):  
Bone Loss ◽  
Inflammatory Disease ◽  
Biofilm Formation ◽  
Tooth Loss ◽  
Gingival Recession ◽  
Chronic Inflammatory Disease ◽  
Efficient Treatment ◽  
Pt Nanoclusters

Periodontitis is a common chronic inflammatory disease associated with biofilm formation, gingival recession, and supporting bone loss that can lead to the formation of periodontal pockets and, ultimately, tooth loss....

scholarly journals An overview of the epidemiology of periodontal diseases in Latin America

2007 ◽  
Vol 21 (spe) ◽  
pp. 8-15 ◽  
Author(s):  
Rui Vicente Oppermann
Keyword(s):  
Risk Factors ◽  
Latin America ◽  
Latin American ◽  
Oral Hygiene ◽  
Periodontal Diseases ◽  
Aggressive Periodontitis ◽  
Epidemiological Studies ◽  
Socioeconomic Background ◽  
Industrialized Countries ◽  
Modifiable Factors

The aim of the present review was to identify the presence of periodontal diseases and the relative importance of known risk factors in Latin American countries. The retrieved data are sparse and inconsistent, lacking information for the majority of the countries. Gingivitis is ubiquitous in the region, affecting all ages independently of the socioeconomic background. The extension of bleeding may vary greatly, ranging from 40% to 70% of sites. The prevalence of aggressive periodontitis is higher in Latin America than in industrialized countries. Prevalence ranges from 0.3% to 4.5%, and the localized form is the less prevalent. The prevalence of chronic periodontitis is high, with a large variation (40-80%) probably due to differences in methodology and diagnostic criteria. Regional differences may be relevant. Known risk factors are present in the populations studied. Non-modifiable factors such as age, gender and genetics have been associated in Brazilian and Chilean populations. Tobacco smoking and diabetes are relevant risk factors. The importance of socioeconomic status, although present as a risk factor, has been largely underestimated. Oral hygiene is extremely deficient in the area although it is a cultural habit in most populations. It can be concluded that periodontal diseases are highly prevalent in Latin American populations. Its prevalence and extent are associated with known risk factors. Oral hygiene habits are deficient. Well designed epidemiological studies with external validity are needed.

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