scholarly journals Clinical Evaluation Of The Periodontal Condition During Fixed Orthodontic Treatment

2016 ◽  
Vol 12 (24) ◽  
pp. 78
Author(s):  
Krisztina Martha ◽  
Irinel Panainte ◽  
Alexandru Ogodescu

Throughout orthodontic treatment, oral hygiene is particularly important and must be rigorously controlled throughout therapeutic act. The aim of our clinical study was to examine the periodontal status of patients before, during and after orthodontic appliances are used. 50 patients were selected, plaque index, gingival index, modified papillae bleeding index and clinical probing depth was evaluated on anchorage teeth, separately those with orthodontic bands and tubes. One of the most common findings during this kind of treatment is gingival alteration in the posterior region. Our practical observations showed a different status of these alterations at patients wearing bands on the anchorage teeth versus those with buccal tubes. Using some of the indices which describes the periodontal status at adult and adolescent patients, we found out that adolescents present a higher plaque index, and the accumulation of dental plaque is more severe when bands are used in both categories. Another finding, which is very important in everyday practice is that gingival inflammation and plaque accumulation decrease one month after debonding.

Author(s):  
Surbhi Porwal ◽  
Aditi Mathur ◽  
Neema Shetty ◽  
Balaji Manohar ◽  
Barkha Makhijani ◽  
...  

Background: Plaque is the soft deposit that forms the biofilm consisting of microorganisms adhering to the tooth surface and is proved beyond doubt to be the initiator of gingival and periodontal disease. Plaque control is the mainstay in periodontal disease. Aim: To compare the effect of 0.2% chlorhexidine gluconate, raw propolis and 3% hydrogen peroxide mouthwash on dental plaque and gingival inflammation. Materials and Methods: Thirty subjects in the age group of 20-40 years were enrolled in the study. Plaque index and Modified Gingival Index were recorded at baseline and oral prophylaxis was performed. Subjects were then randomly divided into three groups (n=10) and were asked to rinse with 10ml mouthwash twice daily for 15 days. Group I received 0.2% chlorhexidine gluconate mouth wash, Group II raw propolis diluted with distilled water (1:1), and Group III 3% hydrogen peroxide (1:1) mouthwash. Subjects were recalled on 7 day and 28 day for re-evaluation and recording plaque index and modified gingival index. Statistical analysis was done to evaluate the efficacy of all the three mouthwashes. Results: The results showed that all the three mouthwashes were effective in reducing plaque and gingival inflammation. Chlorhexidine gluconate 0.2% showed to be the most effective in reduction of dental plaque. Propolis was observed to be the most effective in reducing gingival inflammation over a period of 28 days. Conclusion: Propolis can be effectively used as a mouthwash without any potential side effects as an alternative to chlorhexidine mouthwash in reducing gingival inflammation.


2008 ◽  
Vol 65 (11) ◽  
pp. 799-802 ◽  
Author(s):  
Biljana Andjelski-Radicevic ◽  
Obrad Zelic ◽  
Silvija Mirkovic ◽  
Tatjana Todorovic

Background/Aim. Diabetes mellitus (DM) as a complex metabolic disease influences functioning of numerous organs. Therefore, frequent diabetic complication is chronic periodontitis. The aim of the study was to investigate the influence of various risk factors, like age, sex, duration of DM, oral hygiene, on oral manifestations of diabetes. Methods. The group of diabetics included 52 adult patients, 18-79-year of age, both sexes (33 females, 19 males) out of which 35 patients were with diabetes mellitus type I and 17 with type II. Mean age of the patients was 54.6 years and the mean duration of diabetes was 11.1 years. The controls consited of 67 volunteers from the city of Belgrade, 19-24-year of age, both sexes (47 females, 20 males) with no paradonthopathy and non-systemic diseases. Estimation of periodontal status of the patients was performed by measuring dental plaque index, gingival index and periodontal pockets' depth. Results. The results suggest an increased incidence and severity of periodontitis in diabetic patients. It was established that duration of diabetes, patients' age and bad oral hygiene had a negative influence on status of remained teeth in diabetics, while the sex had no influence on parameters monitored. Conclusion. Indices of oral hygiene level and periodontal status (dental plaque index, gingival index and periodontal pockets' depth) were significantly worsened in patients with diabetes. Negative influence on remained teeth had patients' age (>50 years), duration of diabetes (> 20 years) and bad oral hygiene. About half of the patients had a total or partial bridge suggesting that periodontitis is significant complication of diabetes mellitus.


2021 ◽  
Vol 11 (7) ◽  
pp. 3008
Author(s):  
Gabriela Ciavoi ◽  
Luciana Dobjanschi ◽  
Tunde Jurca ◽  
Gyongyi Osser ◽  
Ioana Scrobota ◽  
...  

Mouthrinse solutions represent a group of products used for maintaining oral hygiene after tooth brushing. Substances contained by plants bring benefits for the whole mouth health. The purpose of this study was to comparatively evaluate the effectiveness of a commercial mouthwash and of an herbal infusion on dental plaque formation and gingival inflammation. The participants in the study (90 patients) were divided into two groups, the CM group, which rinsed with a commercial fluoride-containing mouthwash and the IM group, which used an herbal infusion. The Silness–Loe plaque index (PI) and the Loe–Silness gingival index (GI) were assessed at baseline and in three following monitoring sessions. Both mouthwashes used had good results in reducing plaque index and gingival index values. In all monitoring sessions, the average PI value calculated in the CM group was relatively lower than in the IM group, probably because of the fluoride contained in the commercial mouthwash. The average GI value calculated in the CM group was slightly higher in showing gingival inflammation than that of the IM group, therefore the IM group had a better average result than the CM group in GI value. Herbal mouthwashes are adequate to induce proper oral prevention through the preservation of good oral health.


1996 ◽  
Vol 13 (4) ◽  
pp. 135-138 ◽  
Author(s):  
George R. Riviere ◽  
Aaron J. Thompson ◽  
Randi D. Brannan ◽  
Donald E. McCoy ◽  
Lloyd G. Simonson

Spirochetes have been observed in dental plaque from dogs, but specific spirochetes have not been identified. In particular, it is not known whether treponemes associated with periodontal diseases in humans also occur in dogs, and whether, like in humans, detection of specific treponemes correlates with periodontal status of dogs. Forty-two dogs were grouped according to the worst periodontal condition in the mouth, as determined by overt signs of inflammation and pocket probing depths. A representative specimen of dental plaque was obtained by pooling subgingival plaque collected from three uniform reference sites, irrespective of periodontal status at selected sites. The presence of pathogen-related oral spirochetes, Treponema denticola, and T. socranskii was determined using specific monoclonal antibodies in an immunocytochemical microscopic assay. All three treponemes were detected in all groups, but a significantly greater proportion of dogs with pocket probing depths ≥5 mm had detectable treponemes, compared to dogs that were in periodontal health.


2018 ◽  
Vol 12 (03) ◽  
pp. 334-337
Author(s):  
Ricardo Machado ◽  
Monique Muniz da Cunha ◽  
Daniel Comparin ◽  
Leopoldo Cosme-Silva ◽  
Eduardo Donato Eing Engelke Back ◽  
...  

ABSTRACT Objective: The aim of this study was to evaluate the periodontal status of teeth indicated for undergoing endodontic treatment. Materials and Methods: Two hundred and nine teeth were evaluated using probing depth tests at three vestibular and three palatine/lingual sites before the patients underwent treatment. Teeth that presented up to 3-mm probing depth were considered as healthy. Those that presented at least one site with probing depth >3 mm were considered periodontally compromised. The data were statistically analyzed by means of applying the Chi-square test, with a level of significance of 5%. Results: Of the total of 209 teeth evaluated, 40 (19.10%) presented periodontal compromise. There was statistically significant difference related to the compromised teeth of patients of the female gender (22.80%) compared with teeth of patients of the male gender (12.30%) (P < 0.05). Conclusions: Fewer than 20% of the teeth evaluated presented a periodontal compromise. Patients of the female gender presented a higher number of periodontally compromised teeth than patients of the male gender.


BMJ Open ◽  
2021 ◽  
Vol 11 (8) ◽  
pp. e048114
Author(s):  
Michiko Furuta ◽  
Kenji Takeuchi ◽  
Toru Takeshita ◽  
Yukie Shibata ◽  
Shino Suma ◽  
...  

ObjectivesWe examined the trend in the number of missing teeth in a Japanese community over a 10-year period and the potential associated explanatory factors.DesignProspective cohort study.SettingA population-based study conducted in 2007, 2012 and 2017 in Japan (Hisayama Study).ParticipantsResidents of a Japanese community aged 40–79 years undergoing dental examination in 2007 (n=2665), 2012 (n=2325) and 2017 (n=2285).Outcome measuresThe number of missing teeth, periodontal condition, dental caries experience, dental plaque index and oral health behaviours were evaluated each year. The longitudinal analysis of variation in these factors were assessed using mixed models.ResultsThe age-adjusted and sex-adjusted mean number of missing teeth decreased with time (6.80 in 2007, 6.01 in 2012 and 4.99 in 2017). The mean clinical attachment level (CAL), prevalence of periodontitis and dental plaque index decreased over the study period, while dental caries experience slightly increased. The level of oral health behaviour increased over time. Poisson mixed models showed that changes in mean CAL and dental caries experience were positively associated with the change in the number of missing teeth over time. Linear mixed models showed that changes in dental plaque index and no regular dental visit were positively associated with changes in mean CAL.ConclusionsThese findings suggest that a decreasing trend regarding the number of missing teeth in Japan might be associated with improvements in the periodontal condition due to changes in oral hygiene level and oral health behaviour.


Author(s):  
Shaili Pradhan ◽  
Benju Shrestha

Introduction: Attached gingiva aids in increased resistance to external injury and contribute in stabilisation of gingival margin against frictional forces as well as dissipates physiological forces exerted by the muscular fibers of the alveolar mucosa on gingival tissues. Objective: To assess width of attached gingiva in adults and correlate with oral hygiene maintenance and gingival inflammation. Methods: A cross-sectional study was conducted in patients aged 20-40 years visiting dental OPD with healthy periodontium. Plaque index (PI) and Gingival index (GI) were recorded. Mucogingival junction was determined by visual and functional method. Keratinised gingiva width (KGW) and probing pocket depth (PPD) was recorded and attached gingiva width (AGW) was calculated as (KGW–PPD). Results: Total 85 patients (43 males and 42 females) enrolled in this study. Among total, 48.23% had AGW<1 mm. AGW <1 mm most commonly was found in mandibular first premolar, highest mean AGW was found in maxillary incisors. The mean GI and PI values for AGW<1 mm were found to be higher than those for AGW≥ 1 mm. However, result did not show any significant relation between AGW and severity of gingival inflammation (P value 0.608) and plaque control (P value 0.297). Conclusion: The correlation between attached gingiva width and severity of gingival inflammation and plaque index was not significant statistically. However, the mean gingival index and plaque index score were higher for the attached gingiva width less than 1 mm.


2019 ◽  
Vol 14 (1) ◽  
pp. 72
Author(s):  
Dr. Dhuha M. Hassan ◽  
Dr. Baydaa Hussien Hussien

Back ground: Dental caries and periodontal disease were the most common andwidely spread diseases affecting children. The nutrition may be one of the factorsaffecting the severity of the oral diseases. The Aims of this study was theassessment of the following oral diseases (dental caries, gingivitis) in addition toassessment of oral hygiene among 4-5 years old children in Karbala city –Iraq.Furthermore, nutritional status was assessed in relation to oral diseases.Materials and methods: A sample of 658 children (350 males, 308 females) agedfour and five years old was selected randomly from the fourteenth kindergartensin Karbala city. Diagnosis and recording of dental caries was followed the criteriaof WHO 1987. Dental plaque was assessed using plaque index of Silness and Loe,1964. Gingival health condition was assessed using gingival index of Loe andSilness, 1963. The assessment of nutritional status was performed usinganthropometric measurement (height and weight) according to Body mass indexindicator with -2SD cutoff point.Results: Caries prevalence was found to be (83%) of the total sample the mean rankvalue of dmfs was higher among boys in comparison to girls with statistically nosignificant difference (P>0.05). The value of dmfs increased with age withstatistically highly significant difference (p<0.01).The mean rank values of dentalplaque and gingival indices for total boys were found to be higher than total girlswith statistically highly significant differences (P<0.01). Recording of this studydemonstrated that 100% of children had dental plaque and gingival inflammation.Positive highly significant correlations were recorded between dental caries withdental plaque and gingival indices. The prevalence of malnutrition described byBody mass index indicator was (3.2%). According to nutritional status indicatorBody mass index-for-age, it was found that the wasted children had higher valueof dmfs than well nourished children with statistically no significant differences(P>0.05). The plaque and gingival indices were higher among well nourishedchildren than among wasted children with statistically highly significantdifferences (P<0.01).The correlation coefficient between body mass index withdental caries, plaque index and gingival index were very weak and statistically notsignificant (p>0.05).Conclusions: High prevalence of dental caries and gingivitis was recorded indicatingthe need of public and preventive programs among kindergarten children.


2013 ◽  
Vol 84 (3) ◽  
pp. 479-485 ◽  
Author(s):  
Ruhi Nalçacı ◽  
Yener Özat ◽  
Serpil Çokakoğlu ◽  
Hakan Türkkahraman ◽  
Süleyman Önal ◽  
...  

ABSTRACT Objective: To determine the effect of bracket type on halitosis, periodontal status, and microbial colonization. Materials and Methods: Forty-six patients scheduled for fixed orthodontic treatment (age 11–16 years) were selected from the orthodontic department of Suleyman Demirel University. Patients were divided into two groups with random distribution of brackets; 23 patients were treated with self-ligating brackets (group SLBs), the others with conventional brackets (group CBs). Halitosis measurements and periodontal and microbial records were obtained before the placement of brackets (T0), 1 week later (T1), and 5 weeks after bonding (T2). Periodontal parameters, including plaque index (PI), gingival index (GI), and bleeding on probing index (BOP), were obtained from all the bonded teeth. Halitosis measurements were performed at the same time. Microbial samples were obtained from the buccal surfaces of all the bonded teeth. Data were analyzed by using a repeated-measurement analysis of variance test for the comparison of parameters between groups and times. Results: Periodontal parameters and halitosis results were higher in the CBs group than in the SLBs group (P &lt; .05). In the SLBs group, halitosis and BOP values revealed no pronounced changes between T1 and T2 (P &gt; .05). Intra- and intergroup comparisons showed that there were no statistically significant differences for microbial colonization between all the time intervals (P &gt; .05). Conclusion: Bracket type has an effect on halitosis and periodontal status. Therefore, self-ligating brackets may be advised in order to prevent patients from developing halitosis and to increase the likelihood of good oral hygiene during orthodontic treatment.


2016 ◽  
Vol 87 (2) ◽  
pp. 279-285 ◽  
Author(s):  
Thayika Saruttichart ◽  
Pintu-on Chantarawaratit ◽  
Chalermpol Leevailoj ◽  
Panida Thanyasrisung ◽  
Waranuch Pitiphat ◽  
...  

ABSTRACT Objective: To compare the effectiveness of a motionless ultrasonic toothbrush to a manual toothbrush in reducing dental plaque, gingival inflammation, and mutans streptococci in patients with fixed orthodontic appliances. Materials and Methods: Twenty-five orthodontic patients were recruited to this crossover study. The patients were randomized into two groups starting with manual or motionless ultrasonic toothbrushes for 30 days. After a 30-day washout period, the patients switched to the other toothbrush type for 30 days. Plaque and gingival indices were evaluated by two calibrated-blinded examiners before and after each 30-day period of brushing. Salivary samples were also collected for quantification of mutans streptococci. Results: On the bracket side, the motionless ultrasonic toothbrush showed a significantly higher mean plaque index bracket score after 30-day usage than baseline (P = .049), while the manual toothbrush group showed no difference between the before and after brushing periods (P = .10). The changes in plaque index bracket score were significantly more favorable in the manual toothbrush group than in the ultrasonic toothbrush group (P = .04). In contrast, no difference was observed on the nonbracket side. There was no significant difference in the changes of gingival index or the numbers of mutans streptococci between the two groups. Conclusion: Manual toothbrushing performed better than brushing with the motionless ultrasonic toothbrush in plaque removal on the bracket side in orthodontic patients. However, no difference was observed in terms of gingival status and the numbers of mutans streptococci.


Sign in / Sign up

Export Citation Format

Share Document