scholarly journals Periodontal status of adult patients treated with fixed buccal appliances and removable aligners over one year of active orthodontic therapy

2012 ◽  
Vol 83 (1) ◽  
pp. 146-151 ◽  
Author(s):  
Marzieh Karkhanechi ◽  
Denise Chow ◽  
Jennifer Sipkin ◽  
David Sherman ◽  
Robert J. Boylan ◽  
...  
Keyword(s):  
Orthodontic Appliances ◽  
Orthodontic Appliance ◽  
Pocket Depth ◽  
Periodontal Status ◽  
Orthodontic Therapy ◽  
Probing Pocket Depth ◽  
Study Population ◽  
Clinical Indices ◽  
One Year ◽  
Hydrolysis Of

Abstract Objective: To compare the periodontal status of adults treated with fixed buccal orthodontic appliances vs removable orthodontic aligners over 1 year of active therapy. Materials and Methods: The study population consisted of 42 subjects; 22 treated with fixed buccal orthodontic appliances and 20 treated with removable aligners. Clinical indices recorded included: plaque index (PI), gingival index (GI), bleeding on probing (BOP), and probing pocket depth (PPD). Plaque samples were assessed for hydrolysis of N-benzoyl-DL-arginine-naphthylamide (BANA test). Indices and BANA scores were recorded before treatment and at 6 weeks, 6 months, and 12 months after initiation of orthodontic therapy. Results: After 6 weeks, only mean PPD was greater in the fixed buccal orthodontic appliance group. However, after 6 months, the fixed buccal orthodontic appliance group had significantly greater mean PI, PPD, and GI scores and was 5.739 times more likely to have a higher BANA score. After 12 months, the fixed buccal orthodontic appliance group continued to have greater mean PI, GI, and PPD, while a trend was noted for higher BANA scores and BOP. Conclusions: These results suggest treatment with fixed buccal orthodontic appliances is associated with decreased periodontal status and increased levels of periodontopathic bacteria when compared to treatment with removable aligners over the 12-month study duration.

scholarly journals Regenerative therapy for the treatment of periimplantitis

2021 ◽  
Vol 107 (3) ◽  
pp. 50-57
Author(s):  
G. Hakobyan ◽  
◽  
A. Seyranyan ◽  
A. Khachatryan ◽  
S. Burnazyan ◽  
...  
Keyword(s):  
Hyaluronic Acid ◽  
Laser Therapy ◽  
Reliable Method ◽  
Regenerative Therapy ◽  
Pocket Depth ◽  
Probing Pocket Depth ◽  
Osseointegrated Implants ◽  
Clinical Indices ◽  
Autologous Bone ◽  
Clinical Measurements

The purpose of this study is to evaluate the outcome of regenerative therapy of peri-implantitis. The 32 patients involved in this study with inflammatorydestructive processes in the field of peri-implant tissues of osseointegrated implants. The diagnostic parameters used for assessing peri-implantitis include clinical indices, Probing Pocket Depth (PPD), Bleeding On Probing (BOP), periimplant radiography. 16 implants with peri-implant mucositis, 8 implants with early peri-implantitis and 5 implants with moderate peri-implantitis was treated only conservative treatments methods, 6 implants with early peri-implantitis, 7 implants with moderate peri-implantitis and 4 implants with severe periimplantitis was treated surgically. PPD and BOP data at the re-examination were retrospectively compared to baseline data. A statistical significant reduction in both PPD and BOP were seen at alltimepoints as compared with the baseline clinical measurements. Stable clinical measurements PPD and BOP were demonstrated after 1 year the initial treatment, remaining stable during the following three years. Surgical regenerative treatment combined with mechanical and chemical detoxification of the implants’ surface, magneto-laser therapy and regenerative therapy using an autologous bone, xenograft, hyaluronic acid and a restorablemembrane a reliable method for stopping and treatment peri-implantitis. Key words: Peri-Implantitis; Dental Implant; Regenerative Therapy; Magneto-Laser Therapy; Hyaluronic Acid.

scholarly journals Periodontal Status and Subgingival Biofilms in Cystic Fibrosis Adults

2019 ◽  
Vol 68 (3) ◽  
pp. 377-382 ◽  
Author(s):  
TAMARA PAWLACZYK-KAMIEŃSKA ◽  
RENATA ŚNIATAŁA ◽  
HALINA BATURA-GABRYEL ◽  
MARIA BORYSEWICZ-LEWICKA ◽  
SZCZEPAN COFTA
Keyword(s):  
Cystic Fibrosis ◽  
Clinical Symptoms ◽  
Periodontal Diseases ◽  
Adult Patients ◽  
Periodontal Pathogens ◽  
Rt Pcr ◽  
Pocket Depth ◽  
Periodontal Status ◽  
Periodontal Tissues ◽  
Probing Pocket Depth

The aim of this study was to assess the periodontal status of cystic fibrosis (CF) adult patients and to evaluate whether there is a correlation between the bacterial population of the subgingival biofilm and the health status of the periodontal tissues in this group of adults. The study involved 22 cystic fibrosis adult patients. The periodontal condition was assessed using Plaque Index (PLI), Gingival Index (GI), and Probing Pocket Depth (PPD). The gingival sulcus samples were analyzed by the Real-Time PCR assay (RT-PCR). Majority of patients showed moderate or severe bacterial dental plaque accumulation, but none of them had clinical symptoms of periodontal diseases. RT-PCR showed the presence of periopathogens in 50% of patients. Red complex microorganisms were detected in 9.09%, orange complex in 27.27%, and green complex in 31.82% of the samples analyzed. In cystic fibrosis patients colonized by periopathogens, the periodontal markers were significantly higher in comparison to not colonized by periopathogens patients. Despite the widespread presence of bacterial dental deposits in the cystic fibrosis adult patients examined, none of them has clinical symptoms of periodontal disease; however, the presence of periodontal pathogens in subgingival biofilm may represent a possible risk factor of this disease in the future. An unsatisfactory level of oral hygiene in any patient with cystic fibrosis indicates a need to focus on standards of dental care for such patients.

scholarly journals Gingival and oral hygiene conditions in patients with fixed orthodontic appliance wearers

2011 ◽  
Vol 23 (2) ◽  
Author(s):  
Rini Anggraeni ◽  
Isnaniyah Malik ◽  
Ina Hendiani
Keyword(s):  
Oral Hygiene ◽  
Survey Method ◽  
Orthodontic Appliances ◽  
Orthodontic Appliance ◽  
Pocket Depth ◽  
Fixed Orthodontic Appliances ◽  
Gingival Enlargement ◽  
Dental Hospital ◽  
Fixed Orthodontic Appliance ◽  
Posterior Area

The aim of this study was to get the description of gingival condition and oral hygiene in patients with the fixed orthodontic appliance at Orthodontics Specialist Clinic of Oral and Dental Hospital Faculty of Dentistry Universitas Padjadjaran (RSGM FKG UNPAD) Bandung. This descriptive study with a survey method included 30 patients with fixed orthodontic appliances consist of 8 male and 22 females. The sample collected by purposive sampling. The data was collected based on filling questioner forms and clinical examination with an assessed degree of gingival enlargement by Carranza assessed Gingival Index by Loe and Silness, measured pocket depth, and assessed Plaque Index by Silness and Loe. The result showed that 90% of samples had gingival enlargement with variants of gingival enlargement degree from grade 1, 2, 3 and mostly present in the posterior area. Prevalence of gingivitis was 100% divided into 76.67% suffering mild gingivitis and 23.33% suffering moderate gingivitis. In an examination of pocket depth, 6.67% had 1.1-2 mm of pocket depth; 70% had 2.1-3 mm of pocket depth, and 23.33% had 3.1-4 mm. In an examination of oral hygiene, 43.33% had good oral hygiene; 46.67% had moderate oral hygiene, and 10% had poor oral hygiene. The conclusion of this research was the orthodontics wearer suffering from gingival enlargement and mild gingivitis.

scholarly journals Initial Vertical and Horizontal Position of Palatally Impacted Maxillary Canine and Effect on Periodontal Status Following Surgical-Orthodontic Treatment

2008 ◽  
Vol 78 (2) ◽  
pp. 275-280 ◽  
Author(s):  
Egle Zasciurinskiene ◽  
Krister Bjerklin ◽  
Dalia Smailiene ◽  
Antanas Sidlauskas ◽  
Algirdas Puisys
Keyword(s):  
Orthodontic Treatment ◽  
Treatment Protocol ◽  
Vertical Position ◽  
Orthodontic Appliances ◽  
Pocket Depth ◽  
Periodontal Status ◽  
Impacted Canines ◽  
Fixed Orthodontic Appliances ◽  
Impacted Canine ◽  
The Impact

Abstract Objective: To evaluate the impact of surgical-orthodontic treatment and the initial vertical and mesiodistal position of palatally impacted maxillary canines on the periodontal health of impacted canines and adjacent teeth. Materials and Methods: The study group consisted of 32 patients with unilateral palatally impacted maxillary canines. The initial position of the impacted canines was assessed on panoramic images. The treatment protocol of the impacted canines included surgical exposure with the closed-eruption technique and fixed orthodontic appliances. Results: A significant increase in pocket depth was found at the canine mesiopalatal point after surgical-orthodontic treatment. Also, a correlation was found between the initial mesiodistal and vertical position of the impacted canine and the posttreatment periodontal status of the impacted canine, the adjacent lateral incisor, and the first premolar. Conclusions: A combined surgical-orthodontic approach in the treatment of impacted maxillary canines produces clinically acceptable periodontal conditions. The average increase in pocket depth was less than 4 mm and clinically unimportant for most patients.

scholarly journals Orthodontic and Periodontal Outcomes of Treated Impacted Maxillary Canines

2007 ◽  
Vol 77 (4) ◽  
pp. 571-577 ◽  
Author(s):  
Aldo Crescini ◽  
Michele Nieri ◽  
Jacopo Buti ◽  
Tiziano Baccetti ◽  
Giovan Paolo Pini Prato
Keyword(s):  
Regression Analysis ◽  
Multiple Regression Analysis ◽  
Orthodontic Treatment ◽  
Prognostic Indicators ◽  
Surgical Flap ◽  
Pocket Depth ◽  
Periodontal Status ◽  
Keratinized Tissue ◽  
Study Population ◽  
Α Angle

Abstract Objective: To evaluate the influence of pretreatment radiographic features (α-angle, d-distance, and s-sector) on (1) the duration of active orthodontic traction and (2) the posttreatment periodontal status (pocket depth [PD] and keratinized tissue width [KT]) of impacted maxillary canines treated by a combined surgical (flap approach) and orthodontic (direct traction to the center of the ridge) treatment. Material and Methods: A study population of 168 patients (168 canines) was evaluated. Multiple regression analysis was used. Results: Pretreatment radiographic variables were associated significantly with the duration of orthodontic traction. Age, sex, and site of impaction did not significantly affect the duration of traction. No significant differences in PD and KT were present at the end of surgical-orthodontic treatment with respect to any of the variables considered. The analysis of PD and KT variables after orthodontic treatment revealed a healthy periodontium. Conclusions: α-angle, d-distance, and s-sector are valid indicators for the duration of orthodontic traction. They are not prognostic indicators of final periodontal status of orthodontically-repositioned canines.

scholarly journals Improvement in awareness levels and periodontal health among patients undergoing fixed orthodontic appliance therapy with established gingivitis and periodontal health maintenance program: A questionnaire based study.

2020 ◽  
Vol 9 (6) ◽  
pp. 500-510
Author(s):  
Anupama Rao ◽  
◽  
Rajesh Hosadurga ◽  
Kumar Vijaya ◽  
Rajesh Kashyap Shankar ◽  
...  
Keyword(s):  
Oral Hygiene ◽  
Oral Care ◽  
Orthodontic Appliance ◽  
Periodontal Health ◽  
Health Maintenance ◽  
Orthodontic Therapy ◽  
Maintenance Program ◽  
Clinical Indices ◽  
Periodontal Maintenance ◽  
Fixed Orthodontic Appliance

Objetive: Home oral care practices in patients undergoing orthodontic therapy are often ineffective in maintaining optimal plaque control. The aim of the present study was to assess the effectiveness of periodontal maintenance program in subjects with established gingivitis undergoing fixed orthodontic appliance therapy for one year. Material and Methods: Forty patients undergoing fixed orthodontic appliance therapy with established chronic gingivitis were recruited for the study. As a part of a periodontal maintenance program, a pre-validated structured questionnaire evaluating oral hygiene and periodontal health was administered at the baseline as well as at the end of the study. At the baseline Gingival Bleeding Index, Gingival Index, and Bonded Bracket Plaque Index scores were recorded, Scaling and polishing procedure was performed followed by a customised Oral Hygiene Advice (OHA) session was conducted for all the study subjects. Clinical indices were assessed and OHA was conducted at the 3rd, 6th, 9th, and 12th months of orthodontic treatment visits. Results: There was significant improvement in the clinical indices and awareness regarding oral hygiene and periodontal health level in the patients at the end of the 12th month. Conclusion: The periodontal maintenance program appeared to be effective in improving the periodontal health and awareness health awareness level about oral hygiene among patients undergoing fixed orthodontic therapy at the end of 12 months in our study population.

scholarly journals Application of Lactoferrin andα1-Antitrypsin in Gingival Retention Fluid to Diagnosis of Periodontal Disease

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Ryosuke Koshi ◽  
Kazuhiko Kotani ◽  
Mariko Ohtsu ◽  
Naoto Yoshinuma ◽  
Naoyuki Sugano
Keyword(s):  
Clinical Practice ◽  
Periodontal Disease ◽  
Area Under The Curve ◽  
Pocket Depth ◽  
Bleeding On Probing ◽  
Periodontal Status ◽  
Positive Correlation ◽  
Probing Pocket Depth ◽  
The Relationship

Objectives.Periodontal disease is prevalent and has an inflammation associated with not only oral but also systemic pathologies. The diagnosis by biomarkers is required for clinical practice on periodontal disease. The lactoferrin andα1-antitrypsin were both inflammation-related molecules. The present study investigated the relationship between the periodontal status and the two biomarkers in gingival retention fluid (GRF).Patients and Methods. In 63 subjects with periodontitis, the GRF was sampled from maxillary anterior gingiva using a microbrush for 30 seconds. The lactoferrin andα1-antitrypsin levels in GRF were measured by an enzyme-link solvent immunoassay. Periodontal status was evaluated by probing pocket depth (PD) and bleeding on probing (BOP).Results. There was a higher level of these biomarkers in saliva (median (ng/mL), lactoferrin: 3611.9,α1-antitrypsin: 4573.3) than in GRF (lactoferrin: 61.0,α1-antitrypsin: 54.7). There was a mild-to-moderate but significantly positive correlation in lactoferrin orα1-antitrypsin between GRF and saliva. There was a positively mild-to-moderate accuracy (area under the curve: 0.60–0.81) of lactoferrin orα1-antitrypsin in GRF or in saliva to distinguish the severity of periodontal status. The cutoff level (ng/mL) of lactoferrin in GRF for detecting ≥30% of PD ≥ 4 mm (moderate periodontitis) was 68.6 and for detecting ≥20% of BOP (clinically active periodontitis) was 61.2. The cutoff level (ng/mL) ofα1-antitrypsin in GRF for detecting ≥30% of PD ≥ 4 mm was 54.5 and for detecting ≥20% of BOP was 35.3.Conclusions.The data can promote an application of the measurements of lactoferrin andα1-antitrypsin in GRF to clinical practice on periodontal disease.

scholarly journals Periodontal Status of Survivors of Acute Myocardial Infarction: A Case-Control Study

2019 ◽  
Vol 73 ◽  
pp. 92-101
Author(s):  
Renata Górska ◽  
Bartłomiej Górski ◽  
Ewa Grabowska ◽  
Piotr Pruszczyk ◽  
Elżbieta Dembowska ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Plasma Cholesterol ◽  
Total Cholesterol Level ◽  
Arterial Disease ◽  
Cross Sectional Study ◽  
Pocket Depth ◽  
Cross Sectional ◽  
Periodontal Status ◽  
Probing Pocket Depth ◽  
Periodontal Index

Aim: The aim of this multicenter cross-sectional study was to assess a potential relationship between cardiovascular risk profile and chronic periodontitis (CM) during the acute phase of myocardial infarction (MI). Material/Methods: The study included 417 patients aged under 70 years with diagnosed and invasively managed MI. Blood samples were collected for laboratory parameters, including plasma cholesterol, glucose, CRP, fibrinogen and NTproBNP levels. The clinical evaluation of periodontal status included plaque index (PI), extent of gingival inflammation (BoP), probing pocket depth (PPD), clinical attachment level (CAL) and community periodontal index (CPI). Results: Moderate periodontitis (CPI-3) was found in 34.6% of subjects and severe periodontitis (CPI-4) in 45.5% of studied patients. The average number of preserved teeth was 16 and it was significantly lower in patients with diabetes (DM). Mutual risk factors, such as age, gender, smoking, arterial hypertension and DM, were very common. Worse periodontal status was associated with peripheral arterial disease (PAD) and with the first MI. Moreover, patients with signs of periodontitis presented significantly higher total cholesterol level, LDL cholesterol and hsCRP levels. Patients with LDL <80mg/dl presented the best periodontal status when compared to the other groups. Conclusions: The prevalence of CP among patients with acute MI was very high, and it was associated with history of previous MI, PAD, smoking, DM, TC, LDL and hsCRP concentrations. This study pinpointed interplays between CP and cardiovascular events.

scholarly journals Comparison of Periodontal Status Between Male Exclusive Narghile Smokers and Male Exclusive Cigarette Smokers

2019 ◽  
Vol 13 (2) ◽  
pp. 155798831983987
Author(s):  
Mehdi Khemiss ◽  
Dalila Ben Fekih ◽  
Mohamed Ben Khelifa ◽  
Helmi Ben Saad
Keyword(s):  
Periodontal Disease ◽  
Plaque Index ◽  
Gingival Index ◽  
Tobacco Exposure ◽  
Chi Square ◽  
Pocket Depth ◽  
Cigarette Smokers ◽  
Periodontal Status ◽  
Probing Pocket Depth ◽  
Student’S T

Studies evaluating the effects of narghile use on the periodontium present conflicting conclusions. This study aimed to compare the periodontal status of exclusive narghile smokers (ENSs, n = 74) to that of exclusive cigarette smokers (ECSs, n = 74). Males aged 20–40 years were recruited to participate in this comparative study. Information concerning oral health habits (number of yearly visits to the dentist, daily toothbrushing frequency) and tobacco exposure were obtained. Clinical measurements were performed on all the existing teeth, except the third molars. The number of remaining teeth and decayed/missing/filled teeth (DMFT) were noted. The plaque levels were recorded using the plaque index of Löe and Silness. The gingival index modified by Löe was used to evaluate gingival inflammation. Teeth mobility was measured using bidigital mobility. The probing pocket depth was measured using a periodontal probe. Periodontal disease was defined as the presence of at least 10 sites with a probing depth ≥5 mm. Student’s t and chi-square tests were used to compare, respectively, the two groups’ quantitative and qualitative data. The two groups were matched for quantities of used tobacco, age, daily toothbrushing frequency, teeth mobility, number of remaining teeth, plaque index, and DMFT. Compared to the ECS group, the ENS group had a significantly lower number of yearly visits to the dentist (mean ± SD: 0.2 ± 0.5 vs. 0.1 ± 0.2), lower probing pocket depth (mean ± SD: 2.33 ± 0.63 vs. 2.02 ± 0.80 mm), and gingival index (median [interquartile]: 0.46 [0.10–0.89] vs. 0.00 [0.00–0.50]), and it included significantly lower percentages of smokers with periodontal disease (24.3% vs. 9.5%). In conclusion, chronic exclusive narghile smoking has fewer adverse effects on the periodontium than chronic exclusive cigarette smoking.

scholarly journals Effect of non-surgical periodontal treatment on three salivary adipokines in diabetic patients with periodontitis

2020 ◽  
Vol 14 (3) ◽  
pp. 199-205
Author(s):  
Narges Ziaei ◽  
Shima Golmohammadi ◽  
Mari Ataee ◽  
Farnoosh Ardalani ◽  
Mehran Mesgari Abbasi
Keyword(s):  
Periodontal Diseases ◽  
Inflammatory Marker ◽  
Type Ii Diabetes Mellitus ◽  
Periodontal Treatment ◽  
Diabetic Patients ◽  
Pocket Depth ◽  
Probing Pocket Depth ◽  
Salivary Level ◽  
Elisa Technique ◽  
Clinical Indices

Background. This study investigated the effect of non-surgical periodontal treatment on clinical indices and salivary levels of visfatin, chemerin, and progranulin in diabetic patients with periodontitis. Methods. This interventional clinical trial was performed on 20 patients with type II diabetes mellitus (T2DM) with moderate to severe chronic periodontitis (periodontitis stages II or III according to the new classification of periodontal diseases). Clinical indices, including gingival index (GI), probing pocket depth (PPD), clinical attachment level (CAL) and plaque index (PI), were recorded and visfatin, chemerin, and progranulin adipokines levels were also measured in unstimulated saliva by ELISA technique at baseline and twelve weeks after non-surgical periodontal treatment. Results. GI dropped from 1.92±0.27 to 0.71±0.14 after the intervention (P<0.001). Also, there were significant changes in the PPD and PI (P<0.001). However, no significant changes were observed in the CAL (P<0.05). The concentrations of all three salivary adipokines decreased after treatment, but this change was statistically significant only for progranulin (P<0.05). Conclusion. Non-surgical periodontal therapy resulted in improvements in the clinical indices of GI, PPD, and PI in T2DM patients with periodontitis. Moreover, the significant reduction in the salivary level of progranulin after treatment suggests that it might be considered a target inflammatory marker in periodontal diseases.

Sign in / Sign up

Export Citation Format

Share Document