METHODS FOR TREATMENT OF CHRONIC GENERALIZED PERIODONTITIS (LITERATURE REVIEW)

2021 ◽  
Vol 2 (5) ◽  
pp. 30-33
Author(s):  
Saloma Avezova ◽  

The article provides data on the methods used for the treatment of generalized periodontitis. Most researchers believe that periodontitis is a polyetiological disease, the development of which is based on a complex of pathological changes occurring in the oral cavity associated with microbiological and immunological changes. Improving the effectiveness of treatment of inflammatory periodontal diseases is an urgent task in modern dentistry.Keywords:dentistry, diseases of the oral mucosa, periodontal disease, chronic generalized periodontitis, etiology, treatment

2016 ◽  
Vol 29 (2) ◽  
pp. 86-89 ◽  
Author(s):  
Joanna Luszczak ◽  
Michal Bartosik ◽  
Jolanta Rzymowska ◽  
Agnieszka Sochaczewska-Dolecka ◽  
Ewa Tomaszek ◽  
...  

AbstractAccording to some studies, the Entamoeba gingivalis colonizing the gingival tissue is an important agent in bringing about periodontitis. Other studies, however, deem it an opportunist that is able to survive in the medium induced by periodontal disease. The aim of this study was to investigate the prevalence of Entamoeba gingivalis infection in patients from the Department of Periodontology, and compare this population with that of healthy people, so as to analyze the relationships between infection and patient sex and age. The result of this work is that in both groups, a correlation (p = 0,19) has been noted between the occurrence of amoebae and other diseases in the oral cavity. Indeed, 81,4% of all patients with some periodontal disease showed the presence of amoeba. Among those who are not afflicted with oral diseases, the presence of amoeba was indicated in 62,5% of the total. In addition, a correlation between the person's age and the presence of protozoa (p = 0,15) was strongly marked among women (p = 0,19). In the three age groups of women in this study (40-49, 60-69, and above 80 years), we observed a 100% presence of protozoa.Our study leads us to the conclusion that infections with Entamoeba gingivalis should be regarded as an factor that is associated with the pathological changes occurring in patients with periodontal diseases.


2019 ◽  
Vol 23 (1-2) ◽  
pp. 17-21
Author(s):  
M. Skrypnyk ◽  
T. Petrushanko ◽  
T. Kryvoruchko ◽  
K. Neporada

Obesity prevalence has significantly increased especially in young adults, which is caused by a particular lifestyle, food quality and dietary behavior. Obesity leads to development of huge array of comorbid conditions such as arterial hypertonia, heart stroke, arthritis and other diseases. We conducted standard clinical examination of oral cavity of 154 young patients (18-21 years old) – all of them were students of Ukrainian Medical Stomatological Academy. It has been determined that the majority of patients with BMI >30 kg/cm2 have aggravated family heredity, in 66,2% cases one parent of obese students had obesity and 32,43% patients have both parents with obesity that is significantly higher compared with persons with normal BMI and overweight. There was a high prevalence of periodontal diseases about 74% and carious lesions of teeth - 97.4% among young people despite the age and contingent of examined patients - medical students. In patients with BMI >30 kg/cm2 prevalence of generalized forms of gingivitis and periodontitis was by three times higher compared with individuals with normal BMI. The values of oral hygienic indexes were poor in all examined groups, but their values were slightly lower in patients with normal BMI than in those with overweight and obesity. The prevalence of inflammatory changes in gums was higher in persons with obesity: all of them had a mild degree of lesions in periodontal tissues. Inflammatory processes in the gums were the most intense in patients with the second degree of obesity. According to the results of the study, the presence of the first and the second degree of obesity should be considered as a risk factor triggering periodontal tissues diseases. For persons with BMI >30 kg/cm2 with periodontal disease measures for the secondary prevention of inflammatory and inflammatory dystrophic periodontal diseases should be carried out and in persons without periodontal disease on the background of obesity measures primary prevention should be done.


Author(s):  
Lívia Maria Lopes de OLIVEIRA ◽  
Lívia Mirelle BARBOSA

ABSTRACT Periodontal disease and type 2 diabetes mellitus are considered chronic diseases that at their core have a deep relationship with inflammation. It is assumed that there is a bidirectional relationship between periodontal disease and type 2 diabetes mellitus. It is estimated that approximately 10% of the world’s population is affected by periodontal disease, in its most severe form, almost the same percentage estimated for people with diabetes, which is considered a 21st century emergency. The World Workshop for the Classification of Periodontal and Peri-implant Diseases and Conditions took place from September 9-11, 2017. The aim of this study is to analyze the results of this workshop with regard to the relationship between periodontal diseases/conditions and diabetes mellitus, in addition to conducting an integrative review on the topic. A literature review was conducted, using the Medline electronic databases via Pubmed, Scientific Electronic Library Online, Scientific and Technical Literature of Latin America and the Caribbean and Virtual Health Library. A new classification of periodontal disease included tools for individual assessment of the patient and recognizing risk factors that might negatively interfere in response to treatment. The occurrence of metabolic lack of control in periodontal patients with type 2 diabetes mellitus is now considered a factor of great importance for the assessment of individual susceptibility to the progression of periodontitis. Diabetes is believed to promote a hyper inflammatory response to bacterial challenge by modifying the tissue response of periodontal tissues.


2018 ◽  
Vol 14 (4) ◽  
pp. 54-57
Author(s):  
Н. Чернышева ◽  
N. Chernyshova ◽  
Сергей Чуйкин ◽  
Sergey Chuykin ◽  
Гузель Акмалова ◽  
...  

Background. Periodontal disease is one of the most common and complex pathologies in dentistry. It is known frequently damage to the tissues of the periodontal complex with dermatoses. The most relevant among the dermatoses of the mucous membrane of the mouth and the red border of the lips is oral lichen planus. Among the six clinical forms of red flat oral lichen planus and the red border of the lips, the exudative-hyperemic and erosive-ulcerous forms occur most often. Atypical form is much less common than other forms and is often diagnosed by dentists as an inflammatory periodontal disease. At the same time, the pathogenetic mechanisms of inflammatory processes in the gums, which are different in oral lichen planus, are not taken into account, which, accordingly, complicates adequate treatment. Objectives. The aim of the study was to analyze the periodontal status in patients with exudative-hyperemic, erosive-ulcerative and atypical forms of oral lichen planus. Methods. Under our supervision there were 181 patients with oral lichen planus, in whom a simplified Green-Vermillion hygiene index was determined. To assess the state of periodontal used periodontal index according to Russell. Results. When assessing the hygienic condition of the oral cavity, high values were observed in individuals with severe forms of the disease: erosive-ulcerative, exudative-hyperemic. The highest values of the periodontal index were found in patients with atypical, erosive and ulcerative forms of oral lichen planus. Conclusions. The results of the clinical examination of patients with oral lichen planus dictate, first of all, to include in the scheme of complex treatment of it the sanitization of oral cavity and complex treatment of inflammatory periodontal diseases as well.


2021 ◽  
Vol 15 (58) ◽  
pp. 76-87
Author(s):  
Samara Santos Máximo ◽  
Caique Dos Santos Aguiar ◽  
Edite Novais Borges Pinchemel

Resumo: A participação tanto de pais como educadores envolve um impacto surpreendente sobre as mudanças de hábitos da criança. O objetivo deste estudo foi verificar, por meio da literatura, o quanto a participação de pais e educadores como modelos pode impactar nas condições de saúde bucal dessa população. Tratou-se de uma revisão da literatura com pesquisa na base de dados Lilacs, Scielo e Medline; foram selecionadas publicações de 2010 a 2021, perfazendo um total de 27 textos analisados. Assim, a educação em saúde bucal de pais, educadores e responsáveis influencia na saúde bucal da criança e, quanto mais alto for o nível de educação em saúde dos envolvidos, menor será a incidência de doenças que acometem a cavidade bucal, como a cárie e doenças periodontais em crianças.---Abstract: The participation of both parents and educators has a surprising impact on children's changing habits. The aim of this study was to verify, through the literature, how much the participation of parents and educators as role models can impact the oral health conditions of this population. This was a literature review with a search in Lilacs, Scielo and Medline databases; publications from 2010 to 2021 were selected, totaling 27 texts analyzed. Finally, the oral health education of parents, educators and guardians influences the child's oral health and, the higher the level of health education of those involved, the lower the incidence of diseases that affect the oral cavity, such as caries and periodontal diseases in children.Keywords: Oral health education. Literacy in oral health. Pediatric Dentistry.


2020 ◽  
Vol 25 (1) ◽  
pp. 71-74
Author(s):  
A. I. Bulgakova ◽  
Z. R. Hismatullina ◽  
M. V. Zatsepina ◽  
J. A. Kudryavtseva

Relevance. Multiform exudative erythema is a polyetiological disease, which is characterized by damage not only to the skin, but also to the mucous membranes, mainly the mucous membrane of the oral cavity. The article reviews the literature on the clinical course of multiform exudative erythema of the oral cavity.Purpose. Study the clinical course of erythema multiforme.Materials and methods. We conducted a review of studies of the etiology, pathogenesis, prevalence of erythema multiforme according to domestic and foreign authors, and also reflected the identification of various forms and clinical manifestations of this disease.Results. The analysis of clinical manifestations of erythema multiforme exudative in the oral cavity, the most common symptoms and manifestations on the oral mucosa.Conclusion. The clinical picture of lesions of the oral mucosa in multiform exudative erythema is very diverse, which is important for the timely diagnosis of the disease.


Author(s):  
Yazeed Abdullah Alhabdan ◽  
Abdulhameed G. Albeshr ◽  
Shoroq Mansour Alqahtani ◽  
Rudaina Saud Khallaf ◽  
Khadijah Mustafa Saidi ◽  
...  

Periodontal disease is a term that can be used to describe different oral conditions that occur to the gingiva, in addition to the bones and ligaments supporting the teeth. Periodontal diseases can develop secondary to inflammatory, developmental, genetic, traumatic, neoplastic, and metabolic disorders. In the present literature review, we aim to discuss the different genetic, environmental, and microbiological causes of periodontal diseases based on evidence from the current studies in the literature. Evidence regarding genetics is still not adequate, and further research is still needed to understand the main mechanism of this etiology furtherly. Different diseases and habitual factors can contribute periodontal diseases, mainly due to increased inflammation-induced pathological events. Further attention should be directed to preventing these events to intervene against the development of periodontal diseases adequately. Early interventions against these diseases can attribute to enhance the health and prognosis of the affected patients significantly. Microbiological causes are also important and usually develop mainly as a result of poor hygiene. Therefore, further interventional research should be directed towards raising awareness among individuals to reduce the incidence of the condition.


2020 ◽  
Vol 16 (1) ◽  
pp. 14-21
Author(s):  
Irina Anisimova ◽  
Larisa Lomiashvili ◽  
Irina Barkan ◽  
Laura Simonyan

Background. In this article, we have studied the frequency of the combination of diseases of the oral mucosa with somatic pathology and local factors of the oral cavity of gerontological patients. A clinical dental examination of the elderly and old people who addressed to the Department of Therapeutic Dentistry in Omsk State Medical University on the basis of Omsk dental polyclinics No. 1 was carried out. Objectives ― to study the frequency of combinations of diseases of the oral mucosa with somatic pathology and local oral factors. Methods. 120 patients aged 55―85 with periodontal diseases, the oral mucosa and red border were examined. Out of those 120 people 96 ones (80 %) were women; 24 (20 %) were men. Informed consent was obtained from all patients for examination, treatment, observation and «health questionnaires» were filled out. The analysis of the personalized advisory conclusions of the local therapist is carried out. An analysis was made of the oral hygiene index, galvanic current indicators, and the indications of gerontological patients in prosthetic treatment were fulfilled. Results. An analysis of the personalized advisory conclusions by the local physician showed that diseases of the oral mucosa of gerontological patients were combined with somatic pathology. The analysis of the hygiene index revealed unsatisfactory hygiene in 72 % cases. Galvanic currents were found in the oral cavity of gerontological patients in 52.2 % cases. Conclusions. In 100 % cases, somatic pathology was combined with diseases of the oral mucosa of gerontological patients. Local unfavourable factors: poor hygiene, galvanosis, irrational denture exacerbated the course of diseases of the oral mucosa and worsened the quality of life of gerontological patients.


Author(s):  
Ya. A. Lavrovskaya ◽  
I. G. Romanenko ◽  
O. M. Lavrovskaya ◽  
O. N. Postnikova ◽  
T. A. Logadyr

The article discusses etiological factors, pathogenesis, features of clinical manifestations, optimization of diagnosis, treatment and prevention of exudative erythema multiforme of the oral cavity. Currently, such pathological changes in the oral cavity are insufficiently studied and remain relevant in modern dentistry. Promising approaches to the successful treatment of this disease involve the implementation of additional examination and joint treatment with related specialists. Numerous studies of domestic and foreign authors demonstrate that special attention is paid to the prevention of re-morbidity of exudative erythema multiforme, aimed at preventing the occurrence of lesions of the oral mucosa.


Author(s):  
Narayane Ramkumar ◽  
Hanumanth Sankar

The coronavirus disease 2019 (COVID-19), has caused a significant and urgent threat to the global health. It has markedly affected the delivery of healthcare services all over the world. Early diagnosis of the disease is imperative to contain the spread of the viral infection. The virus can also lead to potential systemic complications such as lungs involvement, skin, and oral manifestations. The presence of oral lesions is emerging evidence that may indicates the presence of COVID-19 infection. Since, the virus has affinity for Angiotensin Converting Enzyme (ACE2) receptors present in the respiratory tract, oral mucosa, tongue and salivary glands; therefore, the oral cavity serves as a major habitat for invasion of the virus. This review aimed to discuss the oral and periodontal manifestations of COVID-19. Articles between December 2019 and April 2021 were searched for this narrative review in Pub Med, Scopus, Science Direct related to COVID-19 and its oral manifestations, using the following terms: “Corona virus,” “COVID-19,” and “SARS-CoV-2” in combination with “Stomatognathic diseases,” “Oral manifestation,” and “Mouth diseases” and "Periodontal diseases". The oral manifestations commonly associated with COVID-19 are salivary gland disorders, xerostomia, alteration of taste and smell and lesions in oral mucosa. The appearance of these oral manifestations during the asymptomatic phase of disease helps in early identification of the disease. The recent COVID-19 infection has been strongly associated with the appearance and establishment of cytokine storm. It is found that many components of the cytokine storm are common with the cytokine expression found in periodontitis. This narrative review aims at exploring the association between COVID-19 and periodontal disease through their cytokine profiles.


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