scholarly journals Odontogenic Factors Associated with Food Impaction in Patients Attending Periodontics OPD of Universal College of Medical Sciences

2020 ◽  
Vol 3 (2) ◽  
pp. 100-105
Author(s):  
K Adhikari ◽  
K Dutta ◽  
H Bali
Keyword(s):  
Index Score ◽  
Plaque Index ◽  
Food Impaction ◽  
Medical Sciences ◽  
Pocket Depth ◽  
Cross Sectional ◽  
Plaque Score ◽  
Dental Floss ◽  
Second Molar ◽  
Contact Points

Introduction: Food impaction is a common problem experienced by almost everyone during their lifetime. It is believed that the interproximal wedging of food normally occurs due to loss of integrity of the proximal contact and its location along with the contour of the marginal ridges and lack of papilla fill. The objective of the study was to assess the role of odontogenic factors for food impaction and identify the odontogenic factors most prevalent in patients attending Periodontics OPD of Universal College of Medical Sciences. Materials and Methods: A total of hundred subjects with natural dentition from the second molar to the second molar in both the maxillary and mandibular arches were enrolled in this cross-sectional study. Clinical parameters like pocket depth, bleeding index, and plaque index were recorded. The integrity of contact was recorded using dental floss. A study cast was fabricated for each subject. The presence of plunger cusps along with marginal ridge relationship, the position of the tooth in the arch, and contiguity of contact points were analyzed on it. Results: A significant association between plaque index score and food impaction was found (p=0.03). Of all the factors, loose contact showed a slightly significant positive correlation with a plaque index score (r= 0.19, p=0.05). Conclusions: Amongst all the odontogenic factors, loose contact is positively correlated with plaque index and food impaction is significantly associated with plaque score. The odds of food impaction were significant with the brushing technique employed and frequency of tooth brushing in the subjects.

scholarly journals Prevalence of Aggregatibacter actinomycetemcomitans and Periodontal Findings among 14 to 15-Year Old Danish Adolescents: A Descriptive Cross-Sectional Study

Pathogens ◽  
2020 ◽  
Vol 9 (12) ◽  
pp. 1054
Author(s):  
Anne Birkeholm Jensen ◽  
Flemming Isidor ◽  
Marianne Lund ◽  
Michael Væth ◽  
Anders Johansson ◽  
...  
Keyword(s):  
Aggregatibacter Actinomycetemcomitans ◽  
Cross Sectional Study ◽  
Northern Europe ◽  
Subgingival Plaque ◽  
Sectional Study ◽  
Pocket Depth ◽  
Clinical Attachment Loss ◽  
Cross Sectional ◽  
Plaque Score ◽  
Probing Pocket Depth

Aggregatibacter actinomycetemcomitans (Aa) is a keystone pathogen associated with periodontitis in adolescents. The knowledge on the prevalence of Aa and periodontitis among adolescents in Northern Europe is sparse. A total of 525 14- to 15-year-old adolescents from the municipality of Aarhus, Denmark, underwent a full-mouth clinical examination. Plaque score (PS), bleeding on probing (BOP), probing pocket depth (PPD), and clinical attachment loss (CAL) were recorded. Subgingival plaque samples (SPS) and stimulated saliva samples (SSS) were collected and analyzed for the presence of JP2 and non-JP2 genotypes of Aa using real-time PCR. A total of 70 (13.3%) individuals were positive for Aa, with 17 found in SPS, 19 in SSS, and 35 in both. The highly leukotoxic JP2 genotype of Aa was not detected. The individuals positive for Aa in both SPS and SSS had poorer periodontal outcomes (PPD and CAL) than individuals without Aa and individuals carrying Aa in either SPS or SSS only. In conclusion, 13% of 14- to 15-year-old Danish adolescents were positive for Aa, and the presence of Aa in both SPS and SSS was associated with poorer periodontal outcomes.

scholarly journals Investigation of Salivary RANKL and OPG Levels in Periodontitis Patients at Hospital Universiti Sains Malaysia

2021 ◽  
Author(s):  
Saba Asif ◽  
Basaruddin Ahmad ◽  
Syed Ameer Hamza ◽  
Haslina Taib ◽  
Nur Karyatee Kassim ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Periodontal Pocket ◽  
Pocket Depth ◽  
Cross Sectional ◽  
Plaque Score ◽  
Mean Values ◽  
Severe Periodontitis ◽  
Whole Saliva ◽  
Elisa Technique ◽  
Unstimulated Whole Saliva

Abstract Background This study was aimed to determine the levels of salivary receptor activator of NF-κB ligand (RANKL) and osteoprotegerin (OPG) and its association with periodontal status among periodontitis patients. Patients and Methods A cross-sectional study was designed and performed at the Dental Clinic, Hospital Universiti Sains Malaysia (HUSM). Random sampling was employed to identify 88 participants into three groups: 30 mild periodontitis, 30 moderate to severe periodontitis, and 28 healthy (nonperiodontitis) patients. Periodontal parameters: periodontal pocket depth (PPD), clinical attachment level (CAL), plaque score (PS), and gingival bleeding index (GBI) were recorded. In total, 4 mL of unstimulated whole saliva was collected to determine the levels of salivary RANKL and OPG proteins by using ELISA technique. Data were analyzed by using SPSS software version 24.0. Results Mean values for PPD (5.3 ± 0.5) and CAL (5.6 ± 0.5) were observed higher for moderate to severe periodontitis as compared with values (4.4 ± 0.2) (4.5 ± 0.2) in mild periodontitis patients. The mean salivary RANKL and OPG was 0.23 ± 0.07 ng/mL and 1.78 ± 0.70 ng/mL respectively in moderate to severe periodontitis. Only salivary RANKL levels were significantly and positively correlated with all the clinical periodontal parameters. Conclusion The levels of salivary RANKL were higher as opposed to lower OPG levels in periodontitis patients in contrast to healthy (nonperiodontitis) patients. RANKL levels were significantly associated with the periodontal parameters. Therefore, we can conclude that RANKL can potentially aid as an adjunctive diagnostic protein in evaluating periodontal disease.

scholarly journals The frequency of periodontitis in end-stage renal disease on hemodialysis in a sample of Egyptian population: multi-center clinical cross-sectional study

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Asmaa Abou-Bakr ◽  
Radwa R. Hussein ◽  
Eman Khalil ◽  
Enji Ahmed
Keyword(s):  
Renal Failure ◽  
Serum Creatinine ◽  
General Assumption ◽  
Severe Form ◽  
Stage Iii ◽  
Clinical Parameters ◽  
Pocket Depth ◽  
Cross Sectional ◽  
Plaque Score ◽  
Egyptian Population

Abstract Background There is a general assumption that periodontal disease is highly prevalent among patients with chronic renal failure undergoing hemodialysis. The aim of the study to estimate the frequency of periodontitis in patients on hemodialysis among a sample of the Egyptian population, as well as the correlation between different clinical parameters of periodontal status with serum creatinine and blood urea. This may rule out the bidirectional relationship between periodontitis and renal failure in patients on hemodialysis. Methods The study was conducted on 263 hemodialysis patients (165 males and 98 females) at three dialysis centers in Benha Governorate, Egypt (Benha Hospital, Tukh hospital, Qalyub hospital). Periodontal parameters including plaque index (PI), gingival index (GI), clinical attachment level (CAL), and probing pocket depth (PPD) had been recorded in these patients. Serum urea and creatinine levels had been measured, the data had been collected and undergone statistical analysis. Results Frequency of periodontitis was 85.6% with stage III is the most prevalent stage. There was a significant positive strong correlation between age and periodontitis stage (rs = 0.707, p < 0.001). There was a positive correlation between clinical parameters and serum creatinine level. Conclusion In the present study, a high frequency of periodontitis had been found among ESRD patients on hemodialysis in the severe form (stage III) periodontitis. There was a significant direct correlation between the severity of periodontitis and CAL with a duration of hemodialysis. There was a weak insignificant association between periodontal indices (PD, BOP, and plaque score) and duration of hemodialysis.

scholarly journals EFFECTIVENESS OF MISWAK AS COMPARED WITH TOOTHBRUSH: A CROSS-SECTIONAL STUDY

2021 ◽  
Vol 71 (5) ◽  
pp. 1582-84
Author(s):  
Hassam Anjum Mir ◽  
Mubashir Sharif ◽  
Ali Asif ◽  
Maleeha Shamim ◽  
Maaz Qureshi ◽  
...  
Keyword(s):  
Armed Forces ◽  
Cross Sectional Study ◽  
Index Score ◽  
Plaque Index ◽  
P Value ◽  
Sectional Study ◽  
Cross Sectional ◽  
Significant Difference ◽  
Group A ◽  
Group B

Objective: To determine if the traditional chewing stick Miswak was as effective in cleaning teeth as Toothbrush. Study Design: Cross sectional study. Place and Duration of Study: Armed Forces Institute of Dentistry, Rawalpindi, from Aug 2020 to Jan 2021. Methodology: A total of 300 subjects were included which were divided in two groups on the basis of whether they used miswak or toothbrush as a cleaning aid. Group A was toothbrush users and group B was Miswak user. Plaque Index was used to determine the cleanliness of teeth. The scores were recorded and data analyzed using SPSS-23. Results: The means and standard deviations of Plaque Index score for group A and B were 0.96 ± 0.58 and 0.98 ± 0.56 respectively. The comparison of Plaque Index score for both groups was insignificant with the p-value of 0.083. Conclusion: Within the limitations of this study, it is concluded that, no significant difference was found in the effectiveness of traditional miswak and tooth brush. It is recommended that if the technique of teeth cleaning is good then any of the abovementioned means of teeth cleaning can be used.

Correlation of Width of Attached Gingiva on Oral Hygiene Maintenance and Gingival Health

2020 ◽  
Vol 4 (1) ◽  
pp. 5-9
Author(s):  
Shaili Pradhan ◽  
Benju Shrestha
Keyword(s):  
Oral Hygiene ◽  
Functional Method ◽  
Plaque Index ◽  
P Value ◽  
Gingival Index ◽  
Gingival Inflammation ◽  
Pocket Depth ◽  
Cross Sectional ◽  
Attached Gingiva ◽  
The Mean

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.

scholarly journals Effectiveness of chitosan mouthwash on plaque formation and levels of salivary Streptococcus and Lactobacillus count: an in vivo study

2019 ◽  
Vol 8 (11) ◽  
pp. 2416
Author(s):  
Aparna Indu S. R. ◽  
Sharan S. Sargod ◽  
Sham S. Bhat ◽  
Shamjith Manikkoth ◽  
N. Ramakrishnan
Keyword(s):  
Oral Hygiene ◽  
Inhibitory Effect ◽  
Comparison Method ◽  
Plaque Formation ◽  
Index Score ◽  
Water Soluble ◽  
Plaque Index ◽  
Plaque Score ◽  
Plaque Biofilm

Background: The objectives of the present study were to clinically evaluate the effectiveness of chitosan mouthwash on Plaque formation and to evaluate the antimicrobial activity against salivary Streptococcus mutans (SM) and Lactobacillus (LB).Methods: A total of 20 participants with decay-missing-filled index ≥4 and simplified oral hygiene index score >1.3 were recruited for the study after taking informed consent. All the participants were provided a bottle of chitosan mouthwash in addition to their usual oral hygiene procedure. Baseline salivary SM and LB levels were determined, using chair-side CRT® bacteria test prior giving chitosan mouthwash and after 14 days, during which children are advised to use 10 ml of mouthwash for 60 seconds two times daily. Plaque index score recorded using Silness and Loe plaque index. Paired t-test (or corresponding non-parametric) and percentage comparison method using cross tables were used for statistical analysis.Results: The baseline plaque index score of 0.758 and after 14 days of mouthwash use, it reduced to 0.434. The mean difference in the plaque index showed significant reduction in the plaque score (i.e., with the difference of 0.324). The results showed the antiplaque effects with a short duration of 14 days use of chitosan (CH) mouthwash. The antibacterial activity demonstrated a range of inhibitory effect on salivary SM and LB.Conclusions: CH showed an evident strong effect against salivary SM and LB levels and controlling the plaque biofilm formation. So water soluble CH can be used in new formulations for oral applications not only as antimicrobial agent but also for plaque biofilm control.

Evaluation of Periodontal Status in the Patients with Various Blood Groups Referred to Dental School, Golestan University of Medical Sciences in 2018

2021 ◽  
Author(s):  
Omid Sheikhi ◽  
Elham Fakhari ◽  
Azizeh Karimian
Keyword(s):  
Periodontal Disease ◽  
Blood Group ◽  
Significant Relationship ◽  
Blood Groups ◽  
Dental School ◽  
Periodontal Pocket ◽  
P Value ◽  
Medical Sciences ◽  
Pocket Depth ◽  
Cross Sectional

Introduction: The present study aimed to assess the periodontal condition in the patients with various blood groups referred to the dental school, Golestan University of Medical Sciences, in 2018. Materials & Methods: This cross-sectional study was done in 970 patients referred to the dental school, Golestan University of Medical Sciences. Medical history was obtained and blood groups were determined. The assessed periodontal indices, included gingival index (GI), clinical attachment level (CAL), and periodontal pocket depth (PPD), and there were three divided groups of patients based on it: healthy ones, patients with gingivitis, and periodontitis. Then, the probable association between the type of periodontal disease, ABO blood groups and Rh factor was analyzed by Chi-squared test. P-value of 0.05 considerations was statistically significant. Results: Among 970 patients, the most frequent blood groups in healthy individuals, patients with gingivitis and periodontitis were Group A, B, and O, respectively. The AB blood group had the least frequency in all three groups. Rh+ factor was significantly more prevalent in all three groups. Statistically, there was a significant relationship between blood group and Rh factor with periodontal disease (p value < 0.0001, p value = 0.022). Conclusion: According to the results, the blood groups B and O showed a higher percentage in gingivitis and periodontitis groups respectively, while the blood group AB showed the least percentage of periodontal disease. Statistically, there was a significant relationship between periodontal disease with the blood group and Rh factor.

scholarly journals A Comparative Evaluation between the Efficacy of Scaling & Root Planing (SRP) with Local Delivery of Chlorhexidine Gluconate and SRP Alone in Periodontal Pocket Reduction Therapy

2021 ◽  
pp. 67-78
Author(s):  
Dhirendra Kumar Singh ◽  
Gunjan Kumar ◽  
Jugajyoti Pathi ◽  
Md Jalaluddin ◽  
Samikshya Jena
Keyword(s):  
Test Site ◽  
Control Site ◽  
Index Score ◽  
Plaque Index ◽  
Base Line ◽  
Pocket Depth ◽  
Probing Pocket Depth ◽  
The Mean ◽  
Root Planning ◽  
Scaling And Root Planning

Aim: The aim of the present study was to compare the efficacy of locally delivered chlorhexidine as an adjunct to scaling and root planning (SRP) & SRP alone in bringing reduction of pocket depth in the treatment of moderate to severe periodontitis patients.  Materials and Methods: A total number of 15 patients both males and females in the age group of 30-55 years were selected with total number of 30 sites with periodontal probing  pocket depth measuring 5-8mm in different quadrant of the mouth. A randomized, double blind, controlled clinical trial design was followed for the study. On one side scaling and root planning was done and on the other side scaling and root planning was done along with local delivery of chlorhexidine glugocate then the patient was examined after 0, 45, and 60 days using The clinical parameters the Plaque Index (PI), gingival index (GI), Bleeding on probing (BOP), Clinical attachment level (CAL) and Probing pocket depth (PPD). Statistical Analysis: Student paired T-test has been carried out for this present study. Results: The mean reduction of Plaque Index score between 0-45 day between control site and test site was 1.58±0.11 and the mean reduction of Plaque Index score between 0-60 day between control site and test site was 2.42±0.34 which is found not significant. At the Control site the mean plaque index score on 0 day was 2.2, on 45th day was 1.88 and on 60th day was 1.82. At the test site the mean plaque index score on 0 day was 2.6, on 45th day was 1.82 and on 60thday was 1.59. There was change from the base line values of mean plaque index between the control sites and test sites but was not significant. Conclusion: There was improvement in all the clinical parameters of the test sites in comparison to the control sites from base line to 60 days, but the adjunctive use of chlorhexidine showed a significant improvement only on the clinical attachment level.

scholarly journals Oral Hygiene Practices among Saudi Arabian Children and Its Relation to Their Dental Caries Status

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
M. F. A. Quadri ◽  
M. A. Shubayr ◽  
A. H. Hattan ◽  
S. A. Wafi ◽  
A. H. Jafer
Keyword(s):  
Dental Caries ◽  
School Children ◽  
Oral Hygiene ◽  
Sampling Technique ◽  
Oral Health Status ◽  
Future Health ◽  
Cross Sectional ◽  
Plaque Score ◽  
Dental Floss ◽  
Hygiene Practices

Dental caries is one of the most common preventable diseases occurring among children. The aim here is to survey the oral hygiene practices that are commonly followed by Arab children and to see its relationship with their dental caries status. A cross-sectional study with multistage random sampling technique was conducted. Sociodemographic data and information on oral hygiene practices like use of toothbrush, dental floss, siwak, frequency of brushing along with number of snack between meals per day, and consumption of sugar per day was obtained. Presence of plaque on tooth surfaces was reported using plaque index, which was followed by DMFT index to determine the dental caries status. Among the sample of 500 school children, the mean plaque score in male (mean = 0.69; SD = 0.50) was slightly higher than the female (mean = 0.66; SD = 0.46). Increased frequency of snacks (P=0.05; ß=0.08; CI = −0.00, 0.09) and sugar consumption (P=0.01; ß=0.16; CI = 0.04, 0.27) per day significantly showed higher values of DMFT. Also, the odds of dental caries among the school children who were irregular in brushing their teeth was higher in contrast to the children brushing once (P=0.03; OR = 0.89; CI = 0.70, 1.12) or twice (P=0.03; OR = 0.80; CI = 0.64, 0.93) per day. It is recommended that the dental public health practitioners here should consider the effect of oral hygiene practices on oral health status in order to design the future health promotion interventions.

scholarly journals Associations between depression and gingivitis among adolescents resident in semi-urban South-West Nigeria

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Morenike Oluwatoyin Folayan ◽  
Maha El Tantawi ◽  
Nneka Maureen Chukwumah ◽  
Michael Alade ◽  
Boladale Mapayi ◽  
...  
Keyword(s):  
Significant Risk ◽  
Household Survey ◽  
Plaque Index ◽  
Risk Indicators ◽  
Mild Depression ◽  
Cross Sectional ◽  
Dental Floss ◽  
The Past ◽  
South West ◽  
Refined Carbohydrates

Abstract Objective None of the past studies that had showed a linked between oral and mental health among adolescents was conducted in Nigeria. The objective of this study was to determine the association between gingivitis and depression among adolescents in Ile-Ife, South-West Nigeria. Methods This cross-sectional study collected data through a household survey conducted between December 2018 and January 2019. Adolescents aged 10 to 19 years old were identified using multistage sampling. The study outcome measure was gingivitis, measured by the Löe and Silness gingival index. The explanatory variable was depression, measured by the Patient Health Questionnair. Confounders considered were age, sex, socioeconomic status, frequency of daily tooth brushing, oral hygiene status (measured by the plaque index), consumption of refined carbohydrates in-between meals, use of dental floss, and history of dental service utilization in the past 12 months. A logistic regression model was constructed to determine risk indicators for moderate/severe gingivitis. Additionally, modification of associations between dependent variables and the significant risk indicators of depression was assessed. Results Mean plaque index for the 1,087 adolescent participants enrolled in the study was 0.80. We found a prevalence of 8.5% for moderate/severe gingivitis and 7.9% for depression. In adjusted regression, there were significant associations between the presence of moderate/severe gingivitis and consumption of refined carbohydrates in-between meals (OR 1.94, 95% CI 1.14, 3.28) and plaque index (OR 16.56, 95% CI 10.03, 27.33). Depression also significantly modified the association between plaque index and the presence of moderate/severe gingivitis (P < 0.0001), with a stronger association observed with mild depression (OR 24.75, 95% CI 3.33, 184.00) compared with no depression (OR 15.47, 95% CI 9.31, 25.69), with no significant modification for the association with frequent consumption of refined carbohydrates (P = 0.06). Conclusion Although there was no significant association between gingivitis and depression among our adolescent Nigerian cohort, depression significantly modified the association between plaque index score and moderate/severe gingivitis.

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