scholarly journals Periodontal disease and obesity in an Indian population

2013 ◽  
Vol 2 (2) ◽  
pp. 144-148
Author(s):  
DK Giri ◽  
PP Kundapur ◽  
GS Bhat ◽  
KM Bhat ◽  
V Guddattu

Background: Associations between obesity and several chronic inflammatory diseases are emerging. Research from some parts of the world has also indicated that a relationship between periodontal disease and obesity is possible. The aim of the present study was to determine the association of obesity with periodontal disease in a semi urban Indian population. Methods: Body Mass Index (BMI) was determined for 323 patients visiting the department of Periodontics. Other demographic variables such as age, gender, stress, educational background and smoking were also considered. Clinical examination of the periodontal health was assessed using the Plaque index (PI), the Gingival index (GI) and the Community Periodontal Index (CPI). Results: No association was obtained between BMI and periodontitis. Other demographic variables were also not significantly related. Lower gingival index scores, were significantly associated with better periodontal health. Conclusion: Good oral hygiene and normal body weight can reduce the overall inflammatory burden, thereby reducing the risk for development of periodontal disease. Nepal Journal of Medical Sciences | Volume 02 | Number 02 | July-December 2013 | Page 144-148 DOI: http://dx.doi.org/10.3126/njms.v2i2.8965

2018 ◽  
Vol 8 (1) ◽  
pp. 45-47
Author(s):  
Dhirendra Giri

Introduction: obesity has become an alarming concern worldwide. Obesity is not only a cosmetic concern, it is a health risk that threatens an individual’s wellness. As the prevalence of obesity increases so have the related health consequences.Objective: To determine the association of obesity with periodontal disease using Body Mass Index (BMI) Asian version, Oral Hygiene Index (OHI) and Community Periodontal Index (CPI) to assess the periodontal health and oral hygiene.Materials & Method: Body Mass Index was determined for 300 patients visiting the Department of Periodontics. The oral hygiene status was assessed by using Oral Hygiene Index Simplified-1964. The Community Periodontal Index was used to assess the periodontal status with a CPITN probe.  The demographic details were collected using open ended questionnaire which included age, sex, socioeconomic status, education whereas smoking and stress were included in the close ended questionnaire.Result: The present study showed association of obesity with periodontitis. Males had higher prevalence of periodontitis. Similarly age and smoking also had a higher prevalence rate of periodontitis.Conclusion: As an oral health care professional, preserving periodontal health is the utmost responsibility. Finding and controlling new risk indicators and eliminating them is one of the most important relevance of the present study. Obesity has been identified as one more risk indicator other than age, smoking and diabetes mellitus


2021 ◽  
Vol 59 (236) ◽  
Author(s):  
Bhageshwar Dhami ◽  
Kamal Babu Thapaliya ◽  
Dinesh Kumar Shrestha ◽  
Bidhan Bhandari ◽  
Sujaya Gupta

Introduction: Periodontitis is chronic disease leading to tooth loss. Oral hygiene practices combined with regular dental examinations keep oral cavity disease free and maintain periodontal health. The primary objective was to find out the prevalence of periodontal disease of patients measured by the Simplified Oral Hygiene Index and Community Periodontal Index. Methods: This descriptive cross-sectional study was conducted in department of Periodontics of a tertiary care dental hospital from April to June 2019 after obtaining ethical clearance and informed consent. Participants were recruited by convenience sampling and 183 sample size was calculated. Proforma included demographics, Simplified Oral Hygiene Index, Community Periodontal Index, body mass index, and smoking status. Data were entered in Statistical Package for Social Sciences version 23 and descriptive statistics were presented as frequency, percentage, mean, and standard deviation. Results: Prevalence of periodontal disease corresponding to loss of attachment 1, 2, 3, and 4 was found to in 104 (56.83%) participants. Simplified Oral Hygiene Index score was 1.67±0.89 with “fair” status in majority 114 (62.30%). Gingivitis (Community Periodontal Index 1, 2) was seen in 136 (74.32%). The mean age was 36.37±14.43 years of which 92 (50.27%) were female but smoking was more in males. Conclusions: This study suggests deteriorating periodontal health related to age, sex, oral hygiene, smoking, and BMI. As updated information on oral and periodontal health in Nepal is limited, this assessment would help the national policy makers on oral health intervention measures to prevent periodontitis and develop future programs to improve oral health.


2012 ◽  
Vol 13 (5) ◽  
pp. 676-680 ◽  
Author(s):  
B Arun Kumar Chakki ◽  
Prahalad Hunsingi ◽  
Anoop Kumar ◽  
Prasanna Manidanappanavar

ABSTRACT Background Low birth weight is a known problem worldwide and appears to be more pronounced in developing countries. In view of the implication of periodontal infection as one of the risk factors for low birth weight and considering the fact that in India only very few studies are conducted in this regard, the present study was conducted to determine whether maternal periodontal disease can act as a risk factor for low birth weight babies. Materials and methods The study group consisted of 62 primiparie mothers including 12 low birth weight cases who satisfied the inclusion/exclusion criteria. The age of the patients ranged from 18 to 37 years with a mean age of 23.27 years. Birth weight of the babies ranged from 1.64 to 3.75 kg and the mean weight was 2.67 Kg. Mean weight, height and body mass index (BMI) of the mothers were 53.47 Kg, 1.51 m, 23.48 respectively. Results Birth weight of the babies was regressed against age, BMI, plaque index (PI) and community periodontal index (CPI). Periodontitis was significantly associated (p < 0.0005) with a decrease of birth weight. Conclusion Periodontal disease was significantly related to preterm low birth weight. How to cite this article Chakki BAK, Ealla KR, Hunsingi P, Kumar A, Manidanappanavar P. Influence of Maternal Periodontal Disease as a Risk Factor for Low Birth Weight Infants in Indian Population. J Contemp Dent Pract 2012;13(5):676-680.


2020 ◽  
Vol 1 (3) ◽  
Author(s):  
Shotaro Yoshioka ◽  
Takeshi Miyamoto ◽  
Junichiro Satomi ◽  
Yoshiteru Tada ◽  
Kenji Yagi ◽  
...  

ABSTRACT BACKGROUND The pathophysiology of subarachnoid hemorrhages (SAHs) due to ruptured intracranial aneurysms (IAs) remains unclear. Although a relationship between SAHs and periodontal disease (PD) has been suggested, the mechanism requires clarification. OBJECTIVE To evaluate the relationship between PD and SAHs and to identify periodontal pathogens associated with SAHs. METHODS This prospective study included consecutive patients with ruptured (n = 11) and unruptured (n = 14) IAs and healthy controls (n = 8). The plasma and plaque subgingival bacterial deoxyribonucleic acid (DNA) levels in PD were evaluated by a dentist using the Community Periodontal Index of Treatment Needs (CPITN). Plasma levels of matrix metalloproteinase (MMP-9), tissue inhibitors of matrix metalloproteinase (TIMP2), and procollagen I were analyzed. RESULTS Patients with ruptured IAs, had significantly higher CPITN scores than the controls, suggesting that ruptured IAs were associated with severe PD. Although no rupture-specific bacteria were identified, the positive rate of plaque subgingival bacterial DNA was significantly higher in patients with severe PD than in those without severe PD. Multivariate logistic regression analysis indicated that bleeding on probing (BOP) was associated with ruptured IAs (odds ratio, 1.10; 95% confidence interval 1.04–1.20; P = .0001). BOP was positively associated with plasma MMP-9 levels and a disequilibrium in the MMP-9/TIMP2 ratio. BOP was negatively correlated with plasma procollagen I levels (P &lt; .05, for each). This suggested that local inflammation with severe PD might have systemic effects and lead to ruptured IAs. CONCLUSION Disequilibrium of plasma protease/anti-protease associated with a high BOP rate in severe PD may be attributable to IA rupture.


Author(s):  
Suneethi Margaret Dey ◽  
Nagarathna D. V. ◽  
Nagarathna D. V. ◽  
Mathews Jude ◽  
Mathews Jude

 Background: To assess the periodontal health status among Koraga tribal community residing in Mangalore Taluk.Methods: The study subjects comprised of 400 Koraga tribal’s in the age range of 20-55 years living in Mangalore Taluk. The data regarding oral hygiene practices prevalent in the tribal population was collected by interviewing. Intra oral examination was carried out by using mouth mirror and CPI probe and included simplified oral hygiene index (OHI-S), community periodontal index (CPI), loss of attachment and dental aesthetic index (DAI).Results: Of the total population examined, 81% brushed once daily with 34% of the subjects using tooth paste and brush as oral hygiene aid while, the rest of them used a combination, with other indigenous methods. Majority of them used tobacco in the smokeless form (36%). The oral hygiene status was poor in 56% of the subjects. The present study showed that majority of the Koragas suffered from various gingival and periodontal diseases as assessed by community periodontal index. The dental aesthetic index indicated that 37.5 % of study subjects had very severe malocclusion.Conclusions: This group of people has a poor oral hygiene and periodontal status because they are deprived of the awareness and availability of treatment facilities. Their inappropriate oral hygiene practices, inadequate dental health resources and low socio-economic status are the major factors in this population to cause increased prevalence of periodontal disease.


2019 ◽  
pp. 24-28
Author(s):  
Santanu Sen Roy ◽  
Debasis Mitra ◽  
Aakansha Malawat ◽  
Dibyendu Kr. Kundu ◽  
Abhijit Chakraborty ◽  
...  

INTRODUCTION: Periodontal disease is a chronic inflammatory disease that affects the majority of the world's population. Currently, more emphasis has been directed towards the combined influence of education level, lifestyle instead of regular risk factors in dealing with chronic illnesses. The present paper is to assess the periodontal health status, education level and lifestyle in outpatient department of Guru Nanak Institute of Dental Sciences and Research (GNIDSR), Sodepur, Kolkata, West Bengal. OBJECTIVE:The objective of the study was to evaluate patient's education level & life style with periodontal disease. METHODOLOGY: This cross-sectional study was conducted on 245 subjects of 35-44 years age group over two months period. Subjects were interviewed by the questionnaire and Modified Community Periodontal Index was recorded. RESULT: The statistical analysis shows significant decrease in periodontal health status when education level increased. Also the prevalence of periodontitis with a healthy lifestyle is significantly lower when compared with an unhealthy lifestyle. CONCLUSION:There is a strong association of lifestyle and education level with periodontal health.


2012 ◽  
Vol 59 (2) ◽  
pp. 83-89 ◽  
Author(s):  
Bojana Davidovic ◽  
Mirjana Ivanovic ◽  
Svjetlana Jankovic ◽  
Jelena Lecic

Introduction. Periodontal diseases and primarily gingivitis occur relatively early in the childhood. It was found that 8.8% of children 3-6 years old had gingivitis and that number increased with age. Gingivitis is especially common during puberty and mixed dentition. The aim was to determine the prevalence and characteristics of gingival and periodontal diseases in children age twelve and fifteen in Republika Srpska. Material and Methods. The study included 506 students of both genders from six schools on the territory of the municipalities Foca, Cajnice and Kalinovik. For the evaluation of oral hygiene and periodontal status, indices suitable for research in pediatric population were used: Greene-Vermillion Debris Index (DI), Greene?s Calculus Index (CI), Oral Hygiene Index (OHI) and Community Periodontal Index of Treatment Needs (CPITN). The evaluation was carried out in accordance with the criteria for the diagnosis and non- communicable diseases, established in 1997 in Geneva. Results. The average DI value for all children was 0.86, the average CI 0.13, and OHI was 0.99. Healthy periodontium had 14.6% of respondents, while deep periodontal pockets of 4-5mm were found in 8.7% of fifteen-year-old children. Conclusion. A significant prevalence of gingivitis was found among examined children. It is necessary to highlight the importance of primary prevention measures, health education, proper training and regular oral hygiene, as well as regular check-ups in order to achieve better periodontal health in children.


2021 ◽  
Vol 33 (1) ◽  
pp. 1
Author(s):  
Mutia Rizki Rahmayani ◽  
Anne Agustina Suwargiani ◽  
Netty Suryanti

Pendahuluan: Perempuan yang sedang hamil merupakan golongan yang rentan terhadap penyakit gigi dan mulut. Kesehatan gigi dan mulut yang tidak dijaga dengan baik dapat menjadi sumber terjadinya penyakit gigi dan mulut seperti infeksi gigi dan jaringan periodontal. Tujuan dari penelitian ini adalah untuk mengetahui pengalaman karies, penyakit periodontal, dan tingkat risiko karies ibu hamil. Metode: Jenis penelitian ini bersifat deskriptif dengan teknik pengumpulan data melalui survei yang melibatkan 50 orang ibu hamil di Puskesmas Pagarsih. Pengumpulan data diperoleh melalui pemeriksaan indeks DMF-T, Community Periodontal Index of Treatment Needs (CPITN) dan Caries Risk Assessment Form ADA usia >6 tahun. Hasil: Nilai indeks DMF-T ibu hamil 7,84 termasuk kriteria rendah. Hasil CPITN yaitu periodontal sehat 0%; BOP 4%; kalkulus 64%; poket 4-5 mm 32%; poket 6 mm 0%. Sejumlah 4% ibu hamil membutuhkan perawatan periodontal instruksi oral hygiene, 96% lainnya membutuhkan perawatan instruksi oral hygiene, scaling dan menghilangkan faktor retentif plak. Persentase risiko karies ibu hamil dengan kategori sedang sebanyak 34% dan tinggi sebanyak 66%. Simpulan: Pengalaman karies ibu hamil termasuk ke dalam kriteria rendah, penyakit periodontal yang paling sering dijumpai adalah gingivitis, sedangkan tingkat risiko karies ibu hamil masuk ke dalam kategori tinggi.Kata kunci: Ibu hamil, indeks DMF-T, indeks CPITN, karies, tingkat risiko karies. ABSTRACTIntroduction: Pregnant women are the susceptible group to oral diseases. Negligence of oral health care can be a source of oral diseases such as dental and periodontal tissue infections. The purpose of this study was to determine the caries experience, periodontal disease, and caries risk level of pregnant women. Methods: This research was descriptive with data collection techniques through a survey involving 50 pregnant women at Pagarsih Community Health Centre (Puskesmas). Data collection was obtained by examining the DMF-T index, Community Periodontal Index of Treatment Needs (CPITN), and the ADA Caries Risk Assessment Form aged >6 years. Results: The DMF-T index value for pregnant women was 7.84, which included the low criteria. The result of the CPITN was 0% healthy periodontal; BOP 4%; 64% calculus; pocket 4-5 mm 32%; pocket 6 mm 0%. Some 4% of pregnant women need periodontal treatment with oral hygiene instructions; the other 96% need oral hygiene instructions, scaling and removing plaque retentive factors. The percentage of caries risk for pregnant women in the moderate category was 34%, and 66% were in the high category. Conclusion: The caries experience of pregnant women is included in the low criteria. The most common periodontal disease is gingivitis, while the caries risk level of pregnant women is in the high category.Keywords: Pregnant women, DMF-T index, CPITN index, caries, caries risk level.


2018 ◽  
Vol 75 (12) ◽  
pp. 1202-1208
Author(s):  
Bojana Davidovic ◽  
Mirjana Ivanovic ◽  
Dejan Bokonjic ◽  
Svjetlana Jankovic ◽  
Jelena Eric ◽  
...  

Background/Aim. Oral health is an important part of overall health. Good oral health is important for oral diseases prevention and health maintenance of respiratory system. The aim of the study was to evaluate oral hygiene and periodontal health parameters of asthmatic children and to compare them with children without asthma as well as to evaluate those parameters according to type of used medications and time of taking medications in children with asthma. Methods. This epidemiological study included 68 children with asthma and 68 children without asthma or any other chronic disease aged from 6 to 16 years. Parameters used in this study were Greene-Vermillion index, L?e-Silness gingival index and Community Periodontal Index (CPI). Results. Good oral hygiene (31.1%) was more present in children without asthma whereas poor hygiene (20.0%) was more frequent in children with asthma (p < 0.001). Healthy gingiva was more frequent in children without asthma (25%) while mild (58.8%) and moderate gingival inflammation (5.9%) were more frequent in the group of children with asthma (p < 0.01). Mean CPI values were higher in children with asthma (p < 0.001). Mean values of Plaque Index, Gingival Index and CPI did not show statistically significant difference in relation to type of administered medication. However, taking medications in the afternoon was related to higher mean values of Plaque Index and Gingival Index (p < 0.05) within the group of children with asthma. Conclusion. Children with asthma had poorer oral hygiene and were diagnosed with greater values of oral hygiene and periodontal indices compared with the group of children without asthma. For this reason, it is necessary to promote oral health and establish good oral hygiene habits in asthmatic children.


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