scholarly journals Point-of-Care/Chairside aMMP-8 Analytics of Periodontal Diseases’ Activity and Episodic Progression

Diagnostics ◽  
2018 ◽  
Vol 8 (4) ◽  
pp. 74 ◽  
Author(s):  
Ismo Räisänen ◽  
Anna Heikkinen ◽  
Eva Siren ◽  
Taina Tervahartiala ◽  
Dirk-Rolf Gieselmann ◽  
...  

Traditional periodontal disease diagnostics are based mainly on clinical examination and radiographs. They assess only past tissue destruction and provide no information on the current disease status or its future progression. The objective is to find out if an active matrix metalloproteinase-8 (aMMP-8) point-of-care (PoC) test could provide a cost-effective way to get around this limitation. This cross-sectional study used 47 adolescents and 70 adults, who were clinically examined and their aMMP-8 PoC tested. The aMMP-8 PoC test results and patients’ treatment need, based on the community periodontal index of treatment needs (CPITN), were compared and analyzed using Fisher’s exact test. In terms of CPITN, the aMMP-8 PoC test gave no false positives for both adolescents and adults. All healthy patients got a negative test result, while a positive test result indicated periodontal treatment need correctly. Finally, there was a significant association between a patient’s aMMP-8 PoC test result and his/her treatment need (p = 0.001 for adolescents, p = 0.001 for adults). In conclusion, more accurate diagnostics of periodontal diseases’ activity and progression using an aMMP-8 PoC test may help to reduce oral health care costs by reducing patient overtreatment, improving patient outcome, and reducing the need for complex periodontal therapy.

e-GIGI ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Grace M. M. Sompie ◽  
Christy N. Mintjelungan ◽  
Juliatri .

Abstract: The growth and developmemental process of adolescence to the adult stage is marked by the presence of physiological and hormonal changes as well as mental and mindset maturity. Adolescents should aware of the needs of dental and oral hygiene in order to prevent the occurence of periodontal diseases. This study aimed to obtain the periodontal status of students aged 12-14 years at SMP Negeri 2 Ranoyapo South Minahasa. This was a descriptive study with a cross sectional design. There were 64 students obtained by using total sampling method. Community Periodontal Index of Treatment Needs (CPITN) was evaluated on them. The results showed that of 64 students aged 12-14 years, 8 had (12.5%) healthy periodontal tissue (Score 0); 3 (4.6%) had gingival bleeding without calculus (score 1); 44 (68.7%) had gingival bleeding associated calculus (Score 2); 9 (14.0%) had periodontal pockets sized 3.5-5.5 mm; and no one had periodontal pocket sized >5.5 mm. Conclusion: Based on CPITN evaluation, most of the students at SMP Negeri 2 Ranoyapo South Minahasa showed gingival bleeding associated with calculus.Keywords: periodontal status, youth, CPITNAbstrak: Proses tumbuh kembang dari masa remaja sampai ke tahap dewasa ditandai dengan adanya perubahan fisiologis dan hormonal serta kematangan mental dan pola pikir. Anak remaja seharusnya memiliki kesadaran terhadap kebutuhan kebersihan gigi dan mulut guna untuk mencengah terjadinya penyakit periodontal, karena itu jika anak remaja kurang kesadaran terhadap kebersihan gigi dan mulut akan memiliki resiko terhadap penyakit periodontal. Penelitian ini bertujuan untuk mengetahui status periodontal pelajar umur 12-14 tahun di SMP Negeri 2 Ranoyapo Kabupaten Minahasa Selatan. Jenis penelitian ini ialah deskriptif dengan desain potong lintang. Penelitian ini dilakukan di SMP Negeri 2 Ranoyapo Kabupaten Minahasa Selatan dengan subjek penelitian sebanyak 64 orang yang diperoleh dengan metode total sampling. Community Periodontal Index Treatment Needs (CPITN) dievaluasi pada setiap subyek. Hasil penelitian menunjukkan dari 64 subyek penelitian, skor CPITN tertinggi sebanyak 43 orang (67,2%) yang mengalami perdarahan gingiva disertai kalkulus dan skor CPITN terendah yaitu 4 orang (6,2%) yang mengalami perdarahan gingiva tidak disertai kalkulus. Simpulan: Penilaian status periodontal dengan CPITN mendapatkan sebagian besar pelajar mengalami perdarahan gingival disertai kalkulus.Kata kunci: status periodontal, remaja, CPITN


2019 ◽  
Author(s):  
Sarhang Gul

Abstract Background This study identifies the prevalence and severity of periodontal diseases in a given population of Sulaimani using the Community Periodontal Index of Treatment Needs (CPITN) and attempts to find the relation of CPITN with age, sex, location, visit to dentist, tooth brushing, use of mouth wash and interdental aids, systemic disease, smoking status and missing teeth.Methods Subjects attending Periodontics clinics at College of Dentistry, University of Sulaimani were examined. Periodontal examinations were performed using CPITN, plaque index (PI) and bleeding index (BI). Other data including location, visit to dentist, tooth brushing, use of mouth wash and interdental aids, presence of systemic diseases, smoking status and missing teeth were also collected. The data were subjected to logistic regression to find a relation between periodontal status (CPITN ≥ 3 or not as dependent variable) and other variables.Results Among the 1354 subjects (mean age 30.8 ± 12.9 years) examined, 43.6% were male and the majority of these (80.9%) were from urban areas. The mean PI and BI were 0.64±24 and 0.39±0.28, respectively. Calculus was the most prevalent highest score amongst examined subjects (62.2%), followed by shallow pocket (22.2%) and bleeding (9%). Among the sextants, lower central sextants were found to have the highest percentage of calculus (73.1%), followed by lower left (49.7%) and lower right (48.7%). The highest percentages of shallow and deep pockets were found at upper left (14%, 2.5%, respectively) and upper right (11.4%, 3.2%, respectively) sextants. Logistic regression analysis showed that age, sex, frequency of brushing and smoking significantly correlated with CPITN scores.Conclusion Prevalence and severity of periodontal diseases are high in the examined population and at population level age, sex, brushing and smoking were shown to have an impact on periodontal condition.


2018 ◽  
Vol 8 (6) ◽  
pp. 138-144
Author(s):  
Thien Nguyen Duc ◽  
Tai Tran Tan

Background: Periodontal disease is a prominent and important issue of public health, especially in pregnant women. The objective of this study is to describe the clinical characteristics; learn knowledge, attitudes, practice oral hygiene and assess the need for treatment of periodontal disease in pregnant women. Subjects and Methods: A cross-sectional study of 210 pregnant women who visited the Department of Obstetrics and Gynecology at the Hue University of Medicine and Pharmacy Hospital. Clinical examination and interview questions on knowledge, attitudes and practice of oral care for all subjects. Results: The incidence of gingivitis was 100%, with mild gingivitis of 4,3% and moderate gingivitis of 95.7%. There was a difference in incidence rates of gingivitis in the gestational period (p<0.001). The incidence of periodontitis is 17.6% and there is no difference in gestational age (p>0.05). The mean values of GI and BOP indices differed by gestation period (p<0.05) and PD, OHI-S, PlI have statistically significant relationship with gestation period (p>0.05). The incidence of periodontal disease is 80.5%; The percentage of pregnant women who abstain from brushing their teeth after birth is 61.4%. Prevalence of brushing once a day: 7.1%; Twice a day: 70.5% and 3 times daily: 22.4%; The mean values of GI, PD, BOP, OHI-S and PlI were inversely proportional to the number of brushing (p<0.001). The rate of dental hygiene is just 3.3%; The rate of oral hygiene, dental plaque and plaque removal was 94,3%; The proportion of subjects required for intensive treatment is 2.4%. Conclusion: Periodontal disease, especially for pregnant women, is high. It is necessary to educate the knowledge, attitudes and practice of proper oral hygiene and to better meet the demand for periodontal disease treatment for pregnant women. Key words: Periodontal disease, pregnant women, knowledge, attitude, practice for oral hygiene, treatment needs


2014 ◽  
Vol 2014 ◽  
pp. 1-11 ◽  
Author(s):  
Nilima S. Kadam ◽  
Rahul Patil ◽  
Abhijit N. Gurav ◽  
Yojana Patil ◽  
Abhijeet Shete ◽  
...  

The aim of the study was to determine influence of intellectually disability (ID) on oral hygiene status (OHS), periodontal status (PS), and periodontal treatment needs (PTNs) and investigate the association of these clinical parameters with various sociodemographic and clinical variables among multicentric institutionalized ID subjects aged 5–55 years in Kolhapur district, Maharashtra, India. This descriptive cross-sectional study was conducted by both questionnaire and clinical examination. OHS, PS, and PTNs of these subjects were assessed by recording Simplified Oral Hygiene Index (OHI-S) and Community Periodontal Index of Treatment Needs, respectively. Analysis of variance and multiple logistic and stepwise linear regression analysis were used for statistical analysis. Of the 576 subjects examined, the mean age of the subjects was 17.50 ± 7.4 years. Subjects with profound level of ID had the highest mean OHI-S, PS, and PTNs scores of 4.47 ± 1.04, 2.84 ± 0.78, and 2.25 ± 0.44, respectively, as compared with other ID groups (P<0.0001). The present study signified that ID subjects had poor OHS and PS with the highest PTNs and were influenced by age (P<0.0001), degree of ID (P<0.0001), SES, location, institution type, and parent’s level education. The present study underlines a considerable need for prevention and treatment of periodontal disease among ID subjects in India.


e-GIGI ◽  
2014 ◽  
Vol 2 (2) ◽  
Author(s):  
Monica A. V. Rumampuk ◽  
P. S. Anindita ◽  
Christy Mintjelungan

Abstract: Orthodontic treatment need increases with the number of cases of malocclusion as one of the major problems in Indonesia and an oral health problems are sufficiently large as dental caries and periodontal disease. Orthodontic treatment need in a population is described by one measure, namely Index of Orthodontic Treatment Need (IOTN). The purpose of this study was to determine the needs of orthodontic treatment in the second-grade students of Junior High School 2 Bitung based IOTN consisting of Aesthetic Component and Dental Health Component. It was a cross sectional study of descriptive obsevational, conducted in Junior High School 2 Bitung at December 2013. It research was used the total population of the second grade students of Junior High School 2 Bitung, amounting to 460 students. The results showed, orthodontic care needs based on the AC is 304 people 77 % do not require nursing care or only mild, 74 people 19% of borderline and need care 18 4.5 really need treatment. While orthodontic treatment needs based DHC is 76% of 303 people do not require treatment or light treatment only, 63 people took care borderline 16%, 7.6% and 30 people really need treatment. Orthodontic treatment need by Index of Orthodontic Treatment Needs in second grade at Junior High School 2 Bitung mostly do not require or need minor maintenance in AC 77% and DHC 76%.Keywords: treatment need, IOTN, Student junior High School.  Abstrak: Kebutuhan perawatan ortodonsi meningkat seiring bertambahnya jumlah kasus maloklusi sebagai salah satu permasalahan utama di Indonesia dan merupakan masalah kesehatan gigi dan mulut yang cukup besar setelah karies gigi dan penyakit periodontal. Kebutuhan perawatan ortodonsi pada suatu populasi digambarkan dengan salah satu alat ukur yaitu Index of Orthodontic Treatment Need (IOTN). Tujuan penelitian ini ialah untuk mengetahui kebutuhan perawatan ortodonsi pada siswa-siswi kelas II SMP Negeri 2 Bitung berdasarkan IOTN yang terdiri dari Aesthetic Component (AC) dan Dental Health Component (DHC). Penelitian ini merupakan suatu penelitian Cross sectional yang bersifat deskriptif observasional, yang dilakukan di SMP Negeri 2 Bitung pada bulan Desember 2013. Pengambilan sampel pada penelitian ini menggunakan teknik total populasi pada siswa-siswi kelas II di SMP Negeri 2 Bitung yang berjumlah 460 orang. Hasil penelitian didapatkan, kebutuhan perawatan ortodonsi berdasarkan AC yaitu 304 orang 77 % tidak membutuhkan perawatan atau hanya perawatan ringan, 74 orang 18,7% butuh perawatan borderline dan 18 orang 4,5 sangat butuh perawatan. Sedangkan kebutuhan perawatan ortodonsi berdasarkan DHC yaitu 303 orang 76,5% tidak membutuhkan perawatan atau hanya perawatan ringan, 63 orang 15,9% butuh perawatan borderline, dan 30 orang 7,6% sangat butuh perawatan. Kebutuhan perawatan ortodonsi berdasarkan IOTN pada siswa kelas II di SMP Negeri 2 Bitung sebagian besar tidak membutuhkan atau butuh perawatan ringan pada AC 77% dan DHC 76%. Kata kunci: Kebutuhan Perawatani, IOTN, Siswa SMP.


2021 ◽  
Author(s):  
Cornelia Betsch ◽  
Philipp Sprengholz ◽  
Regina Siegers ◽  
Sarah Eitze ◽  
Lars Korn ◽  
...  

SARS-CoV-2 rapid antigen point-of-care (PoC) and home tests are available to laypeople. This raises questions regarding the drivers and barriers of people’s willingness to use tests, their understanding of test results and the psychological and behavioural consequences of positive and negative test results. Four cross-sectional data collections, including survey items, open text answers and three experiments, were therefore conducted between December 2020 and March 2021, involving 4,026 German participants. The majority was willing to use PoC or home tests. People will be more likely to use tests when they are inexpensive and easy to use or when they are a necessary (given low infection rates) for obtaining access to public and social life. However, people urgently need information about what a test result means and how they should behave. Recommendations based on the present findings could make rapid testing a successful pillar of pandemic management.


2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Ruhi Nalcaci ◽  
Serhat Demirer ◽  
Firat Ozturk ◽  
Burcu A. Altan ◽  
Oral Sokucu ◽  
...  

The aim of this study was to determine the relationship of orthodontic malocclusion with periodontal status, dental caries, and sociodemographic status. Our study population consisted of a sample of 836 school children (384 male and 452 female, aged 11–14 years). Four experienced orthodontists and two experienced periodontists performed the clinical examinations. The Treatment Priority Index (TPI), Community Periodontal Index of Treatment Needs (CPITN), decayed, missing, filled teeth (DMFT) scores, and a questionnaire that surveyed socio-demographic status of students were used. Spearman’s rank correlation coefficients were used to measure the association between variables. TPI scores showed that 36.4% of the students had normal occlusion, while 41.2% had slight, 15.7% had definite, 4% had severe, and 2.7% had very severe malocclusion. TPI values did not show any significant differences between pupils in different age, gender, socioeconomic status groups, and CPITN scores, whereas there was a significant relationship between TPI and DMFT scores. The orthodontic treatment need was not significantly correlated with CPITN or socio-demographic status; however, the correlation coefficient showed a significant relationship between TPI and DMFT scores.


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.


2021 ◽  
pp. 003335492110458
Author(s):  
Ethan M. Berke ◽  
Lori M. Newman ◽  
Suzanna Jemsby ◽  
Bethany Hyde ◽  
Natasha Bhalla ◽  
...  

The COVID-19 pandemic prompted widespread closures of primary and secondary schools. Routine testing of asymptomatic students and staff members, as part of a comprehensive mitigation program, can help schools open safely. “Pooling in a pod” is a public health surveillance strategy whereby testing cohorts (pods) are based on social relationships and physical proximity. Pooled testing provides a single laboratory test result for the entire pod, rather than a separate result for each person in the pod. During the 2020-2021 school year, an independent preschool–grade 12 school in Washington, DC, used pooling in a pod for weekly on-site point-of-care testing of all staff members and students. Staff members and older students self-collected anterior nares samples, and trained staff members collected samples from younger students. Overall, 12 885 samples were tested in 1737 pools for 863 students and 264 staff members from November 30, 2020, through April 30, 2021. The average pool size was 7.4 people. The average time from sample collection to pool test result was 40 minutes. The direct testing cost per person per week was $24.24, including swabs. During the study period, 4 surveillance test pools received positive test results for COVID-19. A post-launch survey found most parents (90.3%), students (93.4%), and staff members (98.8%) were willing to participate in pooled testing with confirmatory tests for pool members who received a positive test result. The proportion of students in remote learning decreased by 62.2% for students in grades 6-12 ( P < .001) and by 92.4% for students in preschool to grade 5 after program initiation ( P < .001). Pooling in a pod is a feasible, cost-effective surveillance strategy that may facilitate safe, sustainable, in-person schooling during a pandemic.


2020 ◽  
Vol 25 (6) ◽  
pp. 26e1-26e9
Author(s):  
Waqar Jeelani ◽  
Uroosa Sher ◽  
Maheen Ahmed

ABSTRACT Objective: To evaluate the prevalence and severity of malocclusion in children suffering from β-thalassemia and to assess orthodontic treatment need using Grainger’s Treatment Priority Index (TPI) and index of orthodontic treatment need (IOTN)-dental health component (DHC). Methods: A cross-sectional study was conducted on 200 transfusion-dependent children diagnosed with homozygous β-thalassemia and 200 healthy school children aged 11-17 years. The TPI and IOTN-DHC data was recorded for both groups. Total TPI score for each subject was calculated and graded according to malocclusion severity estimate (MSE). Independent sample t-test was used to compare mean TPI scores, overjet and overbite between thalassemic and healthy children. Chi-square test was used to compare the frequency of IOTN-DHC grades, Angle’s classification, and MSE grades between thalassemic and healthy children. Results: The most prevalent malocclusion was Class I in normal children (67.5%) and Class II in thalassemic children (59%). The mean overjet and overbite were significantly (p<0.001) greater in thalassemic children than in healthy children. Severe tooth displacements were 3.5 times greater in thalassemic children, compared to controls. A greater proportion of thalassemic children were in IOTN grades 3 and 4, compared to the controls (p<0.001). MSE grades 4 and 5 were significantly (p<0.001) more prevalent in thalassemic children, compared to the controls. Conclusion: There is a high prevalence of Angle’s Class II malocclusion in thalassemic children. Majority of these children are categorized in higher grades of IOTN-DHC and TPI-MSE, showing a great severity of malocclusion and high orthodontic treatment needs.


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