Comparative evaluation of changes in the ultrastructure of tooth enamel and dental implants using air-abrasive methods of surface decontamination in the process of carrying out professional oral hygiene

2019 ◽  
Vol 24 (2) ◽  
pp. 133-139
Author(s):  
L. Yu. Orekhova ◽  
E. S. Loboda ◽  
D. M. Neizberg ◽  
P. A. Boeva ◽  
I. V. Berezkina
Keyword(s):  
Comparative Analysis ◽  
Calcium Carbonate ◽  
Dental Implants ◽  
Oral Hygiene ◽  
Soft Tissues ◽  
Tooth Enamel ◽  
Periodontal Diseases ◽  
Enamel Surface ◽  
Special Technique ◽  
Inflammatory Processes

Relevance. To remove above-gum deposits and under-gum deposits air-abrasive methods are widely used. However, the mechanical properties of air-abrasive products are not known to ensure professional hygiene in the feld of exposure various tooth structures. In this regard more detailed studies on these issues are therefore needed. The aim of the present study was to undertake an comparative analysis of changes in the ultrastructure of the surface of tooth hard tissues when they are processed by powders consisting of sodium bicarbonate, calcium carbonate, glycine and trehalose.Materials and methods. The production of vertical teeth grinding, thickness 1-2 mm, removed by orthopedic or orthodontic indications; the processing of these sections by air-abrasive powders in compliance with the Protocol of use of these funds from the manufacturers during the professional hygiene and the study of the samples by scanning electron microscopy (SEM) by a special technique.Results. The answer to the task was the data of comparative analysis of damage to the enamel surface as a result of processing by various air-abrasive systems and the determination of the least traumatic method of conducting professional oral hygiene in relation to the enamel surface.Conclusions. Processing of enamel by air-abrasive method using powder based on trehalose, glycine and calcium carbonate, observing the recommended conditions for the use of these systems, does not lead to a signifcant change in the enamel ultrastructure, damage or deformation, unlike powders based on calcium bicarbonate. Therefore these systems can be recommended during maintenance periodontal therapy for the prevention of periodontal diseases and dental caries for a long period of time. However, the use of powder based on calcium carbonate is not desirable in the area of dental implants and orthodontic structures such as braces, since the powder remains on these surfaces unchanged and can subsequently cause an exacerbation of inflammatory processes in soft tissues.

scholarly journals Dental Implants: Prevalence, Association with Periodontal Diseases and Awareness of Oral Hygiene among Dental Implant Patients in Saudi Arabia: A Cross-Sectional Study

2020 ◽  
Vol 5 (12) ◽  
pp. 615-619
Author(s):  
Amal Abushal ◽  
Malak Alqudsi ◽  
Nujood Alahmadi ◽  
Mohammed Almalsi ◽  
Haifa Alharbi ◽  
...  
Keyword(s):  
Oral Health ◽  
Periodontal Disease ◽  
Dental Implants ◽  
Oral Hygiene ◽  
Periodontal Diseases ◽  
Public Awareness ◽  
Gingival Recession ◽  
Tooth Brushing ◽  
Cross Sectional ◽  
Health Concepts

Periodontal disease is a broad spectrum that involves different entities and severity levels of the disease. Dental implants, just like normal teeth, can be affected by periodontal disease. This descriptive questionnaire-based study provides a brief shot on the most prevalent periodontal diseases associated with dental implants, associated risk factors, and levels of understanding and awareness about oral hygiene in the Saudi population. Results concluded that 10.5% of population have dental implants. 28.5% the sample confirmed that they have some sort of periodontal disease. Most prevalent symptoms among patients with dental implants are in order: periodontal pockets, redness and blood spitting after tooth brushing, and finally gingival recession. Most associated co-morbidities are cardiovascular disease and diabetes mellitus. Regarding oral hygiene, through assessing two oral health concepts: twice daily tooth brushing, and balanced diet, it is found that more than half of the sample (51.3%) apply these two concepts in their life, while the rest of the sample misses one or both of these two concepts. Focus should be directed toward raising the public awareness about periodontal disease and its symptoms, especially in cases of dental implants, and raising understanding and awareness about different oral health concepts.

scholarly journals Major advances in minimally traumatic surgery in implantodontics: the concise systematic review

2021 ◽  
Vol 2 (5) ◽  
Author(s):  
André Luiz Ravasoli ◽  
Pedro Ferrari de Paula ◽  
Thaina Regina da Silva ◽  
Elias Naim Kassis
Keyword(s):  
Systematic Review ◽  
Dental Implants ◽  
Soft Tissues ◽  
Alveolar Bone ◽  
Surgical Trauma ◽  
Elastic Tissue ◽  
Surgical Time ◽  
Inflammatory Processes ◽  
Living Tissues

Introduction: Dental implant procedures have reached about one million dental implants per year in the world. In this context, it is necessary to establish the state of the art of minimally traumatic procedures for dental implants, especially after bone graft procedures and/or the use of biomaterials for bone elevation. In this context of optimizing techniques for better management of dental implants, faster and more accurate methods were developed by dentists, with post-operative results with better results and quality of life, through minimally invasive procedures. Objective: To carry out a concise systematic review of minimally traumatic surgery for dental implants, as well as to elucidate the main techniques for this. Methods: The rules of the Systematic Review Platform-PRISMA were followed. The survey was conducted from July 2021 to October 2021 and was developed based on Scopus, PubMed, Science Direct, Scielo, and Google Scholar. Study quality was based on the GRADE instrument and the risk of bias was analyzed according to the Cochrane instrument. Results: Since the most primordial extraction techniques were created and developed, several attempts have been made to minimize the professional's effort, reduce surgical time and alleviate bleeding and inflammatory processes, edema, pain, and ecchymosis that can affect patients, in the trans and postoperative periods. Thus, the maximum preservation of the integrity of the soft tissues (papillae and free and inserted gingival band) adjacent to the prosthetic spaces should be sought; preservation of the alveolar bone ridge level. Based on the histological concept in which living tissues are formed by cells joined by thin elastic tissue and with nerve fibrils, capillaries, lymphatic and blood vessels. The disruption of these cells by surgical trauma provides the release of enzymes that delay healing. For this reason, surgical trauma should be minimized. Conclusion: There are many attempts to minimize the professional effort, reduce surgical time and alleviate bleeding and inflammatory processes, edema, pain, and ecchymosis that can affect patients. Thus, the maximum preservation of the integrity of the soft tissues adjacent to the prosthetic spaces and the preservation of the level of the ridge of the alveolar bone to achieve a minimization of surgical trauma must be sought.

Prevalence of periodontal disease in children and adolescents

1999 ◽  
Vol 80 (1) ◽  
pp. 71-72
Author(s):  
V. Y. Khitrov ◽  
L. S. Ageeva ◽  
N. K. Khamitova ◽  
E. V. Mamaeva ◽  
N. V. Berezina ◽  
...  
Keyword(s):  
Oral Cavity ◽  
Periodontal Disease ◽  
Children And Adolescents ◽  
Oral Hygiene ◽  
Soft Tissues ◽  
Periodontal Diseases ◽  
Poor Oral Hygiene ◽  
Facial Skeleton

Periodontal diseases in children and adolescents are quite common, as a result of various reasons: geographic conditions, diet, poor oral hygiene, occlusion pathology, anomalies in the attachment of soft tissues of the oral cavity to the facial skeleton, etc.

Comparative study of combined subgingival plaque removal techniques

2020 ◽  
Vol 20 (2) ◽  
pp. 109-115
Author(s):  
L. Yu. Orekhova ◽  
O. V. Prokhorova ◽  
L. I. Shalamai ◽  
D. V. Rachina ◽  
N. E. Burenkova
Keyword(s):  
Clinical Practice ◽  
Comparative Analysis ◽  
Oral Cavity ◽  
Comparative Study ◽  
Oral Hygiene ◽  
Clinical Result ◽  
Periodontal Diseases ◽  
Subgingival Plaque ◽  
Plaque Removal ◽  
Combined Methods

Relevance. Various techniques and tools are used while conducting professional oral hygiene in patients with inflammatory periodontal diseases. It is needed to combine them to achieve the best clinical result. However, the question of optimum combinations requires further study.Purpose. The purpose of the study was to conduct a comparative analysis of combined methods for removing subgingival dental deposits to determine the best combinations of tools for clinical practice.Materials and methods. 42 teeth with subgingival dental deposits were selected for the study. Jaw models have been created to simulate work in the oral cavity. The surfaces of the roots of the teeth were divided into 7 experimental groups, in each of which the treatment was carried out by a certain combination of tools.Results. The resulted teeth root areas were estimated using methods of measuring cleanliness and smoothness. Time, which was spent on each surface using the studied tool combinations, was also monitored.Conclusions. The results of the study help to evaluate the combinations of different methods for removing subgingival dental deposits.

Exploring the Links Between Chronic Periodontitis and Oral Cancer: An Update

2021 ◽  
Vol 13 ◽  
pp. 22-31
Author(s):  
Shaswata Karmakar ◽  
Dipanjan Das ◽  
Baishakhi Modak ◽  
Madhurya Kedlaya ◽  
Anneysa Basu ◽  
...  
Keyword(s):  
Oral Cancer ◽  
Oral Hygiene ◽  
Inflammatory Disease ◽  
Chronic Periodontitis ◽  
Soft Tissues ◽  
Periodontal Diseases ◽  
Chronic Inflammatory Disease ◽  
Oral Carcinoma ◽  
Health Concern ◽  
Oral Diseases

Oral carcinoma is a major public health concern worldwide due to its increasing mortality. Apart from alcohol consumption, tobacco and arecanut chewing, other risk factors for oral cancer include chronic infection and inflammation, poor nutritional status, chronic trauma to the oral soft tissues etc. Studies have also found that the risk of developing oral cancer may increase with periodontal diseases like periodontitis. Chronic periodontitis is a multifactorial, inflammatory disease of the periodontium primarily caused by the pathogenic microorganisms present in dental plaque biofilm, ultimately resulting in loss of the tooth. An induction of carcinoma by such chronic inflammatory disease appears possible since the involved inflammatory mediators and bacterial toxins in the disease have shown to have a potential for transformation into malignancy. Therefore, establishing a connection between chronic periodontitis and oral carcinoma would be of great interest. Moreover, it seems judicious to take measures to improve oral hygiene in order to minimize the cancer risks. This further intensifies the need for oral health education programs to educate individuals about the importance of maintaining a good oral hygiene for the prevention of other oral diseases as well as systemic conditions.

Analysis of the monitoring study of the antibiotic-resistance of the agents of purulent-inflammatory processes of soft tissue

2018 ◽  
Vol 22 (2) ◽  
pp. 285-288
Author(s):  
A.P. Prevar ◽  
A.V. Kryzshanovskaya ◽  
V.A. Radionov ◽  
V.M. Mrug
Keyword(s):  
Soft Tissues ◽  
High Sensitivity ◽  
Biochemical Properties ◽  
Antimicrobial Drugs ◽  
Strict Adherence ◽  
E Coli ◽  
Monitoring Study ◽  
Treatment Measures ◽  
Inflammatory Processes ◽  
Main Factor

The main factor in the treatment of suppurative and inflammatory processes is the timely optimization of treatment measures taking into account the nature of the microflora and its susceptibility to antimicrobial drugs. The purpose of the study is to monitor the spectrum of microorganisms – pathogens of purulent-inflammatory processes of soft tissues in surgical patients; study of the sensitivity of isolated strains to antibiotics. The material was collected in accordance with aseptic rules. The identification of a pure culture of bacteria was carried out according to morphological, culture, biochemical properties, and the presence of virulence enzymes. Sensitivity of bacteria to antibiotics was determined by the standard disks method (by Kirby-Bauer’s). 255 patients with purulent-inflammatory processes of soft tissues were examined for the period from 2014 to 2017. 229 strains of isolated bacteria were included to Escherichia coli, Citrobacer freundii, Enterobacter cloacae, E.aerogenes, Proteus vulgaris, Staphylococcus aureus, S.epidermidis, Streptococcus pyogenes, S.viridians, S.agalactiae, Pseudomonas aeruginosa. The main cause of purulent-inflammatory processes of soft tissues is Staphylococci (67,2%). Compared to previous studies, the number of P.aeruginosa isolated cultures increased (7.9%). In monoculture and in association with other microorganisms, E. coli (9.6% of cases), E.cloacae et aerogenes (3.9% of cases), P.vulgaris (3.9% of cases), C.freundi (2.5% of cases), S.agalactiae, S.pyogenes, S.viridans (3.5%). The number of associated sows reaches 12%. Clinical strains of microorganisms remain most sensitive to fluoroquinolones, cephalosporins, and also retains high sensitivity to gentamicin, lincomycin, rifampicin, which is important for empirical antibiotic therapy. To increase the effectiveness of antibacterial therapy, strict adherence to the mode of appointment of antibiotics, justification of indications, a combination of antibiotics of different spectrum of action, mandatory correction after determining the sensitivity of the pathogen.

Qualitative anatomical restoration of the contact point of teeth – prevention of localized forms of periodontal diseases

2020 ◽  
Vol 25 (1) ◽  
pp. 10-15
Author(s):  
L. Yu. Orekhova ◽  
O. V. Prokhorova ◽  
V. Yu. Shefov
Keyword(s):  
Comparative Analysis ◽  
Computer Simulations ◽  
Periodontal Diseases ◽  
Contact Point ◽  
Clinical Stage ◽  
High Quality ◽  
Cross Sectional ◽  
Clinical Stages ◽  
Anatomical Restoration ◽  
Approximal Surfaces

Relevance. The restoration of a high-quality anatomical and functional contact point of teeth plays an important role in preventing the development of localized forms of periodontal disease.Purpose. Development of recommendations for qualitative anatomical restoration of the contact point of teeth for the prevention of localized forms of periodontal diseases.Materials and methods. In our study, which consisted of pre-clinical and clinical stages, were analyzed 50 CT scan of the chewing group teeth calculated the ratio of approximal surfaces of molars and premolars to the width of their crowns and computer simulations of the results of restoration of contact point. We also conducted a comparative analysis of wedges of different material with different cross-sectional shapes. At the clinical stage, the restoration of the contact point of teeth in patients according to our recommendations was carried out.Results. On the basis of the data obtained during the study, a formula for calculating the height and size of the restored contact point was compiled. Recommendations for anatomical restoration of the contact point are formulated.Conclusion. The application of the recommendations developed by us allows anatomically qualitatively restore the contact point and prevent the development of localized periodontal diseases.

Surveying adherence of dental clinic patients to preventive measures in oral cavity

2019 ◽  
Vol 24 (2) ◽  
pp. 167-172 ◽  
Author(s):  
T. V. Kudryavtseva ◽  
V. V. Tachalov ◽  
E. S. Loboda ◽  
L. Yu. Orekhova ◽  
E. Yu. Nechai ◽  
...  
Keyword(s):  
Oral Cavity ◽  
Working Conditions ◽  
Oral Hygiene ◽  
Preventive Measures ◽  
Periodontal Diseases ◽  
Dental Health ◽  
Developed Countries ◽  
Dental Clinic ◽  
The Many ◽  
The Impact

Relevance. Periodontal diseases are a medical and social problem due to the wide spread among the population of developed countries and the impact on the quality of life. Among the many factors that are important in the development of inflammatory periodontal diseases, an important role is played by adherence to the recommendations of the dentist in respecting oral hygiene. Aim of the work was to study the adherence of patients of the dental clinic to compliance with preventive measures in the oral cavity.Materials and methods. A total of 98 patients of dental clinic, 62 female (medial age 38,6 ± 14,0 years) and 36 male (medial age 37,2±13,1 years) participated in survey. The study participants flled in the profle and answered questions about age, gender, harmful working conditions and bad habits, frequency of visits to the dental clinic, attitudes to the prevention of dental diseases, knowledge about the means and methods of oral hygiene.Results. As a result of the study, it was found that in the vast majority of cases, respondents are employed in production that does not adversely affect their health (91%), only 8% of patients indicated harmful working conditions.Conclusions. The study revealed that, despite the recommendations of the dentist, patients are not always committed to the implementation of preventive measures in the oral cavity. Dentists need to motivate patients to use not only the usual methods and means of hygiene, but also additional ones necessary for maintaining dental health.

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