scholarly journals Perawatan Kuretase Gingiva Gigi Anterior pada Periodontitis: Laporan Kasus

e-GIGI ◽  
2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Johanna A. Khoman ◽  
Miranti A. Minanga
Keyword(s):  
Oral Hygiene ◽  
Chronic Periodontitis ◽  
Systemic Disease ◽  
Tooth Surface ◽  
Periodontal Inflammation ◽  
Root Planing ◽  
Probing Depth ◽  
Index Measurement ◽  
Region I ◽  
Bacterial Plaque

Abstract: In general, periodontal disease is caused by bacterial plaque on the tooth surface.  Bacterial elimination by curettage will reduce periodontal inflammation. This case report was aimed to review the immune response to chronic periodontitis as well as case management with curettage. We reported a 22-year-old female patient came to the Dental and Oral Hospital of University of Sam Ratulangi (Unsrat) with complaints of swollen front gum, frequent gum bleeding, and gum bleeding during tooth brushing. The gum bleeding had occurred since 6 months ago. Tartar cleaning was performed on her three weeks ago. Based on anamnesis, the patient did not suffer from any systemic disease. Intraoral examination revealed that there were reddish gingiva, swelling in region I, II, III, and IV, and probing depth of teeth 21-25 with a mean of 4 mm. Oral Hygiene Index measurement obtained a value of 1.7 (medium category). This case was diagnosed as chronic periodontitis. The treatment consisted of scaling, irrigation with NaCl solution and aquadest, root planing, gingival curettage, and periodontal pack application. At the first control (one week after gingival curettage), the patient did not complain of any pain on the curettage area, periodontal pack was loose. The objective examination still revealed redness, debris, and calculus, OHI-S: 0,8+0,3=1,1 (good category). The prognosis was good since the patient was cooperative, did not have any systemic disease, and had high motivation to maintain oral hygiene.Keywords: curettage, chronic peridontitis  Abstrak: Secara umum penyakit periodontal disebabkan oleh bakteri plak pada permukaan gigi. Eliminasi bakteri dengan kuretase akan menurunkan peradangan periodontal. Laporan kasus ini bertujuan untuk menjelaskan respon imun terhadap penyakit periodontitis kronis serta penatalaksanaan kasus dengan kuretase. Kami melaporkan kasus seorang pasien perempuan berusia 22 tahun datang ke Rumah Sakit Gigi dan Mulut Pendidikan Universitas Sam Ratulangi (Unsrat) dengan keluhan gusi bagian depan bengkak, gusi sering berdarah, dan perdarahan gusi saat menyikat gigi. Gusi berdarah sejak sekitar 6 bulan lalu dan pasien melakukan pembersihan karang gigi sekitar 3 minggu lalu. Dari hasil anamnesis didapatkan bahwa pasien tidak mempunyai riwayat penyakit sistemik. Pada pemeriksaan intraoral terdapat gingiva berwarna kemerahan dan pembengkakan di region I, II, III, IV, probing depthgigi 21-25 dengan rerata sebesar 4 mm. Hasil pengukuran Oral Hygiene Index(OHI) ialah 1,7 (kategori sedang). Diagnosis klinis kasus ini ialah periodontitis kronis. Tindakan yang dilakukan ialah scaling, irigasi dengan NaCl dan akuades, root planing, kuretase gingiva, dan pemasangan periodontal pek. Kontrol pertama dilakukan satu minggu pasca kuretase gingiva, dan pada pemeriksaan subjektif pasien tidak mengeluhkan rasa nyeri di daerah yang telah dilakukan kuretase gingiva, pek periodontal sudah terbuka malam hari pasca kuretase gingiva. Pemeriksaan objektif gingiva masih kemerahan, terdapat debris dan kalkulus, OHI-S: 0,8+0,3=1,1 (kategori baik). Prognosis baik karena pasien kooperatif, tidak memiliki riwayat penyakit sistemik, dan memiliki motivasi yang tinggi untuk menjaga kebersihan rongga mulut.Kata kunci: kuretase; peridontitis kronis

scholarly journals Clinical and microbiological effects of adjunctive photodynamic diode laser therapy in the treatment of chronic periodontitis: A randomized clinical trial

2020 ◽  
Vol 14 (3) ◽  
pp. 191-197
Author(s):  
Sahana Mallineni ◽  
Sreenivas Nagarakanti ◽  
Sumanth Gunupati ◽  
Ramesh Reddy BV ◽  
Mahaboob V Shaik ◽  
...  
Keyword(s):  
Chronic Periodontitis ◽  
Scaling And Root Planing ◽  
Invasive Treatment ◽  
Non Invasive ◽  
Root Planing ◽  
Probing Depth ◽  
Tissue Healing ◽  
Significant Difference ◽  
Bactericidal Effects ◽  
Microbiological Parameters

Background. Conventional mechanical debridement alone cannot eliminate bacteria and their products from periodontal pockets. Adjunctive therapies improve tissue healing through detoxification and bactericidal effects. Photodynamic therapy (PDT) is a non-invasive treatment procedure that involves the use of a dye as a photosensitizer to attach to the target cell and be activated by a photon of an appropriate wavelength. This study aimed to assess the effectiveness of PDT in treating periodontitis as an adjunct to scaling and root planing. Methods. Fifteen subjects with chronic periodontitis were treated randomly with scaling and root planing (SRP), followed by a single PDT (test) or SRP (control) episode alone. Full-mouth plaque index (PI), sulcus bleeding index (SBI), probing depth (PD), and clinical attachment level (CAL) were assessed at baseline and 1-month and 3-month intervals. Microbiological evaluation of Porphyromonas gingivalis (Pg) in subgingival plaque samples was performed using a commercially available real-time polymerase chain reaction. Results. The results revealed a significant difference in PI, SBI, PD, CAL, and microbiological parameters between the groups one and three months after treatment. Conclusion. A combination of PDT and SRP gave rise to a significant improvement in clinical and microbiological parameters in patients with chronic periodontitis.

scholarly journals Effect of Scaling and Root Planing on Detection of Tannerella forsythia in Chronic Periodontitis

2013 ◽  
Vol 2013 ◽  
pp. 1-6
Author(s):  
Ritesh B. Wadhwani ◽  
Minal S. Chaudhary ◽  
Dipti A. Tharani ◽  
Shweta A. Chandak
Keyword(s):  
Chronic Periodontitis ◽  
Scaling And Root Planing ◽  
Tannerella Forsythia ◽  
Root Planing ◽  
Detection Frequency ◽  
Probing Depth ◽  
Periodontal Destruction ◽  
Group 3 ◽  
Group 2 ◽  
Group 1

Aim. This study was aimed to determine the prevalence of Tannerella forsythia in subgingival plaque samples of chronic periodontitis patients having different level of periodontal destruction and to assess the effect of scaling and root planing (SRP) on prevalence of T. forsythia. Materials and Methods. Study included 3 groups: group 1 were healthy individuals, group 2 had periodontitis with probing depth ≤ 5 mm, and group 3 had periodontitis with probing depth > 5 mm. Subjects in groups 2 and 3 exhibited both healthy and diseased periodontal sites. Prevalence of T. forsythia was determined using polymerase chain reaction. Subjects in groups 2 and 3 received SRP and were reevaluated three months after SRP. Results. T. forsythia was not detected in group 1. It was found in diseased sites in 40% and 73.33% of patients from groups 2 and 3, respectively. It was also found in healthy sites in 6.67% and 13.33% of patients from groups 2 and 3, respectively. The detection frequency of T. forsythia after SRP was 6.67% and 13.33% in groups 2 and 3, respectively. Conclusion. The results indicate a possible association between periodontal disease and presence of T. forsythia. Also, the detection frequency of T. forsythia was reduced after SRP.

scholarly journals Keberhasilan terapi fase inisial periodontal pada gingival enlargement pasien anak dengan hidrosefalusThe success of initial periodontal therapy phase in gingival enlargement paediatric patient with hydrocephalus

2020 ◽  
Vol 32 (3) ◽  
pp. 244
Author(s):  
Nunung Rusminah ◽  
Zavani Nur Hikmah ◽  
Fahmi Oscandar
Keyword(s):  
Cerebrospinal Fluid ◽  
Case Report ◽  
Oral Hygiene ◽  
Chronic Periodontitis ◽  
Periodontal Therapy ◽  
Paediatric Patients ◽  
Root Planing ◽  
Gingival Enlargement ◽  
And Control ◽  
Oral Hygiene Instruction

Pendahuluan: gingival enlargement umumnya terjadi akibat inflamasi kronis yang disebabkan oleh faktor lokal, seperti induksi plak pada gingiva dan faktor sistemik seperti  pengaruh hormon dan obat-obatan sistemik tertentu. Hidrosefalus merupakan kondisi yang diakibatkan adanya volume cerebrospinal fluid (CSF) berlebih yang tidak terserap sempurna, dalam jumlah yang sangat tinggi pada ventrikel di otak dan terkadang juga terdapat di ruang subarachnoid, yang menyebabkan terjadinya dilatasi ventrikel secara progresif. Kondisi ini menghasilkan peningkatan tekanan intrakranial dan sering merusak jaringan di sekitarnya. Pasien hidrosefalus menunjukkan pembesaran kepala dan mengalami keterlambatan pertumbuhan. Tujuan penelitian laporan kasus ini adalah menjelaskan keberhasilan terapi fase inisial perawatan periodontal pada gingival enlargement pasien anak dengan hidrosefalus. Laporan kasus: Pasien hidrosefalus laki-laki berusia 12 tahun, mengalami pembesaran gingiva pada rahang atas, sering berdarah pada saat tersentuh sikat gigi ataupun terkena sentuhan lainnya, terjadi kurang lebih sejak dua bulan yang lalu, pasien tidak mengonsumsi obat-obatan secara sistemik. Hasil pemeriksaan klinis dan radiologis dapat ditegakkan diagnosis inflammatory gingival enlargement rahang atas disertai periodontitis kronis gigi 27, dengan diagnosis banding periodontitis kronis. Gingival enlargement merupakan faktor predisposing pembentukan plak. Gingival enlargement pada pasien ini dirawat dengan terapi inisial yaitu Oral hygiene Instruction (OHI), scaling, root planing, dan kontrol. Simpulan: Terapi fase inisial periodontal berupa OHI, scaling, root planing, dan kontrol, berhasil menghilangkan gingival enlargement pada pasien anak dengan hidrosefalus.Kata kunci: Gingival enlargement, hidrosefalus, perawatan inisial periodontal. ABSTRACTIntroduction: Gingival enlargement generally occurs due to chronic inflammation caused by local factors, such as plaque induction on the gingiva and systemic factors such as hormonal influences and certain systemic drugs. Hydrocephalus is a condition that results from the incompletely absorbed excess volume of cerebrospinal fluid (CSF), with very high amounts in the ventricles in the brain and sometimes also in the subarachnoid space, leading to progressive dilation of the ventricles. This condition results in increased intracranial pressure and often damages surrounding tissue. Hydrocephalus patients show head enlargement and growth delay. This case report was aimed to describe the success of the initial phase of periodontal therapy in gingival enlargement of paediatric patients with hydrocephalus. Case report: A 12-year-old male hydrocephalus patient, had enlarged maxillary gingiva, often bled when touched by a toothbrush or when exposed to other touches, occurred for about two months prior, and the patient did not take any medication systemically. The clinical and radiological examination results can confirm the diagnosis of inflammatory maxillary gingival enlargement with chronic periodontitis in tooth #27, with a differential diagnosis of chronic periodontitis. Gingival enlargement is a predisposing factor for plaque formation. Gingival enlargement in this patient was treated with initial therapy, namely oral hygiene instruction (OHI), scaling, root planing, and control. Conclusion: The initial periodontal therapy phase in the form of OHI, scaling, root planing, and control, succeeded in eliminating gingival enlargement in paediatric patients with hydrocephalus.Keywords: Gingival enlargement, hydrocephalus, initial periodontal therapy.

Effectiveness of oral hygiene with and without root planing in treating subjects with chronic periodontitis

BDJ ◽  
1994 ◽  
Vol 177 (10) ◽  
pp. 367-371 ◽  
Author(s):  
Y Turner ◽  
F P Ashley ◽  
R F Wilson
Keyword(s):  
Oral Hygiene ◽  
Chronic Periodontitis ◽  
Root Planing

scholarly journals Increased Levels of 8-Hydroxydeoxyguanosine and Malondialdehyde and its Relationship with Antioxidant Enzymes in Saliva of Periodontitis Patients

2009 ◽  
Vol 03 (02) ◽  
pp. 100-106 ◽  
Author(s):  
Cenk Fatih Canakci ◽  
Yasin Cicek ◽  
Abdulkadir Yildirim ◽  
Ufuk Sezer ◽  
Varol Canakci
Keyword(s):  
Antioxidant Enzymes ◽  
Chronic Periodontitis ◽  
Antioxidant Activities ◽  
Clinical Attachment Level ◽  
Periodontal Inflammation ◽  
Probing Depth ◽  
Whole Saliva ◽  
Healthy Control ◽  
The Relationship ◽  
Attachment Level

ABSTRACTObjectives: The aim of this study was to evaluate 8-hydroxydeoxyguanosine (8-OHdG) and Malondialdehyde (MDA) levels, and superoxide dismutase (SOD) and glutathione peroxidase (GPx) activities in whole saliva of patients with chronic periodontitis. Moreover, the relationship among the oxidative damage biomarkers, antioxidant enzymes activities and clinical periodontal status were investigated.Methods: Whole saliva samples were collected from 30 patients with chronic periodontitis and 30 periodontally healthy control. To determine the clinical condition of each subject, the plaque index, gingival index, clinical attachment level, and probing depth were measured. The salivary 8-OHdG level was measured using the ELISA method. SOD and GPx activities and MDA levels were determined spectrophotometrically.Results: Higher salivary 8-OHdG and MDA levels (P<.001), and lower salivary SOD and GPx activities (P<.05) were detected in periodontitis patients compared to the healthy controls. Additionally, there were significantnegative correlations between salivary levels of 8-OHdG and both salivary SOD and GPx activities as well as between salivary levels of MDA and both salivary SOD and GPx activities (P<.001).Conclusions: Higher salivary 8-OHdG and MDA levels and lower salivary antioxidant activities seem to reflect increased oxygen radical activity during periodontal inflammation. (Eur J Dent 2009;3:100- 106)

scholarly journals Resolution of Localized Chronic Periodontitis Associated with Longstanding Calculus Deposits

2014 ◽  
Vol 2014 ◽  
pp. 1-6
Author(s):  
Pin-Chuang Lai ◽  
John D. Walters
Keyword(s):  
Bone Density ◽  
Active Treatment ◽  
Chronic Periodontitis ◽  
Scaling And Root Planing ◽  
Radiographic Evidence ◽  
Second Molar ◽  
Root Planing ◽  
Probing Depth ◽  
Mandibular Second Molar ◽  
Distal Aspect

This report, which is based on nonstandardized serial radiographs obtained over a period of 15 years, documents a case of localized chronic periodontitis associated with progressive deposition of calculus on the distal aspect of a mandibular second molar. The site was treated by scaling and root planing, followed by a course of adjunctive systemic azithromycin. Treatment yielded favorable reductions in probing depth and clinical inflammation, leaving only few isolated sites with pockets no deeper than 4 mm. Two years after completion of active treatment, there was radiographic evidence of increased bone density distal to the second molar.

Association between interleukin-6, C-Reactive protein and periodontal inflamed surface area : a cross- Sectional investigation

2020 ◽  
Vol 12 (1) ◽  
pp. 20-28
Author(s):  
Deepanwita BDS ◽  
Hemalata Madaiah
Keyword(s):  
Surface Area ◽  
Chronic Periodontitis ◽  
Complex Disease ◽  
Systemic Disease ◽  
Serum Levels ◽  
Cross Sectional ◽  
Positive Correlation ◽  
Periodontal Tissues ◽  
Periodontal Inflammation ◽  
Inflammatory Burden

Background and Objective: Periodontitis is a complex disease and is proven to be a risk factor for various systemic diseases by causing an inflammatory burden. CRP is an extremely sensitive marker for inflammation and its levels have been shown to be associated with periodontal inflammation. IL-6 has been shown to affect the production of CRP. To associate periodontal inflammation to any systemic disease it is necessary to quantify the amount of inflamed periodontal tissues. A new measure Periodontal Inflamed Surface Area (PISA) has been developed for the same. In the light of the above mentioned facts this study is designed to assess serum and GCF levels of CRP and IL-6 and correlate these with PISA in patients affected by chronic periodontitis. Materials and Methods: A total of 45 systemically healthy patients with chronic periodontitis participated in the study. Periodontal parameters, i.e BI, PI, CI, mean CAL and PISA (using spreadsheet by Huojel et al,2000) were recorded for all patients. GCF and serum samples were harvested from all subjects and samples were stored and analyzed for CRP and IL-6 using ELISA kits. Results: The PI, BI, CI and mean CAL had a positive correlation with PISA. BI and mean CAL had a significantly positive correlation with PISA (p<0.05). PISA also had a positive correlation with GCF levels of CRP (r=0.098, p=0.57), serum CRP levels (r=0.14, p=0.42), GCF IL-6 (r=0.89, p=0.61) and a significantly positive correlation was seen between PISA and serum levels of IL-6 (r=0.41, p=0.014). Also, there was a positive correlation between GCF and serum levels of CRP and IL-6. The serum levels of CRP and IL-6 had a significantly positive correlation (r=0.39, p=0.02). Conclusion: Higher PISA values were associated with higher serum levels of the inflammatory markers., thus proving that PISA could probably be used to correlate the local inflammatory burden with the systemic inflammatory burden.

scholarly journals Local Delivery of Hyaluronan as an Adjunct to Scaling and Root Planing in the Treatment of Chronic Periodontitis

2016 ◽  
Vol 8 (1) ◽  
pp. 12-18
Author(s):  
Shyam Sunder Salavadhi ◽  
Srikanth Chintalapani ◽  
Chandra Mohan Pabolu ◽  
Arpita Paul ◽  
Ramesh Babu Mutthineni ◽  
...  
Keyword(s):  
Chronic Periodontitis ◽  
Test Group ◽  
Local Application ◽  
Control Group ◽  
Scaling And Root Planing ◽  
Plaque Score ◽  
Treatment Comparison ◽  
Root Planing ◽  
Probing Depth ◽  
The Difference

Background and aims. The present study was carried out to evaluate the adjunctive effect of local application of hyaluronan gel with scaling and root planing in the treatment of chronic periodontitis. Materials and methods. Twelve patients with chronic periodontitis participated in the study with a split-mouth design. Plaque formation and bleeding on probing (BOP) were evaluated at baseline and at 1st, 4th and 12th weeks postoperatively. Probing depth (PD) and clinical attachment levels (CAL) were evaluated at baseline and at 12-week postoperative interval. 0.2 mL of 0.8% hyaluronan gel was administered subgingivally in the test sites at baseline and after 1 week. Results. The test group exhibited a significantly lower mean plaque score and mean BOP as compared to the control group at 1st, 4th and 12th weeks (P < 0.05). Between the two groups, post-treatment comparison at 12th week showed lower PD value in the test group as compared to the control group and higher gain in CAL in the test group as compared to the control group. The difference between the two groups was statistically significant (P < 0.05). Conclusion. Local application of hyaluronan gel in conjunction with SRP might have a beneficial effect in patients with chronic periodontitis.

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