scholarly journals Penyakit Periodontal pada Masa Kehamilan dan Perawatannya

e-GIGI ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 229
Author(s):  
Gabriela C. Slat ◽  
Johanna A. Khoman ◽  
Janno B. B. Bernadus

Abstract: Hormonal changes occur during pregnancy and affect the response of periodontal tissue to local factors, therefore, the risk of periodontal disease increases. Dentists have to know the treatment options that can be given to pregnant patients with periodontal disease especially the current treatments. This study was aimed to summarize the triggering factors that could worsen and the current treatment of periodontal disease during pregnancy. This was a literature review study using databases of Google scholar, Pubmed, and Science direct. After selection, there were 10 literatures; seven literatures discussed about the worsening factors of periodontal disease during pregnancy and three literatures discussed about the current treatment. The results showed several factors that could worsen periodontal disease during pregnancy, as follows: plaque, gestational age, caries, maternal age, education level, knowledge, oral hygiene behavior, treatment costs, frequency and time of tooth brushing, socio-economic status, occupation, irregular arrangement of teeth, and tobacco use. Current treatments of periodontal disease during pregnancy included the consumption of Lactobacillus reuteri-containing lozenges for preg-nancy gingivitis, a water-cooled Nd: YAG (neodymium-doped yttrium aluminum garnet) pulsed laser, and transarterial embolisation for pregnancy pyogenic granuloma. In conclusion, periodontal treatment can improve periodontal status, therefore, pregnant woman with periodontal disease need to be treated.Keywords: pregnancy; periodontal disease; worsening factors; recent treatment  Abstrak: Selama kehamilan terjadi perubahan hormonal yang memengaruhi respons jaringan periodontal terhadap faktor lokal sehingga risiko terjadinya penyakit periodontal semakin besar. Dokter gigi perlu mengetahui pilihan perawatan yang dapat diberikan kepada pasien hamil dengan penyakit periodontal khususnya perawatan terkini. Penelitian ini bertujuan untuk merangkum faktor-faktor yang dapat memperburuk dan perawatan terkini penyakit periodontal pada masa kehamilan. Jenis penelitian ini ialah suatu literature review menggunakan tiga database yaitu Google cendekia, Pubmed dan Science direct. Setelah melalui tahapan seleksi studi, didapatkan 10 literatur; tujuh literatur mengenai faktor-faktor yang dapat memperburuk penyakit periodontal pada masa kehamilan dan tiga literatur lainnya membahas perawatan terkini. Hasil penelitian mendapatkan bahwa terdapat beberapa faktor yang dapat memperburuk penyakit periodontal pada masa kehamilan yakni: plak, usia kehamilan, karies, usia ibu hamil, tingkat pendidikan, pengetahuan, perilaku kebersihan gigi dan mulut, biaya perawatan, frekuensi dan waktu menyikat gigi, status sosial-ekonomi, pekerjaan, susunan gigi yang tidak beraturan, dan penggunaan tembakau. Perawatan terkini penyakit periodontal pada masa kehamilan dapat berupa konsumsi tablet hisap yang mengandung Lactobacillus reuteri untuk gingivitis kehamilan, laser berdenyut Nd: YAG (neodymium-doped yttrium aluminium garnet) berpendingin air, dan embolisasi transarterial untuk granuloma piogenik kehamilan. Simpulan penelitian ini ialah perawatan periodontal dapat memperbaiki status periodontal sehingga wanita hamil dengan penyakit periodontal perlu menerima perawatan.Kata kunci: penyakit periodontal; kehamilan; faktor yang memperburuk; perawatan terkini

2017 ◽  
Vol 1 (3) ◽  
pp. 150-155
Author(s):  
Paige Hoyer ◽  
Priscilla Ly ◽  
Lindy Ross ◽  
Michael Wilkerson

Importance: Pyogenic Granuloma (PG) is a benign vascular tumor that forms commonly on the face, oral mucosa, or a site of previous injury. Though some PGs resolve spontaneously, most require some-to-multiple form(s) of treatment to prevent bleeding, ulceration, and scarring. Current treatment options for PGs include cryotherapy, laser, electrodessication, curettage or shave excision, sclerotherapy, corticosteroid injections, and imiquimod 5% cream. Timolol 0.5% ophthalmic solution has been used as a noninvasive topical treatment for PG in the pediatric population.Objective: To present a case of successful treatment of a recalcitrant PG with topical timolol, and to report on the current literature for similar cases.Case Presentation: We present a case of a 40-year-old healthy female who developed a biopsy-proven PG on her index finger. This is the first reported case to successfully use tangential biopsy and electrodessication followed by twice daily topical Timolol to treat recalcitrant PG.Conclusions: This case supports the use of 0.5% Timolol ophthalmic solution and demonstrates that it is a safe and economical therapy for adult patients with recurrent PGs. A review of the current literature is discussed, and supports timolol as an easy and economical therapy option.


2013 ◽  
Vol 2 (2) ◽  
pp. 69-73 ◽  
Author(s):  
Victoria Wilson

Aim This systematic literature review was performed to establish a definition of peri-implantitis, what makes a patient more susceptible to peri-implantitis, the signs and symptoms of peri-implantitis (including radiographic findings), treatment options for peri-implantitis, and to investigate what constitutes a suitable oral hygiene regime. Method A systematic literature review and analysis of publications included in PubMed (articles published between 1998 and 2003; English language; search terms “peri-implantitis”; “mucositis”; “partially edentulous”; “preventative maintenance”; “peri-implantitis and plaque control”; “tissue augmentation”; “diet maintenance of peri-implantitis”; “oral hygiene instruction for implants”) was performed to identify papers providing information about peri-implantitis. Separately sourced publications with peri-implantitis related titles and abstracts were reviewed and analysed. The set criteria for inclusion were peer-reviewed articles. Of 53 papers identified, 23 were included for systematic review. Results Analysis of the papers revealed that patients with implants are more susceptible to developing peri-implantitis than are patients with natural teeth to developing periodontal disease. This is due to the varied peri-implant tissue that surrounds the implant in comparison with the tissue that surrounds a natural tooth. If active periodontal disease is present, peri-implantitis may also develop; however, other secondary factors may also need to be present for this to occur. Conclusion A comprehensive periodontal examination should be carried out prior to implant surgery. The patient should be informed of the necessity of regular maintenance following implant surgery and the prerequisite of maintaining a comprehensive oral hygiene regime to avoid peri-implantitis.


2018 ◽  
pp. bcr-2018-225484 ◽  
Author(s):  
Hanan Tahir Lodhi ◽  
Faisal Inayat ◽  
Ahmed Munir ◽  
Ghulam Ilyas

Primary renal angiosarcoma is an exceedingly rare and aggressive neoplasm. Although it may occur in youth, this tumour is frequently reported in the sixth and seventh decades of life. The clinical presentation is frequently varied. Pathogenesis remains largely unknown and it has overlapping features with other tumours of the kidney. Current treatment options include variable combinations of surgery, chemotherapy and radiotherapy. Reports regarding the disease prognosis and natural history are limited. In this article, we chronicle the case of a patient with primary renal angiosarcoma presenting at an advanced stage as a widely metastasised tumour. Additionally, we undertake here a brief literature review highlighting the rarity and aggressiveness of this condition, its poor prognosis, and the lack of specific management guidelines.


2012 ◽  
Vol 21 (3) ◽  
pp. 75-84
Author(s):  
Venkata Vijaya K. Dalai ◽  
Jason E. Childress ◽  
Paul E Schulz

Dementia is a major public health concern that afflicts an estimated 24.3 million people worldwide. Great strides are being made in order to better diagnose, prevent, and treat these disorders. Dementia is associated with multiple complications, some of which can be life-threatening, such as dysphagia. There is great variability between dementias in terms of when dysphagia and other swallowing disorders occur. In order to prepare the reader for the other articles in this publication discussing swallowing issues in depth, the authors of this article will provide a brief overview of the prevalence, risk factors, pathogenesis, clinical presentation, diagnosis, current treatment options, and implications for eating for the common forms of neurodegenerative dementias.


2001 ◽  
Vol 13 (4) ◽  
pp. 233-237 ◽  
Author(s):  
Roger Boshes ◽  
Theo Manschreck ◽  
Jean Desrosiers ◽  
Steven Candela ◽  
Meredith Hanrahan-Boshes

2019 ◽  
Vol 20 (10) ◽  
pp. 1008-1017 ◽  
Author(s):  
Vandita Kakkar ◽  
Manoj Kumar Verma ◽  
Komal Saini ◽  
Indu Pal Kaur

Oral Cancer (OC) is a serious and growing problem which constitutes a huge burden on people in more and less economically developed countries alike. The scenario is clearly depicted from the increase in the expected number of new cases in the US diagnosed with OC from 49,670 people in 2016, to 49,750 cases in 2017. The situation is even more alarming in India, with 75,000 to 80,000 new cases being reported every year, thus making it the OC capital of the world. Leukoplakia, erythroplakia, oral lichen planus, oral submucous fibrosis, discoid lupus erythmatosus, hereditary disorders such as dyskeratosis congenital and epidermolisys bullosa are highlighted by WHO expert working group as the predisposing factors increasing the risk of OC. Consumption of tobacco and alcohol, genetic factors, and human papilloma virus are assigned as the factors contributing to the aetiology of OC. On the other hand, pathogenesis of OC involves not only apoptosis but also pain, inflammation and oxidative stress. Inspite of current treatment options (surgery, radiotherapy, and chemotherapy), OC is often associated with recurrence and formation of secondary primary tumours resulting in poor overall survival rates (∼50%). The intervention of nano technology-based drug delivery systems as therapeutics for cancers is often viewed as a cutting edge for technologists. Though ample literature on the usefulness of nano-coutured cancer therapeutics, rarely any product is in pipeline. Yet, despite all the hype about nanotechnology, there are few ongoing trials. This review discusses the current and future trends of nano-based drug delivery for the treatment of OC.


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