scholarly journals Peculiarities of calcium-phosphorus homeostasis of the oral fluid in young patients with primary hypothyroidism, having generalized periodontitis

2021 ◽  
Vol 67 (3) ◽  
pp. 156-160
Author(s):  
Repetska Oksana Mykolaivna ◽  
Keyword(s):  
Young People ◽  
Oral Fluid ◽  
Alveolar Bone ◽  
Periodontal Diseases ◽  
Young Patients ◽  
Study Groups ◽  
Primary Hypothyroidism ◽  
Bone Modeling ◽  
Professional Literature ◽  
Calcium Phosphorus

The problem of hormonal imbalance in periodontal diseases, as well as the importance of endocrine diseases in its development, plays a significant role. In the professional literature there are data that thyroid disease is a risk factor for the occurrence and further progression of periodontal diseases. The processes of bone modeling and remodeling and its mineralization are closely related to calcium metabolism. The biochemical manifestation of osteoporotic processes in the alveolar bone in generalized periodontitis is a violation of calcium-phosphorus homeostasis against the background of altered markers of bone metabolism. The aim of our investigation was to study the calcium-phosphorus homeostasis of the oral fluid in patients with primary hypothyroidism and persons without endocrine pathology, with generalized periodontitis. Since in the structure of periodontal diseases in the study groups generalized periodontitis of the initial-I and II degree had the largest percentage, biochemical studies were performed in this sample of patients. The first group included 50 people with generalized periodontitis against the background of primary hypothyroidism: 25 patients – with generalized periodontitis of the initial-I degree and 25 patients with generalized periodontitis of the II degree of development. The second group included 50 patients with generalized periodontitis without endocrinological pathology (25 patients with GP of the initial-I degree and 25 patients with GP of the II degree of development). In young people with generalized periodontitis, against the background of hypothyroidism, there were observed negative changes in calcium-phosphorus homeostasis of the oral fluid: there was a tendency to the decrease of calcium content in the oral fluid with the development of inflammatory-dystrophic process in the periodontium, on the contrary, phosphorus level has increased. Negative dynamics of calcium-phosphorus molar coefficient was found in patients with hypofunction of the thyroid gland. Thus, the analysis of research results shows that in young people with periodontal diseases and hypothyroidism there is a pathological change in metabolic processes, increased excretion of mineral components, especially calcium. Periodontal pathology against the background of hypothyroidism is characterized by the development of a chronic inflammatory process together with a pronounced decrease in calcium-phosphorus homeostasis of the oral fluid.

scholarly journals DYNAMICS OF CHANGES IN THE SERUM MINERAL METABOLISM OF YOUNG PEOPLE WITH GENERALIZED PERIODONTITIS ON THE BACKGROUND OF PRIMARY HYPOTHYROIDISM

2021 ◽  
Vol 21 (1) ◽  
pp. 81-84
Author(s):  
O.M. Repetska ◽  
M.M. Rozhko ◽  
T.M. Dmytryshyn ◽  
A.B. Kostyshyn
Keyword(s):  
Young People ◽  
Thyroid Hormones ◽  
Bone Metabolism ◽  
Bone Tissue ◽  
Primary Hypothyroidism ◽  
The Body ◽  
Phosphorus Metabolism ◽  
Mineral Density ◽  
Periodontal Tissues ◽  
Calcium Phosphorus

At present, there is no definitive opinion on the effect of thyroid hormones on bone metabolism, as the dualism of their effects has been proven. Various studies show mixed data on metabolic changes in periodontal tissues on the background of thyroid dysfunction. Bone tissue plays a key role in the complex system of mechanisms of regulation of calcium and phosphorus homeostasis in the body. The processes of modeling and remodeling of bone and its mineralization are closely related to calcium metabolism. The biochemical manifestation of osteoporotic processes in the cell bone in generalized periodontitis is a violation of calcium-phosphorus homeostasis on the background of altered markers of bone metabolism. According to the literature, it is known that the main indicator of calcium-phosphorus metabolism is the content of calcium in the serum. However, for the metabolic characteristics of the inflammatory-dystrophic process in the cell bone, it is necessary to study the level of inorganic phosphorus and calculate the molar ratio of calcium / phosphorus. The calcium / phosphorus ratio in the blood is important for the study of calcium deposits in bone tissue. Maintenance of normal bone structure depends on the exchange of phosphates between blood and bone tissue. Magnesium along with calcium is needed to achieve optimal bone mineral density. Magnesium helps maintain normal levels of calcium in bone tissue, its constant renewal in bone, prevents calcium loss. With limited intake of magnesium, the formation of calcium phosphate is inhibited. In order to establish indicators that would reflect the peculiarities of metabolic disorders in the organic matrix of the cell process, which is the main component of the periodontium, we conducted biochemical studies, which included the study of calcium-phosphorus metabolism and serum magnesium in patients with primary hypothyroidism and persons without endocrine pathology. According to the results of studies, in young people with generalized periodontitis on the background of reduced thyroid function, there were violations of calcium-phosphorus metabolism in the serum, which consisted of hypocalcemia and decreased calcium-phosphorus ratio. This may indicate abnormalities in calcium intake and absorption in patients with hypothyroidism. We attribute this fact to the fact that for the normal absorption and metabolism of calcium, thyroid hormones are needed, the production of which is reduced in this endocrine pathology. Data on the negative changes of calcium-phosphorus homeostasis, and especially the violation of calcium absorption by patients with generalized periodontitis in young people with primary hypothyroidism, should be considered when developing schemes for the treatment and prevention of periodontal disease in this category of patients.

scholarly journals Клінічна ефективність лікувально-профілактичних заходів при хронічному катаральному гінгівіті

2017 ◽  
Author(s):  
A. V. Avdeev ◽  
Y. K. Zmarko ◽  
A. B. Boykiv ◽  
R. A. Drevnitska
Keyword(s):  
Clinical Supervision ◽  
Oral Fluid ◽  
Alveolar Bone ◽  
Reduced Glutathione ◽  
Periodontal Diseases ◽  
Local Therapy ◽  
Main Group ◽  
Control Group ◽  
Total Glutathione ◽  
Redox Index

Treatment of inflammatory periodontal diseases remains an urgent problem of dentistry as a result of frequent recurrence, inflammation in alveolar bone tissue with periodontal tissue destruction, so developing pathogenetic effects in treating the chronic catarrhal gingivitis is timely.The aim of the study – to conduct the pathogenetic treatment of gingivitis and the assessment of its effectiveness.Materials and Methods. 67 children aged 16–18 years, suffering from chronic catarrhal gingivitis, were taken under clinical supervision and divided into groups: the main (35 children) and the comparative (32 children). All children underwent conventional therapy in accordance with the protocols for the provision of medical care – basic therapy. In the main group, for a month, pathogenetic agents were used: an anti-inflammatory gel with neovitin, hygiene products were recommended. In the comparative group, 3 % hydrogen peroxide solution was used for local therapy, for rinsing of the mouth (during the first week of treatment) – Rotokan, a therapeutic and prophylactic toothpaste.Examination and control examinations were carried out with the hygienic state of the mouth determined by the hygienic index of Green-Vermillion (ОНІ-S), prevalence and intensity of the inflammatory process in the gums with the help of the Schiller-Pisarev test and the PMA index, oral fluid index (content of total glutathione, oxidized and reduced glutathione, glutathione redox index).Results and Discussion. Immediately after the treatment in the main group, the decrease in the PMA index was 2.6 times; GI – in 1.4 times, ONI-S – in 1.7 times. A reduction in the treatment period of adolescents in the application of the proposed therapeutic scheme is established. The content of total glutathione in the main group was significantly higher (p <0.05) than that of the comparator group before treatment (by 12.2 %) and comparing the indicator in 0.5 years (by 8.8 %). In this observation period, the difference between the content of oxidized and reduced glutathione in persons of the main and comparative groups was also significant – 1.8 times and 1.2 times, respectively. In addition, the redox index of glutathione in the main group increased and even exceeded the control group, although there was no significant difference.Conclusion. The use of the proposed therapy with gel with neovitin contributed to the best results of treatment: reducing the degree of inflammation of the gums, the number of visits to the doctor, improving the indices of nonspecific protection in the oral fluid and, to a greater extent, six months after the treatment.

Risk of Depression in Adolescents and Young Adults with Rheumatic Diseases

2020 ◽  
Vol 62 (1) ◽  
pp. 38-42
Author(s):  
Anna Kostiukow ◽  
Wojciech Strzelecki ◽  
Mateusz W. Romanowski ◽  
Marta Rosołek ◽  
Ewa Mojs ◽  
...  
Keyword(s):  
Young Adults ◽  
Young People ◽  
Rheumatic Diseases ◽  
Disease Risk ◽  
Statistical Significance ◽  
Energy Levels ◽  
Young Patients ◽  
Depression Scale ◽  
Adolescents And Young Adults ◽  
Control Group

Introduction: The study is aimed at drawing the attention of the medical environment to the mental health aspects of young patients as a factor that significantly influences the efficiency of their rheumatic disease treatment. Aim: This paper is to check the risk of depression among a group of adolescents and young adults with rheumatic diseases. Material and Methods: The study was conducted among a group of 68 late adolescents and young adults (18-22 years old) with rheumatic diseases. The control group consisted of 102 young people (18-22 years old) without a diagnosed chronic disease. Risk of depression was measured using a screening tool – the Kutcher Adolescent Depression Scale (KADS). Results: The analysis showed that the probability of depression in the study group was 35.3%. In the control group, this rate was 19.6%. The results were statistical significance (p=0.028). Conclusions: The results of this study prove that the risk of depression among adolescents and young adults with rheumatic diseases is significantly higher than in healthy young people. The highest risk of depression is related to feeling tired, fatigue, low energy levels and lack of motivation as well as feeling worried, nervous, panicky, tense, keyed-up and anxious.

scholarly journals Immediate Post-Extraction Short Implant Placement with Immediate Loading and without Extraction of an Impacted Maxillary Canine: Two Case Reports

Materials ◽  
2021 ◽  
Vol 14 (11) ◽  
pp. 2757
Author(s):  
José Antonio Moreno-Rodríguez ◽  
Julia Guerrero-Gironés ◽  
Francisco Javier Rodríguez-Lozano ◽  
Miguel Ramón Pecci-Lloret
Keyword(s):  
Dental Implant ◽  
Alveolar Bone ◽  
Case Reports ◽  
Young Patients ◽  
Aesthetic Result ◽  
First Choice ◽  
Surgical Extraction ◽  
Impacted Canine ◽  
Short Implant

For the treatment of impacted maxillary canines, traction associated with a complete orthodontic treatment is the first choice in young patients. However, in adults, this treatment has a worse prognosis. The surgical extraction of the impacted tooth can result in a series of complications and a compromised alveolar bone integrity, which may lead to the requirement of a bone regeneration/grafting procedure to replace the canine with a dental implant. These case reports aimed to describe an alternative treatment procedure to the surgical extraction of impacted maxillary canines in adults. Following clinical and computerized tomography-scan (CT-Scan) examination, the possibility of maintaining the impacted canine in its position and replacing the temporary canine present in its place with a dental implant was planned. A short dental implant with an immediate provisional crown was placed, without contacting the impacted canine. At 3 months follow-up, a definitive metal-ceramic restoration was placed. Follow-up visits were performed periodically. The implant site showed a physiological soft tissue color and firmness, no marginal bone loss, no infection or inflammation, and an adequate aesthetic result in all follow-up visits. These results suggest that the treatment carried out is a valid option to rehabilitate with an osseointegrated short implant area where a canine is included, as long as there is a sufficient amount of the remaining bone.

Youth mental health competencies in regional general practice

2020 ◽  
pp. 103985622097005
Author(s):  
Oliver Smith ◽  
Jessica Bergmann ◽  
Ulrich Schall
Keyword(s):  
Mental Health ◽  
Young People ◽  
Mental Health Problem ◽  
Health Problem ◽  
Mental Health Problems ◽  
Young Patients ◽  
Youth Mental Health ◽  
Young Person ◽  
Health Issues ◽  
Hunter Region

Objective: General practitioners (GPs) are key health professionals for referrals to mental health specialists. Youth mental health issues are particularly challenging, requiring a competent assessment and understanding of appropriate referral pathways. We surveyed local GPs about their understanding of youth mental health problems and needs to competently look after young patients. Methods: GPs working in the Hunter region were contacted via email, fax and post over a 6-month period in 2019. Results: Seventy-five GPs participated. They reported 577 of 1698 (34%) of young people seen 2 weeks prior to being surveyed presented with a mental health problem. Predominantly, referrals were to private practice psychologists and Headspace. Almost a third (31%) reported having limited understanding of ‘at-risk mental state’ and are ‘not always comfortable’ when facing a young person with a mental health problem. Nearly all (95%) expressed interest in attending specialised training. GPs identified treatment costs, scarce access to psychiatrists and limited patient engagement as the main obstacles to help young people. Conclusions: Effective treatment of a mental health problem relies on early identification. GPs are seeing young people on a regular basis but don’t feel well equipped for this task and are keen to up-skill, which needs to be addressed by targeted training.

Combined Factor V Leiden (R506Q) and prothrombin G20210A genotyping in young patients presenting with deep venous thrombosis

2006 ◽  
Vol 21 (1) ◽  
pp. 24-27 ◽  
Author(s):  
A Mansilha ◽  
F Araújo ◽  
M Severo ◽  
S M Sampaio ◽  
T Toledo ◽  
...  
Keyword(s):  
Risk Factor ◽  
Young People ◽  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
Young Patients ◽  
Factor V Leiden ◽  
First Episode ◽  
Control Group ◽  
Factor V ◽  
Factor V Leiden Mutation

Objective: To evaluate the association between the Factor V Leiden (FV R506Q) and prothrombin gene (FII G20210A) mutations and deep venous thrombosis (DVT) in young people. Methods: Blood samples were drawn from 199 subjects: 100 healthy controls and 99 unselected patients, with an objectively documented first episode of DVT under 40 years old. DNA analysis was performed using the polymerase chain reaction. Results: The mean age in the patient cohort was 27 years (range 16–40) and 68 (68.7%) were women. Patient prevalences were 20.6% and 10.1% for FV R506Q and FII G20210A, respectively. In the control group, carrier frequencies were 2% and 5%, respectively. We found an increased overall relative risk of DVT with statistical significance for FV R506Q carriers (OR: 12.8; 95% CI: 2.9–56.7; P < 0.001), but not for FII G20210A mutation (OR: 2.1; 95% CI: 0.7–6.5; P = 0.19). Conclusions: Our results suggest a possible increase in DVT risk for the young G20210A allele carriers, which can be more expressed in the presence of a circumstantial risk factor. There is extremely strong evidence that the Factor V Leiden mutation is an important risk factor in the development of a first episode of DVT in young people.

scholarly journals Are Proteinase 3 and Cathepsin C Enzymes Related to Pathogenesis of Periodontitis?

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Oya Türkoğlu ◽  
Elif Azarsız ◽  
Gülnur Emingil ◽  
Necil Kütükçüler ◽  
Gül Atilla
Keyword(s):  
Gingival Crevicular Fluid ◽  
Periodontal Diseases ◽  
Study Groups ◽  
Aggressive Periodontitis ◽  
Control Group ◽  
Proteinase 3 ◽  
Cathepsin C ◽  
Probing Depth ◽  
Inflammatory Processes ◽  
Crevicular Fluid

Aim. Cathepsin C is the activator of the polymorphonuclear leukocyte-derived proteinase 3, which contributes to inflammatory processes. The aim of the present study was to investigate gingival crevicular fluid (GCF) proteinase 3 and cathepsin C levels in periodontal diseases.Design. Eighteen patients with chronic periodontitis (CP), 20 patients with generalized aggressive periodontitis (G-AgP), 20 patients with gingivitis, and 18 healthy subjects were included in the study. Periodontal parameters including probing depth, clinical attachment level, papilla bleeding index, and plaque index were assessed in all study subjects. GCF proteinase 3 and cathepsin C levels were analyzed by ELISA.Results. GCF proteinase 3 total amount was significantly higher in diseased groups compared to control group, after adjusting ageP<0.05. No differences were found in GCF cathepsin C levels among the study groupsP>0.05. Periodontal parameters of sampling sites were positively correlated with GCF proteinase 3 total amountsP<0.01but not with cathepsin C total amountsP>0.05.Conclusions. Elevated levels of GCF proteinase 3 in CP, G-AgP, and gingivitis might suggest that proteinase 3 plays a role during inflammatory periodontal events in host response. However, cathepsin C in GCF does not seem to have an effect on the pathogenesis of periodontal diseases.

FRI0562 THE PERSPECTIVE OF YOUNG PEOPLE WITH INFLAMMATORY ARTHRITIS ON PATIENT REPORTED OUTCOME MEASURES: RESULTS OF A EUROPE-WIDE SURVEY

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 883-883
Author(s):  
A. Alunno ◽  
E. Mosor ◽  
T. Stamm ◽  
P. Studenic
Keyword(s):  
Young People ◽  
Qualitative Study ◽  
Personal Experience ◽  
Large Scale ◽  
Young Patients ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Self Management ◽  
Research Support ◽  
Patient Reported

Background:Although patient-reported outcome measures (PROMs) are widely used in clinical practice and research, it is unclear if these instruments adequately cover the perspective of young people (18-35 years) with inflammatory arthritis (IA). We recently performed focus groups on PROMs with 53 young IA patients from 4 European countries, but the perspective of these patients has never been explored on a large scale.Objectives:To explore personal experience, opinions and beliefs of young people with IA across Europe concerning PROMs content, characteristics and ways of administration in order to inform EULAR points to consider (PtC) for including the perspective of young patients with IA into PROMs.Methods:Based on the results of our previous qualitative study, a task force including patients, rheumatologists and health professionals developed an online survey. The survey covered personal experience, preferences and opinions concerning PROMs. After being pilot tested and revised accordingly, the survey was distributed through the EULAR people with arthritis and rheumatism in Europe (PARE), Young PARE networks and the Emerging EULAR Network (EMEUNET).Results:547 people (88% females) from 29 countries aged 18-35 years with a diagnosis of juvenile idiopathic arthritis, rheumatoid arthritis, Still’s disease, psoriatic arthritis or spondyloarthritis completed the survey (Figure 1). Thirty-seven percent of respondents reported they never filled a PROM. A North-South and West-East Europe gradient was observed (30.4% vs 56.3% and 25.5% vs 58.8% respectively). Figure 2 outlines key findings of our survey. Among respondents having filled PROMs (n=313), two thirds perceived their access to PROM results useful for self-management of their health. Discomfort while filling PROMs was an issue for nearly half of the respondents, as questions were perceived as scaring or not relevant. This discomfort, the fear of judgement, or inadequate assessed time frames were major reasons for difficulties in translating the health experience into a rating scale. Still 75% use their own experience in the past as reference. Among several reasons, people scored differently from what they felt to emphasize how much better or worse they felt from previous assessment. Concerning preferences of numerical rating scales (NRS) or visual analogue scales (VAS) explored in all respondents regardless having ever filled in PROMs, those in favour of VAS mainly reasoned this by having more possibilities to select and those favouring NRS by better readability and interpretation. Maintaining a sitting position, preparing food, doing physical activity, intimacy and sleep problems were the items selected most frequently in the survey as in the qualitative study to be included in PROMs. The implementation of discussion on self-management, education/work and support possibilities at regular clinic visits was considered important by over 60% of responders. Overall, electronic capturing of PROMs was preferred over paper-based questionnaires (57% vs 13%).Conclusion:Our survey explored for the first time the personal experience and opinions of young people with IA concerning PROMs on a large scale and confirmed the results obtained in the qualitative study. This survey informed the EULAR PtC for including the perspective of young patients with IA into PROMs.References:[1] Mosor E et al. Arthritis Rheumatol. 2019; 71 (suppl 10)Disclosure of Interests:Alessia Alunno: None declared, Erika Mosor: None declared, Tanja Stamm Grant/research support from: AbbVie, Roche, Consultant of: AbbVie, Sanofi Genzyme, Speakers bureau: AbbVie, Roche, Sanofi, Paul Studenic Grant/research support from: Abbvie

scholarly journals The Impact of Oxidative Stress on Dental Implants

2021 ◽  
Vol 2 (1) ◽  
pp. 1-8
Author(s):  
César Esquivel-Chirino ◽  
Juan Carlos Gómez-Landeros ◽  
Erika Patricia Carabantes-Campos ◽  
Daniela Carmona-Ruiz ◽  
Yolanda Valero-Princet ◽  
...  
Keyword(s):  
Oxidative Stress ◽  
Dental Implants ◽  
Alveolar Bone ◽  
Inflammatory Responses ◽  
Cell Damage ◽  
Pathological Condition ◽  
Periodontal Diseases ◽  
Tissue Destruction ◽  
Waste Products ◽  
The Impact

Periodontal disease is an inflammatory condition that alters the periodontium, resulting in destruction of the alveolar bone; without treatment the condition may lead to tooth loss. Dental implants are an alternative for substitution of naturally lost teeth as they have high success rates; however, some factors are related to its failure. Peri-implantitis (PI) is a pathological condition that affects the tissues surrounding dental implants and has been reported as the major cause of implant failure; PI and periodontal diseases are characterized by tissue inflammation and bone damage. In homeostasis conditions, reactive oxygen species (ROS) have been shown to be involved in cell maintenance, signal transduction, and repair of all tissues, but ROS overaccumulation leads to oxidative stress, which generates cell damage and tissue destruction; likewise, antioxidants protect against the destructive effects of ROS by turning free radicals into waste products. The main purpose of this review was to determine some aspects of inflammatory responses and oxidative stress and analyze their relationship with the lack of osseointegration and PI.

scholarly journals Periodontal Disease in Medically Compromised Patients and Its Relation with Covid-19

2021 ◽  
Vol 10 (20) ◽  
pp. 1558-1560
Author(s):  
Gowri Swaminatham Pendyala ◽  
Pradeep Kumar ◽  
Sourabh Ramesh Joshi ◽  
Sonia Godara ◽  
Shridhar Shetty
Keyword(s):  
Periodontal Disease ◽  
Alveolar Bone ◽  
Kidney Diseases ◽  
Periodontal Diseases ◽  
Respiratory Illness ◽  
Viral Disease ◽  
Oral Health Status ◽  
Comorbid Conditions ◽  
And Gender ◽  
Compromised Patients

Periodontal diseases can have systemic effects on our body. Diabetes, cardiovascular disease, hypertension etc., have a history of being associated with periodontal disease. Periodontal disease could indicate the severity of Covid-19. There has been no previous reporting of oral health status in Covid-19 patients. The knowledge of association of periodontal disease with severe Covid-19 could be an important contribution to slowing down the rate and spread of infection. Periodontal disease is an inflammatory disease which involves gingiva and the supporting tissues like cementum, alveolar bone and periodontal ligament. It has affected nearly about 10 - 12 % of the total population in the world. Periodontal disease is more prevalent in medically compromised patients with diseases like asthma, diabetes, hypertension, cardiovascular diseases, liver diseases, kidney diseases and rheumatoid arthritis. The other risk factors for the occurrence of periodontal disease are tobacco smoking, ageing, poor oral hygiene, obesity etc.1 Coronavirus (CoV) belongs to Coronaviridae family which are RNA viruses. Their size varies from 60 - 140 nanometre with spike-like projections on its surface. This strain of viruses is considered to be zoonotic in nature and cause respiratory illness in humans.1 This viral disease has affected lakhs of people in United States and had resulted in a high mortality rate. It was declared a pandemic by WHO on the 11th of March 2020. Comorbid conditions such as diabetes, hypertension, asthma, ageing, obesity and gender pose a greater risk for Covid-19. We wanted to evaluate as to whether periodontal disease along with comorbid conditions share a contributing risk factor for developing Covid-19.

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