A clinical effect of desensitizing agents applied on the root surface after periodontal treatment

Generalized periodontitis is one of the most common dental diseases. This pathology very often occurs, progresses or exacerbates on the background of concomitant somatic pathologies, such as diabetes, obesity, aging, hypertension, and in the last year, coronavirus disease. The main mechanisms or causal relationships of these pathologies with dental status have not been studied enough. The course of generalized periodontitis includes inflammatory-dystrophic, dysbiotic manifestations that affect periodontal tissues and may have systemic consequences. Interestingly, these same factors are widely associated with the progression or severe coronavirus disease caused by the coronavirus type SARS-CoV-2. However, the assessment of oral health, including the condition of periodontal tissues for the patients diagnosed with COVID-19 has not been studied and has not been widely described in the scientific literature. The course of generalized periodontitis associated with severe COVID-19 might help to identify the risk groups and establish appropriate recommendations for the treatment and follow-up of this group of dental patients and will allow choosing the effective treatment of periodontal disease for such patients, which is one of the most pressing tasks of modern dentistry today. The study aims to evaluate the effectiveness of standard and proposed comprehensive periodontal treatment, taking into account the mobility of teeth, determining the depth of periodontal pockets, and the level of epithelial attachment for the periodontal patients with lung diseases caused by coronavirus infection in rehabilitation. We examined, observed, and treated 60 dental patients diagnosed with generalized I-II stage periodontitis (chronic course) who were treated in the hospital for pulmonary complications of COVID-19 and were in rehabilitation at the time of the study. The duration of treatment and observation is approximately 7-10 days and 30 days after discharge from the hospital. 30 patients (Group A) were treated according to the standard treatment protocol, and the other 30 patients (Group B) were treated accordingly to the proposed complex. The patients were examined based at the University Clinic of Ivano-Frankivsk National Medical University in the clinic of the Therapeutic Dentistry Department. The age of the examined patients ranged from 25 to 61 years, including 30 women and 30 men. Both standard and proposed algorithms of procedures for treating the first stage included thorough removal of all local irritants of periodontal tissues, mechanical treatment of the tooth root surface, manual and ultrasonic scaling, removal of super- and subgingival soft and hard dental deposits, smoothing of the root surface with the following polishing of the treated surfaces and applying a desensitizer. The local drug therapy, according to the standard protocol, consisted of antiseptic treatment of the oral cavity, irrigation of periodontal pockets with an antiseptic solution; application of sorbent on the gums for 10 minutes, followed by application of the pharmaceutical preparation in gel form which contains chlorhexidine in a stable concentration of 0.25% and metronidazole 10% under the insulating cap. The treatment was completed by applying "Solcoseryl-dental adhesive paste". All the patients were prescribed a multivitamin-microelement complex, as well as hyposensitizing therapy, and oral care products were individually selected. According to the algorithm of the proposed additional local drug treatment we conducted a course of instillation into the periodontal pockets, by introducing cotton swabs soaked in 2% solution of Protargol, for 7-10 15-20 minute sessions; followed by simultaneous application of Resistol solution (from Pelargonium sidoides roots extract), which was pre-dissolved in 50 ml of boiled water and was used to rinse the oral cavity and swallowed according to the scheme: 1st week – 30 drops for solution 3 times a day, 2nd week – 20 drops 3 times a day which should be continued for up to 1 month. Then we recommended to use "Gingigel", a hyaluronic acid-based gel, which is applied on the gums with clean fingers, by gently massaging and evenly distributing it on the surface of the gingival mucous membrane, 3-4 times a day for 3-4 weeks; 8 tablets of "Imudon" a day should be taken orally for 14 days, followed by subsequent reduction to 4 tablets per month, while the tablets are absorbed in the mouth with an interval of 1-2 hours. In addition, we prescribed "ELGYDIUM", a therapeutic and prophylactic toothpaste with chlorhexidine, as well as antibacterial solution of "Chlorhexidine-Denta" 0.12%, for 14 days, which is then replaced with sea salt-based toothpaste "Parodontax" and rinsing the mouth twice a day with 15% aqueous solution of "Stomatofit" according to the scheme: dilution of 10 ml of the drug in 1/4 cup of boiled water during the next months. The received results of the clinical study revealed that generalized periodontitis associated with COVID-19 has an extremely aggressive clinical manifestation. Treatment and follow-up of dental patients with severe COVID-19 can help identify risk groups and establish appropriate recommendations for the effectiveness of standard and proposed comprehensive periodontal treatment. The comparison of the effectiveness of treatment protocols for the patients diagnosed with generalized periodontitis and those hospitalized for pulmonary complications of coronavirus did not reveal a significant difference in the obtained clinical data on the choice of treatment. Examination of areas compromised by generalized periodontitis and abutment teeth based on the obtained periotestometric data of tooth mobility, indicates a significant reduction in inflammation and strengthening of the ligaments and is a highly informative diagnostic method.

Get full-text (via PubEx)

Knowledge of Lithuanian General Dentists of Periodontal Disease Diagnostics, Management and Risk Assessment

Health, Food & Biotechnology ◽

10.36107/hfb.2019.i1.s152 ◽

2019 ◽

Vol 1 (1) ◽

pp. 46-52

Author(s):

Алина Пуриене ◽

Даива Гелазиене ◽

Адель Дудайте ◽

Юрате Зекониене

Keyword(s):

Urban Areas ◽

Periodontal Diseases ◽

Root Surface ◽

General Information ◽

Periodontal Treatment ◽

Treatment Modalities ◽

Dental Hygienist ◽

Multiple Choice Questions ◽

Management Approaches ◽

General Dentists

The aim of this study was to investigate the knowledge of general dentists in Lithuania concerning periodontal treatment modalities for the diagnosis and management approaches of periodontal diseases. A previously piloted and revised questionnaire was distributed between random sample of 1005 general dentists via e-mail. The questionnaire consisted of 47 multiple-choice questions divided into three sections: general information, questions about diagnosis and treatment of periodontal diseases and factors preventing or limiting the availability of periodontal treatment. 502 general dentists filled the questionnaire with the response rate of 49,95%. The age average of the respondents was 37 years with the average of 12,5 years in practice. 58% of respondents worked together with dental hygienist; 29% with a periodontist in their practice. Dentists working in urban areas were more likely to have a dental hygienist and periodontist in their practice (p<0,05). Minority of dentists performs periodontal examination (full and partial examination, 14% and 27,9%, respectively) regularly. 93% general dentists take radiographs for periodontal diagnosis, 23,5% only periapical, 33,7% only panoramic and 43,9% use both. 21% of respondents never perform root surface debridement and 20% of these general dentists do not work together with a dental hygienist. Only 5% of respondents evaluate patient’s risk of periodontal diseases. General dentists in Lithuania perform inadequate diagnostics and very little periodontal treatment delivery, in addition to reluctant referral to the periodontist. Thus indicating a necessity of distinctive guidelines and its attentive application in general dental practice.

Get full-text (via PubEx)

Hypersensitivity of the Exposed Root Surface after the Surgical Periodontal Treatment

Nihon Shishubyo Gakkai Kaishi (Journal of the Japanese Society of Periodontology) ◽

10.2329/perio.18.502 ◽

1976 ◽

Vol 18 (4) ◽

pp. 502-510 ◽

Cited By ~ 1

Author(s):

Momoyo NISHIDA ◽

Yoji MURAYAMA ◽

Yoshio NOMURA ◽

Kiyokazu ASANO ◽

Fumikazu UJIMOTO ◽

...

Keyword(s):

Root Surface ◽

Periodontal Treatment ◽

Exposed Root

Get full-text (via PubEx)

The Role of Type 2 Fibroblast Growth Factor in Periodontal Therapy

Current Drug Targets ◽

10.2174/1389450121999201105152639 ◽

2020 ◽

Vol 21 ◽

Author(s):

Hamideh Sadat Mohammadipour ◽

Fatemeh Forouzanfar ◽

Ali forouzanfar

Keyword(s):

Growth Factor ◽

Fibroblast Growth Factor ◽

Alveolar Bone ◽

Periodontal Regeneration ◽

Root Surface ◽

Periodontal Treatment ◽

Periodontal Tissue ◽

Fibroblast Growth ◽

Defect Sites ◽

Mineral Levels

: The prevalence of periodontitis is around 20-50% of global population. If not treated, it can cause of tooth loss. Periodontal treatment aims at preserving the patient's teeth from various methods, including infection control and restoring lost periodontal tissue. The periodontium has great biological regenerative potential, and several biomaterials can be used to improve the outcome of periodontal treatment. To achieve the goal of periodontal tissue regeneration, numerous studies have used fibroblast growth factor 2 (FGF2) to stimulate regeneration of both soft tissue and bone. : FGF2 induced significant increment of the percentage of bone fill, bone mineral levels of the defect sites, length of the regenerated periodontal ligament, angiogenesis, connective tissue formation on the root surface, formation of dense fibers bound to alveolar bone and newly synthesized cementum in teeth. This review will open further avenues to better understand of FGF2 therapy for periodontal regeneration.

Get full-text (via PubEx)

Analysis of laser transmission and thermal effects on the inner root surface during periodontal treatment with a 940-nm diode laser in anin vitropocket model

Journal of Biomedical Optics ◽

10.1117/1.jbo.19.12.128002 ◽

2014 ◽

Vol 19 (12) ◽

pp. 128002 ◽

Cited By ~ 11

Author(s):

Fabian Falkenstein ◽

Norbert Gutknecht ◽

René Franzen

Keyword(s):

Diode Laser ◽

Thermal Effects ◽

Root Surface ◽

Periodontal Treatment

Get full-text (via PubEx)

The Effects of Scaling and Root Planing on the Marginal Gap and Microleakage of Indirect Composite Crowns Prepared With Different Finish Lines: An In Vitro Study

Operative Dentistry ◽

10.2341/11-347-l ◽

2012 ◽

Vol 37 (6) ◽

pp. 650-659 ◽

Cited By ~ 2

Author(s):

D Angerame ◽

R Sorrentino ◽

D Cettolin ◽

F Zarone

Keyword(s):

Resin Composite ◽

In Vitro Study ◽

Root Surface ◽

Vitro Study ◽

Periodontal Treatment ◽

Marginal Gap ◽

Finish Line ◽

Before And After ◽

Indirect Composite

SUMMARY The present in vitro study aimed to assess the effects of root surface mechanical instrumentation on the marginal integrity and adaptation of resin composite crowns. The following null hypotheses were tested: no differences exist between finish line and 1) marginal gap or 2) marginal microleakage before and after manual mechanical periodontal maintenance. A total of 56 intact human mandibular molars were randomly distributed into four groups and subjected to standardized tooth preparations for indirect composite crowns with different marginal finish lines (90° shoulder, beveled 90° shoulder, feather edge, chamfer). One-half of the specimens was used as a control and remained untreated, and the remaining half was subjected to root surface procedures simulating five years of semestral mechanical supportive periodontal treatment. The marginal gap and microleakage were evaluated and statistically analyzed. The specimens used as controls showed lower mean marginal gaps than those subjected to the simulated periodontal treatment, whereas the latter showed lower microleakage than the control crowns. Statistically significant differences were recorded for both the experimental variables. The root surface procedures resulted in altered surfaces of the composite crowns. The marginal gap increased after the treatment, whereas the marginal microleakage was reduced. The 90° shoulder and the chamfer preparation could be considered a viable option to fabricate composite crowns, but the beveled 90° shoulder and the feather edge should not be recommended.

Get full-text (via PubEx)