Aplicación del aceite de girasol ozonizado en pacientes afectados con gingivitis crónica fibroedematosa / Application of ozonated sunflower oil in patients affected with chronic fibroedematous gingivitis

Se realizó un estudio cuasi experimental de intervención terapéutica con el objetivo de evaluar la respuesta a la aplicación del Oleozón como tratamiento único en pacientes diagnosticados con gingivitis crónica fibroedematosa, que acudieron a consulta de la Clínica Estomatológica Docente Manuel Sánchez Silveira de Manzanillo, en el período de septiembre 2016 a mayo 2017. El universo de estudio lo constituyeron 102 pacientes afectados con esta entidad. Se registraron las variables edad, sexo, higiene bucal, frecuencia de la aplicación del tratamiento, respuesta a la terapia. El diagnóstico confirmado de gingivitis crónica fibroedematosa se realizó a partir de la clínica y el examen físico oral de la encía marginal y papilar. Se empleó una metodología para la aplicación en las regiones afectadas del preparado medicinal, se evaluó a cada paciente al 3er, 7mo y 15 días en las categorías igual, mejorado y curado. Predominó el grupo de edad de 20 a 29 años y el sexo masculino. Resaltaron los índices inadecuados de higiene bucal. La mejor respuesta al tratamiento fue entre 7 y 15 días demostrando que el Oleozón es efectivo en el tratamiento de la gingivitis crónica edematosa(AU)

A quasi-experimental therapeutic intervention study was carried out with the objective of evaluating the response to the application of Oleozón as the only treatment in patients diagnosed with chronic fibroedematous gingivitis, who came to the consultation of the Manuel Sánchez Silveira de Manzanillo Teaching Clinic, in the period from September 2016 to May 2017. The study universe consisted of 102 patients affected with this entity. The variables age, sex, oral hygiene, frequency of treatment application, response to therapy were recorded. The confirmed diagnosis of chronic fibroedematous gingivitis was made from the clinic and the oral physical examination of the marginal and papillary gums. A methodology for the application in the affected regions of the medicinal preparation was used, each patient was evaluated on the 3rd, 7th and 15 days in the equal, improved and cured categories. The age group of 20 to 29 years and the male sex predominated. They highlighted the inadequate rates of oral hygiene. The best response to treatment was between 7 and 15 days, demonstrating that Oleozon is effective in the treatment of chronic edematous gingivitis(EU)

Utilidad del oleozón tópico en la gingivitis crónica fibroedematosa / Usefulness of topic Oleozón® in chronic fibro-edematous gingivitis

RESUMEN Introducción: La constante y diversa disponibilidad de nuevos fármacos, nos ofrece opciones alternativas de tratamiento. El oleozón tópico es un medicamento aun en experimento y validación de sus indicaciones. Existen suficientes evidencias de su efecto antimicrobiano y cicatrizante. Objetivo: evaluar la eficacia del oleozón tópico en el tratamiento de la gingivitis crónica fibroedematosa. Materiales y métodos: se realizó un estudio experimental y aleatorizado. El período de estudio fue de septiembre de 2015 a junio de 2017. Se tomó una muestra de 60 pacientes pertenecientes al municipio de Palmira, entre 18 y 35 años, con diagnóstico de gingivitis crónica fibroedematosa que acudieron a los servicios en el período comprendido, luego de cumplir los criterios de inclusión y consentimiento informado, se dividieron de forma aleatorizada simple en dos grupos: estudio y control. Se utilizaron métodos del nivel teórico, histórico- lógico, documental en la revisión bibliográfica y teórica del tema de investigación, inducción - deducción para el análisis de los propósitos y pasos lógicos de la investigación. Resultados: a pesar de no encontrar diferencias significativas entre los grupos de pacientes tratados con oleozón tópico y clohexidina, recomendamos su inclusión en las Guías Prácticas de Estomatología, como tratamiento alternativo de la gingivitis crónica fibroedematosa. Conclusiones: no se encontraron diferencias significativas respecto a la eficacia del oleozón tópico y clohexidina en el tratamiento de la gingivitis crónica fibroedematosa, ambos tratamientos fueron resolutivos por igual en la mayoría de los casos.

ABSTRACT Introduction: the constant and diverse availability of new drugs offers alternative options of treatment. The topic Oleozón® is a drug that is still being tested and validated. There are evidences enough of its antimicrobial and healing effect. Objective: to evaluate the efficacy of topic Oleozón® in the treatment of chronic fibro-edematous gingivitis. Material and method: an experimental randomized study was carried out. The studied period was September 2015-June 2017. The sample were 60 patients living in the municipality of Palmira, aged 18-35 years old, with diagnosis of chronic fibro-edematous gingivitis who assisted the dental services in the before mentioned period and fulfilled the inclusion criteria and gave their informed consent. They were randomly divided into two groups: the study and the control groups. There were used methods of the theoretic, logic-historical and documental level in the bibliographic and theoretical review of the research theme, the induction-deduction method for the analyses of the purposes and logical steps of the research. Results: although there were not found significant differences between the groups of patients treated with topic Oleozón® and clorhexidine, the authors recommend their inclusion in Guias Prácticas de Estomatología as an alternative treatment of the chronic fibro-edematous gingivitis. Conclusions: there were not found significant differences between the groups of patients treated with topic Oleozón® and clorhexidine in the treatment of chronic fibro-edematous gingivitis; both treatments were decisive at the same level in most of the cases.

Efficacy of Mouthwash from Aloe vera Juice after Scaling Treatment on Patient with Gingivitis: A Clinical Study

Objective: To determine the effectiveness effectivity of mouthwash from Aloe vera juice after scaling treatment on patient with gingivitis. Material and Methods: This was an experimental research using pretest and posttest design with control group. The number of samples of 30 people selected using sampling method quota sampling. Samples were divided into two groups: test (n = 15 skeletons with Aloe vera juice) and control (n = 15 just scaling). Gingival inflammation is measured using a gingival index according to Loe and Sillness on the first day before scaling treatment and 7th day after scaling. Data analysis was conducted using SPSS version 20. Independent-samples t-test and paired-samples t-test were used for data analysis. The statistical test performed has a significance level of 0.05 (p = 0.05) and confidence level of 95% (α = 0,05). Results: There was a significant decrease in the mean score of the gingival index in the control group (1.1 to 0.5) and the test group (1.2 to 0.4) significantly (p<0.05). Conclusion: The use of mouthwash from Aloe vera juice can decrease gingival inflammation, which can be seen from the gingival index score on all test subjects. The decrease in gingival index in the test group using the Aloe vera juice was greater than that of the control group, which was not given the mouthwash.

Dental Treatment Considerations for Children with Complex Medical Histories: A Case of Townes-Brock Syndrome.

It is common for oral health and dental care to be considered a lesser priority for children with complex medical histories than other aspects of their health care. Often, these patients are at a high risk for caries and infection due to poor oral health practices at home, special or restricted diets, and no early establishment of a dental home for routine dental care. Unfortunately, many of these patients present to their first dental visits with caries and require aggressive treatment, such as extractions instead of pulp therapy, or crowns instead of fillings, due to their high caries risk and the difficulty in safely managing them medically during treatment. A unique example of this occurred at the Children's Hospital of Michigan, where a patient with Townes-Brock syndrome (TBS) presented to the dental clinic with advanced caries. TBS is a rare autosomal dominant disorder characterized by major findings such as anomalies of the external ear, imperforate anus, renal malformations, and malformations of the hand. Like many medically complex cases, dental anomalies are not a direct consequence of TBS; however, due to the necessity of high calorie and high sugar feeding supplementation, many of these patients are at high risk for advanced dental caries. Due to this high caries risk, a more aggressive treatment plan is necessary to minimize the risk of recurrent decay and infection. It is critical to stress that even if the disease, syndrome, etc., of a patient does not have inherent dental consequences, it is imperative for regular dental care to be part of the comprehensive treatment plan for these patients. This includes the establishment of a dental home at a young age and proper oral health education of the patient's caregivers and their physicians. In the case of the patient with TBS, recommendations for daily brushing, especially after high sugar feedings was stressed, as well as the reduction of any other sweets within the diet.

Plasma Cell Gingivitis: An Occasional Case Report.

Plasma cell gingivitis, an infrequently observed oral condition, has been clinically characterized by diffuse gingival enlargement, erythema and sometimes desquamation. These lesions are usually asymptomatic, but invariably the patient will complain of a burning sensation in the gingiva and bleeding from the mouth. The diagnosis requires hematological screening in addition to clinical and histopathological examinations. This case report outlines one such case of plasma cell gingivitis in a 15-year-old female caused by use of an herbal, homemade toothpowder. The case presented here highlights the adverse effects and irrational use of herbal agents in dentifrices. At the same time, it emphasizes the need for comprehensive history taking, careful clinical examination and appropriate diagnostic tests in order to arrive at a definitive diagnosis and treatment plan for gingival conditions that are refractory to conventional therapy and to exclude certain malignancies and oral manifestations of systemic diseases.

A randomized, controlled clinical trial on the clinical and microbiological efficacy of punica granatum linn mouthwash

To evaluate the clinical efficacy of a mouthwash containing Punica granatumL as compared to 0.12% chlorhexidine digluconate on the control of dental biofilm and gingival inflammation.Material and Methods:A randomized, controlled, double-blind clinical trial was carried out comprising a sample of 35 students aged nine to twelve years having Simplified Oral Hygiene Index value equal to or higher than 1.6, with at least 20 teeth. The sample was divided into two groups: group A, administration of 0.12% chlorhexidine mouthwash twice a day for 14 days; and group B, administration of Punica granatum mouthwash (6.25%) following the same protocol described above. The Plaque Index (PI) and Bleeding on Probing Index (BPI) were used to evaluate biofilm control and gingival inflammation on days 0, 7 and 14. Counting of oral streptococci from saliva samples was also performed on days 0 and 14. The data were analyzed using Student‟s t test and Analysis of Variance (ANOVA).Results:The findings showed that P. granatum mouthwash reduced the mean values of PI and BPI, but with no significant difference. However, there was a significant reduction in the counting of oral streptococci. In the control group, all variables were found to be significantly reduced.Conclusion:Punica granatum mouthwash was not effective for the control of dental biofilm and gingival inflammation, but it was effective in reducing the counting of oral streptococci...

Prevalence of dental erosion and association with lifestyle factors in Swedish 20-year olds.

OBJECTIVE: To investigate the prevalence, distribution and severity of dental erosion and its association with lifestyle, oral and general health in young adults. MATERIALS AND METHODS: Four hundred and ninety-four individuals, 20-years of age, participated. Dental erosion in molars and maxillary incisors was evaluated. Caries, plaque and gingivitis were registered. Saliva samples were taken and the subjects were interviewed about behavioural and dietary habits and oral and general health. Body mass index (BMI) was calculated. The individuals were sub-divided into two groups according to the presence and absence of dental erosion: within the group with erosion was a sub-group of individuals with extensive erosion. RESULTS: Of the individuals 25% had no erosion, 75% had erosion and 18% had extensive erosion. Erosion was found in molars in 74% of the individuals and on buccal and palatal surfaces in maxillary incisors in 4% and 7%, respectively. Cupping was seen in 65% of individuals and severe erosion in molars in 1.6%. Compared to subjects with no erosion, those with extensive erosion had a higher consumption of soft drinks (p = 0.05), caries prevalence (p < 0.01), prevalence of mutans Streptococci (p < 0.01) and BMI (p < 0.05). Furthermore, subjects with erosion had higher caries prevalence (p < 0.01) and BMI (p < 0.01) than those with no erosion. CONCLUSIONS: Swedish young adults have a high prevalence of dental erosion, but the level of severe erosion is low. The study disclosed a relationship between dental erosion and behavioural factors, oral health and BMI.

Influence of hygienic preparations with a 3% content of ethanol extract of Brazilian propolis on the state of the oral cavity.

BACKGROUND: One of the most important measures to be undertaken in order to fight gingivitis and periodontitis is maintenance of proper hygiene of the oral cavity. The research to improve the content of toothpaste has continued for many years so that they should become better in terms of therapeutic abilities. OBJECTIVES: The aim of this work was to determine and investigate the influence of the application of toothpaste and gel with 3% ethanol propolis extract on the state of the oral cavity. MATERIAL AND METHODS: The research group comprised 80 adult patients divided into two subgroups: Group I, which comprised 40 patients without pathological changes within the boundaries of the periodontium, and Group II, also 40 patients endangered with the occurrence of periodontitis caused by dental plaque and lack of proper hygiene of the oral cavity. Qualification for both groups was based on an interview and analysis of clinical documentation and assessment of adequate indices such as API, OHI and SBI. The patients underwent three examinations: initial, follow-up after 7 days and after 8 weeks since the beginning of the program. Moreover, the patients were instructed about hygienic procedures of the oral cavity. Four groups (T, G, CT, CG), 20 patients each, were created from research groups I and II. They used the following preparations: T--Dental Polis DX toothpaste with propolis content, G--Dental Polis DX toothpaste without propolis content, CT--Carepolis gel with propolis content, CG--Carepolis gel without propolis content. The patients were informed about the type of hygienic preparation they were given to use (whether it contained propolis or not). Moreover, they were interviewed for their subjective evaluation of the product received. RESULTS AND CONCLUSION: Results of the research show the effectiveness of hygienic preparations with 3% content of ethanol propolis extract in both groups of patients: without pathological changes within the boundaries of the periodontium and in the case of patients endangered with the occurrence of gingivitis caused by dental plaque

[Artemisia absinthium L. in complex treatment of inflammatory periodontal disease].

The effectiveness of Artemisia absinthium L. in complex treatment of inflammatory periodontal disease was assessed in the study by ELIZA evaluation of PGE2 in mixed saliva. Microcirculation in periodontal tissues was also assessed by means of laser Doppler flowmetry. It was found out that complex treatment involving Artemisia absinthium L. improves microcirculation in periodontal tissues and reduces inflammation.

Determinantes del diagnóstico periodontal / Determinants of periodontal diagnosis

Un correcto diagnóstico periodontal es necesario para la realización de una terapia periodontal exitosa en nuestro paciente. Entendiendo que la enfermedad periodontal es un proceso infeccioso-inflamatorio, diferentes variables se deben analizar clínicamente para determinar el diagnóstico. El diagnóstico entonces es un análisis concienzudo de la expresión clínica de la enfermedad, desde gingivitis hasta periodontitis. Este artículo analiza los determinantes más importantes del diagnóstico periodontal utilizados en la práctica clínica diaria.

The correct diagnosis of periodontal disease is a pre-requisite for an appropriate periodontal treatment. Periodontal disease is an infectious-inflammatory process that affects different clinical variables that must be analyzed before reaching the diagnosis. The diagnosis should be a carefully performed analysis of the clinical expression of the disease, from gingivitis to periodontitis. This article reviews the most important determinants of periodontal diagnosis.

Cancrum oris in developed countries.

Cancrum oris (or noma) is a rapidly progressive disease characterized by destructive necrosis of oral tissues and underlying bone. It is part of a multistage condition and may represent the outcome of untreated necrotizing stomatitis. Necrotising stomatitis and cancrum oris predominantly affect children in developing countries, especially in Africa. Only few cases have been reported in developed countries, and were associated with debilitating diseases and disorders of the immune system. We report a case of noma in an elderly immunosuppressed Italian patient in whom necrosis caused an external buccal communication. This case stresses the importance of an early identification and prompt management of the necrotic condition, in order to avoid diffusion of the destructive process within the oro-facial tissues.

Characteristics of patients with autistic disorder (AD) presenting for dental treatment: a survey and chart review.

A group of 43 patients with AD (mean age, 13.5; SD, 5.9 yrs) was identified from the University Hospital School Pediatric Dentistry Clinic. We reviewed the patients' charts to obtain demographic data, dental findings, and the management techniques used for treatment. The patients were divided into groups according to Frankl's categories of behavior, ranging from definitely negative to positive. Descriptive data are provided for each group. Commonly used communications and pharmacological management techniques, as well as physical restraints, enabled us to treat all the patients in the traditional dental setting, when simple procedures were planned. Treatment under general anesthesia in the operating room was necessary in 37% of all patients when comprehensive care was required or difficult procedures were carried out. A questionnaire was also sent out to the caregivers to gather data on patients' nutrition and eating/chewing habits. In the sample surveyed, two-thirds of the individuals reportedly exhibited a normal eating pattern, while 14% pouched food. Soft, sweet, or sticky foods were preferred by 41% of the patients.

Gingival inflammatory reactions in children with rhinoconjunctivitis due to birch pollinosis.

The present investigation was designed to study the degree of gingival inflammation in children with rhinoconjunctivitis due to birch pollinosis. Thirty-four children, 8-17 yr of age, participated. As controls, healthy classmates of the same age and sex were chosen. Dental examination was performed on three occasions: pollen season I (Spring 1987), off-season (Autumn 1987) and pollen season II (Spring 1988). The controls were examined on one occasion, mixed with the allergic children at the off-season examination. The degree of gingival inflammation was studied by determining the gingival bleeding tendency by standardized probing. Absence or presence of dental plaque was recorded after sulcular probing. In order to compensate for differences in oral hygiene level between the participants, the bleeding/plaque ratio according to Abbas et al. was calculated. The comparisons of the bleeding/plaque ratios revealed statistically significantly higher mean ratios in the allergic children during pollen seasons compared with off-season and with the controls. The results indicate that during the pollen season, children with allergic rhinoconjunctivitis exhibit an enhanced degree of gingival inflammatory reaction.