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Int J Periodontics Restorative Dent ; 40(4): e179-e187, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32559046


The aim of this study was to test the nano-hydroxyapatite powder decontamination method on intraorally contaminated titanium discs and to compare this method with current decontamination methods in the treatment of peri-implantitis. Contaminated discs were assigned to six treatment groups (n = 10 each): titanium hand curette; ultrasonic scaler with a plastic tip (appropriate for titanium); ultrasonic scaler with a plastic tip (appropriate for titanium) + H2O2; short-term airflow system (nano-hydroxyapatite airborne-particle abrasion for 30 seconds); long-term airflow system (nano-hydroxyapatite airborne-particle abrasion for 120 seconds); Er:YAG laser (120 mJ/pulse at 10 Hz). There were also two control groups (n = 10 each): contaminated disc (negative control) and sterile disc (positive control). Scanning electron microscopy, energy-dispersive x-ray spectroscopy, and dynamic contact angle analysis were used to determine the most effective surface-treatment method. The highest percentage of carbon (C) atoms was observed in the negative control group, and the lowest percentage of C atoms was found in the long-term airflow group, followed by the short-term airflow, laser, ultrasonic + H2O2, ultrasonic, and mechanical groups. When the groups were examined for wettability, the lowest contact angle degree was observed in the long-term airflow, short-term airflow, and laser groups. Nano-hydroxyapatite and laser treatments for detoxifying and improving infected titanium surfaces may show the most suitable results for reosseointegration.

Implantes Dentários , Titânio , Durapatita , Peróxido de Hidrogênio , Microscopia Eletrônica de Varredura , Propriedades de Superfície
Clin Oral Investig ; 24(6): 2121-2127, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32430775


OBJECTIVES: The aim of this split-mouth, prospective controlled study was to compare the effects of two different interdental devices on clinical plaque elimination, gingival bleeding and patient acceptance and comfort. MATERIALS AND METHODS: Thirty participants who had been diagnosed with gingivitis were included in the study. After professional oral prophylaxis and a 3-day washout period, patients were advised to use two test devices (TePe Interdental Brushes Original and TePe EasyPick™, Malmö, Sweden) according to instructions. The plaque index (Turesky modification of the Quigley and Hein Index) and bleeding index (Papillary Bleeding Index) were recorded at baseline and after 2 weeks. Patient satisfaction and comfort were assessed with a questionnaire. RESULTS: Both of the tested devices improved the plaque and bleeding index scores. There were no differences between the two sides in terms of time-dependent changes. The patients felt more satisfied with the cleansing capacity and more comfortable with the use of SCIP compared with IDB (p = 0.001). Pain sensation with the use of SCIP was significantly lower than with IDB (p = 0.002). CONCLUSION: The clinical efficiency of the tested interdental devices was similar in terms of removing plaque and decreasing bleeding. However, SCIP were found to be more comfortable and preferable to IDB. CLINICAL RELEVANCE: The silicone coated interdental picks showed similar effects on plaque removal as interdental brushes and superiority in terms of ease to use than interdental brushes.

Dispositivos para o Cuidado Bucal Domiciliar , Gengivite , Silicones , Índice de Placa Dentária , Gengivite/prevenção & controle , Humanos , Aceitação pelo Paciente de Cuidados de Saúde , Estudos Prospectivos , Método Simples-Cego , Suécia , Escovação Dentária , Resultado do Tratamento
J Oral Maxillofac Surg ; 78(7): 1112-1123, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32192925


PURPOSE: The health of peri-implant tissues is associated with the peri-implant soft tissue thickness (STT) and keratinized tissue width (KTW). Resorptive changes in the crestal bone around implant sites will be affected by the STT. The present randomized prospective study compared the effectiveness of titanium-prepared platelet-rich fibrin (T-PRF) with that of connective tissue graft (CTG) on peri-implant STT, KMW, and crestal bone level. PATIENTS AND METHODS: Through simultaneous augmentation of the soft tissue using T-PRF or CTG, 30 implants were placed in 30 patients. The implants were placed in thin, soft tissue areas and thickened simultaneously with a T-PRF membrane in the test group and a CTG in the control group. During surgery (T0) and at 3 months postoperatively (T1), the KTW and peri-implant STT were measured at 3 points: occlusal part of the alveolar crest (OAC), midbuccal mucosa level (MBML), and 1 mm above the mucogingival junction (MGJ1). The crestal bone changes were evaluated from a periapical radiograph at 3 months postoperatively. RESULTS: The baseline STT and KTW measurements showed no significant differences between the 2 groups (P < .05). Comparison of the T0 and T1 measurements from the 2 groups showed a significant increase in KTW and STT (P < .001). Compared with the test group, the control group showed a highly significant increase in the peri-implant STT at the MBML, MGJ1, and KTW levels (P < .05). No significant difference was found between the 2 groups in terms of the OAC changes (P > .05). No crestal bone loss was observed in any of the dental implants. CONCLUSIONS: Both groups experienced a greater increase in peri-implant STT at the OAC level, and T-PRF can be considered as an autogenous alternative to CTG. Also, peri-implant STT might prevent crestal bone resorption in the osseointegration period.

Implantes Dentários , Fibrina Rica em Plaquetas , Tecido Conjuntivo , Implantação Dentária Endo-Óssea , Humanos , Membrana Mucosa , Estudos Prospectivos , Titânio
Int J Dent Hyg ; 17(4): 343-349, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31125483


OBJECTIVES: To investigate the effect of generalized aggressive periodontitis (GAP), generalized chronic periodontitis (GCP) and gingivitis (G) on oral health-related quality of life (OHRQoL) with Oral Health Impact Profile-14 (OHIP-14) and Short Form-36 (SF-36) questionnaires. METHODS: One hundred GAP patients, 114 GCP and 109 G patients were included in the study. Age, gender, number of missing teeth, probing depth (PD), bleeding on probing (BOP), plaque index (PI) and clinical attachment level (CAL) of patients were recorded. The Turkish versions of OHIP-14 and SF-36 questionnaires were filled before any medication and dental treatment were approved. The one-way ANOVA test was used to compare three groups. RESULTS: Generalized aggressive periodontitis and GCP groups were similar to each other (P > 0.05) in most subscales except functional limitation and social disability of the OHIP-14 questionnaire (P = 0.034 and P = 0.018, respectively); conversely, there was no statistically difference between GAP and G groups in functional limitation and social disability subscales (P = 0.856 and P = 0.242, respectively). GAP group gave higher scores than GCP group in all subscales of SF-36 (P < 0.05). There was a negative correlation between OHIP-14 and SF-36 subscale scores in all groups. CONCLUSION: Study findings indicate that different forms of periodontal disease have different effects on quality of life of patients when measured by OHIP-14 and SF-36. Patients with GCP and GAP had poorer OHRQoL than G patients.

Periodontite Crônica , Qualidade de Vida , Estudos Transversais , Humanos , Saúde Bucal , Inquéritos e Questionários