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1.
Diagn Microbiol Infect Dis ; 95(4): 114888, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31492606

RESUMO

Aim of this cross-sectional study was to investigate the prevalence of selected potentially periodontal pathogenic bacteria in different sites of patients with tongue piercing (TP) in comparison to a control group (C). Fifty participants in each group were recruited. Samples from the biofilm originating from the piercing surface (TP group), periodontal pocket, tongue as well as cheek surface were examined regarding presence of 11 selected potentially periodontal pathogenic bacteria based on polymerase-chain reaction (PCR). In the periodontal pocket of the participants, the majority of examined bacteria were more frequently detected in TP compared to C group (pi < 0.05). At tongue and cheek surface, the prevalence of Treponema denticola (P < 0.01) and Prevotella intermedia (P < 0.01) was significantly higher in TP. For the majority of bacteria, a significant correlation between TP surface and periodontal pocket was detected (P < 0.05). In conclusion TP must be considered as potentially important ecological niche and reservoir for periodontal pathogens.


Assuntos
Bactérias/isolamento & purificação , Piercing Corporal/efeitos adversos , Bolsa Periodontal/etiologia , Bolsa Periodontal/microbiologia , Adulto , Bactérias/classificação , Bactérias/genética , Piercing Corporal/estatística & dados numéricos , Bochecha , Estudos Transversais , Feminino , Humanos , Masculino , Mucosa Bucal/microbiologia , Saúde Bucal/estatística & dados numéricos , Prevalência , Prevotella intermedia/isolamento & purificação , Língua/microbiologia , Língua/cirurgia , Treponema denticola/isolamento & purificação , Adulto Jovem
2.
BMC Oral Health ; 19(1): 5, 2019 01 07.
Artigo em Inglês | MEDLINE | ID: mdl-30616605

RESUMO

BACKGROUND: In addition to numerous general health problems, drug dependents manifest various oral health disorders. Our aim was to investigate the oral health status and its determinants among in-treatment opiate dependents. METHODS: As part of a comprehensive cross-sectional survey on opiate dependents admitted to methadone maintenance centers in Tehran, Iran, we conducted a clinical study in two centers from different socioeconomic areas. A trained dentist conducted face to face interviews and clinical oral examinations based on World Health Organization (WHO) criteria for Decayed, Missing, Filled Teeth (DMFT) index and Community Periodontal Index (CPI) on volunteer patients. Student's t-test, Mann-Whitney U, Kruskal Wallis, and Chi2 tests, in addition to linear and logistic regression models served for statistical analysis (p < 0.05). RESULTS: A total of 217 patients (98% men), with a mean age of 43.6 years (SD 12.3) participated in the study. Opium was the main drug of abuse reported by 70% of the participants followed by crystalline heroin (22%). Of the participants, 24.4% were totally edentulous. The mean DMFT score of participants was 20.3 (SD 7.8). Missing teeth comprised the main part of the index followed by decayed and filled teeth. Older patients (p < 0.001) and the patients with a lower socioeconomic status (p = 0.01) had higher DMFT scores. None of the dentate patients had a healthy periodontium. Maximum CPI mostly consisted of shallow pockets (66%) followed by calculus in 15%, deep pockets in 11%, and bleeding in 8% of the participants. Older participants (p = 0.02) and those who started drug abuse at a younger age (p = 0.01) were more likely to develop periodontal pockets. CONCLUSIONS: Opiate dependents had a poor oral health status in terms of the dentition status and periodontal health. Missing teeth comprised the main part of their dental caries history and none had a healthy periodontium. Oral health care should be integrated into the package of general health services available in treatment centers.


Assuntos
Cárie Dentária/epidemiologia , Transtornos Relacionados ao Uso de Opioides/complicações , Saúde Bucal , Adolescente , Adulto , Estudos Transversais , Índice CPO , Cárie Dentária/etiologia , Feminino , Nível de Saúde , Humanos , Irã (Geográfico)/epidemiologia , Masculino , Transtornos Relacionados ao Uso de Opioides/epidemiologia , Índice Periodontal , Bolsa Periodontal/epidemiologia , Bolsa Periodontal/etiologia , Prevalência , Fatores de Risco , Inquéritos e Questionários , Adulto Jovem
3.
J Contemp Dent Pract ; 19(3): 324-330, 2018 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-29603707

RESUMO

AIM: Periodontitis, a chronic infectious disease, affects most of the population at one time or the other and its expression is a combination of hosts, microbial agents, and environmental factors. Extensive literature exists for the relationship between periodontal disease and diabetes mellitus, cardiovascular diseases, and adverse pregnancy outcomes. Only a few studies performed in a limited number of patients have reported peri-odontal health status in chronic renal failure patients. Hence, the aim of the present study is to assess and compare the periodontal status of patients with chronic renal failure undergoing dialysis, predialysis with systemically healthy individuals. MATERIALS AND METHODS: A total of 90 patients were divided into three groups. Group I: 30 renal dialysis patients. Group II: 30 predialysis patients. Control group comprised 30 systemically healthy patients who formed group III. Periodontal examination was carried out using oral hygiene index-simplified (OHI-S), plaque index (PI), gingival index (GI), probing depth, and clinical attachment loss. RESULTS: The results of the study showed that the periodontal status of patients with chronic renal failure undergoing dialysis (dialysis group) and patients with chronic renal failure not undergoing renal dialysis (predialysis) when compared with systemically healthy subjects showed significantly higher mean scores of OHI-S, PI, and clinical attachment loss. CONCLUSION: Thus, patients with chronic renal failure showed poor oral hygiene and higher prevalence of periodontal disease. CLINICAL SIGNIFICANCE: The dental community's awareness of implications of poor health within chronic renal failure patients should be elevated.


Assuntos
Falência Renal Crônica/complicações , Periodontite/etiologia , Adulto , Idoso , Estudos de Casos e Controles , Índice de Placa Dentária , Humanos , Masculino , Pessoa de Meia-Idade , Índice de Higiene Oral , Perda da Inserção Periodontal/etiologia , Índice Periodontal , Bolsa Periodontal/etiologia , Diálise Renal , Adulto Jovem
5.
BMC Oral Health ; 18(1): 8, 2018 01 10.
Artigo em Inglês | MEDLINE | ID: mdl-29321070

RESUMO

BACKGROUND: Dental diseases are among the most frequently reported health problems in drug abusers. However, few studies have been conducted on oral health of methamphetamine (meth) abusers in China. The aim of the present study was to investigate the caries and periodontal health profile of former meth abusers in Eastern China. METHODS: A cross-sectional study was conducted on 162 former meth abusers in the male Zhoushan Compulsory Detoxification Center. A standardized questionnaire, which collected information about age, drug-use duration / pattern, oral hygiene habit and systemic diseases, was administered. Then, a dental examination was performed to investigate the severity of dental caries and periodontal diseases. In evaluating dental caries, the prevalence of dental caries, the scores of decayed teeth (DT), missing teeth (MT), filled teeth (FT), and decayed, missing, filled teeth (DMFT) were recorded. In evaluating periodontal diseases, community periodontal index (CPI), and the prevalence of gingival bleeding, dental calculus, periodontal pocket and loose teeth, were recorded. Additionally, the non-parametric test was adopted to analyze the potential risk factors via SPSS. RESULTS: All the participants abused meth by inhalation. The mean scores of DT, MT, FT and DMFT in the former meth users were 2.72 ± 2.78, 3.07 ± 3.94, 0.33 ± 1.03 and 6.13 ± 5.20 respectively. The prevalence of gingival bleeding, dental calculus, periodontal pocket and loose teeth was 97.53%, 95.68%, 51.23% and 9.26% respectively. The DT, DMFT and CPI scores in those who had abused meth for longer than 4 years were significantly higher than those who abused for less than 4 years (P = 0.039, 0.045, P < 0.001, respectively). The DT score in those who brushed their teeth more than twice a day were significantly lower than those who brushed less (P = 0.018). CONCLUSIONS: The status of caries and periodontal diseases among former male meth users in Eastern China was poor. Prolonged drug abuse and lower frequency of tooth brushing may be the risk factors of their poor status of caries and periodontal diseases.


Assuntos
Transtornos Relacionados ao Uso de Anfetaminas/complicações , Cárie Dentária/etiologia , Doenças Periodontais/etiologia , Adulto , China/epidemiologia , Estudos Transversais , Índice CPO , Cárie Dentária/epidemiologia , Humanos , Masculino , Metanfetamina , Pessoa de Meia-Idade , Doenças Periodontais/epidemiologia , Índice Periodontal , Bolsa Periodontal/epidemiologia , Bolsa Periodontal/etiologia , Prevalência , Fatores de Risco , Inquéritos e Questionários , População Urbana , Adulto Jovem
6.
J Dent ; 70: 104-109, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-29326047

RESUMO

OBJECTIVES: To evaluate the relationship between peri-implantitis and the periodontal health of the adjacent tooth, the periodontal status of the teeth adjacent and contralateral to the implants with and without peri-implantitis. METHODS: Fifty-three subjects with existing dental implants and chronic periodontitis were examined in this cross-sectional study. Seventy implants were categorized into peri-implantitis (n = 42) and healthy/mucositis (n = 28) groups. The periodontal and peri-implant status, including probing depth (PD), clinical attachment level (CAL), and gingival recession (GR) were measured at 6 sites around the implants and the teeth adjacent and contralateral to those implants. In total 560 sites of the 70 teeth/implant sets, the association between the periodontal status at the near and away sites of the teeth (according to implant) and the implant status (without/with peri-implantitis) was examined. RESULTS: A significantly different mean PD (5.01 ±â€¯1.69, 4.42 ±â€¯1.8, 3.55 ±â€¯0.88, and 3.71 ±â€¯1.07 mm, p < 0.001) and CAL (6.02 ±â€¯2.36, 4.89 ±â€¯2.04, 4.35 ±â€¯1.11, and 4.35 ±â€¯1.5 mm, p < 0.001) were noted at the near sites of the teeth adjacent to the implants with peri-implantitis when compared with the away sites of adjacent and contralateral teeth and the near sites of contralateral teeth. With generalized estimating equation (GEE), the presence of peri-implantitis (ß â€¯= 1.041 mm, confidence interval = 0.646-1.435, and p < 0.001; ß â€¯= 0.857 mm, confidence interval = 0.279-1.434, and p < 0.004) and tooth location (ß â€¯= 0.65 mm, confidence interval = 0.4-0.9, and p < 0.001; ß â€¯= 0.682 mm, confidence interval = 0.34-1.024, and p < 0.001) were significantly associated with the values of the PD and CAL of the teeth. Moreover, the factor of examining sites (i.e. near and away sites of the tooth) was significantly associated with CAL (ß = 0.304 mm, confidence interval = 0.019-0.588, and p = 0.036) and GR (ß = 0.136 mm, confidence interval = 0.02-0.252, and p = 0.022). CONCLUSION: The existence of peri-implantitis, the tooth location, and the examining site are significantly associated with the periodontal measurements of the remaining teeth. CLINICAL SIGNIFICANCE: Peri-implant health is related to the periodontal health of the natural teeth close to the dental implant.


Assuntos
Implantes Dentários/efeitos adversos , Peri-Implantite/etiologia , Peri-Implantite/patologia , Índice Periodontal , Adulto , Idoso , Perda do Osso Alveolar/etiologia , Periodontite Crônica , Estudos Transversais , Feminino , Hemorragia Gengival/etiologia , Retração Gengival , Humanos , Masculino , Pessoa de Meia-Idade , Mucosite , Peri-Implantite/diagnóstico por imagem , Perda da Inserção Periodontal , Bolsa Periodontal/etiologia , Periodontite/etiologia , Valor Preditivo dos Testes , Radiografia Panorâmica , Fatores de Risco , Fatores de Tempo , Dente
7.
Clin Implant Dent Relat Res ; 20(3): 313-321, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29380510

RESUMO

BACKGROUND: Data on risk factors and complications after long-term implant treatment is limited. The aims were to evaluate the role of various fixation modes and to analyze complications and risks that affect long-term use of implant-supported partial fixed dental prostheses. MATERIALS AND METHODS: Fifty partially edentulous subjects received three Brånemark TiUnite™ implants. Superstructures were attached directly at implant level (IL) or via abutments: machined surface (AM) and an oxidized surface (AOX, TiUnite™). Implants were immediately loaded (test) or unloaded for 3 months (control). Examinations occurred over a 5-year period. RESULTS: Forty-four subjects were re-examined after 5 years. Cumulative survival rates in test and control groups were 93.9% and 97.0%, respectively. Marginal bone loss (MBL; Mean [SEM]) was significantly lower at superstructures connected to AM (1.61 [0.25] mm) than at sites with no abutment IL (2.14 [0.17] mm). Peri-implantitis occurred in 9.1% of subjects and in 4.0% of implants. Multiple linear regression indicated that increased probing pocket depth (PPD), periodontal disease experience, deteriorating health, and light smoking (≤10 cigarettes/day) predict greater MBL, whereas increased buccal soft tissue thickness and higher ISQ predict lower MBL. CONCLUSIONS: The results show that MBL was influenced by the connection type. A machined abutment, instead of connecting the superstructure directly at the implant level, was beneficial. The following factors influenced MBL: PPD, periodontal disease experience, deteriorating health, light smoking, buccal soft tissue thickness, and ISQ. The results on peri-implantitis underscore the need for long-term maintenance care. Further, the abutment material surface properties constitute additional target for strategies to minimize MBL.


Assuntos
Perda do Osso Alveolar/etiologia , Projeto do Implante Dentário-Pivô/efeitos adversos , Prótese Dentária Fixada por Implante , Prótese Parcial Fixa/efeitos adversos , Peri-Implantite/etiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Osso e Ossos/patologia , Implantação Dentária Endo-Óssea , Implantes Dentários , Falha de Restauração Dentária , Suscetibilidade a Doenças , Feminino , Humanos , Carga Imediata em Implante Dentário , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Doenças Periodontais/etiologia , Bolsa Periodontal/etiologia , Fatores de Risco , Fumar/efeitos adversos
8.
Gerodontology ; 34(4): 441-445, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28812320

RESUMO

AIM: Osteoporosis and periodontitis are both chronic diseases characterised by bone loss. Potential association is of great clinical importance because of multifactorial aetiology and common risk factors. The aim of this study was to determine relationship between bone mineral density (BMD), tooth loss and periodontal status taking into account age, number of years since onset of menopause and educational level. With increasing age, number of years since onset of menopause and lower educational level, decreased BMD, deteriorating periodontal status and greater tooth loss are expected. MATERIALS AND METHODS: Cross-sectional study included 112 women aged 45-80 years (mean 58.3 years). BMD was determined for lumbar spine region and proximal femur by DEXA technology. Dental status and periodontal status were evaluated clinically and on panoramic radiographs. For the analysis of tooth loss frequency, participants were divided into four age groups. RESULTS: Significant inverse correlation was found between number of lost teeth and BMD at hip region (r = -.227; P = .028) but not at the lumbar spine (r = -.05; P = .669). Several indicators of the periodontal condition were significantly correlated with BMD, but not with postmenopausal period length. Important result is that participants missing one or more incisors or canines had significantly lower mean value of BMD comparing to those who had all the incisors and canines remained. CONCLUSION: Although osteoporosis is not the main cause of periodontitis, it may be a factor that leads to enhanced periodontal pocket depth and greater risk of tooth loss in ageing women.


Assuntos
Osteoporose/complicações , Doenças Periodontais/etiologia , Perda de Dente/etiologia , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Densidade Óssea , Estudos Transversais , Escolaridade , Feminino , Humanos , Pessoa de Meia-Idade , Osteoporose Pós-Menopausa/complicações , Bolsa Periodontal/etiologia
9.
J Clin Periodontol ; 44(7): 749-755, 2017 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-28474783

RESUMO

AIM: There is evidence that patients experience more discomfort/pain after peri-implant probing than periodontal probing. However, there are several plausible factors to additionally influence this observation: e.g., implant type, age, smoking. Thus, this study was designed to compare discomfort/pain after periodontal and peri-implant probing in different implant types. METHODS: Two dentists recruited and examined 80 patients, each of them exhibiting a dental implant with a contralateral natural tooth. Only two types of implants were included. Periodontal and peri-implant probing depths (PPD) and probing attachment level (PAL) were assessed. Whether implant or tooth were measured first was randomly assigned. Immediately after probing patients scored discomfort/pain using a visual analogue scale (VAS). RESULTS: Eighty patients (median; lower/upper quartile: age 57; 47.5/65.5 years; 40 females, 11 smokers) were examined. With the exception of PPD and PAL at the deepest site as well as mean PPD (p < .05) clinical parameters (PAL, bleeding on probing, suppuration) were well balanced between implants and teeth. Peri-implant probing (VAS: 9.0; 5.0/17.0) caused significantly (p = .038) more discomfort/pain than periodontal probing (5.5; 2.0/13.5). This was confirmed by repeated measures analysis of variance adjusting for several factors (p = .011). CONCLUSIONS: Peri-implant probing caused significantly more discomfort/pain than periodontal probing.


Assuntos
Implantes Dentários/efeitos adversos , Dor/etiologia , Bolsa Periodontal/etiologia , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Medição da Dor , Índice Periodontal
10.
J Stomatol Oral Maxillofac Surg ; 118(2): 78-83, 2017 Apr.
Artigo em Francês | MEDLINE | ID: mdl-28343833

RESUMO

INTRODUCTION: Wisdom teeth extraction is a common procedure, generally considered as safe by patients. However, complications are possible, especially periodontal ones. The aim of this study was to evaluate the frequency and the consequences of periodontal complications at the level the 2nd molars after extraction of the wisdom teeth. MATERIAL AND METHODS: A single-center retrospective observational multi-operator study was conducted at the university hospital of Besançon - France. The files of all the adult patients who underwent extraction of four impacted wisdom teeth by mean of a standardized surgical technique between November 2012 and November 2014 and who could be followed 1 year postoperatively at least and that precisely mentioned the periodontal status of the surgical sites were included. Postoperative complications, gingival and plaque indexes according to Loë and Silness, periodontal attachment level and periodontal second molar probing were recorded. The main judgment criterion was the occurrence of a periodontal complication in the second molar areas. RESULTS: The files of 20 patients (15 women - 5 men), operated on by five different surgeons, met the inclusion criteria. Two patients suffered from dry socket at one of the avulsion sites. No patient had a gingival or plaque index greater than 2. No gingival recession or periodontal pocket over 4mm was found. DISCUSSION: Extraction of impacted third molars in young healthy adults didn't have any impact on the second molars periodontal environment in our study. Literature suggests that surgical technique greatly influences the occurrence and the extent of periodontal sequelae.


Assuntos
Dente Serotino/cirurgia , Dente Molar/patologia , Periodonto/patologia , Complicações Pós-Operatórias/etiologia , Extração Dentária , Dente Impactado/cirurgia , Adulto , Índice de Placa Dentária , Alvéolo Seco/epidemiologia , Alvéolo Seco/etiologia , Feminino , França/epidemiologia , Retração Gengival/epidemiologia , Retração Gengival/etiologia , Hospitais Universitários , Humanos , Masculino , Bolsa Periodontal/epidemiologia , Bolsa Periodontal/etiologia , Projetos Piloto , Complicações Pós-Operatórias/epidemiologia , Estudos Retrospectivos , Extração Dentária/efeitos adversos , Extração Dentária/métodos , Extração Dentária/estatística & dados numéricos , Dente Impactado/epidemiologia , Adulto Jovem
11.
Clin Oral Implants Res ; 28(11): 1401-1405, 2017 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-28165160

RESUMO

OBJECTIVES: The objective was to evaluate the association between peri-implant bleeding on probing (BoP) and probing depth. Other factors regarding patients, implants, and sites were taken into consideration. MATERIAL AND METHODS: Consecutive adult patients with ≥1 dental implant were eligible. Two calibrated operators examined the patients. BoP was the outcome variable. The effects of patient, implant and site factors on BoP were assessed using a 3-level logistic model. RESULTS: Fifty-two patients for a total of 92 implants and 552 sites were included in the analysis. The BoP was observed in 217 sites (39%). The odds ratio increased by 1.81 (95% CI from 1.47 to 2.23; P < 0.0001) for each 1 mm increment in probing pocket depth. A significant higher risk was observed also for interproximal vs. approximal surfaces (OR = 1.55; 95% CI from 1.02 to 2.36; P = 0.0402). CONCLUSIONS: Peri-implant bleeding was associated with site-specific factors.


Assuntos
Implantes Dentários/efeitos adversos , Índice Periodontal , Adulto , Fatores Etários , Idoso , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Bolsa Periodontal/epidemiologia , Bolsa Periodontal/etiologia , Fatores de Risco , Fatores Sexuais , Adulto Jovem
12.
Gen Dent ; 65(1): e5-e8, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28068273

RESUMO

Palatoradicular grooves (PRGs), morphologic defects that are found most frequently in maxillary anterior teeth, are predisposing factors for periodontal disease. This case report describes the successful management of a 30-year-old man who presented with advanced periodontal destruction associated with a PRG in the maxillary right lateral incisor. The treatment involved the use of a calcium phosphosilicate synthetic bone graft substitute as a periodontal regenerative material.


Assuntos
Substitutos Ósseos/uso terapêutico , Compostos de Cálcio/uso terapêutico , Incisivo/anormalidades , Periodontite/etiologia , Silicatos/uso terapêutico , Raiz Dentária/anormalidades , Adulto , Calcificação Fisiológica , Humanos , Incisivo/cirurgia , Masculino , Bolsa Periodontal/etiologia , Raiz Dentária/cirurgia
14.
Stomatologiia (Mosk) ; 95(5): 12-18, 2016.
Artigo em Russo | MEDLINE | ID: mdl-27876716

RESUMO

The study revealed positive correlation between bleeding on probing and teeth loss risk with periodontal hypercolonization by Porphyromonas gingivalis, Prevotella intermedia and Treponema denticola. Pathological tooth mobility was associated with hypercolonization by P. intermedia and Tannerella forsythensis. Expression of IL8, TNF-α, MMP8 and MMP9 genes was also assessed in patient groups divided according to the depth of periodontal pockets and-the severity of chronic periodontitis revealing IL8 as positive diagnostic marker.


Assuntos
Periodontite/diagnóstico , Periodontite/genética , Transcriptoma , Adulto , Doença Crônica , Feminino , Marcadores Genéticos , Hemorragia/etiologia , Hemorragia/genética , Humanos , Interleucina-8/genética , Masculino , Metaloproteinase 8 da Matriz/genética , Metaloproteinase 9 da Matriz/genética , Pessoa de Meia-Idade , Bolsa Periodontal/etiologia , Bolsa Periodontal/genética , Periodontite/complicações , Periodontite/microbiologia , Porphyromonas gingivalis/isolamento & purificação , Prevotella intermedia/isolamento & purificação , Fatores de Risco , Perda de Dente/etiologia , Perda de Dente/genética , Mobilidade Dentária/etiologia , Mobilidade Dentária/genética , Treponema denticola/isolamento & purificação , Fator de Necrose Tumoral alfa/genética , Adulto Jovem
15.
Saudi Med J ; 37(8): 889-94, 2016 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-27464867

RESUMO

OBJECTIVES: To determine the prevalence and dose-response relationship of chronic periodontitis among smokers in Pakistan. METHODS:   This is a cross-sectional study among participants seeking dental care in Karachi Medical and Dental College, Karachi, Pakistan. A total of 443 participants with a mean age of 44.3 (±6.5) participated in the study from April 2011 to December 2011. Males comprised 64.7%, and females comprised 35.2%. Participants were interviewed on social demographics and oral habits. Participants with shallow pockets (3.5-5.5 mm) and deep pockets (greater than 5.5 mm) were considered suffering from chronic periodontitis. The characteristics of participants were assessed using frequency distribution for categorical variables and mean (standard deviation) for continuous variables.  RESULTS: Among 443 participants, smokers were distributed as 55.1% and non-smokers as 44.9%. Smoking was found to be significantly related to young adults (p less than 0.007), male gender (p less than 0.001), and lower education level (p less than 0.01). Overall prevalence of chronic periodontitis among smokers was estimated at 81.6%. Heavy smoking was found to have significantly high prevalence (p less than 0.001) and severity (p less than 0.001) of periodontitis as compared with moderate and light smokers. The multivariate unadjusted model depicted 3.5 times higher risk of chronic periodontitis among smokers (p less than 0.001). CONCLUSION: Chronic periodontitis had a high prevalence among smokers. Heavy smoking was found to have a higher risk for having periodontitis.


Assuntos
Periodontite Crônica/etiologia , Fumar/efeitos adversos , Adolescente , Adulto , Fatores Etários , Relação Dose-Resposta a Droga , Escolaridade , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Paquistão/epidemiologia , Bolsa Periodontal/etiologia , Prevalência , Fatores de Risco , Fumar/epidemiologia , Adulto Jovem
16.
Bull Tokyo Dent Coll ; 57(2): 105-14, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27320300

RESUMO

Here we report a case of generalized aggressive periodontitis treated with periodontal therapy including adjunct antimicrobial therapy and periodontal surgery. The patient was a 22-year-old woman who presented with the chief complaint of gingival recession. Baseline examination revealed generalized plaque deposition and gingival inflammation. Thirty-nine percent of the sites had a probing depth (PD) of 4-6 mm and 2% a PD of ≥7 mm; 63% exhibited bleeding on probing (BOP). Radiographic examination revealed vertical bone loss in the molars and horizontal bone loss in other teeth. Microbiological examination of subgingival plaque revealed the presence of Aggregatibacter actinomycetemcomitans and Tannerella forsythia. Oral health-related quality of life was assessed as a measure of patient-reported outcome. Based on a clinical diagnosis of generalized aggressive periodontitis, initial periodontal therapy and adjunct antimicrobial therapy were implemented. After reducing inflammation and subgingival bacteria, open flap debridement was performed for teeth with a PD of ≥4 mm. Reevaluation showed no sites with a PD of ≥5 mm, a minimal level of BOP, and a marked reduction in the level of the targeted periodontal pathogens. The patient's oral health-related quality of life was slightly worsened during supportive periodontal therapy (SPT). Implementation of adjunct antimicrobial therapy targeting periodontal pathogens and subsequent periodontal surgery resulted in improvement in periodontal and microbiological parameters. This improvement has been adequately maintained over a 2-year period. However, additional care is necessary to further improve the patient's oral health-related quality of life during SPT.


Assuntos
Periodontite Agressiva/complicações , Periodontite Agressiva/terapia , Perda do Osso Alveolar/terapia , Placa Dentária/terapia , Infecções por Bactérias Gram-Negativas/terapia , Minociclina/uso terapêutico , Infecções por Pasteurellaceae/terapia , Bolsa Periodontal/terapia , Adulto , Aggregatibacter actinomycetemcomitans/patogenicidade , Periodontite Agressiva/epidemiologia , Compostos de Alumínio/uso terapêutico , Perda do Osso Alveolar/etiologia , Antibacterianos/administração & dosagem , Antibacterianos/uso terapêutico , Quimioterapia Adjuvante/métodos , Dente Canino/patologia , Proteínas do Esmalte Dentário/uso terapêutico , Placa Dentária/microbiologia , Índice de Placa Dentária , Sensibilidade da Dentina/tratamento farmacológico , Sensibilidade da Dentina/etiologia , Feminino , Fluoretos/uso terapêutico , Defeitos da Furca/etiologia , Defeitos da Furca/cirurgia , Retração Gengival/etiologia , Retração Gengival/cirurgia , Gengivite/etiologia , Gengivite/terapia , Infecções por Bactérias Gram-Negativas/microbiologia , Humanos , Má Oclusão/complicações , Minociclina/administração & dosagem , Dente Molar/patologia , Higiene Bucal/educação , Infecções por Pasteurellaceae/microbiologia , Planejamento de Assistência ao Paciente , Desbridamento Periodontal/efeitos adversos , Desbridamento Periodontal/métodos , Índice Periodontal , Bolsa Periodontal/etiologia , Bolsa Periodontal/microbiologia , Qualidade de Vida , Compostos de Silício/uso terapêutico , Tannerella forsythia/patogenicidade , Tóquio , Recusa do Paciente ao Tratamento
17.
Gen Dent ; 64(3): e6-9, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-27148666

RESUMO

The aims of this article are to present a case demonstrating the connection between palatoradicular grooves and inflammatory collateral cysts and to discuss the related nomenclature. Radiographs in a 21-year-old man revealed a radiolucent, unilocular, well-defined area near the vital maxillary right lateral incisor and canine. Palatal swelling was present, and a 6-mm-deep periodontal pocket was found at the palatal surface of the right lateral incisor. The differential diagnoses were keratocystic odontogenic tumor, developmental lateral periodontal cyst, and inflammatory lateral periodontal cyst. The area was explored surgically, and the lesion was excised. Surgical exploration revealed a palatoradicular groove, which was scaled and planed with the aid of manual curettes with the intention of creating a flat surface to promote insertion of the periodontal fibers. Histopathologic analysis revealed that the lesion was an inflammatory cyst. The presence of a palatoradicular groove can put the periodontium at risk because a resulting lack of fiber insertion makes oral hygiene difficult. This established inflammatory process can initiate development of an inflammatory collateral cyst that may be misdiagnosed, hindering successful management. In this case, bone grafting and placement of a resorbable membrane were used to promote bone formation and subsequent sealing of the periodontal space.


Assuntos
Dente Canino/anormalidades , Incisivo/anormalidades , Cisto Periodontal/patologia , Doenças Periodontais/patologia , Raiz Dentária/anormalidades , Diagnóstico Diferencial , Humanos , Masculino , Cisto Periodontal/diagnóstico , Cisto Periodontal/etiologia , Cisto Periodontal/cirurgia , Doenças Periodontais/diagnóstico , Doenças Periodontais/etiologia , Doenças Periodontais/cirurgia , Bolsa Periodontal/etiologia , Aplainamento Radicular , Terminologia como Assunto , Adulto Jovem
18.
Am J Orthod Dentofacial Orthop ; 149(4): 473-80, 2016 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-27021451

RESUMO

INTRODUCTION: The purpose of this study was to evaluate the efficiency of corticotomy-facilitated orthodontics and piezocision in rapid canine retraction. METHODS: The sample consisted of 20 patients (15-25 years old) with Class II Division 1 malocclusions. The suggested treatment plan was extraction of the maxillary first premolars with subsequent canine retraction. The sample was divided into 2 equal groups. In the first group, 1 side of the maxillary arch was randomly chosen for treatment with corticotomy, and in the second group, piezocision treatment was used. The contralateral sides of both groups served as the controls. Cuts and perforations were performed with a piezotome, and canine retraction was initiated bilaterally in both groups with closed-coil nickel-titanium springs that applied 150 g of force on each side. The following variables were examined over a 3-month follow-up period: rate of canine crown tip, molar anchorage loss, canine rotation, canine inclination, canine root resorption, plaque index, gingival index, probing depth, attachment level, and gingival recession. The rate of canine crown tip was assessed every 2 weeks after the start of canine retraction at 6 time points. RESULTS: The rates of canine crown tip were greater in the experimental sides than in the control sides in both groups. Corticotomies produced greater rates of canine movement than did piezocision at 4 time points. Canine root resorption was greater in the control sides. The remaining studied variables exhibited no differences between the control and the experimental sides. CONCLUSIONS: Corticotomy-facilitated orthodontics and piezocision are efficient treatment modalities for accelerating canine retraction.


Assuntos
Dente Canino/patologia , Maxila/cirurgia , Osteotomia/métodos , Piezocirurgia/métodos , Técnicas de Movimentação Dentária/métodos , Adolescente , Adulto , Dente Pré-Molar/cirurgia , Ligas Dentárias/química , Índice de Placa Dentária , Seguimentos , Retração Gengival/etiologia , Humanos , Má Oclusão de Angle Classe II/terapia , Dente Molar/patologia , Níquel/química , Procedimentos de Ancoragem Ortodôntica/métodos , Fios Ortodônticos , Perda da Inserção Periodontal/etiologia , Índice Periodontal , Bolsa Periodontal/etiologia , Reabsorção da Raiz/etiologia , Titânio/química , Coroa do Dente/patologia , Extração Dentária/métodos , Técnicas de Movimentação Dentária/instrumentação , Resultado do Tratamento , Adulto Jovem
19.
J Dent Res ; 95(7): 822-8, 2016 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-27025874

RESUMO

Metabolic syndrome, a cluster of 3 or more risk factors for cardiovascular disease, is associated with periodontal disease, but few studies have been prospective in design. This study's aim was to determine whether metabolic syndrome predicts tooth loss and worsening of periodontal disease in a cohort of 760 men in the Department of Veterans Affairs Dental Longitudinal Study and Normative Aging Study who were followed up to 33 y from 1981 to 2013. Systolic and diastolic blood pressures were measured with a standard mercury sphygmomanometer. Waist circumference was measured in units of 0.1 cm following a normal expiration. Fasting blood samples were measured in duplicate for glucose, triglyceride, and high-density lipoprotein. Calibrated periodontists served as dental examiners. Periodontal outcome events on each tooth were defined as progression to predefined threshold levels of probing pocket depth (≥5 mm), clinical attachment loss (≥5 mm), mobility (≥0.5 mm), and alveolar bone loss (≥40% of the distance from the cementoenamel junction to the root apex, on radiographs). Hazards ratios (95% confidence intervals) of tooth loss or a periodontitis event were estimated from tooth-level extended Cox proportional hazards regression models that accounted for clustering of teeth within individuals and used time-dependent status of metabolic syndrome. Covariates included age, education, smoking status, plaque level, and initial level of the appropriate periodontal disease measure. Metabolic syndrome as defined by the International Diabetes Federation increased the hazards of tooth loss (1.39; 1.08 to 1.79), pocket depth ≥5 mm (1.37; 1.14 to 1.65), clinical attachment loss ≥5 mm (1.19; 1.00 to 1.41), alveolar bone loss ≥40% (1.25; 1.00 to 1.56), and tooth mobility ≥0.5 mm (1.43; 1.07 to 1.89). The number of positive metabolic syndrome conditions was also associated with each of these outcomes. These findings suggest that the metabolic disturbances that comprise the metabolic syndrome may play a role in the development or worsening of periodontitis.


Assuntos
Síndrome Metabólica/complicações , Doenças Periodontais/etiologia , Glicemia/análise , Pressão Sanguínea , Progressão da Doença , Humanos , Lipoproteínas HDL/sangue , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Bolsa Periodontal/etiologia , Modelos de Riscos Proporcionais , Triglicerídeos/sangue
20.
Clin Oral Investig ; 20(9): 2575-2580, 2016 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-26888220

RESUMO

OBJECTIVE: A study is made of the main oral manifestations of patients with rheumatoid arthritis (RA), particularly salivary flow, and of its possible association to periodontal disease. MATERIAL AND METHODS: A prospective comparative study was made of 146 patients (73 with RA and 73 controls), recording pocket depth, clinical attachment loss, bleeding index, plaque index, and the DMFT index to assess periodontal and dental alterations. Sialometric measurements were also made to determine resting, stimulated, and parotid salivary flow. RESULTS: The patients with RA had greater periodontal pocket depths (with moderate depths in most cases), as well as greater attachment loss and more bacterial plaque. The resting whole saliva and stimulated parotid saliva rates were also clearly decreased in the RA group compared with the controls. CONCLUSIONS: Patients with RA are more likely to present periodontal disease, poorer oral hygiene manifesting as an increased accumulation of bacterial plaque, and decreased salivary flow rates. CLINICAL RELEVANCE: Vulnerability to periodontitis is confirmed in one of the largest samples ever studied of patients with rheumatoid arthritis (RA). Also, there is evidence of hyposialia (decrease in salivary rate) in RA patients without Sjögren's syndrome.


Assuntos
Artrite Reumatoide/complicações , Doenças da Boca/etiologia , Adulto , Idoso , Estudos de Casos e Controles , Estudos Transversais , Índice CPO , Placa Dentária/etiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Perda da Inserção Periodontal/etiologia , Bolsa Periodontal/etiologia , Estudos Prospectivos , Xerostomia/etiologia
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