Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 28.256
Filtrar
1.
Prim Dent J ; 9(3): 23-28, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32940593

RESUMO

With patients living longer and retaining their natural teeth for longer, dental healthcare professionals are presented with new challenges. This paper outlines considerations for dental health care professionals managing periodontal disease in an ageing population. Although age itself is not considered an independent risk factor for periodontal disease, there may be complicating factors associated with ageing that impact upon the planning and delivery of care. This paper describes current evidence for the management of periodontal disease in the context of health conditions associated with ageing. It identifies aspects to consider and provides advice on how treatment planning for this patient population may be tailored.


Assuntos
Doenças Periodontais , Envelhecimento , Humanos , Planejamento de Assistência ao Paciente , Fatores de Risco
2.
Int J Periodontics Restorative Dent ; 40(5): e197-e204, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32925995

RESUMO

The relationship between attachment loss and occlusal trauma has been debated for many years. When a patient presents with advanced periodontal disease, a decision has to be made on whether the teeth can be saved or extracted. In this treatment example, the decision process in therapeutic planning for a patient with stage IV periodontal disease is discussed. The main dilemma is whether the patient should receive a prosthodontic reconstruction supported by osseointegrated implants or by periodontally compromised natural teeth. It is assumed that implants do better than teeth over the long term based on firm documentation in the literature, but this article describes why a periodontal prosthesis is still a viable treatment option.


Assuntos
Implantes Dentários , Doenças Periodontais , Dente , Implantação Dentária Endo-Óssea , Humanos , Ligamento Periodontal , Periodonto
3.
Medicine (Baltimore) ; 99(33): e21566, 2020 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-32872008

RESUMO

Metabolic syndrome (MetS) refers to the pathological state of metabolic disorders in the body's proteins, fats, carbohydrates and other substances. MetS is a systemic metabolic disease. Periodontal disease is also a part of systemic inflammatory diseases. Among Chinese patients with middle-aged and elderly MetS, the periodontal morbidity is very high, which is due to the involvement of inflammatory mediators in the pathogenesis of MetS and periodontal disease. The latter may also be a risk factor for the former's morbidity and promotion of disease progression. At present, there are not many investigations and studies on periodontal examination data and periodontal disease prevalence of patients with MetS. Coal mine workers, especially coal mine underground workers, have different work natures and different working environments. See related report.We will collect the clinical diagnosis and treatment information of the enrolled patients. We will focus on checking the incidence of periodontal disease and recording. Establish a database, check every 10 medical records, and make corrections in time to ensure data accuracy. We will popularize oral hygiene knowledge for the included patients and guide them to brush their teeth correctly and how to use dental floss. We will perform periodontal examination on the patients' teeth by site and record the plaque index, gingival sulcus bleeding index, periodontal pocket exploration depth and other indicators. We will repeat the above inspection items and record in the second and fourth weeks of the experiment.This study will explore the correlation between periodontal disease and MetS of coal mine workers. We aim to clarify the role and mechanism of MetS in the occurrence and development of periodontal diseases, guide the prevention of periodontal diseases, and thus reduce the prevalence of periodontal diseases. TRIAL REGISTRATION:: ClinicalTrials.gov, ChiCTR2000034177, Registered on 27 June 2020.


Assuntos
Carvão Mineral , Síndrome Metabólica/epidemiologia , Mineradores/estatística & dados numéricos , Doenças Periodontais/epidemiologia , Adulto , Glicemia , Pressão Sanguínea , Índice de Massa Corporal , China/epidemiologia , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Lipídeos/sangue , Masculino , Pessoa de Meia-Idade , Higiene Bucal , Índice Periodontal , Prevalência , Fatores de Risco , Fumar/epidemiologia , Adulto Jovem
4.
Hua Xi Kou Qiang Yi Xue Za Zhi ; 38(4): 454-459, 2020 Aug 01.
Artigo em Chinês | MEDLINE | ID: mdl-32865368

RESUMO

Severe congenital neutropenia is a rare disorder characterized by a consistently low absolute neutrophil count and periodontal disease. This report describes the case of an ELANE mutationin a patient with gingival bleeding and tooth mobility. Oral examination showed active periodontal infection of the primary dentition accompanied by alveolar bone loss in the posterior region. The patient was diagnosed with severe congenital neutropenia 1 year after multidisciplinary consultation. Treatment of the systemic disease and effective oral health education over a 3-year follow-up period relieved the periodontal infection and created favorable conditions for future repair.


Assuntos
Síndrome Congênita de Insuficiência da Medula Óssea , Neutropenia , Doenças Periodontais , Humanos , Mutação , Neutropenia/congênito
5.
Zhonghua Liu Xing Bing Xue Za Zhi ; 41(8): 1308-1312, 2020 Aug 10.
Artigo em Chinês | MEDLINE | ID: mdl-32867441

RESUMO

Objective: To explore the prospective association between consumption pattern of sugar-sweetened beverages and childhood periodontal health. Methods: This study was based on a 4-year longitudinal cohort of children from Bengbu, Anhui province. Pattern of sugar-sweetened beverages was determined by group-based trajectory modeling (GBTM) through annual child-reported questionnaire. Association between sugar-sweetened beverages pattern with plague index and gingivitis was explored through multivariate linear and logistic regression. Results: A total of 997 children including 418 boys and 579 girls were included in this study, with an average age of (11.00±0.70) years at the final wave. Four consumption patterns on sugar-sweetened beverages were identified by GBTM: persistent low group (80.70%), gradually decreasing group (12.40%), decreasing after increasing group (2.20%) and gradually increasing group (4.70%). Compared with the persistent low group (1.08±0.70), the Plague index among gradually increasing group (1.73±0.80) was significantly higher (t=4.00, P<0.001). The prevalence of gingivitis was significantly higher among children in the gradually increasing group (12.80%) than that in the persistent low group (3.00%) (χ(2)=12.40, P<0.001). After controlling for related confounders, results suggested that Plague index increased by 0.58 (95%CI: 0.27-0.89) and 0.38 (95%CI: 0.03-0.73) in the gradually increasing group and "decreasing follow the increase" group, respectively when compared with the persistent low group. The risk for gingivitis was 4.42 times (95%CI: 1.65-12.20, P=0.003) higher in the gradually increasing group. Conclusion: Our data suggested that children with higher sugar-sweetened beverages consumption during the transition period from childhood to adolescence were under higher risk for periodontal diseases.


Assuntos
Doenças Periodontais/epidemiologia , Bebidas Adoçadas com Açúcar/efeitos adversos , Bebidas Adoçadas com Açúcar/estatística & dados numéricos , Criança , China/epidemiologia , Feminino , Humanos , Modelos Lineares , Modelos Logísticos , Estudos Longitudinais , Masculino , Estudos Prospectivos , Medição de Risco
6.
Rev. Odontol. Araçatuba (Impr.) ; 41(2): 9-14, maio-ago.2020. ilus
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1102388

RESUMO

Infecções maxilo-faciais graves são caracterizadas pela disseminação do processo infeccioso aos tecidos adjacentes e espaços fasciais da região de cabeça, pescoço e tórax. Sua principal origem é odontogênica, geralmente resultante de infecção periapical e doença periodontal. Podem variar de infecções bem localizadas de baixa severidade, até infecções graves, com potencial de disseminação para espaços fasciais da cabeça e pescoço, podendo causar o comprometimento de estruturas vitais, septicemia e morte. Essas infecções podem atingir diversos espaços, dentre eles o espaço mastigatório, composto pelos espaços fasciais: submassetérico, pterigomandibular, temporal profundo e temporal superficial. Esses quatro compartimentos do espaço mastigatório, comportamse clinicamente como espaços separados, pois, na maioria dos casos, somente um compartimento torna-se infectado, entretanto, infecções severas ou duradouras podem envolver todos os quatro compartimentos. O objetivo do presente estudo é apresentar o manejo clínico e cirúrgico de infecção odontogênica disseminada para o espaço temporal superficial. Paciente de 51 anos de idade, do sexo feminino, com histórico de infecção odontogênica disseminada para o espaço temporal superficial, tendo como fator etiológico resto radicular da unidade 13. Procedeu-se drenagem ambulatorial do conteúdo associada à antibioticoterapia. Após o período de 07 dias, houve remissão da condição. Apesar de incomum, infecções odontogênicas originadas de dentes anteriores, podem se disseminar para os espaços mastigatórios. Independente de sua origem deve ser tratada de forma imediata, drenando o espaço comprometido, identificando a causa e eliminando-a, e associando o uso de antibióticos como coadjuvante(AU)


Severe maxillofacial infections are characterized by the spread of the infectious process to adjacent tissues and fascial spaces of the head, neck and chest region. Its main origin is odontogenic, usually resulting from periapical infection and periodontal disease. It can range from well-localized infections of low severity to severe infections with potential for dissemination to spread through the facial planes of the head and neck, which can lead to compromised airways, resulting in septicemia and death. These infections can reach several spaces, among them the masticatory space, composed of fascial spaces: subassayeric, pterygomandibular, deep temporal and superficial temporal. These four compartments of the masticatory space behave clinically as separate spaces, since in most cases only one compartment becomes infected, however, severe or long-lasting infections may involve all four compartments. The goal of the present study is to present the clinical management of disseminated odontogenic infection for superficial temporal space. A 51-year-old female patient with a history of odontogenic infection, disseminated to the superficial temporal space, having as the etiological factor the root rest of unit 13. Outpatient drainage of contents and antibiotic therapy-associated was performed. After the period of 07 days, there was remission of the condition. Although uncommon, odontogenic infections originating from anterior teeth may spread to masticatory spaces. Regardless of its origin, it must be treated immediately, draining the compromised space, identifying the cause and eliminating it, and associating the use of antibiotics as a coadjuvante(AU)


Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Cirurgia Bucal , Infecções Bacterianas , Doenças Periodontais
7.
Rev. Odontol. Araçatuba (Impr.) ; 41(2): 58-63, maio-ago.2020. ilus
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1102706

RESUMO

O presente estudo tem como objetivo descrever por meio de um caso clínico o diagnóstico e a conduta clínica no tratamento de um Granuloma Piogênico (GP) recidivante associado à doença periodontal. O GP é uma lesão inflamatória hiperplásica que se encontra nos tecidos moles da cavidade bucal e que possui um crescimento reagente estimulado por irritação local de baixa intensidade, fator hormonal ou trauma, podendo causar desconforto ao paciente e interferir na fala e mastigação. O GP acomete principalmente mulheres na segunda e terceira décadas de vida em regiões como gengiva, lábios, língua e mucosa bucal. O tratamento do GP consiste em excisão cirúrgica e o diagnóstico decisivo é realizado por meio de exame histopatológico. Paciente do gênero feminino, 57 anos, procurou atendimento no Centro Universitário da Serra Gaúcha ­ FSG por apresentar lesão rósea pediculada na região de papila incisiva com cerca de 2 cm de diâmetro. A paciente foi submetida a dois procedimentos cirúrgicos e em ambos ocorreu a recidiva. A completa excisão da lesão somente foi realizada após realização de tratamento periodontal e remoção de fatores irritantes como biofilme e cálculo dentário. Desta forma, foi possível concluir que é de suma importância a observação e remoção dos fatores irritantes durante o tratamento do GP e que desta maneira se diminuiu as chances de posterior recidiva(AU)


The present study aims to describe through a clinical case the diagnosis and clinical management treatment of a recurrent Piogenic Granuloma (GP) associated with periodontal disease. PG is a hyperplastic inflammatory lesion found in the soft tissues of the oral cavity and has a reactive growth stimulated by low intensity local irritation, hormonal factor or trauma, which may cause patient discomfort and interfere with speech and chewing. GP affects mainly women in the second and third decades of life in regions such as gums, lips, tongue and oral mucosa. The treatment of GP consists of surgical excision and the decisive diagnosis is made by histopathological examination. Female patient, 57 years old, attended the University Center of Serra Gaúcha - FSG presenting pediculated pink lesion in the incisive papilla region with about 2 cm in diameter. The patient underwent two surgical procedures and both relapsed. Complete excision of the lesion was only performed after periodontal treatment and removal of irritating factors such as biofilm and dental calculus. Thus, it was possible to conclude that the observation and removal of irritating factors during the treatment of GP is of paramount importance and thus reduced the chances of further relapse(AU)


Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Doenças Periodontais , Granuloma Piogênico , Granuloma Piogênico/cirurgia , Granuloma Piogênico/diagnóstico , Granuloma Piogênico/terapia
8.
Georgian Med News ; (303): 63-66, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32841183

RESUMO

The objective of the study was to determine the changes of local immunity indicators in persons with periodontal diseases and the influence of psychophysiological state on their activity. The study involved 130 patients 19-44-years old with periodontal diseases on a background of different psychophysiological reactions of maladaptation. Two study groups were formed: І group - 73 persons with gingivitis; ІІ group - 57 persons with chronic generalized periodontitis. For psychophysiological examination we used Raven's Progressive Matrices test. The average content of sIgA in persons of group I by 14.22% exceeded the corresponding data in persons of group II. The IgA concentration in group I was 0.191±0.004 g/l, which was 6.42% higher than in group II - 0.172±0.006 g/l, p>0.05. IgG content in group I exceeded by 15.54% the corresponding data in group II. Average data of lysozyme content in group I was 6.87% higher than in group II (427.0±5.20 µg/ml vs. 397.00±4.24 µg/ml, p<0, 01). The dynamics of immunoglobulins and lysozyme in the oral fluid of the study groups, depending on the psychophysiological state of the organism were determined and analyzed. Certain imbalance of local protection factors (lysozyme and sIgA) and the concentration of immunoglobulins A and G was characterized by a decrease in the values of the indices with deepening of psychophysiological reactions of maladaptation, and this tendency was more pronounced in patients with chronic generalized periodontitis.


Assuntos
Periodontite Crônica , Gengivite , Doenças Periodontais , Adulto , Humanos , Adulto Jovem
9.
Clin Oral Investig ; 24(10): 3335-3345, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-32734481

RESUMO

OBJECTIVES: Inflammation is an integral part of the pathogenesis of periodontitis and sleep disorders. The aim of the present study was to review systematically the current evidence relating to the association between periodontal diseases and non-apnea sleep disorder. MATERIALS AND METHODS: Systematic searches were performed in MEDLINE, PsycINFO, Cochrane library, Web of Science, and Scopus without any limitation. Following preliminary screening, the quality of the remaining selected papers was appraised using the Newcastle-Ottawa Scale. Due to substantial heterogeneity among the selected articles, main outcomes were reported in a qualitative manner. RESULTS: Following screening and evaluation, a final set of 13 studies was selected for inclusion. These studies examined the association between periodontal disease and short sleep duration, long sleep duration, poor sleep quality, or non-specific sleep disorders. The majority (N = 12/13) reported an association or trend between one type of sleep abnormality and periodontal or gingival parameters. CONCLUSION: Despite the respective limitations of the articles included in this systematic review, an association between periodontal diseases and sleep disturbances was apparent. CLINICAL RELEVANCE: Adequate management of periodontal disease requires that a patient's lifestyle factors be taken into consideration in treatment planning. One such factor is sleep initiation and maintenance. An obvious association between sleep disturbances and periodontitis exists. Sleep disorders may induce systemic inflammation, which, in turn, could influence the development of periodontitis.


Assuntos
Doenças Periodontais , Transtornos do Sono-Vigília , Gengiva , Humanos
10.
J Am Dent Assoc ; 151(9): 712, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32854872
11.
Prim Dent J ; 9(2): 38-46, 2020 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-32643574

RESUMO

Diabetes mellitus is a condition resulting from loss of production of insulin, or insufficient production/insulin resistance leading to high blood glucose levels. Management of the condition can be provided in a variety of settings and is tailored to the person's requirements. The condition has a lifelong, systemic impact due to microvascular and macrovascular complications. Diabetes mellitus has dental implications due to increased risk of infections, poor wound healing, rapid progression of periapical pathology, xerostomia, burning mouth syndrome, and a bidirectional link with periodontal disease. Two clinical cases of patients with diabetes are discussed and their dental management described. Many people with diabetes can be treated in primary care, however, some with suboptimal glycaemic control may require specialist input and liaison with the patient's diabetes team.


Assuntos
Diabetes Mellitus , Doenças Periodontais , Xerostomia , Glicemia , Humanos , Atenção Primária à Saúde
12.
J Contemp Dent Pract ; 21(5): 580-584, 2020 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-32690844

RESUMO

AIM: To illustrate the treatment of a complex periodontal disease patient utilizing oral disease risk assessment. BACKGROUND: Periodontal disease is multifactorial in nature and requires addressing multiple factors in order to manage it successfully. Maintenance care is crucial for a favorable outcome, and risk assessment may help formulate the most suitable treatment plan and maintenance program. CASE DESCRIPTION: A 37-year-old man presented at the clinic for comprehensive periodontal treatment prior to replacing his missing teeth. He was healthy but smoked 5-10 cigarettes per day. Based on the clinical and radiographic examinations, the patient had generalized advanced periodontitis with multiple caries lesions, defective fillings, and missing teeth. A comprehensive treatment plan was put for the patient and a detailed assessment of his periodontal disease and caries risk was performed. The patient was assigned as being of high risk for periodontal disease progression and of low-medium caries risk. Three months following execution of the proposed nonsurgical and surgical treatment procedures, the patient demonstrated notable improvement compared to the baseline and was put under a strict maintenance program every 3 months. CONCLUSION: The presented case illustrates how oral disease risk assessment measures may be incorporated within comprehensive management of a periodontitis patient. Recommending this approach remains a personal preference and is yet to be substantiated by evidence. CLINICAL SIGNIFICANCE: Incorporating risk assessment measures in daily clinical practice may prevent the onset and/or progression of future disease, reducing unnecessary effort and expenses, and should be evaluated by concerned policymakers.


Assuntos
Cárie Dentária , Doenças Periodontais , Periodontite , Perda de Dente , Adulto , Humanos , Masculino , Medição de Risco
13.
Stomatologiia (Mosk) ; 99(4): 9-14, 2020.
Artigo em Russo | MEDLINE | ID: mdl-32692513

RESUMO

THE AIM: Of the study was to establish the relationship of hemodynamic parameters of periodontal tissues and lipid peroxidation products in adolescents with arterial hypertension (AH). METHODS: The study included 132 adolescents (average age 14.51±1.91 years), from which 2 clinical groups (1 - the group with AH without periodontal disease (n=19, average age - 15±1.53 years) and 2 - the group with AH with periodontal diseases (n=57, average age - 14.7±1.89 years)) and 2 comparison groups (3 - the comparison group without AH and periodontal diseases (n=19, average age - 13.82±1.89 years) and 4 - comparison group without AH and with periodontal diseases (n=37, mean age - 14.57±2.01 years)) were formed. Hemodynamic analysis of the periodontal microcirculatory bed using the Doppler ultrasound method and the level of lipid peroxidation products using spectrophotometric and fluorometric methods was performed. RESULTS: In adolescents with hypertension without and with inflammatory periodontal diseases as a whole, unidirectional changes in the hemodynamics of the vascular bed of the periodontium were observed in the form of increased values of the maximum blood flow velocity in systole and an increase in the peripheral resistance index. At the same time, the group with hypertension and periodontal disease was distinguished by lower values of these indicators. In the system of lipid peroxidation, increased values of ketodienes and conjugated trienes occurred in patients with hypertension without periodontal disease and end products that actively reacting with thiobarbituric acid in patients with hypertension and periodontal disease. Correlation analysis showed the presence of intersystem relationships between the hemodynamic parameters of the vascular bed of periodontal adolescents with hypertension without periodontal disease. In the group of adolescents with arterial hypertension and periodontal disease, there was a decrease in the correlation coefficients between intersystem parameters by almost two times, as well as the appearance of pathological dependencies between toxic metabolites of the lipid peroxidation process - products that actively reacting with thiobarbituric acid and vascular blood flow indicators. CONCLUSION: It has been noted that in adolescent patients with hypertension and periodontal diseases on the background of lower vascular blood flow and accumulation of end toxic metabolites, pathological dependencies occur between them, which may contribute to more intense damage to the tissues of the periodontal complex in the presence of hypertension.


Assuntos
Hipertensão , Doenças Periodontais , Adolescente , Criança , Hemodinâmica , Humanos , Peroxidação de Lipídeos , Microcirculação
14.
Sante Publique ; Vol. 32(1): 87-95, 2020 Jun 18.
Artigo em Francês | MEDLINE | ID: mdl-32706229

RESUMO

CONTEXT: The demography of dentist-surgeons in the Centre-Val de Loire region is far inferior to the national average and characterized by many territorial inequalities of health. The aim of this study is to provide details concerning the dental hygienic care-seeking consumption habits in this region based on one dental care treatment, dental scaling, which allows for the mechanical elimination of dental plaque in order to prevent periodontal diseases. METHOD: This retrospective study is based on data from several databases of the National Health Insurance Cross-Schemes Information System (Sniiram) for the year 2016, analyzed by the Statistical Institute of Liberal Health Professionals. RESULTS: It can be observed that less scaling treatments have been sought out in this region in comparison with metropolitan France and certain territories which also face difficulties in terms of care treatment offers and scaling treatment inferior to the regional average. Although the care offer is unequally distributed, it seems to have little influence on the number of treatment acts consumed per patient and notably scaling treatments. Inversely, indicators of wealth or poverty do have an impact on treatment consumption HBJD001. CONCLUSION: This study suggests that the consumption of scaling treatment is independent from the dental care offers, but linked to the social gradient of the population. It points to the deficit in the consumption of this treatment in comparison to metropolitan France. The potential role of the HBJD001 treatment as a marker of the trajectory of preventive health care as well as the necessity of the adjustment of the zones determined by the ARS are put forward.


Assuntos
Assistência Odontológica/estatística & dados numéricos , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Doenças Periodontais/prevenção & controle , Bases de Dados Factuais , França , Humanos , Programas Nacionais de Saúde , Estudos Retrospectivos , Fatores Socioeconômicos
15.
Clin Oral Investig ; 24(8): 2559-2578, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32572640

RESUMO

OBJECTIVES: To assess and compare the pharmacological effect of different drugs on pain relief after periodontal surgery. MATERIALS AND METHODS: Five databases were searched up to September 2019. The eligible studies comprised randomized clinical trials, involving only adult individuals that received any periodontal surgery and presenting two distinct groups of therapeutic regimens to control postoperative pain. Placebo groups could be included. The risk of bias was assessed with the RoB 2 Cochrane tool and the GRADE system. Meta-analyses were performed using different follow-up and drug comparisons. RESULTS: Overall, 2398 studies were identified, of which 35 were included. Low risk of bias was determined for the majority of the studies. The meta-analyses showed that the comparison of dexamethasone or non-steroidal anti-inflammatory drugs (NSAID) versus placebo favored the use of both interventions in a follow-up of 1 to 8 h for open flap procedures (OFP). However, no statistical difference was found for the comparison between NSAID and dexamethasone for OFP. CONCLUSIONS: Patients may benefit from several pharmacological schemes for pain relief after periodontal surgeries. However, due to the high heterogeneity among studies, no fixed pharmacological protocol could be proposed. CLINICAL RELEVANCE: There is not enough evidence to recommend one therapeutic scheme. However, untreated pain is harmful to the patients and it is not advisable.


Assuntos
Dor Pós-Operatória , Doenças Periodontais/cirurgia , Anti-Inflamatórios não Esteroides , Humanos , Manejo da Dor , Medição da Dor , Dor Pós-Operatória/tratamento farmacológico
16.
Aust Dent J ; 65 Suppl 1: S52-S58, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32583592

RESUMO

Periodontal diseases are some of the major oral diseases and conditions in adults. OBJECTIVE: The study aimed to present the population patterns of periodontal diseases and trends of periodontitis in the Australian adult population. METHODS: Data collected in the recent National Study of Adult Oral Health (NSAOH) 2017-18 were used to present the current population patterns of periodontal diseases. Periodontal assessment was carried out at three sites per tooth for all present teeth, excluding third molars. Prevalence of gingivitis, periodontal pocket depth of 4+ mm, gingival recession of 2+ mm, and clinical attachment loss of 4+ mm were calculated and reported. The US CDC/AAP case definition was used to define cases of moderate to severe periodontitis. NSAOH 2017-18 data were combined with data collected in NSAOH 2004-06 using similar methods to describe age- and cohort-related trends of periodontitis. RESULTS: The prevalence of periodontal diseases and conditions were relatively high in the Australian adult population. Some three in every ten Australian adults had moderate to severe periodontitis. There was a tendency of higher prevalence of periodontitis in NSAOH 2017-18 than in NSAOH 2004-06 among people of the same age. CONCLUSION: Periodontal diseases and conditions remain a significant problem in the Australian adult population.


Assuntos
Retração Gengival , Gengivite/epidemiologia , Doenças Periodontais/epidemiologia , Periodontite/epidemiologia , Adulto , Austrália/epidemiologia , Humanos , Perda da Inserção Periodontal , Prevalência
17.
Stud Health Technol Inform ; 269: 95-114, 2020 Jun 25.
Artigo em Inglês | MEDLINE | ID: mdl-32593986

RESUMO

This chapter provides a review of the evolution of oral health literacy including its impact on oral health outcomes, the current status of oral health literacy initiatives and future research needs. Using the Healthy People 2010 definition, the chapter describes opportunities needed to improve oral health literacy among health providers as well as individuals/patients, communities and policy-makers. Studies of the two most prevalent dental diseasesâATdental caries and periodontal diseases - reveal that increasing the oral health literacy of the public and health care providers can play a major role in reducing these diseases. Increasing oral health literacy by creating access to accurate knowledge and supporting use of science-based preventive measures is essential. A major part of the chapter describes oral health literacy's influence in the integration of dental and medical care. The chapter provides an extensive list of research needed to further our understanding of the impact of oral health literacy on health disparities and the health of the population.


Assuntos
Letramento em Saúde , Doenças Periodontais , Compreensão , Pessoal de Saúde , Humanos , Saúde Bucal
18.
J Evid Based Dent Pract ; 20(2): 101443, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32473794

RESUMO

Periodontal practice has made tremendous progress toward evidence-based treatment over the past decade. Importantly, a new classification scheme for periodontal and peri-implant treatments has recently been devised that is incorporating current evidence and enabling patient-specific periodontal care. However, this important progress can be further accelerated with the availability of patient-perceived outcomes of periodontal and implant interventions. The majority of existing clinical studies assess treatment effects based on clinician-measured surrogate outcomes, such as probing depth and attachment levels which are easily communicated to or perceived by dental patients. As dental patient-reported outcomes (dPROs) gain momentum in dental practice, our understanding of the true outcome of dental therapies is vastly increasing. In periodontal research in particular, the utilization of dPROs has clearly demonstrated that periodontal disease contributes to an individual's burden of disease in a substantial manner. Correspondingly, disease treatment interventions seem to lead to varying levels of patient-perceived improvements. The present editorial aims to highlight the importance of patient communication of treatment outcomes in periodontal and implant research and to review the information on available measures for capturing dPROs.


Assuntos
Medidas de Resultados Relatados pelo Paciente , Doenças Periodontais , Odontólogos , Humanos , Resultado do Tratamento
19.
J Evid Based Dent Pract ; 20(2): 101412, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32473800

RESUMO

ARTICLE TITLE AND BIBLIOGRAPHIC INFORMATION: Periodontal condition of patients with thalassemia major: A systematic review and meta-analysis. Akcali A, Yildiz MS, Akcali Z, Huck O, Friedmann A. Arch Oral Biol 2019;102:113-21. SOURCE OF FUNDING: Information is not available and the authors state that no specific funding was available for this study. TYPE OF STUDY/DESIGN: Systematic review with meta-analysis of data.


Assuntos
Doenças Periodontais , Talassemia beta , Humanos , Inflamação
20.
Georgian Med News ; (301): 77-81, 2020 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-32535568

RESUMO

The literature review was conducted in order to assess correlations between periodontics and orthodontics, effectiveness of the orthodontic treatment in patients with periodontitis. Also, causative agents of periodontitis, risk factors and its influence on systemic diseases are discussed and analyzed. The literature review was carried out several databases such as PubMed, Google Scholar, Scopus, Web of Science and Medline. The language of publication was limited to English and the year of publication was limited to over the past 5 years. For that healthy oral cavity is the guarantee of the state of the person's general health. There is a correlation between the oral health and systemic diseases. Timely diagnosis and combined treatment is crucial for the successful treatment of the periodontal diseases and stabilization of the condition to achieve the satisfactory results. Orthodontic treatment is a basic component of the combined treatment of periodontitis as the correction of teeth, dental arches and occlusion occurs, gingival architecture improves, the periodontal recovery occurs and accordingly it impacts on the patient's quality of life and self-esteem. Prevention and treatment of periodontitis reduces the increase of several systemic diseases that accordingly reduces the treatment resources and expenses.


Assuntos
Ortodontia , Doenças Periodontais , Periodontite , Terapia Combinada , Humanos , Qualidade de Vida
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA