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1.
Artigo em Inglês | MEDLINE | ID: mdl-30827855

RESUMO

OBJECTIVE: The aim of the study was to evaluate the gingival manifestations of tuberculosis (TB) in the oral cavity in pediatric patients. STUDY DESIGN: Four pediatric patients were enrolled in the study. Clinical symptoms, auxiliary examinations, treatments, and outcomes were recorded and analyzed. Four pediatric patients who presented with atypical gingival lesions were thoroughly examined for local and systemic signs and symptoms, and a detailed history was obtained. All relevant investigations led to a definitive diagnosis of oral tuberculous lesions. On the basis of the final diagnosis, antitubercular therapy (ATT) was started for all the pediatric patients, and outcomes were measured. RESULTS: All 4 patients responded very well to the treatment, with complete resolution of the lesions within 6 months after the initiation of ATT. CONCLUSIONS: Health care professionals should rule out TB as one of the differential diagnoses in pediatric patients with atypical gingival lesions. ATT is strongly recommended for the treatment of oral TB to achieve good clinical outcomes. Rapid molecular tests based on nucleic amplification should be utilized for the diagnosis of TB in children and also for extrapulmonary TB because they are much faster and reliable compared with conventional methods.


Assuntos
Doenças da Gengiva , Tuberculose , Antituberculosos , Criança , Diagnóstico Diferencial , Gengiva/patologia , Doenças da Gengiva/etiologia , Humanos , Boca , Tuberculose/complicações , Tuberculose/diagnóstico
3.
J Prosthodont ; 28(1): e45-e50, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-28383139

RESUMO

PURPOSE: The grey-bluish discoloration of gingiva (known as "amalgam tattoo") does not appear only in the presence of amalgam restorations. It may also be seen in cases of teeth restored with cast dowels and porcelain-fused-to-metal (PFM) restorations. The aim of this article was to determine the clinical characteristics of abutment teeth with gingival discoloration. MATERIALS AND METHODS: This research was conducted on 25 patients referred for cast dowel and PFM restorations. These restorations were manufactured from Ni-Cr alloys. Ninety days after cementing the fixed prosthodontic restorations, the abutment teeth (n = 61) were divided into a group with gingival discoloration (GD) (n = 25) and without gingival discoloration (NGD) (n = 36). The control group (CG) comprised the contralateral teeth (n = 61). Plaque index, gingival index, clinical attachment level, and probing depth were assessed before fabrication and also 90 days after cementation of the PFM restorations. RESULTS: The gingival index, clinical attachment level, and probing depths of the abutment teeth that had GD were statistically higher before restoration, in comparison with the abutment teeth in the NGD and control groups. Ninety days after cementation, the abutment teeth with GD had significantly lower gingival indexes and probing depths, compared to the abutment teeth in the NGD group. Both abutment teeth groups (GD and NGD) had significantly higher values of clinical attachment levels when compared to the control group. There were no statistically significant differences in plaque index values between the study groups. CONCLUSIONS: The results of this study indicated that impairment of periodontal status of abutment teeth seemed to be related to the presence of gingival discolorations. Therefore, fabrication of fixed prosthodontic restorations requires careful planning and abutment teeth preparation to minimize the occurrence of gingival discolorations. CLINICAL RELEVANCE: With careful preparation of abutment teeth for cast dowels and crown restorations it may be possible to decrease the frequency of gingival discolorations adjacent to abutment teeth.


Assuntos
Restauração Dentária Permanente/efeitos adversos , Doenças da Gengiva/etiologia , Adulto , Índice de Placa Dentária , Restauração Dentária Permanente/métodos , Feminino , Gengiva/patologia , Doenças da Gengiva/patologia , Humanos , Masculino , Perda da Inserção Periodontal/patologia , Índice Periodontal , Técnica para Retentor Intrarradicular/efeitos adversos
4.
Acta Clin Croat ; 58(3): 556-560, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31969772

RESUMO

A 40-year-old female patient was admitted to the Department of Oral Medicine due to oral ulcerations. Oral ulcerations were present on vestibular mucosa above teeth 21, 22, 25 and 26 and were 1 cm in diameter, and also around teeth 45 and 46. The patient had prolonged neutropenia due to therapy-related myelodysplastic syndrome that progressed to therapy-related acute myeloid leukemia. Initially, the patient was successfully treated with polychemotherapy for non-Hodgkin lymphoma. Unfortunately, many toxic complications ensued, such as peripheral neuropathy, dilated cardiomyopathy and therapy-related myelodysplastic syndrome/therapy-related acute myeloid leukemia. The onset of therapy-related myelodysplastic syndrome was less than six months after initiation of chemotherapy treatment, which was rather early, but cytogenetic changes (monosomy 5 and 7) were consistent with the diagnosis. Upon admission to our Department, microbiological swabs were obtained and were all negative, while x-ray finding showed that ulcerations did not have dental cause. Biopsy was not obtained as the patient had severe neutropenia and thrombocytopenia. While viral and fungal swabs were negative, Stenotrophomonas maltophilia was cultured from the oral cavity. Thus, differential diagnoses are listed in this report. Neutropenic ulcerations did not heal albeit extensive medicamentous oral and systemic treatments were applied and the patient died.


Assuntos
Azacitidina/uso terapêutico , Doenças da Gengiva/tratamento farmacológico , Doenças da Gengiva/etiologia , Doenças da Gengiva/fisiopatologia , Leucemia Mieloide Aguda/complicações , Leucemia Mieloide Aguda/tratamento farmacológico , Leucemia Mieloide Aguda/fisiopatologia , Adulto , Evolução Fatal , Feminino , Doenças da Gengiva/mortalidade , Humanos , Leucemia Mieloide Aguda/mortalidade
5.
Indian J Dent Res ; 29(5): 678-682, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30409953

RESUMO

The peripheral giant cell granuloma (PGCG) is a benign oral lesion occurring on the gingiva and alveolar ridge. It is the most common oral lesion and occurs at an average age of 30 years. The upsurge in the levels of estrogen and progesterone in pregnancy leads to a plethora of changes in various parts of human body, including the oral cavity. In the oral cavity, changes are commonly seen on the gingiva. These include pyogenic granuloma, PGCG and also peripheral ossifying fibroma, etc., The etiology of PGCG in our case might be related to hormonal alterations during the gestation period.


Assuntos
Doenças da Gengiva/etiologia , Doenças da Gengiva/patologia , Granuloma de Células Gigantes/patologia , Complicações na Gravidez , Adulto , Placa Dentária/prevenção & controle , Raspagem Dentária , Feminino , Doenças da Gengiva/cirurgia , Granuloma de Células Gigantes/etiologia , Granuloma de Células Gigantes/cirurgia , Humanos , Procedimentos Cirúrgicos Bucais/métodos , Gravidez , Aplainamento Radicular , Resultado do Tratamento
6.
Am J Orthod Dentofacial Orthop ; 154(5): 677-682, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30384938

RESUMO

INTRODUCTION: Orthodontic space closure after premolar extraction commonly results in the formation of a gingival cleft, which may contribute to orthodontic relapse and poor periodontal health. The purpose of this study was to examine clinical parameters that may predispose patients to gingival clefts. METHODS: Twenty-nine patients planned for treatment with premolar extractions (n = 87) and orthodontic space closure were evaluated in this prospective study. The clinical measures included width of keratinized buccal gingiva, thickness of buccal gingiva, thickness of buccal bone, time of space closure, and the occurrence (presence or absence) and severity (volume) of cleft formation. The association of the clinical measures with gingival cleft formation and severity was assessed separately for patients according to age group: young adolescent (≤13 years of age), adolescent (14-18 years of age), and adult (≥19 years of age). RESULTS: The overall incidence of gingival cleft formation was 73.2%, with a trend toward greater cleft formation in the young adolescents (79.4%) than in the adolescent and adult groups (69.2% and 68.2%, respectively). The mean severity of clefts exhibited a significant positive association with age group-young adolescent (26.6 mm2), adolescent (27.9 mm2), and adult (41.5 mm2). Buccal bone thickness was significantly correlated with gingival phenotype in the adolescent and adult groups (r = 0.42 and r = 0.52, respectively; both, P <0.05). Rate of space closure was significantly correlated with cleft formation (r = 0.71; P <0.001) in the adult group. CONCLUSIONS: The formation of gingival clefts is common after premolar extraction and space closure. Adults with a thinner gingival phenotype were more likely to develop gingival clefts of greater severity. The rate of space closure was significantly and inversely correlated with cleft formation in adults, reflecting a greater likelihood of cleft formation with slower space closure. Although various clinical parameters show a correlation to both severity and incidence of clefts, all patients undergoing postextraction space closure appear to be at risk and should be monitored.


Assuntos
Gengiva/patologia , Doenças da Gengiva/etiologia , Doenças da Gengiva/patologia , Fechamento de Espaço Ortodôntico/efeitos adversos , Complicações Pós-Operatórias/patologia , Extração Dentária , Adolescente , Adulto , Dente Pré-Molar , Criança , Humanos , Estudos Prospectivos , Fatores de Risco , Adulto Jovem
8.
Eur J Paediatr Dent ; 19(3): 218-220, 2018 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30063154

RESUMO

BACKGROUND: The term Pseudohypoparathiroidism indicates a group of rare conditions characterised by end-organ resistance to the action of parathyroid hormone (PTH). Ossifying epulis (OE) is a exophytic gingival lesion characterised by spontaneous bone formation beneath the mucosa, which may affect children and adults: the exophytic, calcified outgrowths can occur in any bone and generally have favorable prognosis. Drug therapy may normalise calcium serum levels, but not completely avoid the occurrence of peripheral ossifying epulis. CASE REPORT: We report a representative case of a peripheral ossifying epulis in the mouth of a patient following a drug treatment protocol for her pseudohypoparathyroidism and to optimise serum markers. An 11-year-old girl was referred to our department, showing a bulky neoformation on the gingival margin of 0.6 mm diameter with sharp margins. The mass was completely excised. Histological analysis revealed distinctive features of a chronic and acute inflammatory microenvironment with plasma cells (positivity for CD38, MUM1, Lambda and Kappa chains) and bone tissue fragments with remodeling aspects referable to flogistic osteolysis. The biopsy result leads to hypothese a change in the patient's drug therapy. Multidisciplinary screening and individualised pharmacological treatment are strongly recommended in the clinical practice in order to improve the therapeutic results.


Assuntos
Doenças da Gengiva/etiologia , Ossificação Heterotópica/etiologia , Pseudo-Hipoparatireoidismo/complicações , Biomarcadores/sangue , Criança , Diagnóstico Diferencial , Feminino , Doenças da Gengiva/diagnóstico por imagem , Doenças da Gengiva/cirurgia , Humanos , Ossificação Heterotópica/diagnóstico por imagem , Ossificação Heterotópica/cirurgia , Pseudo-Hipoparatireoidismo/tratamento farmacológico , Radiografia Panorâmica
9.
BMC Oral Health ; 18(1): 112, 2018 06 19.
Artigo em Inglês | MEDLINE | ID: mdl-29921254

RESUMO

BACKGROUND: Many gingival lesions are not induced by plaque. The aim of this study was to analyze the frequency of biopsied non-plaque-induced gingival lesions (NPIGL) in a Chilean population. METHODS: One thousand twelve cases of biopsied gingival lesions with confirmed anatomopathologic diagnosis were included, from the records of the Oral Pathology Referral Institute (OPRI), Faculty of Dentistry, University of Chile, between years 1990 and 2009. RESULTS: The most frequent non plaque-induced gingival lesions categories from biopsied cases included hyperplastic lesions, malignancies and benign neoplasms. The most frequent diagnoses in each category were fibrous hyperplasia (35.47%), squamous cell carcinoma (3.85%) and giant cell fibroma (2.08%), respectively. From all lesions, only 8.3% fitted in the specified categories of the current classification of periodontal diseases. CONCLUSIONS: The most frequent biopsied NPIGL were hyperplastic lesions and neoplasms. These categories represent relevant lesions to be included in a future periodontal classification system to improve the care needs of the patients, as well as early diagnosis and treatment.


Assuntos
Doenças da Gengiva/epidemiologia , Adolescente , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Biópsia , Carcinoma de Células Escamosas/diagnóstico , Carcinoma de Células Escamosas/epidemiologia , Carcinoma de Células Escamosas/etiologia , Carcinoma de Células Escamosas/patologia , Criança , Pré-Escolar , Chile/epidemiologia , Feminino , Gengiva/patologia , Doenças da Gengiva/diagnóstico , Doenças da Gengiva/etiologia , Doenças da Gengiva/patologia , Hiperplasia Gengival/diagnóstico , Hiperplasia Gengival/epidemiologia , Hiperplasia Gengival/etiologia , Hiperplasia Gengival/patologia , Neoplasias Gengivais/diagnóstico , Neoplasias Gengivais/epidemiologia , Neoplasias Gengivais/etiologia , Neoplasias Gengivais/patologia , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Doenças Periodontais/classificação , Doenças Periodontais/epidemiologia , Doenças Periodontais/etiologia , Estudos Retrospectivos , Adulto Jovem
10.
J Investig Clin Dent ; 9(4): e12342, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-29752778

RESUMO

Reactive lesion formation around dental implants a complication that has been given much consideration. These lesions can lead to marginal bone loss, and consequently, implant failure. In the present systematic review, all reported reactive lesions associated with dental implants in the literature were assessed. An electronic search was performed using PubMed Central, Scopus, Google Scholar, and Science Direct. The search strategy was limited to human studies (case reports and case series), full-text English language articles, published until May 2017. A total of 19 articles reporting 27 lesions in 25 cases were included. Peripheral giant cell granuloma and pyogenic granuloma were the most reactive lesions found around dental implants. The mean age of the patients was 51.28 ± 14.48 years, with a slight female predilection. Posterior mandibular gingiva was the most common location for these lesions. The recurrence rate of lesions was 33.33%, and the chance of implant removal was 29.62%. Due to the clinical significance of these lesions, early histopathologic examination is recommended to exclude the presence of such pathological lesions.


Assuntos
Implantes Dentários/efeitos adversos , Doenças da Boca/etiologia , Doenças da Gengiva/etiologia , Granuloma de Células Gigantes/etiologia , Granuloma Piogênico/etiologia , Humanos
11.
BMC Oral Health ; 18(1): 79, 2018 05 04.
Artigo em Inglês | MEDLINE | ID: mdl-29728081

RESUMO

BACKGROUND: Several studies have reported the harmful effects of lead poisoning. However, the relationship between lead exposure and oral health of children has not been well defined. The aim of this study was to investigate the relationship between blood lead level (BLL) and oral health status of children. METHODS: A total of 351 children (aged 7-15 years) were recruited from the pilot data of the Korean Environmental Health Survey in Children and Adolescents, which was designed to examine environmental exposure and children's health status in South Korea. Blood samples were taken to determine BLLs and oral examinations were performed to assess oral health parameters, including community periodontal index (CPI), gingival index (GI), and plaque index (PI). Information regarding socioeconomic status, oral hygiene behavior, and dietary habits was collected from parents and guardians. RESULTS: The participants were divided equally into four quartiles, with quartile I comprised of children with the lowest BLLs. There were significant differences for PI (p < 0.05) among the quartile groups. Using logistic regression models, we found a significant relationship between BLL and oral health parameters. The crude odds ratios for CPI, GI, and PI in the third quartile were 5.24 (95% CI: 1.48-18.56), 4.35 (95% CI: 1.36-13.9), and 4.17 (95% CI: 1.50-11.54), respectively, while the age and gender-adjusted odds ratios were 7.66 (95% CI: 1.84-31.91), 6.80 (95% CI: 1.80-25.68), and 3.41 (95% CI: 1.12-10.40), respectively. After adjustments for age, gender, parent education level, and frequency of tooth brushing, the adjusted odds ratios were 7.21 (95% CI: 1.72-30.19), 6.13 (95% CI: 1.62-23.19), and 3.37 (95% CI: 1.10-10.34), respectively. CONCLUSIONS: A high BLL might be associated with oral health problems in children, including plaque deposition and gingival diseases.


Assuntos
Intoxicação por Chumbo/complicações , Saúde Bucal , Adolescente , Criança , Índice de Placa Dentária , Exposição Ambiental/efeitos adversos , Exposição Ambiental/estatística & dados numéricos , Comportamento Alimentar , Feminino , Doenças da Gengiva/induzido quimicamente , Doenças da Gengiva/etiologia , Humanos , Chumbo/efeitos adversos , Chumbo/sangue , Intoxicação por Chumbo/sangue , Masculino , Saúde Bucal/estatística & dados numéricos , Índice Periodontal , República da Coreia/epidemiologia , Fatores Socioeconômicos , Escovação Dentária
12.
J Contemp Dent Pract ; 19(4): 443-449, 2018 Apr 01.
Artigo em Inglês | MEDLINE | ID: mdl-29728551

RESUMO

Aim: Retention is one of the stages of orthodontic treatment, which is an attempt to retain teeth in their corrected positions after active treatment with the use of fixed orthodontic appliances. The aim of the present study was to compare the stability of the results of orthodontic treatment and the gingival health between Hawley retainer (HR) and vacuum-formed retainer (VFR) with two different thicknesses. Materials and methods: In this randomized clinical trial, 66 patients undergoing comprehensive orthodontic treatment in a private office were evaluated after completion of treatment. The subjects were randomly assigned to three groups. At the end of orthodontic treatment, the subjects in all the groups received a fixed bonded retainer in the mandible; in the maxilla, group I received an HR, group II received a VFR with a thickness of 1.5 mm, and group III received a VFR with a thickness of 1 mm. The American Board of Orthodontics objective grading system (ABO-OGS) index was used at the end of treatment (before the delivery of the retainers) and 6 months after the use of retainers to evaluate the stability of the results of orthodontic treatment. Gingival index (GI) was used at the two above-mentioned intervals to evaluate gingival health. The ABO-OGS measurements were carried out on dental casts by a clinician who was blinded to the types of retainers the patients wore. Data were analyzed with Statistical Package for the Social Sciences (SPSS) version 20, using proper statistical analyses. Results: Six months after the delivery of retainers, ABO-OGS and GI scores with the 1.5 mm VFR were higher than those in the two other groups, with no significant differences between the three groups. There were no significant differences between the ABO-OGS scores before the delivery of retainers and 6 months after the use of retainers in any of the study groups. In the HR and 1.5 mm VFR groups, there were significant differences in GI scores between the period before the delivery of the retainers and 6 months after their delivery; however, in the 1 mm VFR group, no significant differences were observed in GI scores between the two time intervals. Conclusion: Hawley retainer and 1 mm thick and 1.5 mm thick VFRs were equally effective in preserving and stabilizing the results of orthodontic treatment during the 6-month interval after the completion of orthodontic treatment. In addition, there were no significant differences between the three retainers in relation to gingival health. Clinical significance: The VFR might be a good alternative for HR due to its better esthetic appearance and greater popularity with orthodontic patients. Keywords: American Board of Orthodontics model grading system, American Board of Orthodontics objective frading system, Gingival index, Hawley retainers, Vacuum-formed retainers.


Assuntos
Contenções Ortodônticas , Ortodontia Corretiva/instrumentação , Índice Periodontal , Adolescente , Adulto , Criança , Desenho de Equipamento/métodos , Feminino , Doenças da Gengiva/etiologia , Humanos , Masculino , Má Oclusão/terapia , Contenções Ortodônticas/efeitos adversos , Ortodontia Corretiva/métodos , Resultado do Tratamento , Vácuo , Adulto Jovem
13.
J Vet Sci ; 19(4): 582-584, 2018 Jul 31.
Artigo em Inglês | MEDLINE | ID: mdl-29510473

RESUMO

A 2-month-old female Holstein calf and a 5-month-old female Japanese black calf presented with gingival vascular hamartoma located in the interdental space between the second and third mandibular incisors in the right and left mandibles, respectively. On radiographic or computed tomographic images, osteolytic changes appeared within the mandibular bones adjacent to the masses. The masses were removed along with affected mandibular bone by using unilateral rostral mandibulectomy. After surgery, both cases exhibited a normal appetite and grew normally, with no cosmetic changes or recurrences. Unilateral rostral mandibulectomy can be applied for invasive gingival vascular hamartomas associated with osteolytic changes.


Assuntos
Doenças dos Bovinos/cirurgia , Doenças da Gengiva/veterinária , Hamartoma/veterinária , Osteotomia Mandibular/veterinária , Animais , Bovinos , Doenças dos Bovinos/etiologia , Feminino , Doenças da Gengiva/etiologia , Doenças da Gengiva/cirurgia , Hamartoma/etiologia , Hamartoma/cirurgia , Mandíbula/patologia , Mandíbula/cirurgia
14.
Oper Dent ; 43(5): 482-487, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-29513640

RESUMO

OBJECTIVES: To evaluate the clinical behavior of one-piece complete-coverage crowns and fixed partial dentures (FPDs) on teeth with vertical preparation without finish line biologically oriented preparation technique (BOPT). METHODS AND MATERIALS: This prospective study included 52 patients requiring treatment with restorations in the esthetic region: 74 crowns and 27 FPDs. The sample included a total of 149 teeth that were prepared vertically without finish line. The sample was divided into two groups: one-piece crowns and FPDs, all with zirconia cores, feldspathic ceramic veneer, and a 0.5-mm prosthetic finish line of zirconia. All procedures were carried out at the University of Valencia from 2013 to 2014. The following parameters were evaluated over a two-year follow-up: oral hygiene, periodontal state, gingival thickening, gingival margin stability, the presence of complications, and restoration survival rate. Patient satisfaction with treatment was assessed by means of a visual analogue scale (VAS). RESULTS: Two years after treatment, 80.5% of treated teeth remained free of gingival inflammation and bleeding. Mean gingival thickening was 0.41 ± 0.28 mm for one-piece crowns and 0.38 ± 0.36 mm for FPDs. Gingival margin stability was 100%, but 2% of the sample presented biological complications. The VAS patient satisfaction scores were eight out of a maximum score of 10. CONCLUSIONS: Two years after treatment, vertical preparation without finish line produces gingival thickening, margin stability, and optimal esthetics. Neither crowns nor FPDs presented any mechanical complications.


Assuntos
Coroas , Restauração Dentária Permanente/métodos , Doenças da Gengiva/etiologia , Zircônio/uso terapêutico , Adolescente , Adulto , Idoso , Cerâmica/efeitos adversos , Cerâmica/uso terapêutico , Coroas/efeitos adversos , Restauração Dentária Permanente/efeitos adversos , Estética Dentária , Feminino , Seguimentos , Gengiva/efeitos dos fármacos , Doenças da Gengiva/prevenção & controle , Humanos , Masculino , Pessoa de Meia-Idade , Satisfação do Paciente , Estudos Prospectivos , Adulto Jovem , Zircônio/efeitos adversos
15.
Acta Odontol Scand ; 76(2): 141-147, 2018 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29069977

RESUMO

OBJECTIVE: The aim of the present split-mouth retrospective study was to compare the clinical periodontal parameters among gutka-chewers and naswar-dippers. METHODS: A structured questionnaire was used to record demographic information. Jaw quadrant in which, gutka or naswar were placed were defined as "test-sites". The remaining jaw quadrants were designated as "control-sites". Clinical [plaque index (PI), bleeding on probing (BOP), probing pocket depth (PPD) and clinical attachment loss (CAL)] and radiographic [alveolar bone loss (ABL)] parameters were compared among gutka-chewers and naswar-dippers in the test- and control sites. Data were analysed using non-parametric Wilcoxon signed rank test followed by post hoc analyses with the Bonferroni correction. p < .05 were considered statistically significant. RESULTS: Seventy-five gutka-chewers and 72 naswar-dippers with mean ages of 45.2 ± 0.8 years and 47.3 ± 2.8 years, respectively were included. Gutka-chewers and naswar-dippers were consuming their respective smokeless tobacco product 10.2 times and 8.5 times daily for 15.1 ± 2.7 and 12.3 ± 3.4 years, respectively. Among gutka-chewers and naswar-dippers, scores of PI, BOP, PPD ≥4 mm, CAL and ABL were significantly higher in the test-sites compared with their respective control-sites (p < .01). CONCLUSIONS: Periodontal inflammatory parameters were poorer in the test-sites among gutka-chewers and naswar-dippers compared with the control-sites.


Assuntos
Areca/efeitos adversos , Doenças da Gengiva/etiologia , Doenças Periodontais/etiologia , Tabaco sem Fumaça/efeitos adversos , Adulto , Índice de Placa Dentária , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Perda da Inserção Periodontal , Índice Periodontal , Estudos Retrospectivos , Inquéritos e Questionários
16.
PLoS One ; 12(10): e0186346, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-29023518

RESUMO

Gingival disase and rheumatoid arthritis (RA) are linked at both the epidemiologic and pathogenesis levels. In this study, we aimed to identify environmental factors associated with RA and gingival disease and to investigate factors that protect the gingival tissue in RA patients. This retrospective study analyzed 754 RA patients with gingival disease selected from the NHANES database who completed the mobile examination center interview/examination between 1999 and 2004. Data collected included demographics, lifestyle, dietary intake, and biomarkers. The study included 173 RA patients with gingival disease. Multivariate logistic regression analysis showed that the odds of gingival disease were significantly increased with male gender. However, the odds of gingival disease was significantly decreased with increased vitamin C intake (OR = 0.996, p = 0.041), and higher serum vitamin D levels (OR = 0.979, p = 0.011). Given the significant association between the prevalence of gingival disease and RA, identification of risk factors of gingival disease will be useful as a screening tool in national health surveys to improve the management of periodontal disease in patients with RA.


Assuntos
Artrite Reumatoide/patologia , Doenças da Gengiva/etiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Artrite Reumatoide/complicações , Artrite Reumatoide/epidemiologia , Ácido Ascórbico/administração & dosagem , Biomarcadores/análise , Feminino , Doenças da Gengiva/epidemiologia , Doenças da Gengiva/patologia , Humanos , Estilo de Vida , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Inquéritos Nutricionais , Razão de Chances , Prevalência , Estudos Retrospectivos , Fatores de Risco , Fatores Sexuais , Vitamina D/sangue
17.
Am J Orthod Dentofacial Orthop ; 152(4): 477-482, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-28962731

RESUMO

INTRODUCTION: In this study, we aimed to assess the effect of the duration of fixed orthodontic treatment on gingival enlargement (GE) in adolescents and young adults. METHODS: The sample consisted of 260 subjects (ages, 10-30 years) divided into 4 groups: patients with no fixed orthodontic appliances (G0) and patients undergoing orthodontic treatment for 1 year (G1), 2 years (G2), or 3 years (G3). Participants completed a structured questionnaire on sociodemographic characteristics and oral hygiene habits. Clinical examinations were conducted by a calibrated examiner and included the plaque index, the gingival index, and the Seymour index. Poisson regression models were used to assess the association between group and GE. RESULTS: We observed increasing means of plaque, gingivitis, and GE in G0, G1, and G2. No significant differences were observed between G2 and G3. Adjusted Poisson regression analysis showed that patients undergoing orthodontic treatment had a 20 to 28-fold increased risk for GE than did those without orthodontic appliances (G1, rate ratio [RR] = 20.2, 95% CI = 9.0-45.3; G2, RR = 27.0, 95% CI = 12.1-60.3; G3 = 28.1; 95% CI = 12.6-62.5). CONCLUSIONS: The duration of orthodontic treatment significantly influenced the occurrence of GE. Oral hygiene instructions and motivational activities should target adolescents and young adults undergoing orthodontic treatment.


Assuntos
Doenças da Gengiva/etiologia , Aparelhos Ortodônticos/efeitos adversos , Adolescente , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Índice Periodontal , Fatores de Tempo , Adulto Jovem
18.
MedicalExpress (São Paulo, Online) ; 4(5)Sept.-Oct. 2017. tab, graf
Artigo em Inglês | LILACS | ID: biblio-894364

RESUMO

BACKGROUND: Patients with mucopolysaccharidosis have several changes of the stomatognathic complex, representing a challenge for dentists. OBJECTIVE: The study aimed to evaluate and characterize oral health in patients with mucopolysaccharidosis in a reference center of Portugal. METHOD: The sample consisted of twelve participants with mucopolysaccharidosis followed in Metabolic Diseases Unit of the S. João Hospital Centre and twelve healthy participants followed at Faculty of Dental Medicine, University of Porto. The clinical oral evaluation was performed by a complete extra-oral and intra-oral examination to assess the presence of oral pathologies, gingival index and occlusion status. RESULTS: Mucoplysaccaridosis patients and controls presented similar age ranges and sex distribution. In comparison to controls, children with mucopolysaccharidosis presented a higher prevalence of tooth decay, gingival bleeding, macroglossia, dental hypoplasia, lingual interposition, delayed tooth eruption, anterior open bite, right and left posterior cross-bite, limitation of mouth opening, alteration on the size and shape of the teeth, diastemata and maxillary compression. CONCLUSIONS: Patients with mucopolysaccharidosis have a high prevalence eruption delay, teeth morphology alterations, occlusal problems, dental caries and bleeding gums, highlighting the need of oral health care providers to improve diagnostics and preventive protocols to overcome the factors that limit the oral health of these patients and promote together with parent/caregiver efficient oral care strategies.


INFORMAÇÕES GERAIS: Os pacientes com mucopolissacaridose apresentam diversas alterações do complexo estomatognático, representando um desafio para os médicos dentistas. OBJETIVO: O estudo pretendeu avaliar e caracterizar a saúde oral em pacientes com mucopolissacaridose num centro de referência em Portugal. MÉTODO: A amostra foi constituída por doze pacientes com mucopolissacaridose (MPS) seguidos na Unidade de Doenças Metabólicas do Centro Hospitalar de São João e doze participantes saudáveis seguidos na Faculdade de Medicina Dentária da Universidade do Porto. A avaliação clínica oral consistiu num completo exame extra-oral e intra-oral para avaliação de patologias orais, índice gengival e perfil oclusal. RESULTADOS: Pacientes com MPS e controlos apresentaram médias similares de idade e de distribuição de género. Em comparação com os controlos, crianças com mucopolissacaridose apresentam maior prevalência de dentes cariados, sangramento gengival, macroglossia, hipoplasia dentária, interposição lingual, erupção dentária atrasada, mordida aberta anterior, mordida cruzada posterior direita e esquerda, limitação da abertura da boca, alteração do tamanho e forma dentária, diastemas e compressão maxilar. CONCLUSÃO: Pacientes com mucopolissacaridose apresentam maior prevalência de erupção dentária atrasada, alterações morfológicas dentárias, problemas oclusais, cáries dentárias e gengivas inflamadas, reforçando a necessidade de prestadores de saúde oral para melhorar diagnósticos e protocolos preventivos para ultrapassar os fatores que limitam a saúde oral destes pacientes e promover em conjunto com pais/cuidadores estratégias de saúde oral eficientes.


Assuntos
Humanos , Criança , Manifestações Bucais , Saúde Bucal , Mucopolissacaridoses/complicações , Portugal , Erupção Dentária , Mordida Aberta/etiologia , Cárie Dentária/etiologia , Hipoplasia do Esmalte Dentário/etiologia , Diastema/etiologia , Doenças da Gengiva/etiologia , Macroglossia/etiologia , Má Oclusão/etiologia
19.
Artigo em Inglês | MEDLINE | ID: mdl-28777322

RESUMO

The presence of any age-related differences in gingival pigmentation associated with smoking, particularly in a young population, remains to be fully investigated. The purpose of this study was to determine the age-related differences in smoking gingival pigmentation. Gingival pigmentation was analyzed using the gingival melanosis record (GMR) and Hedin's classification with frontal oral photographs taken at 16 dental offices in Japan. Participants were categorized into 10-year age groups, and their baseline photographs were compared. In addition, to evaluate the effect of smoking cessation on gingival pigmentation, subjects were divided into a former smoker group (stopped smoking) and current smoker group. A total of 259 patients 19 to 79 years of age were analyzed. People in their 30s showed the most widespread gingival pigmentation. In addition, subjects in their 20s showed a weak effect of smoking cessation on gingival pigmentation. These findings suggested that the gingival pigmentation induced by smoking was more remarkable in young people than in middle-aged people. This information may be useful for anti-smoking education, especially among young populations with a high affinity for smoking.


Assuntos
Doenças da Gengiva/etiologia , Melanose/etiologia , Fumar/efeitos adversos , Adulto , Idoso , Feminino , Doenças da Gengiva/epidemiologia , Humanos , Japão/epidemiologia , Masculino , Melanose/epidemiologia , Pessoa de Meia-Idade , Fotografia Dentária , Fumar/epidemiologia , Abandono do Hábito de Fumar , Adulto Jovem
20.
J Ayub Med Coll Abbottabad ; 29(1): 132-138, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28712192

RESUMO

Smile is an expression of happiness, self-confidence, kindness and beauty. Along with teeth and lips, gingiva is also a vital component of smile. Melanin induced gingival hyper pigmentation may appear un-aesthetic especially when it is associated with high smile line, upper anterior labial segment and is uneven in appearance. It affects individuals from all races. Generally, it is believed that melanin induced gingival hyper pigmentation is confined to individuals from dark races. But studies have shown that Iranian, Indian, Italian, Arabian, Greek. German, French, Japanese, Chinese, Jewish, Thai, Malaysian and other ethnic groups also display clinical gingival pigmentation.1 Gingival hyper pigmentation may result in psychological distress especially when the appearance is of utmost importance for the individuals. This article aims to focus on the physiology, clinical appearance and treatment options available for the melanin induced gingival hyper pigmentation along with the reported recurrence in the light of current literature.


Assuntos
Doenças da Gengiva/etiologia , Doenças da Gengiva/terapia , Hiperpigmentação/etiologia , Hiperpigmentação/terapia , Melaninas/fisiologia , Humanos
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