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1.
J Cancer Res Ther ; 16(3): 463-469, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32719252

RESUMO

Background: Tobacco practice in relation with oral diseases is a foremost cause for the global oral disease burden and is accountable for up to 50% of all periodontitis cases among adults. The present cross-sectional study was undertaken to evaluate the local effects of various types of smokeless tobacco on periodontal health in tobacco pouch keratosis (TPK) patients in Mangalore city in the state of Karnataka. Materials and Methods: A total of 345 TPK patients were evaluated of which all were smokeless tobacco users. All the patients were clinically examined for different clinical periodontal parameters such as stains, gingival recession (GR), periodontal pocket, furcation involvement, and mobility and local effects of various types of smokeless tobacco on periodontal health in TPK sites were recorded. Results: The prevalence of GR was of 87.5%. Haathichaap was the most common smokeless tobacco used (35.9%) closely followed by nonpackaged type (loose tobacco) (19.4%). This was followed by Madhu (14.2%). Likewise, periodontal parameters were observed more in these patients in decreasing order. Conclusion: The results of the present study agree strongly with other smokeless tobacco user studies in terms of the strong association between GR and smokeless tobacco placement. The present cross-sectional study indicates that TPK lesions are positively associated with periodontal diseases. It is important to raise awareness of both oral cancer and periodontal risks and inform about its possible health consequences thereby working towards an improvement of oral and general health and related quality of life in these patients.


Assuntos
Retração Gengival/epidemiologia , Ceratose/fisiopatologia , Doenças da Boca/epidemiologia , Doenças Periodontais/epidemiologia , Tabaco sem Fumaça/efeitos adversos , Adolescente , Adulto , Idoso , Estudos Transversais , Feminino , Retração Gengival/induzido quimicamente , Retração Gengival/patologia , Humanos , Incidência , Índia/epidemiologia , Masculino , Pessoa de Meia-Idade , Doenças da Boca/induzido quimicamente , Doenças da Boca/patologia , Doenças Periodontais/induzido quimicamente , Doenças Periodontais/patologia , Qualidade de Vida , Adulto Jovem
2.
Int. j interdiscip. dent. (Print) ; 13(1): 21-25, abr. 2020. tab
Artigo em Espanhol | LILACS | ID: biblio-1114888

RESUMO

OBJETIVO: Determinar la prevalencia de recesiones gingivales e identificar indicadores de riesgo, en estudiantes de cuarto medio de la ciudad de Valdivia en el año 2018. MATERIAL Y MÉTODOS: Estudio de corte transversal. Se midió la prevalencia, distribución y tipo de recesión gingival según clasificación de Miller en estudiantes de cuarto medio de establecimientos públicos y subvencionados de la ciudad de Valdivia, seleccionados mediante muestreo aleatorio estratificado. Dos examinadores calibrados realizaron un examen clínico utilizando una sonda periodontal carolina del norte y un cuestionario escrito individual a cada estudiante para evaluar indicadores de riesgo. Los datos fueron tabulados y el análisis estadístico se realizó usando el programa estadístico SPSS 18 (IBM® SPSS® software). RESULTADOS: Se examinaron 310 estudiantes. La prevalencia encontrada fue de 68,4%. La Clase I de Miller se presentó en un 97,7%. La arcada mandibular con un 64,8% presentó mayor prevalencia de recesiones gingivales y los premolares inferiores fueron los dientes más afectados con un 47,7%. CONCLUSIÓN: Existe una alta prevalencia de recesiones gingivales en la población estudiada. Los estudiantes de establecimientos públicos presentan significativamente mayor prevalencia de recesiones gingivales y menor frecuencia de cepillado.


AIM: To determine the prevalence of gingival recessions and identify risk indicators in school senior students in the city of Valdivia in 2018. MATERIAL AND METHODS: Descriptive observational study. Prevalence, distribution and type of gingival recession were measured according to Miller classification in school senior students of public and charter establishments in the city of Valdivia, selected by stratified random sampling. A clinical examination was performed by two calibrated examiners using a North Carolina periodontal probe and an individual written questionnaire for each student to assess risk indicators. A descriptive analysis was performed using the statistical program SPSS 18 (IMB® SPSS® software). RESULTS: 310 students were examined. The prevalence found of at least one gingival recession was 68.4%. Miller's Class I was present in 97.7%. The jaw presented a higher prevalence of gingival recessions with 64.8% and the lower premolars were the most affected teeth with 47.7%. CONCLUSION: There is a high prevalence of gingival recessions in the population studied. Students in public establishments have a higher prevalence of recessions and a lower frequency of tooth brushing.


Assuntos
Humanos , Masculino , Feminino , Retração Gengival/epidemiologia , Higiene Bucal , Escovação Dentária , Chile/epidemiologia , Epidemiologia Descritiva , Prevalência , Estudos Transversais , Inquéritos e Questionários , Fatores de Risco , Medição de Risco , Uso de Tabaco , Retração Gengival/classificação
3.
Clin Oral Investig ; 24(2): 991-1000, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31278617

RESUMO

OBJECTIVES: The aim of this cross-sectional study is to (i) determine the prevalence, extent, severity, and distribution of gingival recessions and patient perception in a young population and (ii) to identify potential risk indicators. MATERIAL AND METHODS: Two hundred fifty-one students with a mean age of 22.9 ± 4.7, attending the School of Dentistry and Dental Hygiene of Vita-Salute San Raffaele University (Milan, Italy) were included. The subjects had undergone a clinical evaluation, by two calibrated examiner, and a questionnaire. Demographic and clinical data were collected to evaluate association of these factors with gingival recessions. RESULTS: The prevalence of gingival recessions at patient and tooth level was 39% and 5.2%, respectively. The only factor associated with the presence of GR was age. On the other hand, age and smoking were associated with the extent, whereas BOP, NCCLs and KT were associated with the severity. Out of 98 subjects presenting at least one GR, 63 (64%) were conscious of the presence of the GR. NCCLs were also strongly associated with the perception of the recession by the patient. CONCLUSIONS: There is a low prevalence of buccal gingival recessions in this sample of Italian students. More than 50% of the sample was aware of the problem. Almost all patients presenting symptomatology or aesthetic concern requested appropriate therapy. CLINICAL RELEVANCE: The findings highlight the low relevance of gingival recessions in daily practice and the importance of controlling potential risk indicators in young populations.


Assuntos
Retração Gengival , Adolescente , Adulto , Estudos Transversais , Estética Dentária , Retração Gengival/epidemiologia , Humanos , Itália , Higiene Bucal , Prevalência , Adulto Jovem
4.
Braz. dent. sci ; 23(1): 1-8, 2020. tab
Artigo em Inglês | LILACS, BBO - Odontologia | ID: biblio-1049727

RESUMO

Objective: Periodontal diseases are very common dental disease. Many risk factors may play significant role in the periodontal disease initiation and progression. This study was performed to evaluate the effects of khat chewing, smoking, age and gender on periodontal status among Yemeni adults. Material and Methods: This cross-sectional study was performed on 1231 patients attending the outpatient dental polyclinics of University of Science and Technology during the academic years 2017/2018. All completed sheets were collected throughout the year by the supervisors. Data cleaning, descriptive statistics, and inferential statistics were then performed. Results: Khat chewers were more frequent than non-chewers counterparts (60.7% vs. 39.3%). The prevalence of smoking was 25.5% (297 patients). Study results indicated that periodontitis is more associated with female gender and participants aged more than 35 years old. Results also showed that female and age older participants aged more than 35 years were significantly associated with gingival recession. Mean number of the teeth with gingival recession in male patients were higher than in females. Male gender and patients aged more than 35 years old were significantly associated with furcation involvement. Conclusion: The present study has shown females gender and age older than 35 seem to be risk factors of periodontal diseases. Males has more teeth affected by gingival recession and more furcation involvement (AU)


Objetivo: As doenças periodontais são patologias dentárias com alta prevalência. Diversos fatores de risco podem desempenhar papel significativo no início e progressão das doenças periodontais. Este estudo foi realizado para avaliar os efeitos da mastigação de khat, tabagismo, idade e gênero na condição periodontal de adultos iemenitas. Material e Métodos: Este estudo transversal foi realizado em 1231 pacientes atendidos nas policlínicas odontológicas ambulatoriais da Universidade de Ciência e Tecnologia durante os anos acadêmicos de 2017/2018 através de um questionário para coleta de dados préestabelecido. Todas os questionários preenchidos foram coletados ao longo do ano pelos supervisores. A apuração dos dados, estatística descritiva e estatística inferencial foram realizadas. Resultados: os mastigadores de Khat foram mais frequentes do que as não-mastigadores (60,7% vs. 39,3%). A prevalência de tabagismo foi de 25,5% (297 pacientes). Os resultados do estudo indicaram que a periodontite está mais associada ao gênero feminino e aos participantes com mais de 35 anos de idade. Os resultados também mostraram que participantes do gênero feminino e acima de 35 anos foram significativamente associadas à recessão gengival. O número médio de dentes com recessão gengival em pacientes do gênero masculino foi maior que no feminino. O gênero masculino e os pacientes com mais de 35 anos de idade foram significativamente associados ao envolvimento da furca. Conclusão: O presente estudo mostrou que o gênero feminino e a idade acima de 35 anos parecem ser fatores de risco para doenças periodontais. Pacientes do gênero masculino têm mais dentes afetados pela recessão gengival e mais envolvimento de furca.(AU)


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Adulto Jovem , Doenças Periodontais/epidemiologia , Tabagismo/epidemiologia , Catha , Mastigação , Doenças Periodontais/etiologia , Periodontite/etiologia , Periodontite/epidemiologia , Tabagismo/complicações , Iêmen/epidemiologia , Estudos Transversais , Fatores de Risco , Distribuição por Sexo , Defeitos da Furca/etiologia , Defeitos da Furca/epidemiologia , Distribuição por Idade , Catha/efeitos adversos , Retração Gengival/etiologia , Retração Gengival/epidemiologia
5.
J Orofac Orthop ; 80(1): 1-8, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30242441

RESUMO

PURPOSE: Aim of the present study was to investigate the prevalence of gingival recession and related factors in teeth with low occlusal function (open bite and infraversion) after orthodontic treatment. METHODS: From January 2014 to December 2017, 403 patients received orthodontic treatment. Their gingival recession and related factors before and after treatment were retrospectively analyzed. RESULTS: The prevalence of gingival recession in patients with infraversion and open bite after orthodontic treatment were 80.6 and 75.0%, respectively; these values were 43.4 and 47.5% before treatment, respectively. Notably, the Miller index of gingival recession increased after orthodontic treatment (P < 0.05). The risk of gingival recession in patients with infraversion or open bite after orthodontic treatment was remarkably higher than the risk in other patients (odds ratio [OR] = 16.712 and 5.073, respectively); the gingival recession rate was related to treatment with tooth extraction (OR = 2.043), as well as gingival biotype (OR = 0.341) and gingival index (GI) before orthodontic treatment (OR = 97.404; P < 0.05). CONCLUSIONS: Patients with these two types of low occlusal function are more likely to exhibit gingival recession after orthodontic treatment. Moreover, the prevalence of gingival recession after orthodontic treatment is higher among patients who have undergone tooth extraction during orthodontic treatment, and among those who exhibit thin gingival biotype and high gingival index before orthodontic treatment.


Assuntos
Retração Gengival/etiologia , Má Oclusão/terapia , Mordida Aberta/terapia , Técnicas de Movimentação Dentária/efeitos adversos , Adolescente , Feminino , Retração Gengival/epidemiologia , Humanos , Masculino , Prevalência , Estudos Retrospectivos , Fatores de Risco , Técnicas de Movimentação Dentária/métodos , Adulto Jovem
6.
Pediatr Infect Dis J ; 38(6): e112-e115, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-30096098

RESUMO

BACKGROUND: Limited information is available on gingival recession or localized aggressive periodontitis among HIV-infected children and adolescents. This study reports on the prevalence of these conditions among children and adolescents receiving antiretroviral therapy (ART). METHODS: A cross-sectional study on HIV-infected children and adolescents attending a Pediatric HIV clinic in Gauteng, South Africa, between January 2013 and June 2016. Patients received an oral examination and oral hygiene instructions, irrespective of oral- or dental-related complaints. Hard and soft tissue pathology was managed and recorded, together with relevant demographic and clinical data. Statistical analysis was performed in Stata 14 with P < 0.05 as significant. RESULTS: A total of 554 children and adolescents 5-19 years of age (median age: 12.2 years; interquartile range: 10.3-14.9) were included, of whom 78 (14.1%) presented with gingival recession on permanent mandibular incisors and/or localized aggressive periodontitis of molar teeth. Multivariable logistic regression revealed that patients with gingival recession and aggressive periodontitis had a significantly shorter duration of ART and were more likely to have suboptimal HIV control (CD4 count ≤500 cells/µL and/or HIV viral load ≥50 copies/mL) and be on advanced ART regimens after virologic failure on first- and second-line treatment. CONCLUSIONS: The results emphasize the importance of oral health care among HIV-infected children and adolescents from the onset, to prevent and manage conditions that could result in tooth loss and permanent disfigurement. This is of particular importance in the presence of virologic failure and immunosuppression.


Assuntos
Periodontite Agressiva/epidemiologia , Periodontite Agressiva/virologia , Fármacos Anti-HIV/uso terapêutico , Retração Gengival/epidemiologia , Retração Gengival/virologia , Infecções por HIV/complicações , Adolescente , Terapia Antirretroviral de Alta Atividade , Contagem de Linfócito CD4 , Criança , Pré-Escolar , Estudos Transversais , Feminino , Infecções por HIV/tratamento farmacológico , Humanos , Masculino , Prevalência , África do Sul/epidemiologia , Falha de Tratamento , Carga Viral/efeitos dos fármacos , Adulto Jovem
8.
Orthod Fr ; 89(2): 137-144, 2018 06.
Artigo em Francês | MEDLINE | ID: mdl-30040613

RESUMO

INTRODUCTION: Orthodontic-surgical treatment can present risks to the dental organ and the periodontium. Despite the low incidence of such cases, these complications can compromise a treatment plan. Practitioners should be aware of these potential complications, take them into account during treatment in order to reduce their negative impact and, if necessary, manage them by orthodontic-surgical collaboration. MATERIALS AND METHODS: In this article, the authors present several potential complications that can occur during treatment. CONCLUSION: The information given to the patient about the risks inherent in the implementation of an orthodontic-surgical protocol must necessarily include the risks of lesion to the dental organ and the periodontium.


Assuntos
Ortodontia Corretiva/efeitos adversos , Procedimentos Cirúrgicos Ortognáticos/efeitos adversos , Doenças Estomatognáticas/etiologia , Adulto , Perda do Osso Alveolar/epidemiologia , Perda do Osso Alveolar/etiologia , Feminino , Retração Gengival/epidemiologia , Retração Gengival/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Ortodontia Corretiva/estatística & dados numéricos , Procedimentos Cirúrgicos Ortognáticos/estatística & dados numéricos , Procedimentos Ortopédicos/efeitos adversos , Procedimentos Ortopédicos/estatística & dados numéricos , Doenças Estomatognáticas/epidemiologia , Reabsorção de Dente/epidemiologia , Reabsorção de Dente/etiologia
9.
J Dent ; 76: 58-67, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-29933005

RESUMO

OBJECTIVES: To determine the prevalence of gingival recession (GR) and associations with dentine hypersensitivity (DH), erosive toothwear (BEWE), gingival bleeding (BOP) and periodontal pocketing (PPD) in young European adults. MATERIALS AND METHODS: This is a secondary analysis using data collected from 350 UK participants enrolled in a European cross sectional study of 3187 young adults. GR, BOP, PPD, DH (participant and clinician assessment) and BEWE were recorded. A questionnaire assessed demographics, oral hygiene and lifestyle habits. RESULTS: 349 participants completed the study. GR, BOP and PPD showed the same pattern of distribution, prevalence increasing from incisors to molars in upper and lower arches for buccal and palatal scores. Every participant exhibited recession affecting at least 1 tooth, 42% having a maximum recession of 4-8 mm. There was a significant and linear association demonstrating an increase in maximum recession with age. DH and BEWE produced a similar pattern to buccal periodontal indices, the premolars being most affected. Maximum recession correlated significantly with maximum DH (participant and Schiff), PPD, BOP, BEWE (scores of 2/3), BMI (≥25 kg/m2) and unsystematic brushing motion. 94% of the study population exhibited some BOP at one or more sites. 5% of the population had periodontal pocketing ≥4 mm, 46% had DH and 80% BEWE 2/3. CONCLUSION: Widespread recession and gingivitis with minimal periodontal disease was observed. Every participant exhibited at least one tooth with recession. Many teeth did not exhibit DH despite prevalent recession and severe erosive toothwear. Recession correlates to a number of oral and lifestyle variables. CLINICAL SIGNIFICANCE: Recession in young adults is multifactorial and highly prevalent. It can result in DH and consequential increase in demand for treatment relating to both pain and aesthetics. Further research is needed to understand the underlying aetiology to prevent recession occurring.


Assuntos
Retração Gengival , Estudos Transversais , Retração Gengival/epidemiologia , Gengivite/epidemiologia , Humanos , Prevalência , Reino Unido/epidemiologia , Adulto Jovem
10.
J Dent ; 76: 93-97, 2018 09.
Artigo em Inglês | MEDLINE | ID: mdl-29940290

RESUMO

OBJECTIVES: The aim of this study was to evaluate the risk factors associated with noncarious cervical lesions (NCCLs), cervical dentin hypersensitivity (CDH), and gingival recession (GR), besides the relationship among these conditions in a specific Brazilian sample population. METHODS: 185 patients who attended the "Ambulatory Program for Rehabilitation of Patients with Noncarious Cervical Lesions and Cervical Dentin Hypersensitivity" were evaluated, and 5180 teeth were analyzed. The subjects filled out a form and a calibrated examiner performed the clinical exams to determine the presence of NCCLs, CDH, and GR. NCCLs were classified according to their morphology and depth, CDH levels were evaluated according to air stimuli response, and GRs were categorized according to Miller's classification. The association of the risk factors with NCCLs, CDH, and GR was determined with the Mann-Whitney U test and multiple linear regression. For the correlations, the Spearman test was used with a 95%-confidence level. RESULTS: The NCCLs, CDH, and GR distributions within the study were 88.1%, 89.1%, and 59.4%, respectively. Maxillary premolars were the most affected by all three conditions. A positive correlation was found between age, NCCLs, and GR; between NCCLs and CDH; CDH and GR; GR and NCCLs. Age, gender, oral hygiene, gastroesophageal diseases, and occlusal trauma were significantly associated with the presence of all three conditions. CONCLUSIONS: The NCCLs and GR distributions increased with age; NCCLs, CDH, and GR had positive correlation; the lesions' depth and morphology contributed to high levels of sensitivity and severity of recessions; age, gender, gastric disease, and occlusal trauma were relevant factors for the occurrence of NCCLs, CDH, and GR. CLINICAL SIGNIFICANCE: The increasing distribution of NCCLs, CDH, and GR is closely associated with people's lifestyles. Thus, it is important for the clinicians to recognize the etiological factors and their most relevant associations to prevent and control such alterations, in order to improve the population's quality of life.


Assuntos
Sensibilidade da Dentina , Retração Gengival , Colo do Dente , Adulto , Brasil/epidemiologia , Estudos Transversais , Sensibilidade da Dentina/epidemiologia , Feminino , Retração Gengival/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Qualidade de Vida , Fatores de Risco , Doenças Estomatognáticas/epidemiologia , Colo do Dente/patologia
11.
Rev. clín. periodoncia implantol. rehabil. oral (Impr.) ; 10(3): 135-140, dic. 2017. tab, graf
Artigo em Espanhol | LILACS | ID: biblio-900294

RESUMO

RESUMEN: Objetivo: Evaluar la prevalencia, extensión, severidad e indicadores de riesgo de recesiones gingivales en Lima, Perú. Materiales y métodos: Una muestra representativa de 318 adultos entre 25-75 años fueron evaluados. Se formuló un cuestionario estructurado y un examen clínico en la zona vestibular de todas las piezas dentarias. La recesión gingival fue evaluada por sujetos de estudio, por piezas dentarias y por la profundidad de cada una de ellas (promedio). Los indicadores de riesgo evaluados fueron: nivel de educación, género, estado socioeconómico, movimiento del cepillado, frecuencia de cepillado, frecuencia del uso de hilo dental y los tratamientos periodontales y ortodóncicos previos. El modelo de regresión multivariada fue utilizado para establecer las asociaciones. Resultados: La prevalencia de recesiones gingivales fue del 94,3%, la extensión fue del 44,8%, siendo más comunes en la región mandibular (54,2%); la severidad promedio de las recesiones fue de 3,86±0,45mm. El género masculino evidenció una asociación significativa con la severidad de las recesiones (OR=2; IC: 1,09-3,68). Conclusión: Las recesiones gingivales son altamente prevalentes en una población peruana. Los principales indicadores de riesgo encontrados fueron el género, el movimiento del cepillado y el tratamiento ortodóncico previo.


ABSTRACT: Objective: To evaluate the prevalence, extent, severity and risk indicators of gingival recession in a population of Lima, Peru. Materials and methods: A representative sample of 318 adults aged 25-75 years was evaluated. A structured questionnaire was completed, and a clinical examination performed in the vestibular area of all teeth. Gingival recession was assessed by study subject, by tooth and depth of each (mean). The risk indicators assessed were: level of education, gender, socioeconomic status, brushing movement, brushing frequency, frequency of flossing, and previous periodontal and orthodontic treatments. A multivariate regression model was used to establish associations. Results: The prevalence of gingival recession was 94.3%, and the extension was 44.8%, being more common in the mandibular region (54.2%). The mean severity of recessions was 3.86±0.45mm. Males showed a significant association with the severity of recessions (OR=2, CI: 1.09-3.68). Conclusion: Gingival recessions were highly prevalent in this Peruvian population. The main risk indicators found were gender, brushing movement, and previous orthodontic treatment.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Adulto Jovem , Retração Gengival/epidemiologia , Peru/epidemiologia , Modelos Logísticos , Prevalência , Estudos Transversais , Análise Multivariada , Inquéritos e Questionários , Fatores de Risco , Distribuição por Idade e Sexo
12.
Clin Implant Dent Relat Res ; 19(6): 1082-1089, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28982223

RESUMO

BACKGROUND: Continuous physiologic eruption of teeth may become a main aesthetic issue for implants inserted in the maxillary anterior region. PURPOSE: To study maxillary tooth vertical changes during a 10 years period by 3-dimensional superimposition of digital dental casts. MATERIAL AND METHODS: Alginate impressions were taken at both baseline and at the 10-year follow-up in a sample of 24 adult Swedish women (average age of 48 years at T0). The upper arch plaster casts were digitized with a 3-dimensional scanner and then superimposed on the palate and the palatal rugae. Occlusal and gingival anatomic structures were digitized for each upper tooth from first molar to first molar. The vertical changes of these structures gave an indication of tooth extrusion and apical or coronal displacement of the gingival margin. RESULTS: A trend was found for eruption in the anterior region (+0.3 mm on average) while a slight extrusion if not any was found in the first molars and premolars area. Vertical displacement of the gingival margin showed also a positive trend from first molars to incisors. Negative average values, corresponding clinically to gingival recession, were found on first molars (-0.36 mm) and premolars (-0.15 mm), while no displacement was detected in the anteriors. Clinical crown lengths increased in all teeth and it is mainly due to gingival recession for first molars and premolars, while for the incisors the eruption is coupled to a slight equivalent gingival coronal migration. CONCLUSIONS: During a 10-year period, continuous eruption takes place in female adult subjects, especially in the upper incisors area while gingival recession occurred in first molars and premolars area leading to crown length elongation. Implant placement in the anterior area of the maxilla may have an aesthetic impact even in mature adults due to the continuous eruption of the adjacent teeth.


Assuntos
Retração Gengival , Coroa do Dente/anatomia & histologia , Erupção Dentária , Adulto , Feminino , Retração Gengival/epidemiologia , Retração Gengival/fisiopatologia , Humanos , Estudos Longitudinais , Maxila/fisiologia , Pessoa de Meia-Idade , Erupção Dentária/fisiologia
13.
P R Health Sci J ; 36(3): 146-151, 2017 09.
Artigo em Inglês | MEDLINE | ID: mdl-28915303

RESUMO

OBJECTIVE: To determine the prevalence of functional dentition and associated periodontal variables in a sample of Mexican adult males. METHODS: A cross-sectional study of 161 policemen in Campeche, Mexico, was carried out. A clinical examination using an electronic probe was used to collect variables (dental plaque, periodontal pockets, gingival recession, suppuration, and bleeding on probing) on 6 periodontal sites (a maximum of 168 sites, excluding third molars). Sociodemographic, socioeconomic, and behavioral variables were collected through a self-administered survey. Functional dentition was defined as having 21 or more natural teeth. Data were analyzed with STATA 11.0, using logistic regression models. RESULTS: Mean age was 38.3 (±10.9) years. The prevalence of having a functional dentition was 83.8% in the sample. The odds of having a functional dentition declined with age (odds ratio [OR] = 0.93), having diabetes (OR = 0.27) and with having a high percentage of sites with plaque (OR = 0.77), with bleeding on probing (OR = 0.97), and with gingival recession (OR = 0.82). CONCLUSION: While a large proportion of subjects had a functional dentition in this community-dwelling sample of adult Mexican males, the likelihood of their having a functional dentition decreased with age, with their having been diagnosed with diabetes, and with assorted negative indicators of periodontal/gingival status.


Assuntos
Placa Dentária/epidemiologia , Dentição , Retração Gengival/epidemiologia , Bolsa Periodontal/epidemiologia , Adulto , Fatores Etários , Idoso , Estudos Transversais , Diabetes Mellitus/epidemiologia , Hemorragia Gengival/epidemiologia , Humanos , Modelos Logísticos , Masculino , México/epidemiologia , Pessoa de Meia-Idade , Polícia , Prevalência , Fatores Socioeconômicos , Adulto Jovem
14.
Med. oral patol. oral cir. bucal (Internet) ; 22(5): e572-e581, sept. 2017. tab, graf
Artigo em Inglês | IBECS | ID: ibc-166651

RESUMO

Background: Dental implant placement using flapless surgery is a minimally invasive technique that improves blood supply compared with flapped surgery. However, the flapless technique does not provide access to allow bone regeneration. Objective: The aim of this systematic review was to evaluate the clinical parameters following implant surgery in healed sites, using two procedures: flapped vs. flapless surgery. Material and Methods: A detailed electronic search was carried out in the PubMed/Medline, Embase and Cochrane Library databases. The focused question was, "How do flapped and flapless surgical techniques affect the clinical parameters of dental implants placed in healed sites?". All the studies included with a prospective controlled design were considered separately, depending on whether they had been conducted on animals or humans. The following data were recorded in all the included studies: number of implants, failures, location (maxilla, mandible), type of rehabilitation (partial or single), follow-up and flap design. The variables selected for comparison in the animal studies were the following: flap design, gingival index, mucosal height, recession and probing pocket depth. In humans studies the variables were as follows: flap design, plaque index, gingival index, recession, probing pocket depth, papilla index and keratinized gingiva. Results: Ten studies were included, six were experimental studies and four were clinical studies. Studies in animals showed better results using the flapless technique in the parameters analyzed. There is no consensus in the clinical parameters analyzed in human studies, but there is a trend to better results using flapless approach. Conclusions: The animal studies included in the present review show that implants placed in healed sites with a flapless approach have better clinical parameters than the flapped procedure in a short-term follow-up. In human studies, there is no consensus about which technique offer better results in terms of clinical parameters. Therefore, more research in humans is required in order to overcome the limitations and contrast these results (AU)


No disponible


Assuntos
Humanos , Animais , Implantação Dentária Endo-Óssea/estatística & dados numéricos , Retalhos de Tecido Biológico , Resultado do Tratamento , Complicações Pós-Operatórias/epidemiologia , Substitutos Ósseos/uso terapêutico , Retração Gengival/epidemiologia , Índice Periodontal
15.
Angle Orthod ; 87(5): 658-664, 2017 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-28686089

RESUMO

OBJECTIVE: To investigate the long-term influence of fixed lingual retainers on the development of mandibular gingival recession and to compare the prevalence with untreated individuals. MATERIALS AND METHODS: The material consisted of 144 subjects: 96 orthodontically treated patients followed for 5 years after therapy and 48 untreated age-matched subjects. The treated patients were divided in two groups: one receiving a fixed mandibular retainer (n = 48) and one receiving no form of retention in the mandible (n = 48). The presence or absence of gingival recession and calculus accumulation were scored before treatment (T0), after debonding (T1), and 5 years after debonding (T5) for each tooth in the mandibular intercanine region using plaster models and intraoral photographs. The chi-square test, one-way ANOVA, and Cochran's Q test were used to evaluate inter- and intragroup differences. RESULTS: The prevalence of patients with recession increased gradually and significantly throughout the observation periods in all groups, but the intergroup differences at T5 were not significant. Significantly more calculus accumulation was observed at T5 in the retainer group compared with the group without retainers. CONCLUSIONS: Long-term presence of fixed lingual retainers does not seem to increase the development of mandibular gingival recession, but does increase calculus accumulation.


Assuntos
Retração Gengival/epidemiologia , Retração Gengival/etiologia , Contenções Ortodônticas/efeitos adversos , Adolescente , Criança , Cálculos Dentários/epidemiologia , Cálculos Dentários/etiologia , Placa Dentária/etiologia , Índice de Placa Dentária , Feminino , Humanos , Estudos Longitudinais , Masculino , Mandíbula/patologia , Índice de Higiene Oral , Desenho de Aparelho Ortodôntico , Ortodontia Corretiva/efeitos adversos , Ortodontia Corretiva/instrumentação , Índice Periodontal , Prevalência , Estudos Retrospectivos , Fatores de Tempo , Adulto Jovem
16.
Am J Orthod Dentofacial Orthop ; 151(5): 851-859, 2017 May.
Artigo em Inglês | MEDLINE | ID: mdl-28457262

RESUMO

INTRODUCTION: This study was designed to evaluate the long-term prevalence of gingival recession after orthodontic tooth movements, focusing on the effects of mandibular incisor proclination and expansion of maxillary posterior teeth. METHODS: Records of 205 patients (162 female, 43 male) were obtained from 2 private practice orthodontists. Using pretreatment (age, 14.0 ± 5.9 years) and posttreatment (age, 16.5 ± 6.0 years) lateral cephalograms and dental models, mandibular incisor proclination and maxillary arch widths were measured. Gingival recession was measured based on posttreatment and postretention (age, 32.3 ± 8.5 years) intraoral photographs and models. Associations between tooth movements and gingival recession were evaluated statistically. RESULTS: Only 5.8% of teeth exhibited recession at the end of orthodontic treatment (only 0.6% had recession >1 mm). After retention, 41.7% of the teeth showed recession, but the severity was limited (only 7.0% >1 mm). There was no relationship between mandibular incisor proclination during treatment and posttreatment gingival recession. Incisors that finished treatment angulated (IMPA) at 95° or greater did not show significantly more recession than did those that finished less than 95°. There were weak positive correlations (r = 0.17-0.41) between maxillary arch width increases during treatment and posttreatment recession. CONCLUSIONS: Orthodontic treatment is not a major risk factor for the development of gingival recession. Although greater amounts of maxillary expansion during treatment increase the risks of posttreatment recession, the effects are minimal.


Assuntos
Retração Gengival/etiologia , Técnicas de Movimentação Dentária/efeitos adversos , Adolescente , Adulto , Feminino , Retração Gengival/epidemiologia , Humanos , Masculino , Prevalência , Estudos Retrospectivos
17.
Artigo em Espanhol | LILACS | ID: biblio-844734

RESUMO

RESUMEN: Los frenillos aberrantes están incluidos dentro de las deformidades mucogingivales, y estas pueden alterar la función y la estética del periodonto de protección. Este estudio tuvo como objetivo evaluar la inserción de los frenillos labiales y establecer una relación con la pérdida papilar y recesión gingival a nivel de los dientes anterosuperiores y anteroinferiores. Materiales y métodos Estudio transversal que evaluó a 97 pacientes sistémicamente sanos en los cuales se evaluó el tipo de frenillo (TF), la altura del frenillo (AF), el tipo de recesión gingival y la pérdida papilar al nivel de los sectores anteriores maxilar y mandibular. Resultados El TF más prevalente fue el mucoso, con un 54,6% y 93,8% de prevalencia a nivel maxilar y de la mandíbula respectivamente; la AF promedio fue de 8,37mm ± 2,671mm para el frenillo labial maxilar y 8,33mm ± 1,657mm para el frenillo labial mandibular. No se encontraron relaciones entre el TF, la AF con la presencia y severidad de pérdida papilar y recesión gingival al nivel de los incisivos centrales (p>0,05). Conclusión El frenillo más común de la población estudiada fue el frenillo mucoso, no existiendo una relación directa entre su clasificación e inserción con la presencia de una recesión gingival o pérdida papilar.


ABSTRACT: Aberrant frenums are included within the mucogingival deformities, which can alter the function and aesthetic periodontal protection. This study aimed to evaluate the adherence of labial frenulum and establish a relationship with papillary loss and gingival recession of the anterior teeth in maxilla and in the jaw. Materials and methods A cross-sectional study was conducted on 97 systemically healthy patients in whom the type of frenulum (TF), the height of the frenulum (AF), the type of gingival recession, and papillary loss was evaluated in the upper maxillary and mandibular sectors. Results The most prevalent frenum was the mucosal. The prevalence of TF was 54.6% and 93.8% of maxilla and mandible, respectively. The mean AF was 8.37mm ± 2.671mm for the labial frenulum in maxillary, and 8.33mm ± 1.657mm for frenulum. No relationship was found between the TF, AF with the presence and severity of papillary loss and gingival recession (P>.05). Conclusion The most common frenulum of the study population was the mucosal frenulum. There was no direct relationship between the classification and adherence of the frenulum with the presence of gingival recession or papillary loss.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Retração Gengival/epidemiologia , Retração Gengival/patologia , Freio Labial/anatomia & histologia , Estudos Transversais , Retração Gengival/etiologia , Peru , Estudos Retrospectivos
18.
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
19.
Semergen ; 43(2): 141-148, 2017 Mar.
Artigo em Espanhol | MEDLINE | ID: mdl-27068254

RESUMO

About 85-94% of the Spanish adults older than 35 experience gum problems, and about 15-30% suffer from periodontitis, being severe in up to 5-11% of them. Unlike other inflammatory conditions, periodontal disease rarely causes discomfort, or limits life or causes functional limitations until its advanced stages, when clinical signs and symptoms arise (gingival recession, pathological teeth migration, or mobility). Lack of knowledge about the disease, together with the idea that tooth loss is linked to ageing, frequently results in a late diagnosis, requiring extensive treatments with a worse prognosis. At Primary Care level, there is series of drugs have been related to periodontal disease (anticonvulsants, immunosuppressive drugs, and calcium channel blockers) as secondary effects, which vary as regards their frequency and severity depending of the amount of accumulated plaque. Stress and depression have also been reported to alter the immune response and to increase the inflammatory response as well as periodontal susceptibility. Certain systemic conditions, such as diabetes mellitus, cardiovascular disorders, respiratory diseases, as well as low-weight pre-term birth, have also been linked to periodontitis.


Assuntos
Retração Gengival/epidemiologia , Doenças Periodontais/epidemiologia , Periodontite/epidemiologia , Adulto , Medicina de Família e Comunidade , Humanos , Doenças Periodontais/diagnóstico , Doenças Periodontais/etiologia , Periodontite/diagnóstico , Periodontite/etiologia , Atenção Primária à Saúde , Prognóstico , Fatores de Risco , Índice de Gravidade de Doença , Espanha
20.
J Clin Periodontol ; 44(4): 363-371, 2017 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-27930822

RESUMO

OBJECTIVES: Evidence on possible associations between facial morphology, attachment loss and gingival recession is lacking. We analysed whether the facial type, which can be described by the ratio of facial width and length (facial index), is related to periodontal loss of attachment, hypothesizing that a broad face might be associated with less gingival recession (GR) and less clinical attachment loss (CAL) than a long face. MATERIALS AND METHODS: Data from the 11-year follow-up of the population-based Study of Health in Pomerania were used. Periodontal loss of attachment was assessed by GR and CAL. Linear regression models, adjusted for age and gender, were used to assess associations between specific landmark based distances extracted from magnetic resonance imaging head scans and clinically assessed GR or CAL (N = 556). RESULTS: Analysing all teeth, a higher maximum cranial width was associated with a lower mean GR (B = -0.016, 95% CI: -0.030; -0.003, p = 0.02) and a lower mean CAL (B = -0.023, 95% CI: -0.040; -0.005, p = 0.01). Moreover, a long narrow face was significantly associated with increased mean GR and CAL (facial index, P for trend = 0.02 and p = 0.01, respectively). Observed associations were more pronounced for incisors and canines than for premolars and molars. CONCLUSION: This study revealed craniofacial morphology, specifically the cranial width and the facial index, as a putative risk factor for periodontal loss of attachment.


Assuntos
Face/anatomia & histologia , Retração Gengival/epidemiologia , Perda da Inserção Periodontal/epidemiologia , Crânio/anatomia & histologia , Cefalometria , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Tempo
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