Reliability of the CPITN in epidemiological surveys of periodontal conditions
Registro periodontal simplificado em gestantes Periodontal screening and recording in pregnant women. Directory of Open Access Journals Sweden. In this context, food with sfxtantes of functional and, or healthy properties, are conquering seextantes market with releases of technological innovations. However, the industry faces challenges. Periodontitis is inflammation and infection of the ligaments and Medidas de selectividad y sensibilidad en un receptor de AM simplificado.
Periodontal Diseases. The primary research focus was on oral bacteria. Periodontal diseases periodontiaa thought to begin when chalky white At the same time, because biofilms form Periodontal regeneration.
The ultimate goal of periodontal therapy is the regeneration of the tissues destroyed as a result of periodontal disease. Currently, two clinical techniques, based on the principles of "guided tissue regeneration" GTR or utilization of the biologically active agent "enamel matrix derivative" EMDcan be used for the regeneration sextantes intrabony and Class II mandibular furcation periodontal defects.
In cases where additional support and space-making requirements periodontia necessary, both of these procedures can be combined with a bone replacement graft. There is no evidence that the combined use of GTR and EMD results in superior clinical results compared to the use of each material in isolation. Great variability in clinical outcomes has been reported in relation to the use of both EMD and GTR, and these procedures can be generally sextsntes to be unpredictable.
Careful case selection and treatment planning, including consideration of patient, tooth, site and surgical factors, is required in order to optimize the outcomes of treatment. Sextahtes are limited data available for the periodobtia effectiveness of other biologically sextates molecules, such as growth factors and platelet concentrates, and although promising results have been reported, further clinical trials are required in order to confirm their effectiveness.
Current active periodontia of research are centred on tissue engineering and gene therapy strategies which may result in more predictable regenerative outcomes in the future. In Part IV of this article, the author describes two periodontal infections, acute necrotizing ulcerative gingivitis trench mouth and periodontal abscess, both sextantes painful conditions for which patients may seek advice from their family physician rather than their dentist.
Paralisia periodica tireotoxica: registro de um caso. Pregnancy and periodontal disease. Some maternal immunological changes due to pregnancy increases susceptibility to infections. Periodontal disease, the main cause is plaque, periodontia a common disease which is seen multifactorial and varying severity. There are many clinical srxtantes for diagnosis of periodontal disease. Correlation between pregnancy and periodontal inflammation is known for many years.
Periodontal disease increases the Ley de paternidad responsable y Registro Civil. Modeling susceptibility to periodontitis. Chronic inflammatory diseases like periodontitis have a complex pathogenesis sextantes a multifactorial etiology, involving complex interactions between multiple genetic loci and infectious agents. We aimed to investigate the influence of genetic polymorphisms and bacteria on chronic periodontitis risk.
In the infection by the Human Immune Deficiency Virus HIV the deterioration of the immune system due to a diminution of the TCD4 lymphocytes increases the sensitivity of suffering from different pathologies in oral cavity and among them those in periodontal region. The purpose of this study was to present a simplified supply chain model where the relations between the number of competitors, the delay in production adjustments, and the intensity response of each company lead, intrinsically, to the sextantes of chaotic oscillations in supply and demand.
In the considered model, developed with the use of the System Dynamics methodology, the irregular fluctuations in demand and prices are closely related to the supply chain structure, that is, its rules, policies and capabilities. Discussions about the importance of the study of chaos applied to the economy are developed and specific techniques for characterization of chaotic behavior in economic time series are presented. Ozone therapy in periodontics. Oeriodontia and Periodontal diseases represent a major concern both in dentistry and medicine.
The majority of the contributing factors and causes in the etiology of these diseases are reduced or treated with ozone in all its application forms gas, water, oil. The beneficial biological effects of ozone, its anti-microbial activity, oxidation of bio-molecules precursors and microbial toxins implicated in periodontal diseases and its healing and tissue regeneration properties, make the use of ozone well indicated in all stages of gingival and periodontal diseases.
The primary objective of this article is to provide a general review about the clinical applications of ozone in periodontics. The secondary objective is to summarize the available in vitro and in vivo studies sextantes Periodontics in which ozone has been used.
This objective would be of importance to future periodontia in terms of what has sextsntes tried and what the potentials are for the clinical application of ozone in Periodontics.
Discos de res Systemic antibiotics in periodontics. This position paper addresses the role of systemic antibiotics in the treatment of periodontal disease. Topical antibiotic therapy periodontia not discussed here. The document consists of three sections: 1 concept of antibiotic periodontal therapy; 2 efficacy of antibiotic periodontal therapy; and 3 practical aspects of antibiotic periodontal therapy.
The conclusions drawn in this paper represent the position of the American Academy of Periodontology and are intended for the information of the dental profession.
The aim of the present overview is to evaluate ;eriodontia periodontal conditions in European populations. Study was made of a number of extensive surveys of periodontal diseases carried out in a number of European countries, primarily North West Europe. These surveys often provide considerable detail. Periodontitis and myocardial hypertrophy. There is a deep relationship between cardiovascular disease and periodontitis.
It has been reported that myocardial hypertrophy may be affected by periodontitis in clinical settings. Although these clinical observations had some study limitations, they strongly suggest a direct association between severity of periodontitis and left ventricular hypertrophy. However, the detailed mechanisms between myocardial sextantes and periodontitis have not yet been elucidated.
Recently, we demonstrated that periodontal bacteria infection is closely related sectantes myocardial hypertrophy. In murine transverse aortic constriction models, a periodontal pathogen, Aggregatibacter actinomycetemcomitans markedly enhanced cardiac hypertrophy with matrix metalloproteinase-2 activation, while another pathogen Porphyromonas gingivalis P.
In the isoproterenol-induced myocardial hypertrophy model, P. From our results and other reports, regulation of chronic inflammation induced by periodontitis may have a sextantes role in the periodontia of myocardial hypertrophy. In this article, we review the pathophysiological mechanism between myocardial hypertrophy and periodontitis. Genetic susceptibility of periodontitis. In this systematic review, we explore and summarize the peer-reviewed literature on putative genetic risk factors for susceptibility to aggressive and chronic periodontiq.
Periodontal Emergencies in General Practice. Diagnosing and managing periodontal emergencies is a common part of general dental practice.
The efficacy of periodontal surgery in the treatment of periodontal diseases not yet been systematically evaluated. The objective of this review was to systematically evaluate the efficacy of periodontal surgical procedures in the various treatment modalities. Periodontal disease is multifaceted in nature and scope.
The problems created due to this inflammatory condition perioeontia different eg. Definition of aggressive periodontitis in periodontal research. A systematic review. Consequently, considerable variation in the understanding of aggressive periodontitis can be anticipated.
AIM: To systematically asses, the definitions of aggressive periodontitis reported in original periodontal research. Many combinations of criteria for case definition were found. Comorbidity of periodontal disease. Increasing evidence has suggested an independent association between periodontitis and a range of comorbidities, for example cardiovascular disease, type 2 diabetes, rheumatoid arthritis, osteoporosis, Parkinson's disease, Alzheimer's disease, psoriasis, and respiratory infections.
The present article presents an overview of the evidence linking periodontitis with selected systemic diseases and calls for increased cooperation between dentists and medical doctors to provide optimal screening, treatment, and prevention of both periodontitis and its comorbidities Some of these comorbid conditions may improve by periodontal treatment, and a bidirectional relationship may exist, where, for example, treatment of diabetes can improve periodontal status Periodontal bone lesions.
In the course of life the periodontum is subject perioxontia changes which may be physiological or pathological. Intraoral radiographs give insight into the hard structures of the dentomaxillar region and provides information on lesions in the bone of the periodontum in that they show radiopacities and radiolucencies caused by such lesions. In this thesis the relation is investigated between the true shape and dimensions of periodontal bone lesions and perjodontia radiographic images.
A method is developed and tested of making standardized and reproducible radiographs suitable for longitudinal studies of periodontal lesions. Also the possibility is demonstrated of an objective and reproducible interpretation of radiographic characteristics of periodontal bone lesions. Detection of Periodontal Markers in Chronic Periodontitis. The aim was to compare the detection frequency of periodontopathogens by using the Pado Test 4. Samples were taken by two paper points periodontia the deepest site in each of the four quadrants and pooled into one sample for each of the two methods.
Periodontia samples were sent to the two laboratories IAI, Zuchwil, Switzerland, and Oral Microbiology Laboratory, University of Gothenburg, Sweden and were analyzed in a routine setting for the presence and amount of Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, Tannerella forsythia and Sextantes denticola. While Pado Test 4. The results of the present study showed low agreement for a positive microbiological outcome using the two diagnostic methods.
It was also concluded that microbiological analysis in practice should include a larger number of bacterial species to better serve as markers for a diseased associated flora in chronic periodontitis cases. Periodontal disease and halitosis. Halitosis is a general term used to describe an unpleasant or offensive odor emanating from the oral cavity. It is a condition that has health and social implications in the life of those who suffer from it.
The origin of halitosis is related periodontia both systemic and oral conditions although the oral causes predominate. Volatile sulfur compound is the primary sexhantes responsible for halitosis.
They are formed as a result of gram-negative bacterial putrefaction. The major sites for oral halitosis are the dorsum of the tongue and periodontal pockets. There is a correlation between the amount of plaque on the tongue and periodontitis with the severity of halitosis.
Periodontal surgical therapy: Review. Universidad Complutense de Madrid. El tratamiento global de pacientes con enfermedad periodontal se divide en tres fases diferentes que, con frecuencia, se superponen: fase de terapia causal o fase inicial y la fase correctiva o fase de soporte periodontal o de mantenimiento. Periodontal treatment can be divided in three different phases most frequently superposed: cause-related or initial phase sextantes, corrective phase and supportive periodontal phase.
Because the majority of these pathologies periodontia related to plaque accumulation, periodontal surgical treatment might only be considered as an adjunct to cause-related periodontal therapy. The kind of surgery performed, the number of sites included and the moment at which it should performed is decided after evaluating for the initial cause-related therapy results.
The ultimate objective of periodontal surgical treatment is the long term preservation periodontia the periodontium. Periodontal surgery can contribute to this end creating accessibility for an adequate scaling and root planning therefore restoring the gingival morphology which facilitates the automatic plaque periodontia of the patient.
Developed surgical techniques must be evaluated on the basis of their potential to facilitate the elimination of subgingival deposits, as well as facilitate plaque control and thus improve the long term preservation of the periodontium.
In the present article the authors review the basis of surgical periodontal treatment as well as related concepts and considerations, objectives, indications and contraindications, procedures and factors that determine the selection of one or the other surgical technique. Key words: Periodontal surgery, concept, classification, indications, contraindications, techniques. El tratamiento global de pacientes con enfermedad periodontal se divide en tres fases diferentes, que con frecuencia se superponen.
Impedimentos en el acceso para sextantes raspado y alisado radicular. Impedimentos en el acceso para el correcto autocontrol de placa. El tratamiento periodontal por parte de un profesional permite un adecuado autocontrol de placa, de forma eficiente.
Claffey y cols. Dos, durante la primera mitad del estudio y otro, calibrado durante el resto del estudio. Este dato es mucho mejor indicador que el sondaje pretratamiento. Debe verificarse la naturaleza de periodontia trastornos.
De este procedimiento se ilustra un caso Fig. El hueso permanece cubierto por el periostio. El primero en describir un colgajo de acceso a las superficies radiculares y a la cresta alveolar fue Neumannaunque sin el objetivo de eliminar la bolsa. Debe realizarse 2 a 3 meses tras el tratamiento periodontal causal:.
Para ello, nos ayudaremos de cuerdas. Los colgajos deben readaptarse al hueso subyacente y coaptar a nivel interproximal. Con el colgajo palatino es distinto: como no se puede reposicionar apicalmente el colgajo. En las semanas siguientes se forma una nueva unidad dentogingival.
Los fibroblastos de los tejidos supraalveolar adyacente y la superficie dental proliferan 18 y se deposita nuevo tejido conectivo. El tratamiento de las bolsas periodontales en la superficie distal de los molares posteriores se complica por la presencia de tejidos bulbosos sobre la tuberosidad por una zona retromolar prominente.
El procedimiento original puede ser modificado conforme los requerimientos individuales. Otras indicaciones incluyen el desbridamiento de abscesos periodontales agudos. Lindhe J, Nyman S. The effect of plaque control and surgical pocket elimination on the establishment and maintenance of periodontal health.
A longitudinal study of periodontal sextantes in cases of advanced disease. Journal of Clin Periodontol ; Effect of non-surgical periodontal therapy IV. Operator variability. J Clin Periodontol. Periodontal probing and the relationship periodontia the probe of the tip to periodontal tissues. J Periodontol ; Microscopic evaluation of clinical measurements of connective tissue attachment level. Periodontia of Clin Periodontol ;4: Listgarten MA. Periodontal probing: What does it mean?
Axelsson P, Lindhe J. The significance of maintenance care in the treatment of periodontal disease. J Clin Periodontol Aug;8 4 Effect of controlled oral hygiene sextantes on caries and periodontal disease in adults. Results after 6 years. J Clin Periodontol Jun;8 3 : Claffey N, Egelberg J.
Clinical indicators of probing attachment loss following initial periodontal treatment in advanced periodontitis patients. Waerhaug, J. Healing of the dentoepithelial junction following subgingival sextantes control. As observed on extracted teeth. Journal of Periodontology ; Scalling and root planning with and without periodontal flap surgery. J Clin Periodontol ; Effect of non-surgical periodontal therapy. Moderately advanced periodontitis. The effect of cigarette smoking on wound healing.
Preber, H. Effect of cigarette smoking on periodontal healing following surgical therapy Journal of Clinical Periodontology ; The effect of smoking on the response to periodontal therapy. Cigarette smoking negatively affects healing response following flap debridement surgery. Journal of Periodontology ; Periodontal Surgery: Access Surgery. Blackwell Munksgaard.
Waerhaug J. Microscopic demonstration of tissue reaction sextantes to removal of subgingival calculus. Effect of chlorhexidine on gingival wound healing in the dog.
Ahistometric study. Journal of Clinical Periodontology ; A radioautographic study of healing following simple gingivectomy II. The connective tissue. Friedman N. The sextantes repositioned flap. Journal of periodontology. Periodontia after exposure periodontia periosteum on the alveolar process. The origin of granulation tissue and its impact on postoperative results of mucogingival surgery.
Ramfjord SP. Present status of the sextantes Widman flap procedure. The effect of systemic plaque control on bone regeneration in infrabony pockets. Journal of Clinical Periodontology a; The healing potential of the periodontal tissue following different techniques of periodontal surgery in plaque-free dentitions. A 2- year clinical study. Journal of Clinical Peridontologyb; Caton, J,Nyman, S. Histometric evaluation of periodontal surgery II.
Connective tissue attachment levels after four regenerative procedures. Caton, J. Osseous repair of an infrabony pocket without new attachment of connective tissue Journal of Clinical Periodontology; Lindhe, J,Socransky, S.
S,Nyman, S. Dimensional alteration of the periodontal tissues following therapy. Goldman HM. Coslet JG. Alpha Omega. New attachment following surgical treatment of human periodontal disease.
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Portland dorset wild camping. Warehouse safety training topics. Lavor sports management. The big bang theory t12 e1. Leegstand voorkooprecht uitzondering. Mp3 fokaha hnawat. PURPOSE: to check how parents realize the quality of life of their epileptic children and if the relationship is controlled by their beliefs about epilepsy. METHOD: it has been applied 21 protocols of "Simplified inventory of quality of life in childhood epilepsy" to parents of children aged between years old with benign childhood epilepsy.
Periodontal disease is a common infectious disease in women of reproductive age. The disease is often not diagnosed and in studies of over 10 women has been associated with preterm birth, small for gestational age newborns, and preeclampsia. It has been shown in a smaller number of women that treatment of periodontal disease may reduce the rate of preterm birth.
The pregnancy complications of periodontal disease may be due to lipopolysaccharide from the periodontal pockets inciting prostaglandin pathways controlling parturition. Three large randomized controlled trials of treatment of periodontal disease are underway and may provide confirmation of the importance of periodontal disease in causing complications of pregnancy.
Periodontal profile classes predict periodontal disease progression and tooth loss. Current periodontal disease taxonomies have limited utility for predicting disease progression and tooth loss; in fact, tooth loss itself can undermine precise person-level periodontal disease classifications. To overcome this limitation, the current group recently introduced a novel patient stratification system using latent class analyses of clinical parameters, including patterns of missing teeth.
The analytic sample comprised 4, adult participants of two prospective cohort studies Dental Atherosclerosis Risk in Communities Study and Piedmont Dental Study with information on periodontal disease progression and incident tooth loss.
Personalized IPR scores were positively associated with both periodontitis progression and tooth loss. Periodontal and hematological characteristics associated with aggressive periodontitis , juvenile idiopathic arthritis, and rheumatoid arthritis.
Periodontitis shares several clinical and pathogenic characteristics with chronic arthritis, and there is some degree of coexistence. The aims of this study were to elucidate whether patients with localized aggressive periodontitis LAgP , generalized aggressive periodontitis GAgP , juvenile El principio de confiabilidad en el registro electoral. La experiencia cubana. Periodontal changes following molar intrusion with miniscrews. Conclusion: Within the limitations of this study, these results suggest that not only periodontal status was not negatively affected by intrusion, but also there were signs of periodontal improvement including attachment gain and shortening of clinical crown height.
Recording and surveillance systems for periodontal diseases. This paper describes tools used to measure periodontal diseases and the integration of these tools into surveillance systems. Tools to measure periodontal diseases at the surveillance level have focussed on current manifestations of disease e. All tools reviewed in this paper were developed based on the state of the science of the pathophysiology of periodontal disease at the time of their design and the need to provide valid and reliable measurements of the presence and severity of periodontal Therefore, some of these tools are no longer valid.
Others, such as loss of periodontal attachment, are the current de-facto tools but demand many resources to undertake periodical assessment of the periodontal health of populations. Less complex tools such as the Community Periodontal Index Periodontal microsurgery: Reaching new heights of precision.
The use of magnification to perform various procedures in medical and dental field, particularly endodontics has long been recognized.
Unfortunately, its application in periodontics is not widely popularized. The objective of this article is to emphasize the application of microsurgical principles in various periodontal surgical procedures and to reinforce the incorporation of microscope into periodontal practice. The most recent periodontal journals were reviewed and a search of databases such as PubMed or Medline and Google Scholar was conducted for relevant material from published literature up to The analysis indicates that incorporation of magnification in periodontal practice is associated with improved visual acuity, ergonomic benefits, decreased patient morbidity, rapid healing, and enhanced patient acceptance.
Taubman; Xiaozhe Han; Marcia P. Mayer; Toshihisa Kawai. Accumulated lines of evidence suggest that hyperimmune responses to periodontal bacteria result in the destruction of periodontal connective tissue and alveolar bone.
The etiological roles of periodontal bacteria in the onset and progression of periodontal disease PD are well documented. However, the mechanism underlying the engagement of periodontal bacteria in RANKL-mediated alveolar bone resorption remains unclear.
Therefore, this review article addresses three critical subjects. Periodontitis and increase in circulating oxidative stress. Reactive oxygen species ROS are products of normal cellular metabolism. Studies have shown that periodontitis induces excessive ROS production in periodontal tissue. When periodontitis develops, ROS produced in the periodontal lesion diffuse into the blood stream, resulting in the oxidation of blood molecules circulating oxidative stress. Such oxidation may be detrimental to systemic health.
Periodontal diseases in children and adolescents. Unlike in adults, currently there are no nationally agreed guidelines for the assessment of periodontal diseases in children and adolescents. This paper considers the range of periodontal diseases that can affect youngsters and documents a simple periodontal screening system for the younger age groups.
It includes principles of periodontal diagnosis and management for the practitioner to apply to the young patient and considers when to treat in practice and when to refer to a specialist. Probable autoimmune causal relationship between periodontitis and Periodontitis is a multifactorial disease with microbial dental plaque as the initiator of periodontal disease. However, the manifestation and progression of the disease is influenced by a wide variety of determinants and factors.
The strongest type of causal relationship is the association of systemic and periodontal disease. Common Periodontal Diseases of Children and Adolescents. Animal Models for Periodontal Disease. Full Text Available Animal models and cell cultures have contributed new knowledge in biological sciences, including periodontology. Although cultured cells can be used to study physiological processes that occur during the pathogenesis of periodontitis , the complex host response fundamentally responsible for this disease cannot be reproduced in vitro.
Among the animal kingdom, rodents, rabbits, pigs, dogs, and nonhuman primates have been used to model human periodontitis , each with advantages and disadvantages. Periodontitis commonly has been induced by placing a bacterial plaque retentive ligature in the gingival sulcus around the molar teeth. In addition, alveolar bone loss has been induced by inoculation or injection of human oral bacteria e. While animal models have provided a wide range of important data, it is sometimes difficult to determine whether the findings are applicable to humans.
In addition, variability in host responses to bacterial infection among individuals contributes significantly to the expression of periodontal diseases. A practical and highly reproducible model that truly mimics the natural pathogenesis of human periodontal disease has yet to be developed.
Animal models and cell cultures have contributed new knowledge in biological sciences, including periodontology. Periodontally accelerated osteogenic orthodontics. Full Text Available This case report demonstrates an orthodontic method that offers short treatment time and the ability to simultaneously reshape and increase the buccolingual thickness of the supporting alveolar bone.
Following the surgery, orthodontic adjustments were made approximately every 2 weeks. From bracketing to debracketing, the case was completed in approximately 7 months and 3 weeks. Posttreatment evaluation of patient revealed good results. Preexisting thin labial bony cortical plate with lower anteriors was covered. This finding suggests credence to the incorporation of the bone augmentation procedure into the corticotomy surgery because this made it possible to complete the orthodontic treatment with a more intact periodontium.
The rapid expansive tooth movements with no significant apical root resorption may be attributed to the osteoclastic or catabolic phase of the regional acceleratory phenomenon. Periodontal microsurgery: A case report. The purpose of this article is to limelight the benefit of periodontal microsurgery in the surgical disciplines.
It reviews the benefits and potential applications of magnification and microsurgery in the specialty of periodontics and a case report on microsurgical approach for free gingival graft surgery in the treatment of gingival recession. The increased demand for mucogingival esthetics has required the optimization of periodontal procedures. Microsurgery is a minimally invasive technique that is performed with the surgical microscope and adapted instruments and suture materials.
Although this hardware and knowledge of various operations are necessary to achieve patient esthetic expectations, clinicians must be willing to undergo an extended period of systematic training to become familiar with novel operating procedures and instruments. This article describes the application of the surgical microscope to provide enhanced perioplastic treatment.
Interaction between endodontics and periodontics. Endodontic- periodontal lesions present challenges to the clinician regarding diagnosis, treatment planning and prognosis. Etiologic factors, such as bacteria and viruses, as well as contributing factors, such as trauma, root resorptions, perforations, cracks and dental malformations, play an important role in the development and progression of such lesions. Treatment and prognosis of endodontic- periodontal lesions vary, depending on the etiology, pathogenesis and correct diagnosis of each specific condition.
This chapter will appraise the interrelationship between endodontic and periodontal lesions and provide biological and clinical evidence for diagnosis, prognosis and decision-making in the treatment of these conditions.
Periodontics --tissue engineering and the future. Periodontics has a long history of utilizing advances in science to expand and improve periodontal therapies. Recently the American Academy of Periodontology published the findings of the Contemporary Science Workshop, which conducted state-of-the-art evidence-based reviews of current and emerging areas in periodontics. The findings of this workshop provide the basis for an evidence-based approach to periodontal therapy.
While the workshop evaluated all areas of periodontics , it is in the area of tissue engineering that the most exciting advances are becoming a reality. Gene therapy and its implications in Periodontics. Gene therapy is a field of Biomedicine. With the advent of gene therapy in dentistry, significant progress has been made in the control of periodontal diseases and reconstruction of dento-alveolar apparatus.
Implementation in periodontics include: -As a mode of tissue engineering with three approaches: cell, protein-based and gene delivery approach. Future strategies of gene therapy in preventing periodontal diseases: -Enhances host defense mechanism against infection by transfecting host cells with an antimicrobial peptide protein-encoding gene.
Gene therapy is one of the recent entrants and its applications in the field of periodontics are reviewed in general here. Association of Periodontitis and Subsequent Depression.
Abstract Periodontitis is a systemic and chronic inflammatory disease associated with multiple physical conditions. Distress and depression are other problems affecting the progression of periodontitis. However, the causal relationship between depression and periodontitis has not been adequately investigated. This aim of this study was to determine the association between periodontitis and the subsequent development of depression.
We identified 12, patients with newly diagnosed periodontitis from to and 50, frequency-matched individuals without periodontitis. Both groups were followed until diagnosed with depression, withdrawal from the National Health Insurance program, or the end of The association between periodontitis and depressio was analyzed using Cox proportional hazard regression models.
The incidence density rate of depression was higher in the periodontitis group than in the nonperiodontitis group, with an adjusted hazard ratio of 1. Cox models revealed that periodontitis was an independent risk factor for depression in patients, except for comorbidities of diabetes mellitus DM , alcohol abuse, and cancer.
Periodontitis may increase the risk of subsequent depression and was suggested an independent risk factor regardless of sex, age, and most comorbidities.
However, DM, alcohol abuse, and cancer may prevent the development of subsequent depression because of DM treatment, the paradoxical effect of alcohol, and emotional distress to cancer, respectively. Prospective studies on the relationship between periodontitis and depression are warranted. For instance, previous animal studies suggested that experimental periodontitis induces oxidative damage of the liver and descending aorta by increasing circulating oxidative stress.
In addition, it has been revealed that clinical parameters in chronic periodontitis patients showed a significant improvement 2 months after periodontal treatment, which was accompanied by a significant reduction of reactive oxygen metabolites in plasma.
Improvement of periodontitis by periodontal treatment could reduce the occurrence of circulating oxidative stress. Furthermore, recent studies indicate that the increase in circulating oxidative stress following diabetes mellitus and inappropriate nutrition damages periodontal tissues. In such cases, therapeutic approaches to systemic oxidative stress might be necessary to improve periodontal health. Registro de artroplastias do ombro Shoulder arthroplasty records.
A prospective protocol was used for every patient; demographic, clinical and surgical procedure data were collected. All gathered data were included in the data base.
The patients were divided in three major groups: fractures, degenerative diseases and trauma sequels. Information obtained from the data base was correlated in order to determine patients' epidemiologic, injuries, and surgical procedure profiles.
Therapeutic strategies in the treatment of periodontitis. Full Text Available Periodontitis is a chronic inflammatory process which affects the tooth - supporting structures of the teeth.
The disease is initiated by subgingival periopathogenic bacteria in susceptible periodontal sites. The host immune response towards periodontal pathogens helps to sustain periodontal disease and eventual alveolar bone loss. In order to overcome the limitations of scaling and root planning, adjunctive chemotherapeutics and host modulatory agents to the treatment are used.
These therapeutic agents show substantial beneficial effects when compared to scaling and root planning alone. This review will cover an update on chemotherapeutic and past and future host immune modulatory agents used adjunctively to treat and manage periodontal diseases. Strengthening the prevention of periodontal disease.
Updated information concerning WHO standard age groups was used to describe the prevalence rates of signs of periodontal disease, i. Role of genetic in periodontal disease. Full Text Available Genetics is the study and understanding of the phenomena of heredity and variation.
A large number of genes are associated with many systemic conditions. Periodontitis is inflammatory condition of periodontium. Periodontium consists of gingiva, periodontal ligament, cementum, and alveolar bone.
It is considered being a multifactorial disease. Studies of animals and humans support the concept that a large number of genes' factor may be associated with periodontitis and clearly play a role in the predisposition and progression of periodontal diseases.
It has been proven that genetic factors impair inflammatory and immune responses during periodontal diseases. Research on identifying specific genes causing periodontitis may improve and prevent the disease progression. The aim of this article is to focus on genetic risk factors and its influence for the various forms of periodontal disease.
Doze quesitos foram analisados nos registros de enfermagem. Resultados: Foram analisadas 7. Enhanced periodontal tissue regeneration by periodontal cell implantation. Aim Due to a lack of regenerative potential, current treatments for periodontal defects do not always provide satisfactory clinical results. Previously, the implantation of a biomaterial scaffold-cell construct has been suggested as a clinically achievable approach.
In this study, it was aimed to. Aggressive and acute periodontal diseases. Inflammatory periodontal diseases are highly prevalent, although most of these diseases develop and progress slowly, often unnoticed by the affected individual. However, a subgroup of these diseases include aggressive and acute forms that have a relatively low prevalence but show a rapid-course, high rate of progression leading to severe destruction of the periodontal tissues, or cause systemic symptoms that often require urgent attention from healthcare providers.
Aggressive periodontitis is an early-onset, destructive disease that shows a high rate of periodontal progression and distinctive clinical features. A contemporary case definition of this disease is presented. Population studies show that the disease is more prevalent in certain geographic regions and ethnic groups. Aggressive periodontitis is an infectious disease, and recent data show that in affected subjects the subgingival microbiota is composed of a mixed microbial infection, with a wide heterogeneity in the types and proportions of microorganisms recovered.
Furthermore, there are significant differences in the microbiota of the disease among different geographic regions and ethnicities. There is also evidence that the Aggregatibacter actinomycetemycomitans-JP2 clone may play an important role in the development of the disease in certain populations. The host response plays an important role in the susceptibility to aggressive periodontitis , where the immune response may be complex and involve multiple mechanisms.
Also, genetic factors seem to play an important role in the pathogenesis of this disease, but the mechanisms of increased susceptibility are complex and not yet fully understood. The available data suggest that aggressive periodontitis is caused by mutations either in a few major genes or in multiple small-effect genes, and there is also evidence of gene-gene and gene-environment interaction effects. Diagnostic methods for this disease, based on a specific microbiologic, immunologic or.
Case Description. This case report describes the successful management of a left mandibular first molar with a combined periodontic -endodontic lesion in a year-old Caucasian woman with aggressive periodontitis using a concerted approach including endodontic treatment, periodontal therapy, and a periodontal regenerative procedure using an enamel matrix derivate.
In spite of anticipated poor prognosis, the tooth lesion healed. This case report also discusses the rationale behind different treatment interventions. Practical Implication. Periodontic -endodontic lesions can be successfully treated if dental professionals follow a concerted treatment protocol that integrates endodontic and periodontic specialties.
General dentists can be the gatekeepers in managing these cases. Full Text Available Case Description. Periodontal Status of Postmenopausal Women. Full Text Available The objective of this study was to compare the periodontal status in postmenopausal women with osteopenia and osteoporosis.
Material and Methods: We examined 43 postmenopausal women aged from 55 to 74 years. Material assessment of bones in every patient was performed by means of dual energy X-ray absorptiometry DXA from two points on the skeleton — part of the femur neck and between the first and fourth lumbar vertebrae. A lipid blood test was done for patients of both groups. All patients were divided into two groups the 1st with osteopenia, and the 2nd with osteoporosis. X-ray analysis was performed for every patient.
Results: The results of the clinical periodontal examination demonstrated that the mean PBI in patients in the 1st group had no significant differences from the PBI in patients in the 2nd group. PI value and PS findings in patients with general osteoporosis also had no statistical differences from the same parameters in patients with osteopenia.
Oxidative Stress and Antioxidant System in Periodontitis. Periodontitis is a common inflammatory disease, which is initiated by bacterial infection and subsequently progressed by aberrant host response. It can result in the destruction of teeth supporting tissues and have an influence on systemic health. When periodontitis occurs, reactive oxygen species, which are overproduced mostly by hyperactive neutrophils, could not be balanced by antioxidant defense system and cause tissues damage.
This is characterized by increased metabolites of lipid peroxidation, DNA damage and protein damage. Local and systemic activities of antioxidants can also be influenced by periodontitis. Total antioxidant capacity, total oxidant status and oxidative stress index have been used to evaluate the oxidative stress associated with periodontitis. Studies have confirmed that inflammatory response in periodontitis is associated with an increased local and systemic oxidative stress and compromised antioxidant capacity.
Our review focuses on increased oxidative stress in periodontal disease, specifically, on the relationship between the local and systemic biomarkers of oxidative stress and periodontitis and their association with the pathogenesis of periodontitis. Also, the relationship between periodontitis and systemic inflammation, and the effects of periodontal therapy on oxidative stress parameters will be discussed.
The periodontal abscess is an acute destructive process in the periodontium resulting in localized collections of pus communicating with the oral cavity through the gingival sulcus or other periodontal sites and not arising from the tooth pulp.
The prevalence of periodontal abscess is relatively high and it affects the prognosis of the tooth. Periodontal abscesses can develop on the base of persisting periodontitis but can also occur in the absence of periodontitis. The cause of the development of periodontal abscess originating from chronic periodontitis is the marginal closure of a periodontal pocket, or the pocket lumen might be too tight to drain the increased suppuration due to changes in the composition of subgingival microflora, alteration of bacterial virulence or host defenses.
Diagnosis of a periodontal abscess is based on medical and dental history as well as oral examination pocket depth, swelling, suppuration, mobility, sensibility of the tooth. The most prevalent group of bacteria: P. The management of acute lesions includes establishing drainage via pocket lumen, subgingival scaling and root planing, curettage of the lining pocket epithelia and seriously inflamed connective tissue, compressing pocket wall to underlying tooth and periodontal support, and maintaining tissue contact.
Some authors recommend the incision or to establish drainage and irrigation, or a flap surgery, or even extraction of hopeless teeth. We recommend the use of systemic antibiotics as a preventive measure of systemic disease or in case of systemic symptoms. Apesar de C. Periodontitis is an inflammatory disease of the gums that damages the soft Periodontal status and treatment needs of primary school teachers Periodontal status and treatment needs of primary school teachers in the absence of Is In the form of oral prophylaxis and non-surgical periodontal treatment.
Treatment of periodontal abcess with Class II furcation involvement. Treatment of periodontal abscess with furcation involvement has its own challenges in achieving the success of periodontal treatment.
Teeth with periodontal abscesses often indicate the presence of furcation involvement. Most periodontal abscess occurs in approximately Furcation involvement on tooth abscesses had a greater challenge to the success of periodontal therapy. A male patient aged 36 years came to the clinic with active periodontal disease.
On examination, the teeth are Combined the elaboration on periodontic -endodontic lesion in the textbook Periodontics with the deficiencies existed in the clinical and teaching work and demonstrated the understanding on the type of the combined periodontic -endodontic lesion, and suggested the viewpoint of no sub-type of combined periodontic -endodontic lesion.
Only regard the type of pulp disease that induced by periodontal disease as genuine combined periodontic -endodontic lesion. Gingival and Periodontal Diseases in Children and Adolescents. Periodontal diseases are among the most frequent diseases affecting children and adolescents. These include gingivitis, localized or generalized aggressive periodontitis a. The effects of periodontal diseases observed in adults have earlier inception in life period.
Gingival diseases in a child may progress to jeopardize the periodontium in adulthood. Therefore, periodontal diseases must be prevented This case report also discusses the rationale behind different tr To explore the clinical characteristics of IgA nephropathy IgAN with severe chronic periodontitis and aggressive periodontitis.
A total of hospitalized patients who underwent renal needle biopsy in the department of nephrology of China-Japan Friendship Hospital from November to December were recruited in the study and blindly had periodontal examination.
The patients with IgAN were further categorized as non- periodontitis , chronic periodontitis and aggressive peridontitis group by Haas classification. The chronic periodontitis group was continually divided into mild, moderate and severe periodontitis group. The prevalence of periodontitis in the study was Chronic periodontitis is correlated with the onset and development of IgAN.
Patients with IgAN have worse condition with the aggravation of periodontitis. III Informe Oficial IV Informe Oficial The global burden of periodontal disease. Chronic diseases are accelerating globally, advancing across all regions and pervading all socioeconomic classes. Unhealthy diet and poor nutrition, physical inactivity, tobacco use, excessive use of alcohol and psychosocial stress are the most important risk factors. Periodontal disease In addition, severe periodontal disease is related to poor oral hygiene and to poor general health e.
The present report highlights the global burden of periodontal disease: the ultimate burden of periodontal disease tooth loss , as well as signs of periodontal disease, are described from World Health Organization WHO epidemiological data. High prevalence rates of complete tooth loss are found in upper Social gradients in periodontal diseases among adolescents. To investigate the association between socioeconomic position and periodontal diseases among adolescents.
Data were obtained from Chilean high school students. Clinical examinations included direct recordings of clinical attachment level and the necrotizing ulcerative gingival lesions. Students answered a questionnaire on various dimensions of socioeconomic position. Seven periodontal outcomes were analyzed. Logistic regression analyses were used to identify socioeconomic variables associated with the periodontal outcomes. The occurrence of all periodontal outcomes investigated followed social gradients, and paternal income and parental education were the most influential variables.
The study demonstrates the existence of significant social gradients in periodontal diseases already among adolescents. This is worrying, and indicates a new potential for further insight into the mechanisms of periodontal disease causation.
Periodontal disease and the special needs patient. Individuals with special needs are at more risk of dental disease, including periodontal diseases, and have a greater prevalence and incidence of periodontal diseases than the rest of the population. The success of preventing or controlling periodontal diseases amongst this group of patients has not been established.
Even those individuals who access regular and comprehensive dental care appear to develop periodontal diseases as they age, and this development occurs at a rate comparable to the natural history of the disease. The reasons behind the lack of success of interventions in reducing the incidence of periodontal diseases are complex and part of the lack of success may relate to the professional challenges in treating individuals with special needs.
Psychosocial distress and periodontitis in adolescents. Periodontitis is an inflammatory disease associated with predominantly gram negative biofilms and characterized by the progressive destruction of the supporting tissues of the teeth.
Some studies conducted among adults have found a significant association between periodontitis and dimensions Purpose: The main aim of this study was to assess whether adolescents with periodontitis presented with higher scores The inclusion criterion for being Poor periodontal health: A cancer risk? Full Text Available Evidence indicates that chronic infections and inflammation are associated with increased risk of cancer development.
There has also been considerable evidence that proves the interrelationship between bacterial and viral infections and carcinogenesis. Periodontitis is a chronic oral infection thought to be caused by gram-negative anaerobic bacteria in the dental biofilm.
Periodontal bacteria and viruses may act synergistically to cause periodontitis. Many studies have shown that periodontal pockets may act as reservoirs for human papilloma virus, cytomegalovirus, Epstein Barr virus, and suspected agents associated with oral cancer. Periodontitis , characterized by epithelial proliferation and migration, results in a chronic release of inflammatory cytokines, chemokines, growth factors, prostaglandins, and enzymes, all of which are associated with cancer development.
This review article intends to shed light on the association between periodontal health and carcinogenesis. Evidence indicates that chronic infections and inflammation are associated with increased risk of cancer development.
Genetic variants in periodontal health and disease. Dumitrescu, Alexandrina L [Tromsoe Univ. Periodontitis is a complex, multifactorial disease and its susceptibility is genetically determined. Genetic syndromes known to be associated with periodontal disease, the candidate gene polymorphisms investigated in relation to periodontitis , the heritability of chronic and aggressive periodontitis , as well as common guidelines for association studies are described. This growing understanding of the role of genetic variation in inflammation and periodontal chronic disease presents opportunities to identify healthy persons who are at increased risk of disease and to potentially modify the trajectory of disease to prolong healthy aging.
The book represents a new concept in periodontology with its pronounced focus on understanding through knowledge rather than presenting the presently valid answers.
Connections between genetics and periodontology are systematically reviewed and covered in detail. Full Text Available Objective: To identify the relationship between periodontitis in pregnant women through the periodontal disease index PDI and low birth weight babies. Methods: A case-control study was conducted to determine the relationship between periodontitis in pregnant women through the periodontal disease index PDI and the low birth weight babies LBW.
The participants were mothers with periodontitis and non- periodontitis mothers aged 20—35 years who gave birth in the Department of Obstetrics and Gynecology-Dr. The periodontal disease index has an accuracy of Conclusions: The loss of attachment affects the possibility of delivering LBW babies.
Full Text Available The bidirectional relationship between periodontitis and diabetes mellitus can cause distinct oral symptoms that can impact the general health conditions of affected patients. The presented case report of a female diabetes type 2 patient with severe periodontitis and a periodontal abscess shows how interdisciplinary collaboration between the attending physician and dentist can significantly improve oral conditions and metabolic control.
Emdogain-- periodontal regeneration based on biomimicry. Biomimicry has been introduced as a term for innovations inspired by nature . Such innovations may appear in almost every part of modern society.
This review on the effects of enamel matrix proteins on the formation of cementum and the development of emdogain for regeneration of periodontal tissues lost due to periodontitis shows an example of biomimicry in dentistry. Findings from clinical and laboratory investigations are summarized and the biological basis for enamel matrix-induced periodontal regeneration is discussed. The purpose of the present review is to introduce key miRNAs involved in periodontal homeostasis, summarize the mechanisms by which they affect downstream genes and tissues, and provide an introduction into the therapeutic potential of periodontal miRNAs.
In general, miRNAs function synergistically to fine-tune the regulation of biological processes and to remove expression noise rather than by causing drastic changes in expression levels.
In the periodontium, miRNAs play key roles in development and periodontal homeostasis and during the loss of periodontal tissue integrity as a result of periodontal disease. As part of the anabolic phase of periodontal homeostasis and periodontal development, miRNAs direct periodontal fibroblasts toward alveolar bone lineage differentiation and new bone formation through WNT, bone morphogenetic protein, and Notch signaling pathways.
Their small size and ability to target multiple regulatory networks of related sets of genes have predisposed miRNAs to become ideal candidates for drug delivery and tissue regeneration. To address the immense therapeutic potential of miRNAs and their antagomirs, an ever growing number of delivery approaches toward clinical applications have been developed, including nanoparticle carriers and secondary structure interference inhibitor systems.
However, only a fraction of the miRNAs involved in periodontal health and disease are known today. It is anticipated that continued research will lead to a more comprehensive understanding of the periodontal miRNA world, and a systematic.
Protein Biomarkers of Periodontitis in Saliva. Periodontitis is a chronic inflammatory condition of the tissues that surround and support the teeth and is initiated by inappropriate and excessive immune responses to bacteria in subgingival dental plaque leading to loss of the integrity of the periodontium, compromised tooth function, and eventually tooth loss.
Periodontitis is an economically important disease as it is time-consuming and expensive to treat. Identification of periodontal pathogens in atherosclerotic vessels. Epidemiological studies have shown that periodontitis may be associated with presence of atherosclerosis. DNA from periodontal pathogens has been detected in atherosclerotic lesions, but viable oral bacteria have not yet been isolated from atherosclerotic plaques.
The purpose of the present study Diabetes mellitus and periodontal health: dentists' knowledge. There is a strong body of evidence to support the relationship between periodontal diseases and diabetes mellitus. Unless dental practitioners are aware of this link, they cannot apply the information to their daily practice. The aim of the study was, therefore, to evaluate the knowledge of dental practitioners concerning the effect of diabetes on periodontal health.
This was a cross-sectional survey of randomly selected dental practitioners in Kuwait. Participants were asked about specific periodontal complications which they believed that patients diagnosed with diabetes were more susceptible to.
A total of dental practitioners general dental practitioners and 87 dental specialists participated in the study. Dental specialists, especially periodontists, were significantly more aware of periodontal complications associated with diabetes. Factors significantly associated with having knowledge about the effect of diabetes on periodontal health in logistic regression analysis were dentists who were older and those who were specialists. The results of this study indicate that knowledge about the effects of diabetes on periodontal health among this sample of dental practitioners is generally low, and dentists may underestimate the outcomes of periodontal diseases in diabetic patients.
Karger AG, Basel. Link between rheumatoid arthritis and chronic periodontitis. Full Text Available Chronic periodontitis is an infectious disease associated with the progressive destruction of periodontal tissues. In recent years, more and more data indicate an existing relationship between periodontal disease and rheumatoid arthritis. The link between both diseases has been confirmed in multiple studies. Despite the fact that this association might be based on shared environmental and genetic risk factors, a possible causal relation was advocated by experimental, epidemiological and interventional studies, with the leading role of Porphyromonas gingivalis.
Individuals with chronic periodontitis are at an increased risk of developing rheumatoid arthritis, as well as rheumatoid arthritis patients are at an increased risk of chronic periodontitis and more severe forms of periodontitis. Furthermore, there is a correlation between the activity in both diseases — patients with more severe periodontitis suffer from more active rheumatoid arthritis. Intervention attempts were also performed, which demonstrated that eliminating periodontal infection and inflammation can affect the severity of rheumatoid arthritis.
In this paper, we review the current knowledge about the link between both diseases, focusing on its clinical implications.
Will periodontal treatment become a part of standard therapy for rheumatoid arthritis? The past decades have significantly widened the perspectives of the chronic oral infectious disease known as periodontitis. The disease is regarded as a bacterial infection resulting in low-grade inflammation of the periodontal tissues, and both the associated release of pro-inflammatory mediators The present chapter deals with the possible association of periodontitis with rheumatoid arthritis, which may possess This chapter deals with the possible association between periodontitis and diabetes mellitus which is believed Seis nematodos 2 machos y 4 hembras fueron colectados e identificados como S.
Solves Llorens, JA. En este articulo se reporta por primera vez para el Peru una especies del genero Nielsonia Young, , de material procedente del Departamento de Tumbes. El genero ha sido reportada anteriormente de Ecuador, como unico registro para Sudamerica, y America Central. El unico especimen hembra encontra Adicionalmente, se presentan cinco nuevos registros de Myrtaceae para la flora nativa colombiana.
Registro de datos en un servicio de crecimiento y desarrollo infantil del nivel primario. Full Text Available Objetivos: Determinar el tiempo empleado en el registro de datos en las consultas de los servicios de crecimiento y desarrollo en un centro de salud. Periodontal Disease and Pregnancy Outcomes. An increasing number of studies are confirming an association between periodontal disease PD and adverse outcomes in pregnancy.
PD places pregnant women at greater risk for preterm birth than alcohol consumption or smoking. This underscores the importance of offering dental screening to women who are pregnant or contemplating pregnancy and the need for physicians who provide obstetric care to be aware of the possible connection between poor dental health and poor pregnancy outcomes.
Full Text Available An increasing number of studies are confirming an association between periodontal disease PD and adverse outcomes in pregnancy. Esthetics in periodontics and implantology. Periodontal plastic surgery comprises an increasing part of clinical periodontology. Clinical trials have traditionally used professionals to judge esthetic outcome, and few studies have addressed patient needs and requests true end points. Development of universally accepted and validated methods for professional esthetic assessment, together with standardized questionnaires for patient-perceived outcome, may help to provide better insights into the true needs and benefits of periodontal and implant-associated plastic surgery.
In this volume of Periodontology , experienced researchers and clinicians from different subdisciplines of periodontology evaluate: treatment of gingival recession with or without papilla elevation; clinical crown lengthening in the natural dentition and in prosthodontic preparative treatment; periodontal regeneration around natural teeth; and soft-tissue augmentation in edentulous areas.
Similarly, experts in different areas of implant science address esthetic outcomes with single and multiple implant rehabilitation, alveolar ridge preservation, implant positioning and immediate implant placement in the esthetic zone. Periodontal disease and women's health. Periodontal disease PD is a multifactorial inflammatory condition in which inappropriate interaction between the host immune response and specific groups of bacterial pathogens leads to destruction of connective and bone tissues supporting the tooth.
Dissemination of pathogens, toxins, and immune complexes from and to periodontal lesions is at the basis of the increasingly recognized association between PD and various systemic diseases SDs.
Considering the growing attention of the medical community to "gender medicine", this review focuses on the association between PD and six systemic conditions heavily impacting women's health, with the aim of providing evidence in support of a joint effort between physicians and dentists to improve clinical management of these conditions. We considered systematic reviews, meta-analyses and narrative reviews evaluating all possible associations between periodontitis , systemic diseases and women.
Gender prevalence for PD is discordant, but the literature strongly supports an association between PD and female infertility and adverse pregnancy outcomes. Moreover, PD is bidirectionally linked to several systemic diseases characterized by an established female gender bias, i. Overall, the literature data reviewed here provides a strong foundation for further characterization of molecular and microbial drivers of PD and of several female-prevalent systemic diseases, highlighting the possible importance of a good oral condition in preventing or attenuating women's systemic diseases.
Morphometric assessment of periodontal tissues in relation to periodontal disease in dogs. Dimensions of periodontal tissues are thought to predispose to the development of periodontal disease in man and dogs.
Several studies have suggested that thin gingiva correlates with an increased incidence of periodontal disease. In this study, we hypothesized that the dimensions of periodontal tissues will vary in different breeds of dogs and could possibly correlate with the incidence of periodontal disease.
Forty-two jaws of dogs aged up to 5-years were examined post-mortem and gingival and alveolar bone thickness were measured using methods of transgingival probing and digital calipers, respectively. Dogs were divided into three groups based on their body weight.
Group I dogs compared with small and medium-sized breed dogs. Both gingival and alveolar bone dimensions may be predictors for severity of periodontal disease and influence clinical outcome in certain periodontal surgical procedures.
Alcohol consumption and relevant covariates were An update on periodontic -orthodontic interrelationships. Talking about periodontic -orthodontic interrelationships is related primarily to the s, where a generalized increase in salivary bacterial counts, especially Lactobacillus, had been shown after orthodontic band placement.
The purpose of this article is to provide the dental practitioner with basic understanding of the interrelationship between periodontics and orthodontics by means of representing classical studies, and, to give an update on this topic by demonstrating the most recent opinions concerning periodontic -orthodontic interrelationships.
Specific areas reviewed are the ability of orthodontic treatment to afford some degree of protection against periodontal breakdown, short-term and long-term effects of orthodontic treatment on the periodontium, and some mucogingival considerations.
Topics considering orthodontic treatment in periodontally compromised patients were not included in this review. While past studies have shown that orthodontic treatment can positively affect the periodontal health, recent reviews indicate an absence of reliable evidence for the positive effects of orthodontic therapy on patients' periodontal status. Periodontic -orthodontic interrelationships are still controversial issues. However, a standard language between the periodontist and the orthodontist must always be established to eliminate the existing communications barrier, and to improve the outcomes of the whole treatment.
Full Text Available Talking about periodontic -orthodontic interrelationships is related primarily to the s, where a generalized increase in salivary bacterial counts, especially Lactobacillus, had been shown after orthodontic band placement.
Essentials of Periodontal Medicine in Preventive Medicine. Influence of systemic disorders on periodontal diseases is well established. Estimation of salivary neopterin in chronic periodontitis. Periodontal diseases are the most common bacterial infection predominantly associated with Gram-negative microorganisms that exist in the subgingival biofilm. Analysis of saliva provides a noninvasive means of evaluating the role of the host response in periodontal disease. Though salivary enzymes can be used as the biomarkers, neopterin has been recently used as one of the important diagnostic tools in the field of periodontics.
Hence, we aimed to identify the neopterin levels in unsimulated saliva from the chronic periodontitis patients and compare them with the periodontally healthy subjects.
Twenty subjects participated in the study and were categorized as the experimental group chronic periodontitis patients and control groups healthy subjects. Unstimulated saliva samples were collected from both the groups for neopterin estimation. Statistical analysis was done by Student's t-test. The chronic periodontitis patients showed higher neopterin level in unstimulated saliva as compared to control. Hence, neopterin can be used as a potential biomarker for identification of the periodontal disease in its initial stage can help in preventing the disease progression.
Uncovering the molecular networks in periodontitis. Periodontitis is a complex immune-inflammatory disease that results from a preestablished infection in gingiva, mainly due to Gram-negative bacteria that colonize deeper in gingival sulcus and latter periodontal pocket.
Host inflammatory and immune responses have both protective and destructive roles. Although cytokines, prostaglandins, and proteases struggle against microbial burden, these molecules promote connective tissue loss and alveolar bone resorption, leading to several histopathological changes, namely destruction of periodontal ligament, deepening of periodontal pocket, and bone loss, which can converge to attain tooth loss.
Nevertheless, some genes, transcripts, proteins and metabolites have already shown a different expression in healthy subjects and in patients.
Saliva and gingival crevicular fluid have been attracting researchers due to their diagnostic potential, ease, and noninvasive nature of collection. Each one of these fluids has some advantages and disadvantages that are discussed in this review. Diagnosis of periodontal diseases using different classification The codes created for risk factors, periodontal data, and radiographically bone loss were formed as a matrix structure and regarded as inputs for the classification unit.
A total of six periodontal conditions was the outputs of the classification unit. The accuracy of the suggested methods was compared according to their Periodontal Disease Awareness and Knowledge among Nigerian Periodontal disease is highly prevalent and a costly to treat condition that impacts Best preventive Comparative periodontal status of human immunodeficiency virus Background: There are diverse reports on the prevalence and severity of chronic periodontitis in human immunodeficiency virus HIV positive persons.
Few studies have been carried out in developing countries in Sub. Saharan Africa. This study was aimed at comparing the prevalence and severity of chronic periodontitis of
Epidemiology of periodontal status in dentate male adults of Jalore, Rajasthan, India: a cross sectional study. I Department of Periodontics. Udaipur, Periodontia, India. A total of male subjects belonging to five age groups, namely 12, 15, 18, andwere selected by stratified cluster sampling technique and examined.
Bleeding on slight provocation was the most commonly observed condition in all age groups, comprising Hence, to maintain periodontal health in this population, appropriate preventive and periodic periodontal therapies should be provided. Indexing terms: Epidemiology. Periodontal discases.
Periodontal disease is one of the two major dental diseases that affect human populations worldwide at high prevalence rates 1. The prevalence and periodoontia of periodontal disease have been measured in population surveys in several developed and developing countries, and these studies sextantes carried out with a wide range of objectives, designs, and measurement criteria 2.
The Community Sextates Index Sextantew 3 was introduced by the World Health Organization WHO to provide profiles of periodontal health status in countries and to enable countries to plan intervention programs periodontia effective control of periodontal disease.
In addition, CPI periodontia may be helpful in the surveillance of oral health at country and intercountry levels. Although this index has certain shortcomings when used as a stand-alone means of assessing the extent and severity of periodontal disease, it has been widely used for descriptive periodontal epidemiologic studies and needs assessment in developed and developing countries.
Epidemiologic data available at WHO confirm studies which show that periodontal disease prevalence and severity tend to be high in older age groups as compared periodotnia younger age groups 4. In most epidemiologic studies carried out globally, significant relationships between socioeconomic status and periodontal disease have been observed; i.
However, perioodntia data could not be retrieved from the study subjects of the present study. There is no systemic data on the oral health status of the present study population, preiodontia the present study intended to investigate the prevalence and distribution of periodontal status among dentate male adults in the general population of Jalore, Perioxontia, using the Community Periodontal Index.
The study area is located in the southwest part of Rajasthan, India, and it was divided into periodonita strata according to geographic zones, namely Siana, Betala, Mailavas and Jalore city, and a cluster sextantes selected from peeiodontia strata. Free camps were organized in each cluster and whoever responded was included in the study.
The individuals were examined using a mouth mirror and CPI probe in a mobile dental unit. The WHO sampling procedure stratified cluster sampling was used to collect the representative population and a sample of subjects was selected belonging to WHO standard age groups, 12, 15, 18, and The oral cavity was divided into six sextants and the sexhantes tooth from each sextant was examined for gingival bleeding, calculus and periodojtia pockets 7.
Sextxntes more than two teeth were missing or indicated for extraction in a sextant, the extant was excluded. Moreover, subjects aged 12 and 15 years were only assessed for bleeding and calculus, as suggested by WHO. Clinical examination periodontiaa performed by a single, calibrated examiner and the kappa coefficient for intra-examiner variability was 0. The chi-square test was wm sextantes assess the significant differences between the sextzntes groups for occurrence of bleeding, calculus and pockets.
The periiodontia of age groups within the sample is shown in Table 1. A total of subjects were sm in the study, of which belonged to the year-old age group. Bleeding on slight provocation was the most commonly periodongia condition in all age groups, affecting Calculus and pockets were observed in the older age groups. Shallow pockets were observed in None of the subjects in periodontia oldest age group presented healthy periodontium or bleeding gingiva.
The proportion of subjects in the entire sample with healthy periodontium was 9. Healthy sextants without any periodontal disease were found in subjects of all but the oldest age group.
The mean number of healthy sextantes decreased as age increased. The greatest periodontal destruction was observed in subjects of the year-old age group. They presented shallow probing depths in almost 2. Bleeding with gentle periodontia as a symptom of gingivitis was present in all age groups, particularly in the year-old age group, affecting 3. The study is an arid area with a water fluoride level of 4. It is a part of the Rajasthan fluoride belt where the majority of the population is of low socioeconomic status or below the poverty line.
Our study also revealed poor oral hygiene habits in seextantes study population; ssextantes periodontia subject in the whole sample brushed his teeth twice or periodontia than twice daily.
The most commonly used oral hygiene aids were finger with tooth powder and Neem sticks. The study planned to assess the periodontal status of the female population, but clinical examination could not be done as they were anxious and uncooperative when the examination was attempted by males.
The CPI criteria were used for determining the periodontal status, and despite some limitations, the system periodontia provide reliable information on the sextants signs of periodontal disease 8. Similar results were observed in the second national oral health survey of China by Sextantes et al.
Destructive periodontitis was less frequent as supported by other studies The prevalence of subjects sextantes healthy periodontium score 0 decreased with age. A similar trend was seen for bleeding on probing score 1whilst calculus deposit score 2 was the main problem in all age groups over sextxntes years.
Similar findings were reported in a study done periodpntia El-Qaderi and Quteish Ta'ani The prevalence of periodontal pockets was relatively high in older age groups, with Calculus was the most frequently observed periodontal condition in the 12, 15 and 18 age groups.
The percentage of individuals with shallow and deep pockets was higher in the and age groups. Similar results were observed by Dini and Guimaraes The percentage of healthy adults decreased with age, in accordance with other sextanyes Participants under 35 years of age presented more than two healthy sextants, which is in agreement with the study done by Adegbemdo et al. A major finding of this study was that no subject in the age group had deep periodontal periodontia whereas 0.
In the entire sample, only 9. Similar findings were reported by Ahlberg et sedtantes. The results of the present study show that the mean number of healthy sextants in the age group is zero, while Mengel et al.
The mean number of sextants with deep pockets in the present study was 0. The results indicate that the study population has more widespread and severe periodontal destruction than other populations. Petersen PE. Community Dent Oral Periorontia. Kingman A, Albandar JM. Methodological aspects of epidemiological studies of periodontal diseases. Periodontol Pilot T.
The periodontal disease problem. A comparison between industrialised and developing countries. Int Dent J ;48 Suppl. World Health Sextantes. Geneva: World Health Organization; Global epidemiology of periodontal diseases in children and young persons. Social factors and periodontitis in an older population.
Am J Public Health. Oral Health Surveys: basic methods, 4th ed. Holmgren C. CPITN: interpretations and limitations. Int Dent J. The second national survey of oral health status of children and adults in China. Periodontal conditions among adults in Southern Thailand. J Periodontal Res. Assessment of periodontal knowledge and sextantes status of an adult population in Jordan. Int J Dent Hyg. A national survey of periodontal treatment needs of adults in the Philippines.
An estimate of periodontal treatment needs in the U. S based on sextamtes data. J Periodontol. Periodontal conditions in adults 35 - 44 years of age. National oral health survey and fluoride mapping, India. New Delhi: Dental Council of India; Oral health among to year-old Iranians. Med Princ Pract. Guile EE. Periodontal status of adults in Central Sextantes Arabia. Community Dent Health. Pilot T, Barmes DE. Skaleric U, Kovac- Kavcic M. Periodontal treatment needs in a population of Ljubjana, Yugoslavia.
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Para trabalhar no sextante 1 o CD deve se posicionar em 9 horas para destro e 3 horas para canhotos e o paciente deve ficar na posição. Nesses pacientes, 1,1% dos sextantes exibiram saúde periodontal, contra 32,0% nos sem cardiopatia (p < 0,). No tocante à história pregressa das DP.
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Periodontal disease in patients with ischemic coronary atherosclerosis at a University Hospital. Mailing Address. PD is a serious public dental health care problem with a differentiated distribution in regards periodontia severity, age group, type of infection, co-morbidities and risk factors. Fifty-eight patients with heart disease and 62 patients without heart disease between the ages of 30 and 79 met the criteria to be included in the investigation. The elevated prevalence of risk factors found, indicates that intervention strategies are required.
Key words: Periodontal disease, heart diseases, periodontia index, periodontal sextantes loss. Periodontal disease is universal, representing a serious public dental health problem for both developing and industrialized countries 1,2. In Brazil, PD is the second leading public oral health issue surpassed only by tooth decay periodontai. Dental biofilm and calculus are important factors for sextzntes onset of PD, and are highly prevalent in adults and children worldwide.
Nevertheless, the most serious manifestations present differentiated distributions that vary according to age group, type of infection, systemic problems and risk factors 1,2,4.
While tooth decay results in demineralization of the teeth, PD is the result of periodontal tissue destruction caused by the action of toxic products released in the sub-gingival area by specific periodontal pathogens 5. PD can also result from inflammatory and immunological responses caused by the presence of microorganisms and their toxic subproducts lipopolysaccharides-LPS 5. It is important to recognize PD perioodontia an infectious sextantee caused by specific anaerobic bacteria, strongly suspected sextantes be transmissible, peridoontia affecting populations and sites of risk PD is a chronic disease that is sectantes assymptomatic 5.
Recent studies 6, demonstrate that the association between oral health and atherosclerosis is consistent in periodontia population samples and that the oral conditions precede coronary events. In PD there is a possibility of bacteremia due to the proximity of the infectious agents with the connective tissue and its vascular components. In moderate and advanced cases, the endotoxins for example, LPS of the microbial wall can stimulate the accumulation of plaque contributing to the formation of thrombi and atheroma sextabtes 6,8, It is very possible that this physiopathological link is the conclusive explanation of the association between the two conditions.
Common factors between cardiovascular and periodontal diseases include genetic susceptibility and important behavioral components such as dietary habits, personal hygiene and sexgantes use, among others.
In both cases periodonti incidence increases with age, and occur more frequently in males, diabetics, people from lower socioeconomic and cultural classes, individuals that suffer from psychic stress sextantws with substantial genetic predisposition 5,7,12,15,22, Since there are few studies regarding oral health in general and PD in particular, data relating to distribution and risk factors for these diseases are in short perkodontia.
The objective of the present investigation was to study oral conditions sextantes requirements as well as the prevalence of PD in patients with ischemic heart disease with follow-up in a tertiary hospital, periodohtia the data with those obtained from a sample of patients sextanges heart disease.
As sextqntes comparison group, patients without ischemic heart disease from the Hepatitis Outpatient Clinic were used. In the initial stage wextantes the study, the patients were interviewed and examined in the medical office during their regularly scheduled appointment. During this first contact, data regarding oral conditions were collected and the potential participants of the periodontal investigation were identified.
The interviews and oral exams for all candidates were performed by the same dental surgeon. Difficulties in recruiting patients with heart disease and a minimum number of 20 teeth as well as age matching with patients without heart disease altered the initial planning of the study sample size people per group.
At the Ischemic Cardiopathy Outpatient Clinic, patients were initially evaluated and only 58 In periodontia Hepatitis Outpatient Clinic, patients were evaluated sextantes which 62 The patients between the ages of 30 and 79 and with a minimum of 20 functional sextantes, were then placed in two new groups for periodontal evaluation. Sectantes if the patients met the criteria for age and number of teeth, they were excluded if they had a previous history of bacterial endocarditis, congenital or rheumatic heart disease or HIV.
A special periodontal probe with a 0. The probing technique involves the application of a maximum pressure of 20 grams, with the instrument parallel to the surface of the teeth, touching and moving the probe along the cervical surface with sextantew rounded tip inserted in the gingival sulcus and probing the entire extension.
In the periodontal exam technique, the dentition is divided in six parts or sextants, peeriodontia the sextant was sextanted examined if there were two or more teeth present that were not indicated for extraction due to tooth decay.
The CPI codes are: 0 healthy ; 1 bleeding when probed ; 2 calculus detected, but black band of periodntia probe is visible ; 3 mm periodontal pocket and gingival margin on black band on probe ; 4 periodontal pocket 6mm or more, black band sextantes probe not visible ; X sextant excluded, less sextantws two teeth present. Periodontal attachment periodontia PAL was observed in the same sextants in order to estimate the accumulated tissue destruction throughout the life of the periodontal attachment.
The cementoenamel junction CEJ is exposed or visible when there is gingival recession and is used as a reference. This enables comparisons between the population groups perildontia attempting to describe the sextahtes of attachment loss in an individual. The PAL extent is recorded using the following codes: 0 loss of attachment of mm, CEJ is not visible and CPI value between ; 1 loss of attachment of mm, CEJ within the black band ; 2 loss of attachment of mm and CEJ between the upper limit of the black band and the 8.
For both indexes the worst condition observed was registered; however this does not exclude the presence of less serious conditions at other sites of the sextants evaluated. The information was entered into the Program EpiInfo 6. In the situations in which the reduced sample size inhibited sextantes use of the chi-square test, the Fisher exact test was used. In all situations, the statistic significance limit adopted was periodontia to 0. In the initial stage patients were examined between April periodontia and September 19,of which had heart sextqntes and did not.
Sextantes the patients petiodontia heart disease, The average and median ages were The results relative to the number of sexgantes revealed that people On the whole, Of the patients without heart disease, The ages of the males ranged from 21 to 61 years and for the females between 17 and The average and median ages were 41 and periodontia respectively and The results of tooth counts were substantially different from those observed in the heart disease group.
Ten people 6. On the whole, 56 In relation to dental treatment requirements, Among the patients periodontia heart disease, 58 In the periodontal investigation of the 58 patients with heart disease, ssextantes Ages ranged between 33 and 75 for the sextatnes and between 38 and 70 for the women. The median age for men was 53 years and for women The average age for both genders was 53 years.
All required periodontal treatment, Based on the CPI, four 1. Eighty sextants In reference to lack of periodontal treatment, Therefore, ssextantes 5.
Based on the accumulated tissue destruction throughout the life of the periodontal attachment, measured by loss of attachment, 21 sextants 6. The categories "no loss of attachment" and "loss of attachment of mm" were combined as these stages are not indicative of tooth loss and included sextants All categories for loss of attachment of 6 mm and more were grouped together as these stages are indicative of tooth loss and included sextants Among the 62 patients without heart disease submitted to the periodontal investigation, 46 Ages ranged from 30 to 61 for the males and from 30 to 60 for the females.
The average and median ages for the men were 40 and 39 years and for the women 37 and 35 years, respectively. It was observed that 51 Based on the CPI Tab. Based on the number of people requiring periodontal treatment Tab. Based on the accumulated tissue destruction throughout the life of the periodontal attachment, sextants Loss of attachment greater than 8 mm was not observed in this group of patients.
All categories for loss of attachment of 6 mm or more were grouped together as these stages are indicative of tooth loss and included 28 sextants 7. In order to make the two groups more compatible in relation to age, the periodontal health conditions in the patients between 30 and 59 years for both groups were analyzed Tab. It was verified that the worst periodontal conditions CPI score of 4 were more frequently seen in the patients with heart disease when compared to the others with respective values of These patients also had consistently higher percentages The elevated percentages of edentulous individuals and those with limited functions due to the low number of teeth are proof of the lack of adequate dental care at some point in sextantes lives.
This fact is also proven by the elevated number of periodoontia that required health care, particularly in peroodontia to prostheses, periodontal treatment and oral cancer prevention.
Thus, the greater severity of PD in patients with heart disease suggests that systemic factors could be simultaneously involved in the origin of the two diseases. However, age distribution discrepancies greatly limits result comparison when evaluating the two groups, particularly regarding the periodonyia investigation, since PD is time dependent. Nevertheless, even when evaluated in the same age group, the two sexgantes remained distinct regarding periodontal health.
The evaluation of general oral health conditions demonstrated that both groups required large percentages of dental treatments in all specialties. PD was eextantes prevalent in the two study groups but much more severe in the patients with ischemic coronary atherosclerosis. Although sextanes mentioned in the text, there was also a high prevalence of risk factors for PD, indicating the need to implement oral health care strategies that include preventative and educational measures for large population groups, early periodontal care and directed at groups with higher risks to develop PD smokers, low socioeconomic and cultural classes, those with difficulty to modify inadequate habits of dental biofilm removal, people infected with HIV, diabetics, people with psychomotor deficiencies and ischemic diseases.
In conclusion, the creation of methods to better orient patients regarding oral health care is essential. At the HCFMRP-USP clinic, diagnostic procedures and systematic sextantss of periodontal diseases have been implemented, with emphasis placed on high risk groups, making quick and effective oral health care viable for those who need it.
The sextantss of this study indicate the need to conduct new studies with larger samples and adequate age matching to accurately establish real oral health conditions in general population groups that receive care in clinics such as the one used in this study.
They also indicate the requirement of Public Dental Ej to be expanded to include preventive and rehabilitation care for age groups above 15 years of age. Potential Conflict of Interest. No potential conflict of interest relevant to this article was reported. Natural history of periodontal disease in man. Rapid, moderate and no loss of attachment in Sri-Lankan tea laborers 14 to 46 years of age.
J Clin Periodontol ; 13 5 : Papapanou PN. Periodontal diseases: epidemiology.
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