DOCSLIB.ORG

The Use of Antimicrobial Agents for Treating Soft Tissues for Final Impression Procedures

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
The Use of Antimicrobial Agents for Treating Soft Tissues for Final Impression Procedures Y T E I C O S L ISSN 1107 - 1141 BALKAN JOURNAL OF STOMATOLOGY A IC G LO TO STOMA The Use of Antimicrobial Agents for Treating Soft Tissues for Final Impression Procedures SUMMARY Harry P. Papanagiotou, Dafni Pakou, Phophi Background. The response of periodontal tissues to prosthetic Kamposiora, George Papavasiliou, Myrto Mpriakou, Spiros Silvestros restorations, either temporary or permanent, has been an issue of major concern. Temporary restorations induce o slight to moderate inflammatory University of Athens, Dental School response of the adjacent soft tissues that could affect the quality of final Department of Prosthodontics, Athens, Greece impressions for fixed prostheses. The aim of this double-blind, randomized, 3 group parallel-designed clinical trial was to evaluate and compare the efficacy of 2 mouthrinses and a placebo on inhibiting inflammation around teeth bearing provisional restorations. A secondary objective was to evaluate if C31G could cause staining of the restorations and/or changes in taste perception. Material and Methods. The 2 mouthrinses used, were chlorhexidine digluconate and 0.3% C31G in an aqueous base. 28 patients underwent periodontal examination at baseline, which included assessment of the plaque index, bleeding on probing and discoloration index. 110 teeth prepared to receive fixed prosthetic restorations and provisional restorations were evaluated prior to final impression procedures. All patients were randomly assigned to 3 groups: the first group received 0.3% C31G in an aqueous base, the second group received chlorhexidine digluconate, and the third group received placebo. Statistical Analysis was performed by using both Multivariate Analysis of Variance (MANOVA) and Univariate Analysis of Variance (ANOVA) with repeated measures. The 4 dependent variables were plaque index, gingival index, surface coloration index and coloration severity index. The experimental factors were the administrated agent (between-subjects factor) and the intervals of consecutive measurements (within-subjects factor). Interaction between the experimental factors (therapeutic agent - repeated measures) was also examined. The level of statistical significance was set to 5%. Results. Both agents improved plaque index and bleeding on probing. The placebo had no efficacy in plaque control; 0.3% C31G in an aqueous base appeared to have positive control in plaque accumulation, superior than chlorhexidine digluconate. It was free of side effects, did not cause any staining of the teeth or induced an intrinsic bad taste. Conclusion. Within the limitations of this study, the results suggested that both mouthrinses were able to improve the condition of the periodontal tissues adjacent to teeth that bear provisional restorations, in order to prepare them for the final impression. C31G in an aqueous base had no side effects like staining of teeth. ORIGINAL PAPER (OP) Keywords: Final Impressions; Antimicrobial Agent; Staining Balk J Stom, 2011; 15:133-141 134 Harry P. Papanagiotou et al. Balk J Stom, Vol 15, 2011 Introduction influence on microflora constitution10; (2) Triclozan, which consists of a combination of diphenol and a germicidal According to the glossary of Prosthodontic Terms1, agent with low toxicity and wide antibacterial action - impression is a negative likeness or copy in reverse of the studies showed moderate effectiveness in the reduction of 9 surface of an object, an imprint of the teeth and adjacent plaque accumulation, mostly because of its rapid release ; structures for use in dentistry. The purpose is to fabricate (3) Chlorhexidine, which is considered to be one of the an accurate positive replica of the oral structures, namely a most effective antimicrobial agents in the reduction of cast. The most important factors for a precise and successful plaque accumulation and the control of gingivitis, even 11 impression, regardless the impression material and the in lack of oral hygiene ; it also has an auxiliary effect in impression technique that was used are healthy soft and periodontal treatment through control of inflammation 12 hard tissues in the oral cavity. This can be achieved by and subgingival plaque accumulation . It is adsorbed the completion of necessary dental treatment, including in tooth surfaces, which is one of its most important periodontal, endodontic and orthodontic therapy2, and a high properties, even when these surfaces are covered with oral hygiene status. Interim prosthesis is called a fixed or hymenium, and it is released slowly, preventing microbe 10,13-15 removable dental or maxillofacial prosthesis, designed to proliferation . It shows low toxicity and infrequent enhance aesthetics, stabilization and/or function for a limited side effects, which appear mainly after long term use, such period of time, after which it is to be replaced by a definitive as brown discoloration of tooth surfaces and restorative materials16, alteration in taste perception11,17, an increase of prosthesis. In fixed prosthodontics, provisional restorations are 18 fabricated using various techniques3-6 and should fulfill given calculus formation , and soft tissue delamination and teeth biological, mechanical and aesthetic requirements. They can hypersensitivity; (4) C31G, a 0.3% solution in an aqueous either enhance the oral tissues health7 or may induce a slight base, which affects bacterium glycolysis and has wide 19; inflammatory response of the adjacent soft tissues. germicidal action against Gram + and Gram - bacteria According to Trushkowsky,6 provisional restorations in vitro, C31G in concentration of 0.5% is as effective as chlorhexidine20. It is chemically sticky and binds itself to should fulfil several requirements in order to avoid plaque sites within the periodontal pocket, so it continues to be accumulation and consequently periodontal inflammation: effective for prolonged periods of time. 1. They should isolate the prepared teeth from the oral The combined use of mechanical and chemical environment; means in oral hygiene is the most effective way to control 2. They should have an adequate anatomical shape, plaque accumulation and therefore keep the periodontal form and marginal fit; tissues healthy. The aim of this study was to evaluate the 3. They should be able to maintain the prepared teeth in efficacy of C31G on inhibiting inflammation around teeth position, providing contact points with adjacent teeth bearing provisional restorations prior to final impressions and antagonists. for fixed prostheses and compare its efficacy with that Even when provisional restorations are made of chlorhexidine and a placebo. Secondary objective of following the above mentioned standards, they can induce the study was to estimate the degree of discoloration on a mild inflammatory response at the surrounding soft provisional restorations21-23, as well as changes in taste tissues. This is usually due to the nature of the materials perception, caused by the use of C31G in comparison used and may affect the quality of final impressions. with chlorhexidine and placebo (mouthrinse without an Antimicrobial agents have an important effect to active agent). periodontal health, as microbial plaque is the major etiologic factor of periodontal disease8. Consequently, the reduction or even elimination of the perio-pathogenic microorganisms is the most significant part of the Materials and Methods periodontal therapy9. There are various antimicrobial agents that can be used, which can be divided in 5 This study was a randomized, double-blind clinical categories according to Mandel9 : trial. 28 consecutive patients participated, who presented 1. Antiseptics; for treatment in the Graduate Prosthodontics Clinic at the 2. Antibiotics; School of Dentistry of the University of Athens, Greece. 3. Enzymes; The inclusion criteria for the patients were as follows: 4. Non-enzymatic agents; ● Patients had to be at least 18 years old and participate 5. Agents able to destroy the adherence between in the trial voluntarily; some bacteria or between the bacteria and the tooth ● They had to have free medical history; surfaces. ● They should not have been on antibiotic or anti- The most known antimicrobial agents are: (1) Listerin inflammatory treatment; that reduces plaque accumulation by 35% and gingival ● They should not have been heavy smokers (not more inflammation10, although it doesn’t seem to have any than 8 cigarettes per day); Balk J Stom, Vol 15, 2011 Antimicrobial Mouthrinses for Treating Soft Tissues 135 ● They had to have completed their periodontal the antimicrobial solution. All antimicrobial agents were treatment; placed in identical bottles. ● Dimensions and location of the restorations to be placed should have been the same, as far as possible. Final Examination The patients were randomly assigned to 3 groups 4 weeks later, the same measurements were repeated according to the applied treatment, by means of a table of and information on possible side effects was accumulated. random numbers: Final impressions were made at the same appointment, for Group A. Patients received 0.3% solution of C31G the fabrication of permanent restorations. (Therasol®, Ora Tec Corp., Herndon, VA, USA); Group B. Patients received solution of chlorhexidine Statistical Analysis 0.12% (Peridex®, Procter and Gamble, Cincinnati, Ohio, USA); The experimental planning was done with Group C, (control group). Patients received a placebo. multivariate analysis of variance (MANOVA), with All patients were instructed to use their mouthrinse repeated
Load more

Recommended publications
  • Management of Acute Periodontal Abscess Mimicking Acute Apical Abscess in the Anterior Lingual Region: a Case Report
    Open Access Case Report DOI: 10.7759/cureus.5592 Management of Acute Periodontal Abscess Mimicking Acute Apical Abscess in the Anterior Lingual Region: A Case Report Omar A. Alharbi 1 , Muhammad Zubair Ahmad 1 , Atif S. Agwan 1 , Durre Sadaf 1 1. Conservative Dentistry, Qassim University, College of Dentistry, Buraydha, SAU Corresponding author: Muhammad Zubair Ahmad, [email protected] Abstract Purulent infections of periodontal tissues are known as periodontal abscesses localized to the region of the involved tooth. Due to the high prevalence rate and aggressive symptoms, it is considered a dental emergency; urgent care is mandatory to maintain the overall health and well being of the patient. This case report describes the management of a patient who presented with an acute periodontal abscess secondary to poor oral hygiene. Clinically and radiographically, the lesion was mimicking an acute apical abscess secondary to pulpal necrosis. Periodontal treatment was started after completion of antibiotic therapy. The clinical presentation of the condition and results of the recovery, along with a brief review of relevant literature are discussed. Categories: Pain Management, Miscellaneous, Dentistry Keywords: periodontal abscess, antimicrobial agents, dental pulp test, dental pulp necrosis, apical suppurative periodontitis Introduction Periodontium, as a general term, describes the tissues surrounding and supporting the tooth structure. A localized purulent infection of the periodontal tissues adjacent to a periodontal pocket, also known as a periodontal abscess, is a frequently encountered periodontal condition that may be characterized by the rapid destruction of periodontal tissues [1-2]. The symptoms generally involve severe pain, swelling of the alveolar mucosa or gingiva, a reddish blue or red appearance of the affected tissues, and difficulty in chewing [1-3].
    [Show full text]
  • Acute Periodontal Abscess in an Adolescent Patient: Case Report
    ISSN: 2639-0434 Madridge Journal of Dentistry and Oral Surgery Case Report Open Access Acute Periodontal Abscess in an Adolescent Patient: Case Report Alparslan Dilsiz* Department of Periodontology, Faculty of Dentistry, Atatürk University, Erzurum, Turkey Article Info Abstract *Corresponding author: Periodontal abscess has been defined as a suppurative lesion that is associated with Alparslan Dilsiz periodontal breakdown and pus collection in the gingival wall of the periodontal pocket. Professor Department of Periodontology The prevalence of periodontal abscess is relatively high and it affects the prognosis of Faculty of Dentistry, Atatürk University the tooth. In this article, a patient with acute periodontal abscess due to poor oral Turkey hygiene was treated periodontically 10 days after the start of antibiotic therapy. The Fax: +90 442 2361375 clinical features and likely healing results of the lesion were discussed and related Tel: +90 442 2360940 E-mail: [email protected] literatures were reviewed. Keywords: Periodontal Abscess; Periodontal Pocket; Alveolar Bone Resorption; Received: August 16, 2017 Accepted: September 3, 2017 Suppuration; Anti-Bacterial Agents; Periodontal Atrophy and Periodontal Debridement. Published: September 8, 2017 Introduction Citation: Dilsiz A. Acute Periodontal Abscess in an Adolescent Patient: Case Periodontal abscess, which is a localized purulent infection of the periodontal Report. Madridge J Dent Oral Surg. 2017; tissues adjacent to a periodontal pocket, is a frequent periodontal condition in which 2(2): 77-79. periodontal tissues may be rapidly destroyed [1,2]. Major symptoms of a periodontal doi: 10.18689/mjdl-1000118 abscess are known as the spontaneous or evoked pain, gingival or mucosal swelling, Red or reddish blue discoloration of affected tissue [1-4].
    [Show full text]
  • Periodontal Health, Gingival Diseases and Conditions 99 Section 1 Periodontal Health
    CHAPTER Periodontal Health, Gingival Diseases 6 and Conditions Section 1 Periodontal Health 99 Section 2 Dental Plaque-Induced Gingival Conditions 101 Classification of Plaque-Induced Gingivitis and Modifying Factors Plaque-Induced Gingivitis Modifying Factors of Plaque-Induced Gingivitis Drug-Influenced Gingival Enlargements Section 3 Non–Plaque-Induced Gingival Diseases 111 Description of Selected Disease Disorders Description of Selected Inflammatory and Immune Conditions and Lesions Section 4 Focus on Patients 117 Clinical Patient Care Ethical Dilemma Clinical Application. Examination of the gingiva is part of every patient visit. In this context, a thorough clinical and radiographic assessment of the patient’s gingival tissues provides the dental practitioner with invaluable diagnostic information that is critical to determining the health status of the gingiva. The dental hygienist is often the first member of the dental team to be able to detect the early signs of periodontal disease. In 2017, the American Academy of Periodontology (AAP) and the European Federation of Periodontology (EFP) developed a new worldwide classification scheme for periodontal and peri-implant diseases and conditions. Included in the new classification scheme is the category called “periodontal health, gingival diseases/conditions.” Therefore, this chapter will first review the parameters that define periodontal health. Appreciating what constitutes as periodontal health serves as the basis for the dental provider to have a stronger understanding of the different categories of gingival diseases and conditions that are commonly encountered in clinical practice. Learning Objectives • Define periodontal health and be able to describe the clinical features that are consistent with signs of periodontal health. • List the two major subdivisions of gingival disease as established by the American Academy of Periodontology and the European Federation of Periodontology.
    [Show full text]
  • Periodontal Disease)
    Patient Fact Sheet Gum Disease (Periodontal Disease) It can often go unnoticed – until it’s too late. While you may not think periodontal (gum) disease affects you, 75 percent of adults over the age of 35 show signs and symptoms. In fact, periodontal disease is the leading cause of tooth loss in adults. Why? Because it occurs at an age when cavities are usually a thing of the past and the initial symptoms often go unnoticed. Recent studies have also shown a possible link between periodontal disease and heart disease. One theory in support of this is that the bacteria that cause periodontal disease enter the bloodstream and promote blood clots and narrowing of the arteries that cause heart attacks. It has also been shown that if a woman develops severe periodontal disease during pregnancy, she is more likely to give birth to a low birth weight infant. Research also shows periodontal disease is linked to many other health problems, as well. What is gum (periodontal) If I have no symptoms, how do I How can I prevent periodontal disease? What causes it? know if I have gum disease? disease? Periodontal disease, or gum disease, is a bacterial Periodontal disease can be easily detected by your • Brush your teeth twice a day with a soft-bristled infection of the gums, ligaments and bone that support general dentist or a periodontist (a specialist in toothbrush. Hold the brush at a 45-degree angle to the teeth and anchor them in the jaw. The bacteria, periodontal diseases) during regular dental the gum line and gently clean where the gums meet which act mainly on certain carbohydrates in our diets, examinations.Therefore, regular checkups, ideally every your teeth.
    [Show full text]
  • Diagnosing Periodontitis
    www.periodontal-health.com 1 Section 4 – Diagnosing periodontitis Contents • 4.1 Clinical examination 3 • 4.2 Basic periodontal examination 4 • 4.3 Periodontal chart 6 • 4.4 X-ray finding 8 • 4.5 Microbiological test 9 • 4.6 Classification of periodontal disease 10 www.periodontal-health.com 2 Section 4 – Diagnosing periodontitis Legal notice The website www.periodontal-health.com is an information platform ab- out the causes, consequences, diagnosis, treatment, and prevention of pe- riodontitis. The contents were created in media dissertations for a doctora- te at the University of Bern. Media dissertations under the supervision of PD Dr. Christoph A. Ramseier MAS Periodontology SSO, EFP Periodontology Clinic, Dental Clinics of the University of Bern Content created by Dr. Zoe Wojahn, MDM PD Dr. Christoph A. Ramseier, MAS Declaration of no-conflict-of-interest The production of this website and its hosting was and is being funded by the lead author. The translation of this website into the English language was funded by the European Federation of Periodontology (EFP). The pro- duction of the images was supported by the School of Dental Medicine of the University of Bern. Illustrations Bernadette Rawyler Scientific Illustrator Department of Multimedia, Dental Clinics of the University of Bern Correspondence address PD Dr. med. dent. Christoph A. Ramseier, MAS Dental Clinics of the University of Bern Periodontology Clinic Freiburgstrasse 7 CH-3010 Bern Tel. +41 31 632 25 89 E-Mail: [email protected] Creative Commons Lisence: Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) https://creativecommons.org/licenses/by-nc-sa/4.0/deed.en www.periodontal-health.com 3 Section 4 – Diagnosing periodontitis 4.1 Clinical examination The clinical examination in the dental practice is the only way to properly assess the condition of the gums.
    [Show full text]
  • BPE) Careful Assessment of the Periodontal Tissues Is an Essential Component of Patient Management
    Basic Periodontal Examination (BPE) Careful assessment of the periodontal tissues is an essential component of patient management. The BPE is a simple and rapid screening tool that is used to indicate the level of further examination needed and provide basic guidance on treatment needed. These BPE guidelines are not prescriptive but represent a minimum standard of care for initial periodontal assessment. BPE should be used for screening only and should not be used for diagnosis. The clinician should use their skill, knowledge and judgment when interpreting BPE scores, taking into account factors that may be unique to each patient. Deviation from these guidelines may be appropriate in individual cases, for example where there is a lack of patient engagement. General guidance on the implications of BPE scores is indicated in the table below. The BPE scores should be considered together with other factors when making decisions about referral (as outlined in the companion BSP document “Referral Policy and Parameters of Care”). Guidelines for the use of BPE in younger patients can be found in the BSP document “Guidelines for periodontal screening and management of children and adolescents under 18 years of age.” The UK Implementation guidance of the 2017 Classification for periodontal and peri-implant diseases and conditions maps to the BPE guidelines and is documented in Periodontal diagnosis in the context of the 2017 classification system of periodontal diseases and conditions – Implementation in Clinical Practice, T. Dietrich, P. Ower, M. Tank, N. X. West, C. Walter, I. Needleman, F. J. Hughes, R. Wadia, M. R. Milward, P. J. Hodge, I.
    [Show full text]
  • ISSN: 2320-5407 Int. J. Adv. Res. 9(04), 151-157
    ISSN: 2320-5407 Int. J. Adv. Res. 9(04), 151-157 Journal Homepage: -www.journalijar.com Article DOI:10.21474/IJAR01/12666 DOI URL: http://dx.doi.org/10.21474/IJAR01/12666 RESEARCH ARTICLE HEREDITARY GINGIVAL FIBROMATOSIS: CLINICAL CASES AND LITERATURE REVIEW C. Mahad1, S. Haitami1, S. Adnane1, I. Chafi2 and I. Benyahya1 1. Oral Surgery Department, Dental Consultation and Treatment Center,Faculty of Dentistry Casablanca Morocco. 2. Department of orthodontics, Dental Consultation and Treatment Center,Faculty of Dentistry Casablanca Morocco. …………………………………………………………………………………………………….... Manuscript Info Abstract ……………………. ……………………………………………………………… Manuscript History Gingival fibromatosis (GF) is characterized by a slow and progressive Received: 05 February 2021 proliferation that can affect the marginal and attached gingiva, or the Final Accepted: 10 March 2021 inter-dental papillae. This condition can be localized or generalized, Published: April 2021 with varying degrees of severity.GF may develop in susceptible individuals as a side effect of systemic medications or as idiopathic Key words:- Hereditary Gingival Fibromatosis, gingival fibromatosis. It may also be related to hereditary factors and Gingival Overgrowth, Clinical Features, occurs as a non-syndromic hereditary gingival fibromatosis or as a part Management of a syndrome.Our aim is to describe trought four cases of hereditary gingival fibromatosis and a literature review the clinical features,etiopathogenesis, histopathological characteristics and treatment of this condition. Copy Right, IJAR, 2021,. All rights reserved. …………………………………………………………………………………………………….... Introduction:- Gingival fibromatosis (GF) represents a group of rare and heterogeneous diseases. It is characterized by a slow and progressive proliferation that can affect the marginal and attached gingiva, or the inter-dental papillae. This condition can be localized or generalized, with varying degrees of severity.
    [Show full text]
  • Clinical Practice Guideline for Periodontics
    Clinical Practice Guideline For Periodontics © MOH- Oral Health CSN –Periodontics-2010 Page 1 of 16 INTRODUCTION: Periodontal Diseases. This term, in its widest sense, includes all pathological conditions of the periodontium. It is however, commonly used with reference to those inflammatory disease which are plaque induced and which affect the marginal periodontium: Periodontitis and Gingivitis Gingivitis: Gingivitis is the mildest form of periodontal disease. It involves inflammation confined to the gingival tissues. • There is no loss of connective tissue attachment • A gingival pocket may be present Periodontitis: Is the apical extension of gingival inflammation to involve the supporting tissues. Destruction of the fibre attachment results in periodontal pockets. • it leads to loss of connective tissue attachment • which in turn results in loss of supporting alveolar bone © MOH- Oral Health CSN –Periodontics-2010 Page 2 of 16 OBJECTIVES OF TREATMENT • Relief of symptoms • Restoration of periodontal health • Restoration and maintenance of function and aesthetic PERIODONTAL ASSESSMENT Assessment of medical history Assessment of dental history Assessment of periodontal risk factors Assessment of extra-oral and intraoral structures and tissues 1. Age Assessment of teeth 2. Gender 3. Medications 1. Mobility 4. Presence of plaque and calculus (quantity and 2. Caries distribution) 3. Furcation involvement 5. Smoking 4. Position in dental arch and within alveolus 6. Race/Ethnicity 5. Occlusal relationships 7. Systemic disease (eg, diabetes) 6. Evidence of trauma from occlusion 8. Oral hygiene 9. Socio-economic status and level of education Assessment of periodontal soft tissues 1. Colour 2. Contour 3. Consistency (fibrotic or oedematous) 4. Presence of purulence (suppuration) 5.
    [Show full text]
  • University of Dundee the Rise of Dentine Hypersensitivity and Tooth Wear in an Ageing Population Olley, R. C.; Sehmi, H
    University of Dundee The rise of dentine hypersensitivity and tooth wear in an ageing population Olley, R. C.; Sehmi, H. Published in: British Dental Journal DOI: 10.1038/sj.bdj.2017.715 Publication date: 2017 Document Version Peer reviewed version Link to publication in Discovery Research Portal Citation for published version (APA): Olley, R. C., & Sehmi, H. (2017). The rise of dentine hypersensitivity and tooth wear in an ageing population. British Dental Journal, 223(4), 293-297. https://doi.org/10.1038/sj.bdj.2017.715 General rights Copyright and moral rights for the publications made accessible in Discovery Research Portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights. • Users may download and print one copy of any publication from Discovery Research Portal for the purpose of private study or research. • You may not further distribute the material or use it for any profit-making activity or commercial gain. • You may freely distribute the URL identifying the publication in the public portal. Take down policy If you believe that this document breaches copyright please contact us providing details, and we will remove access to the work immediately and investigate your claim. Download date: 26. Sep. 2021 The rise of Dentine hypersensitivity and tooth wear in an ageing population Abstract Our understanding of the aetiology of Dentine Hypersensitivity (DH) has changed dramatically over the past few decades. It is no longer an enigma, but other problems exist. The prevalence of DH in the world and in particular in the UK is increasing, predominately due to increases in tooth wear and the erosive dietary intake in the younger population.
    [Show full text]
  • Clinical Features of Periodontal Abscess As Potential Additional Screening Criteria for Diabetes Mellitus in Malaysia
    Malaysian Dental Journal Vol 1/2020 MALAYSIAN DENTAL JOURNAL Clinical Features of Periodontal Abscess as Potential Additional Screening Criteria for Diabetes Mellitus in Malaysia Shue Kang Yeong1,Rusmizan Bin Yahaya2,Huan-Keat Chan2 1Department of Periodontics, Kota Setar Dental Specialist Clinic, Alor Setar, Kedah, Ministry of Health, Malaysia; 2Clinical Research Centre, Hospital Sultanah Bahiyah, Alor Setar, Kedah, Ministry of Health, Malaysia. ___________________________________________________________________________________ ABSTRACT Background Although periodontal abscess is recommended to be used to guide the screening for diabetes mellitus (DM), the information on their interactions is still limited. This study was designed to assess the relationship between the clinical features of periodontal abscess and the status and control of DM. Methods The medical records of all the patients with periodontal abscess, who presented to a periodontics specialist clinic in Northern Malaysia between 2014 and 2017, were examined. Their demographics and oral health status recorded. The information on the clinical features of periodontal abscess was also gathered. The DM status of patients was confirmed primarily based on their patient medical records, while uncontrolled DM was indicated by a random blood sugar >11mmol/L or a HbA1c >6.5%. 1 Malaysian Dental Journal Vol 1/2020 Results Ninety-six patients with periodontal abscess were identified, with a total of 156 teeth involved. The proportion of Indian patients in the DM group was notably higher than that in the non-DM group (p=0.03). Poor oral hygiene (p=0.03), a higher number of teeth with periodontal abscess (p=0.018) and bleeding on probing at mesiolingual sites (p=0.015) were also significantly associated with the DM status of patients.
    [Show full text]
  • A Rare Association of Idiopathic Gingival Enlargement with Plasma
    International Journal of Dentistry Research 2020; 5(3): 119-121 Case Report A Rare Association of Idiopathic Gingival Enlargement ISSN: 2581-3218 IJDR 2020; 5(3): 119-121 with Plasma Cell Gingivitis and Generalized Chronic Received: 27-07-2020 Accepted: 07-10-2020 Periodontitis © 2020, All rights reserved www.dentistryscience.com Meera Mathai1, V Menaka2, Nusrat Siddiqui3, Karthik Shunmugavelu4, Mukundan RN4, Evangeline Cynthia4, Sivashankari4 1 Consultant, Oral Medicine and Radiology, Mercy Multispeciality Dental Centre, 8/27, Parvathipuram 1st Street, Thiruneermalai Main Road, Chrompet, Chennai-600034, Tamilnadu, India 2 Consultant, Periodontics and Implantology, Mercy Multispeciality Dental Centre, 8/27, Parvathipuram 1st Street, Thiruneermalai Main Road, Chrompet, Chennai-600034, Tamilnadu, India 3 Consultant, Dental Surgeon, Mercy Multispeciality Dental Centre, 8/27, Parvathipuram 1st Street, Thiruneermalai Main Road, Chrompet, Chennai-600034, Tamilnadu, India 4 Consultant, Dentistry/Oral and Maxillofacial Pathology, Mercy Multispeciality Dental Centre, 8/27, Parvathipuram 1st Street, Thiruneermalai Main Road, Chrompet, Chennai-600034, Tamilnadu, India Abstract Gingival fibromatosis is a clinical condition that is characterized by gingival overgrowth. It is often caused due to medication, hereditary reasons and other local factors. When the etiology is unknown, they are referred as Idiopathic gingival enlargement (IGE). IGE is a rare and is often occurs as a manifestation of an underlying syndrome or as a separate entity. They clinically appear as gingival overgrowth with firm consistency with both deciduous and permanent dentition equally affected and worsens during adolescence. IGE is a slowly growing benign growth affecting all anatomic parts of the gingiva leading to esthetic and functional problems with difficulty in speech, mastication and deglutition.
    [Show full text]
  • Detection and Diagnosis of Periodontal Conditions Amenable to Prevention Philip M Preshaw from Prevention in Practice - Making It Happen Cape Town, South Africa
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Springer - Publisher Connector Preshaw BMC Oral Health 2015, 15(Suppl 1):S5 http://www.biomedcentral.com/1472-6831/15/S1/S5 PROCEEDINGS Open Access Detection and diagnosis of periodontal conditions amenable to prevention Philip M Preshaw From Prevention in practice - making it happen Cape Town, South Africa. 29 June 2014 Abstract Gingivitis and chronic periodontitis are highly prevalent chronic inflammatory diseases. Gingivitis affects the majority of people, and advanced periodontitis is estimated to affect 5-15% of adults. The detection and diagnosis of these common diseases is a fundamentally important component of oral health care. All patients should undergo periodontal assessment as part of routine oral examination. Periodontal screening using methods such as the Basic Periodontal Examination/Community Periodontal Index or Periodontal Screening Record should be performed for all new patients, and also on a regular basis as part of ongoing oral health care. If periodontitis is identified, full periodontal assessment is required, involving recording of full mouth probing and bleeding data, together with assessment of other relevant parameters such as plaque levels, furcation involvement, recession and tooth mobility. Radiographic assessment of alveolar bone levels is driven by the clinical situation, and is required to assess bone destruction in patients with periodontitis. Risk assessment (such as assessing diabetes status and smoking) and risk management (such as promoting smoking cessation) should form a central component of periodontal therapy. This article provides guidance to the oral health care team regarding methods and frequencies of appropriate clinical and radiographic examinations to assess periodontal status, to enable appropriate detection and diagnosis of periodontal conditions.
    [Show full text]