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Lasers in Medical Science Jun 2020This study aimed to histologically and radiographically evaluate the effectiveness of low-intensity laser irradiation of different wavelengths (660 or 808 nm) as an...
This study aimed to histologically and radiographically evaluate the effectiveness of low-intensity laser irradiation of different wavelengths (660 or 808 nm) as an adjunct to scaling and root planing in the treatment of experimental periodontitis in rats. Periodontitis was induced by placing a ligature around the mandibular first molar of the rats. In total, 40 Wistar rats were randomly divided into five groups (n = 8 each): control (CG), periodontal disease (PD), scaling and root planing (SRP), SRP + 660 nm laser (GL660) and SRP + 808 nm laser (GL808). Groups with laser use received radiation at 6 points in the first molar. The animals were euthanized at baseline and at 7 and 14 days after the interventions. Mandibles were surgically removed for histomorphometric and radiographic assessment of periodontal tissues. The GL660 group showed lesser bone loss than the PD group (P < 0.05) and greater alveolar bone margin after 14 days, indicating a better long-term treatment response (P < 0.05). These findings suggest that SRP with the 660 nm laser as an adjunct results in more favorable radiographic and histological responses than the 808 nm laser.
Topics: Animals; Combined Modality Therapy; Dental Scaling; Disease Models, Animal; Ligation; Low-Level Light Therapy; Male; Periodontal Ligament; Periodontitis; Photochemotherapy; Rats, Wistar; Root Planing
PubMed: 31955304
DOI: 10.1007/s10103-020-02952-0 -
Nederlands Tijdschrift Voor... Oct 1991Based upon clinical periodontal parameters and roentgenographic diagnosis a temporary treatment plan is made, which results in a definite one after the initial...
Based upon clinical periodontal parameters and roentgenographic diagnosis a temporary treatment plan is made, which results in a definite one after the initial treatment. Only a rigorous removal of dental plaque guarantees an effective and efficient working manner, which starts with indirect scaling and rootplaning sustained by the personal oral hygiene. If the indirect therapy appears to fail, the roots must be cleaned under direct view. After the active phase, the supportive treatment takes place every three months, assessed to be of equal importance.
Topics: Dental Plaque; Dental Scaling; Humans; Periodontitis; Root Planing
PubMed: 1820527
DOI: No ID Found -
Swedish Dental Journal 2013The aim of this study was to investigate changes in knowledge of periodontal disease among patients referred to periodontal specialist clinics. A further aim was to...
The aim of this study was to investigate changes in knowledge of periodontal disease among patients referred to periodontal specialist clinics. A further aim was to investigate the patients' self- perceived oral health before the treatment. Patients referred to five specialist clinics in periodontology for comprehensive periodontal treatment were consecutive sampled. The study was based on a questionnaire in a before and after design. The first questionnaire was sent to the patients before visiting the specialist clinic and the second was sent after six months. Four questions were analysed, two to measure knowledge about periodontitis and two to measure the patients self- perceived oral health. The first questionnaire was sent by post to 273 patients with a response rate of 31%. The second questionnaire was sent to 85 patients with a response rate of 73%. The results of the study showed a statistically significant improvement of correct answers on the knowledge questions after six months was found for scaling (p = 0.006), X-ray examination (p = 0.001) and increased space between the teeth (p = 0.001). The most frequent self-perceived trouble from the mouth was bleeding gum (70%) and sensitive teeth (51%). In conclusion knowledge of periodontitis improved after visiting the specialist clinic of periodontology. Many of the patients experienced some problems of the mouth.
Topics: Attitude to Health; Dental Caries; Dental Scaling; Dentin Sensitivity; Esthetics, Dental; Female; Follow-Up Studies; Gingival Hemorrhage; Health Knowledge, Attitudes, Practice; Health Status; Humans; Male; Oral Health; Oral Hygiene; Periodontics; Periodontitis; Quality of Life; Radiography; Referral and Consultation; Self Concept; Surveys and Questionnaires; Tooth Mobility
PubMed: 23721037
DOI: No ID Found -
Journal of the American Dental... Jul 2001
Topics: Adult; Anti-Bacterial Agents; Dental Prophylaxis; Dental Scaling; Disease Progression; Doxycycline; Humans; Periodontal Pocket; Periodontitis; Root Planing
PubMed: 11480638
DOI: 10.14219/jada.archive.2001.0289 -
Journal of Periodontology Mar 1991Thirty patients with adult periodontitis were monitored using an automated periodontal probe for 6 months in order to determine the prevalence of active sites and the...
Thirty patients with adult periodontitis were monitored using an automated periodontal probe for 6 months in order to determine the prevalence of active sites and the overall pattern of disease progression in active sites. The automated probe is capable of measuring probing attachment levels relative to the cemento-enamel junction with better than 0.2 mm of accuracy. The prevalence of disease activity was dependent on the threshold for probing attachment loss used. When the smallest threshold (0.4 mm) was used the prevalence of active disease was 29%, whereas a large threshold (2.4 mm) detected only 2% active sites. Regression analysis of the active sites revealed that 76% of the sites lost probing attachment consistent with a continuous model for disease progression. A small subset of sites demonstrated either bursts of activity or exacerbations and remissions of disease activity.
Topics: Aged; Alveolar Bone Loss; Humans; Middle Aged; Periodontal Pocket; Periodontics; Periodontitis; Periodontium; Prevalence; Radiography, Bitewing; Regression Analysis; Reproducibility of Results; Time Factors
PubMed: 2027069
DOI: 10.1902/jop.1991.62.3.185 -
Zhonghua Kou Qiang Yi Xue Za Zhi =... Dec 20222018 international classification of periodontal and implant diseases relates the classifications with the approaches of prevention and treatment based on the stages and...
2018 international classification of periodontal and implant diseases relates the classifications with the approaches of prevention and treatment based on the stages and grades of disease. European Federation of Periodontology (EFP) evaluated the available evidences following the methodological guidance of the Association of Scientific Medical Societies in Germany and the Grading of Recommendations Assessment, Development and Evaluation (GRADE), and published the EFP S3 level clinical practice guideline for the treatment of stage Ⅰ-Ⅲ and Ⅳ periodontitis in 2020 and 2022, respectively. The present manuscript gives introduction and interpretation based on the EFP S3 level clinical practice guideline and Chinese national conditions. On the base of the diagnostic key points of staging and grading, it introduces in detail the step treatment procedures of stageⅠ-Ⅲ periodontitis as well as the multi-disciplinary treatment procedures of stage Ⅳ periodontitis, compares the similarities and differences between the step and phase procedures, and then proposes a strategy for determining the recall interval more suitable for Chinese clinicians. The present manuscript aims to help dentists to learn and grasp the key points more quickly and accurately on the clinical application of the guideline and to assist them in making the optimal treatment plans after judging and evaluating the specific clinical circumstances, so as to maximize the chances of favorable outcome.
Topics: Humans; Periodontal Diseases; Periodontics; Periodontitis; Tooth
PubMed: 36509519
DOI: 10.3760/cma.j.cn112144-20220719-00394 -
Clinical Oral Investigations Sep 2022P4 Medicine is based on a proactive approach for clinical patient care incorporating the four "pillars" of prediction, prevention, personalization, and participation for... (Review)
Review
OBJECTIVES
P4 Medicine is based on a proactive approach for clinical patient care incorporating the four "pillars" of prediction, prevention, personalization, and participation for patient management. The purpose of this review is to demonstrate how the concepts of P4 medicine can be incorporated into the management of periodontal diseases (particularly periodontitis) termed P4 periodontics.
METHODS
This is a narrative review that used current literature to explore how P4 periodontics can be aligned with the 2018 Classification of Periodontal Diseases, current periodontal treatment paradigms, and periodontal regenerative technologies.
RESULTS
The proposed model of P4 periodontics is highly aligned with the 2018 Classification of Periodontal Diseases and represents a logical extension of this classification into treatment paradigms. Each stage of periodontitis can be related to a holistic approach to clinical management. The role of "big data" in future P4 periodontics is discussed and the concepts of a treat-to-target focus for treatment outcomes are proposed as part of personalized periodontics. Personalized regenerative and rejuvenative periodontal therapies will refocus our thinking from risk management to regenerative solutions to manage the effects of disease and aging.
CONCLUSIONS
P4 Periodontics allows us to focus not only on early prevention and intervention but also allow for personalized late-stage reversal of the disease trajectory and the use of personalized regenerative procedures to reconstruct damaged tissues and restore them to health.
CLINICAL SIGNIFICANCE
P4 Periodontics is a novel means of viewing a holistic, integrative, and proactive approach to periodontal treatment.
Topics: Dental Care; Humans; Periodontal Diseases; Periodontics; Periodontitis
PubMed: 35344104
DOI: 10.1007/s00784-022-04469-y -
Clinical Oral Investigations May 2021Assess a single local application of curcumin-loaded nanoparticles as an adjunct to scaling and root planing (SRP) in nonsurgical periodontal treatment (NPT). (Randomized Controlled Trial)
Randomized Controlled Trial
Local application of curcumin-loaded nanoparticles as an adjunct to scaling and root planing in periodontitis: Randomized, placebo-controlled, double-blind split-mouth clinical trial.
OBJECTIVE
Assess a single local application of curcumin-loaded nanoparticles as an adjunct to scaling and root planing (SRP) in nonsurgical periodontal treatment (NPT).
MATERIALS AND METHODS
Twenty healthy subjects with periodontitis received SRP+PLGA/PLA nanoparticles loaded with 50 μg of curcumin (N-Curc) or SRP+empty nanoparticles. Probing pocket depth (PPD), clinical attachment level (CAL), and bleeding on probing (BOP) were monitored at baseline, 30, 90, and 180 days. IL-1α, IL-6, TNFα, and IL-10 in the gingival crevicular fluid (GCF) were assessed by ELISA, and counts of 40 bacterial species were determined by DNA hybridization at baseline, 3, 7, and 15 days post-therapy.
RESULTS
PPD, CAL, and BOP were similarly and significantly improved in both experimental groups. There was no difference in GCF cytokine levels between experimental groups, although IL-6 was decreased at 3 days only in the N-Curc group. NPT reduced counts of red complex bacterial species in both groups. Veillonella Parvula counts increased significantly only in N-Curc group at 7 days, whereas Aggregatibacter actinomycetemcomitans counts increased significantly only in the control group from day 3 to day 15.
CONCLUSION
We conclude that a single local administration of nanoencapsulated curcumin in periodontally diseased sites had no additive benefits to NPT.
CLINICAL RELEVANCE
Our results showed that a single local application of curcumin-loaded nanoparticles associated with nonsurgical periodontal therapy did not improve clinical outcomes. Hence, our findings do not support the use of curcumin as an adjunct to nonsurgical periodontal therapy.
Topics: Chronic Periodontitis; Curcumin; Dental Scaling; Follow-Up Studies; Gingival Crevicular Fluid; Humans; Nanoparticles; Periodontitis; Root Planing; Veillonella
PubMed: 33125518
DOI: 10.1007/s00784-020-03652-3 -
Journal of Periodontology Oct 2020The purpose of this prospective study was to compare the changes in periodontal somatosensory function and microcirculation in patients with periodontitis following... (Randomized Controlled Trial)
Randomized Controlled Trial
Adjunctive effects of laser therapy on somatosensory function and vasomotor regulation of periodontal tissues in patients with periodontitis: A randomized controlled clinical trial.
BACKGROUND
The purpose of this prospective study was to compare the changes in periodontal somatosensory function and microcirculation in patients with periodontitis following initial treatment with scaling and root planing (SRP) with or without adjuvant laser therapy.
METHODS
Twenty-four patients suffering from periodontitis were recruited and randomly allocated into a split-mouth design to either SRP combined laser therapy side (test side) or SRP only side (control side). All treatments were performed by the same investigator at a single visit. Laser Doppler Flowmetry (LDF) and Quantitative Sensory Testing (QST) were performed at baseline (W0), 1 week (1W), 2 weeks (2W), and 4 weeks (4W) after treatment on both sides of the attached gingiva of the maxillary lateral incisor. Clinical examination including probing depth (PD) and bleeding on probing (BOP) was performed at W0, 2W, and 4W on both sides. Data were analyzed with two-way analysis of variance.
RESULTS
PD and BOP significantly improved after treatment (P <0.001). LDF values were significantly decreased on both sides at all follow-up time points (P <0.001), temperature was increased only on the test side (P = 0.017) whereas there was no significant change on the control side (P = 0.792). Significantly less sensitivity was observed for all QST parameters (P <0.030) except for warmth detection after treatment.
CONCLUSION
Adjunctive use of laser therapy did not provide any significant clinical advantage or additional effects on the recovery of periodontal somatosensory function or gingival microcirculation in the present study.
Topics: Chronic Periodontitis; Dental Scaling; Follow-Up Studies; Humans; Laser Therapy; Lasers, Solid-State; Periodontal Index; Periodontal Pocket; Periodontitis; Prospective Studies; Root Planing; Treatment Outcome
PubMed: 32146720
DOI: 10.1002/JPER.19-0562 -
British Dental Journal Oct 2020The 2017 international classification system for periodontal diseases characterises periodontitis patients based upon disease extent, severity and past experience, and...
The 2017 international classification system for periodontal diseases characterises periodontitis patients based upon disease extent, severity and past experience, and in stage IV includes a treatment complexity component. In addition, taking into account well-established risk factors, it aims to estimate the risk for future attachment loss. This classification system draws upon current understanding of disease pathobiology and reflects the complex, multifactorial nature of the periodontitis. It also acknowledges individual patients' risk profiles.Classification and diagnosis are distinct but linked entities, and the inclusion of established risk factors in the system helps signpost the clinician and patient towards a more personalised approach to care provision. The European Federation of Periodontology (EFP) has recently developed an S3-level clinical treatment guideline for stages I to III periodontitis, based upon a rigorous standardised process involving 15 systematic reviews of current evidence and their synthesis by a representative group of experts and stakeholders. The aim is to guide the practitioner through the complex plethora of periodontal management options and to facilitate pragmatic decision-making in full knowledge of the evidence base.Here, we present the structured, stepwise treatment protocols developed by the EFP guideline group and highlight selected specific clinical recommendations. The adapted guidelines for the UK healthcare system will be published in early 2021.
Topics: Humans; Periodontal Diseases; Periodontics; Periodontitis; Risk Factors
PubMed: 33037364
DOI: 10.1038/s41415-020-2173-7