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Chronic Periodontitis


Presentation

  • She presented to the University Dental Hospital, for diagnosis and treatment of her periodontal conditions after her mandibular lateral incisor had exfoliated. On presentation a purulent exudate could be expressed from all of the pockets.[ncbi.nlm.nih.gov]
  • Sensitivity analyses confirmed the stability of the present results. No evidence of asymmetry was observed in Begger's test.[ncbi.nlm.nih.gov]
  • RESULTS: Among subjects for the ins/ins genotypes of NF-κB1 gene, the AA genotypes of IL-10 presented a higher frequency in chronic periodontitis group than in healthy controls (p 0.023).[ncbi.nlm.nih.gov]
  • By 50 years, however, a greater proportion of sites presented with attachment loss attributed to pocket formation or a combination of pocket formation and gingival recession.[ncbi.nlm.nih.gov]
  • At the International Workshop for Classification of Periodontal Diseases and Conditions in 1999, the classification of aggressive and chronic periodontitis that is presently used was introduced.[ncbi.nlm.nih.gov]
Pain
  • After 6 years, the patient experienced dull pain in and pus discharge from #17. Repeated SRP yielded no improvement, so the tooth was extracted and a removable partial denture placed on #16 and 17.[ncbi.nlm.nih.gov]
  • The patient was a 57-year-old woman who presented with the chief complaint of occlusal pain. An initial clinical examination revealed that 73% of sites had a probing depth of 4 mm, and 60% of sites exhibiting bleeding on probing.[ncbi.nlm.nih.gov]
  • Periodontitis can be painful, especially if you are instructed to brush and floss more frequently. Your dentist can suggest pain relief methods to help, including over-the-counter pain medications and topical pain relief.[emergencydentistsusa.com]
  • We ask about general symptoms (anxious mood, depressed mood, fatigue, pain, and stress) regardless of condition. Last updated: May 13, 2019[patientslikeme.com]
  • Full Story Evidence-Based Dental Pain Care Training Register today for Evidence-Based Dental Pain Care: New Opioid Prescribing Guideline and Rules from Washington State, a free training in Wenatchee on Friday, May 3.[wsda.org]
Amyloidosis
  • To date, no published studies have reported on mutations in the Mediterranean fever (MEFV) gene in patients with chronic periodontitis, although the roles of MEFV gene mutations in FMF and FMF-associated amyloidosis (FMF-A) are well known.[ncbi.nlm.nih.gov]
  • Immunocompromised subjects included patients with organ transplants, amyloidosis, myelofibrosis, myelodysplastic syndrome, HIV infection, and patients admitted with oral lesions related to autoimmune disorders such as lupus erythematosis, pemphigus vulgaris[cebp.aacrjournals.org]
Lymphedema
  • Mats Bågesund, Zahra Shafiee, Monica Drivdal, Jan Berdén and Kari Storhaug, Dental care and oral health in Aagenaes syndrome/lymphedema cholestasis syndrome 1, Special Care in Dentistry, 35, 2, (83), (2015).[www3.interscience.wiley.com]
Periodontitis
  • In general, genetics plays a more important role in aggressive periodontitis than in chronic periodontitis.[ncbi.nlm.nih.gov]
  • MATERIALS AND METHODS: Before initiation of any periodontal treatment, saliva and serum samples were collected and clinical periodontal measurements were recorded from 94 participants (25 aggressive periodontitis patients, 25 chronic periodontitis patients[ncbi.nlm.nih.gov]
  • Initial periodontal therapy was implemented based on a clinical diagnosis of severe chronic periodontitis. Surgical periodontal therapy was subsequently performed at selected sites.[ncbi.nlm.nih.gov]
  • : Age, severity of periodontitis, periodontal surgery and the level of self-efficacy for self-care may be effective predictors of loss to follow-up in long-term supportive periodontal therapy in patients with chronic periodontitis.[ncbi.nlm.nih.gov]
  • Non-surgical and surgical periodontal therapy was performed, and the patient was placed on a regular periodontal maintenance schedule. Healing following initial periodontal therapy and osseous periodontal surgery occurred without complications.[ncbi.nlm.nih.gov]
Gingival Recession
  • At and before the age of 40 years, the majority of ILA was found in buccal surfaces in the form of gingival recession.[ncbi.nlm.nih.gov]
  • Oral Health Impact Profile questionnaires (OHIP-14) were distributed after a clinical examination that measured the following periodontal parameters: tooth loss, bleeding on probing (BoP), probing depth (PD), gingival recession (REC) and clinical attachment[ncbi.nlm.nih.gov]
  • Gingival recession (GR), probing depth (PD), and clinical attachment level (CAL) were also measured. RESULTS: The results showed higher levels of PD and CAL in the SvP group compared with the SP group (P .05).[ncbi.nlm.nih.gov]
Withdrawn
  • Venous blood was withdrawn for obtaining serum samples from the subjects. Hemoglobin A1c (HbAlc) levels were measured from the automated chromatography. Using enzyme-linked immunosorbent assay kit, TNF-a, IL-4, and IL-6 were measured.[ncbi.nlm.nih.gov]
  • Lang, WITHDRAWN: The randomized controlled trial (RCT) published by the Journal of the American Medical Association (JAMA) on the impact of periodontal therapy on glycated hemoglobin (HbA1c) has fundamental flaws, Journal of Evidence Based Dental Practice[doi.org]
  • Inclusion and exclusion criteria, number of patients recruited, number of patients randomised to each group, number of patients withdrawn, numbers evaluated.[doi.org]

Treatment

  • Significantly decreased level of COX-2 expression for groups C and D was found after treatment, while lowest average expression was found in the group that had the 10 laser treatments supplemental to SRP (0,035 0,014).[ncbi.nlm.nih.gov]
  • However, these treatments proved unsuccessful and the patient often changed dentists seeking better treatment.[ncbi.nlm.nih.gov]
  • These results suggest that comprehensive periodontal treatment in combination with treatment for diabetes mellitus can exert a positive influence on blood glucose levels and periodontal condition in diabetic patients.[ncbi.nlm.nih.gov]
  • Abstract The aim of this systematic review was to investigate whether antimicrobial photodynamic therapy (aPDT) as either a primary mode of treatment or an adjunct to non-surgical treatment was more effective than scaling and root planing (SRP) alone[ncbi.nlm.nih.gov]
  • No consistent evidence supports the efficacy of laser treatment as an adjunct to non-surgical periodontal treatment in adults with chronic periodontitis. More randomized controlled clinical trials are needed.[ncbi.nlm.nih.gov]

Prognosis

  • By postponing extraction, the authors were in a better position to determine the prognosis of the remaining teeth after the infection was under control.[ncbi.nlm.nih.gov]
  • However, bone resorption was observed in the distal aspect of #37, making the prognosis poor. This indicates the need to continuously monitor risk factors, including inflammation and traumatic occlusion, during SPT.[ncbi.nlm.nih.gov]
  • According to professor Francisco Aguado, one of the authors of this research (which will have to be confirmed through further research), "chronic periodontitis appears as a death risk factor and it plays an important role in the prognosis of acute myocardial[sciencedaily.com]
  • Early diagnosis is important for periodontitis in order both to simplify treatment and improve prognosis.[periolondon.co.uk]
  • The long-term prognosis of Chronic periodontitis depends on the desire of the patient to keep up on the periodontal maintenance program set forth by the dental team.[kkepler.weebly.com]

Etiology

  • Thus, it is essential that clinicians are aware of etiologic and risk factors associated with disease development and progression in order to plan and execute a successful treatment.[ncbi.nlm.nih.gov]
  • INTRODUCTION: Both periodontitis and type II diabetes mellitus (T2DM) are common diseases with a multifactorial etiology and have influence of cytokines in their pathogenesis and thus may also influence each other.[ncbi.nlm.nih.gov]
  • Microbial etiological agentsof destructive periodontal diseases. Periodontol 2000,1994;5:78-111. Moseley R, Waddington RJ, Embery G.[biomedpharmajournal.org]
  • Aggressive: rapid and with periods of rest, bone loss 3-4 time faster than chronic, first molars and incisor, minimal plaque Chronic: slow and continuous Etiology of the disease/condition : Chronic: accumulation of profuse amounts of dental plaque Aggressive[kkepler.weebly.com]

Epidemiology

  • KEYWORDS: aggressive periodontitis; chronic periodontitis; diagnosis; epidemiology; periodontal attachment loss [Indexed for MEDLINE] Free full text[ncbi.nlm.nih.gov]
  • Longitudinal epidemiologic studies have demonstrated that the risk factors were related to the progression of the disease. A traditional multivariate regression model was used to find risk factors associated with chronic periodontitis.[ncbi.nlm.nih.gov]
  • Santa Cruz Tenerife 2 Periodontology, UCM, Madrid 3 Periodontology 4 Odontology, Dental Clinic Dr Garnier, Santa Cruz de Tenerife, Spain Abstract Background Recent clinical-epidemiological data suggest that periodontitis (P) shows higher prevalence in[ard.bmj.com]
  • A systematic review and meta‐analysis, Community Dentistry and Oral Epidemiology, 43, 2, (116-127), (2014).[www3.interscience.wiley.com]
Sex distribution
Age distribution

Pathophysiology

  • Iacopino AM, Cutler CW (2000) Pathophysiological relationships between periodontitis and systemic disease: recent concepts involving serum lipids. J Periodontol 71:1375-1384.[esciencecentral.org]
  • Contents Pathophysiology Edit Chronic periodontitis is initiated by Gram-negative tooth-associated microbial biofilms that elicit a host response, which results in bone and soft tissue destruction.[en.m.wikipedia.org]
  • Pathophysiology Periodontitis usually develops when gingivitis , usually with abundant plaque and calculus beneath the gingival margin, has not been adequately treated.[merckmanuals.com]
  • Studies have suggested CP could be linked to obesity due to their similar pathophysiological pathway. The aim of this study is to determine the prevalence of CP and to assess the predictors for CP among the obese Malaysian population.[bmcoralhealth.biomedcentral.com]
  • Although these as-yet-unidentified organisms might not always be associated intimately with the periodontium at all times, it is still likely that several of them, at one time or another, participate in the pathophysiological processes that lead to and[microbiomejournal.biomedcentral.com]

Prevention

  • No studies were identified that assessed primary prevention of CVD in people with periodontitis.[ncbi.nlm.nih.gov]
  • Primary prevention No study addressing primary prevention was identified. 2. Secondary prevention The only included study was a secondary prevention study ( PAVE 2008 ).[doi.org]
  • The use of BP may be effective in preventing periodontal breakdown by controlling the levels of these markers in osteoporosis as an adjunct to periodontal treatment. [Indexed for MEDLINE] Free full text[ncbi.nlm.nih.gov]
  • These findings highlight the need to prevent progression of periodontal disease and promote healthcare service at the national level.[ncbi.nlm.nih.gov]
  • Dentistry should continue to play an important role in implementing smoking prevention and cessation programs.[ncbi.nlm.nih.gov]

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