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Periodontitis

Pyorrhea


Presentation

  • AIM: These case series were aimed at highlighting late presentations of aggressive periodontitis (AP) in a teaching hospital as well as proffering possible reasons for such presentations which would serve as part of the solution to prevent such presentations[ncbi.nlm.nih.gov]
  • Pyogenic liver abscess is an uncommon presentation of the disease present in this case.[ncbi.nlm.nih.gov]
  • […] in patients presenting with a diagnosis of necrotic pulp and symptomatic apical periodontitis.[ncbi.nlm.nih.gov]
  • After 25 years of SPT, no teeth had been extracted and no periodontal pockets associated with bleeding on probing were present.[ncbi.nlm.nih.gov]
  • CASE PRESENTATION: A 21-year-old woman was referred for evaluation of recurrent episodes of dull pain in the gingiva for the last 9 months, which had not been successfully managed by her general practitioner.[ncbi.nlm.nih.gov]
Periodontitis
  • […] rheumatologic and periodontal conditions.[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]
  • Aggressive periodontitis is a great challenge to clinicians when providing orthodontic treatment because of the potential for progression of periodontal disease.[ncbi.nlm.nih.gov]
  • Cirrhosis etiology or severity was not predictors of severe periodontitis.[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]
Poor Oral Hygiene
  • Causes of periodontitis include: Poor oral hygiene Diabetes AIDS Cancer Genetics Gum Disease Treatment If you are showing early signs of gum disease , it’s important to get treatment as soon as possible to stop it from getting worse.[parodontax.com]
  • According to the Mayo Clinic, gingivitis is primarily caused by poor oral hygiene, which allows plaque to build up on teeth.[livescience.com]
  • According to the Mayo Clinic , gingivitis is primarily caused by poor oral hygiene, which allows plaque to build up on teeth.[livescience.com]
  • The most common causes of periodontal disease are: Poor oral hygiene Smoking Diabetes Medications Bruxism Nutrition Stress Genetics View a brief animated video on periodontitis and its treatment here .[stevedavisdmd.com]
Bleeding Gums
  • CASE PRESENTATION: A 34-year-old systemically healthy Malay woman was referred to the Periodontics Specialist Clinic of the Kulliyyah of Dentistry, International Islamic University Malaysia, with a chief complaint of bleeding gums and mobility of the[ncbi.nlm.nih.gov]
  • One of the common signs of gum disease is bleeding gums. The two stages of gum disease are gingivitis and periodontitis. Careful cleaning can help prevent gum disease.[dhsv.org.au]
  • Subsequently smokers do no have bleeding gums and therefore they seek help at a much later stage when the teeth become loose or they have an abscess.[perioimplants.co.uk]
  • Since many people do not brush where the gums meet the teeth, they may not have any evidence of bleeding gums, even though gum disease is present.[gumrecession.com]
  • Warning Sings of Periodontal Disease: Bleeding gums Red, swollen or tender gums Bad breath that doesn’t go away Loose or separating teeth Pus between your teeth A change in the way your teeth fit together The stages of periodontal disease.[endoperio.dental]
Bad Taste
  • Periodontitis Symptoms In addition to the signs and symptoms of gingivitis, periodontal disease symptoms include: A bad taste in your mouth and persistent bad breath Gums that pull away from the teeth or receding gums Loose teeth or a change in the way[waterpik.com]
  • Drainage from infections can produce a bad taste and bad breath (halitosis).[toothiq.com]
  • Some symptoms that may indicate periodontitis: Red, swollen and painful gums Bleeding gums when eating or brushing teeth Receding gums or the appearance of pockets (or spaces) between the gum and the teeth Bad taste or a bad breath (halitosis) Consequences[bluemcare.com]
  • Signs of periodontitis bleeding swelling receding gums with bad breath a bad taste in the mouth loose teeth Cleaning teeth can help prevent gum disease While it is tempting to avoid cleaning your gums when they are inflamed and bleeding, brushing will[dhsv.org.au]
  • They include: Gums that bleed during and after tooth brushing Red, swollen, or tender gums Persistent bad breath or bad taste in the mouth Receding gums Formation of deep pockets between teeth and gums Loose or shifting teeth Changes in the way teeth[my.clevelandclinic.org]
Halitosis
  • Drainage from infections can produce a bad taste and bad breath (halitosis).[toothiq.com]
  • Some symptoms that may indicate periodontitis: Red, swollen and painful gums Bleeding gums when eating or brushing teeth Receding gums or the appearance of pockets (or spaces) between the gum and the teeth Bad taste or a bad breath (halitosis) Consequences[bluemcare.com]
  • Long-lasting halitosis is one of the crucial early signs of periodontitis Receding gums Gums that bleed during or after tooth brushing Deep pockets that form between teeth and gums Loose teeth Changes in the way teeth fit together when you bite down Causes[therabreath.com]
  • Symptoms of periodontitis include: Bad breath odor (halitosis) Gums that are bright red or reddish-purple Gums that look shiny Gums that bleed easily (when flossing or brushing) Gums that are tender when touched but are painless otherwise Loose teeth[nlm.nih.gov]
Meningism
  • A 56-year-old, Caucasian, man with no medical or travel history, presented with 5-day symptoms of meningeal irritation. Body mass index 30.6 kg/m(2). CT demonstrated a solitary midline lesion with neoplasia as a differential diagnosis.[ncbi.nlm.nih.gov]
  • From the control group we excluded neurological disorders that can be caused (eg, meningitis and encephalitis) or triggered (eg, multiple sclerosis or Guillain-Barré syndrome) by infectious diseases and that may be associated with increased susceptibility[dx.doi.org]
  • Dysfunctions of the meningeal lymphatic vessels may be the cause of a wide range of neurological disorders, in which altered immunity is a prevalent aspect, such as multiple sclerosis and AD ( Akiyama et al., 2000 ; Berton et al., 2015 ).[doi.org]
  • Dysfunctions of the meningeal lymphatic vessels may be the cause of a wide range of neurological disorders, in which altered immunity is a prevalent aspect, such as multiple sclerosis and AD (Akiyama et al., 2000 ; Berton et al., 2015 ).[ncbi.nlm.nih.gov]

Treatment

  • Treatment included 6 months of periodontal treatment, followed by presurgical orthodontic treatment, a Le Fort I osteotomy with anterior segmental osteotomy, a bilateral sagittal split ramus osteotomy, and postsurgical orthodontic treatment.[ncbi.nlm.nih.gov]
  • METHODS: Ten subjects (ages 25.0 5.22 years) with AP received periodontal treatment followed by orthodontic treatment. Maintenance sessions were performed monthly under a strict dental biofilm control.[ncbi.nlm.nih.gov]
  • Comprehensive periodontal treatment took place before other intervention, and periodontal maintenance and follow-up throughout the treatment and after played a crucial role.[ncbi.nlm.nih.gov]
  • Maintenance through the supportive treatment phase showed marked bone gain.[ncbi.nlm.nih.gov]
  • […] post-treatment apical periodontitis.[ncbi.nlm.nih.gov]

Prognosis

  • Regenerative therapy offers reconstruction of the periodontium; however, certain advanced cases with a questionable prognosis might remain a challenge.[ncbi.nlm.nih.gov]
  • Permanent fixation to the adjacent teeth and regular supportive periodontal care were the basis for a favorable long-term prognosis.[ncbi.nlm.nih.gov]
  • This report describes the long-term outcomes of nonsurgical periodontal therapy and supportive periodontal treatment (SPT) of a 21-year-old patient affected by generalized aggressive periodontitis at multiple teeth with a compromised prognosis.[ncbi.nlm.nih.gov]
  • Further investigations with a larger cohort of patients can elucidate if the analysis of the B cell compartment distribution can reflect the periodontal disease activity and be a reliable marker for its prognosis (clinical trial registration number: NCT02833285[ncbi.nlm.nih.gov]
  • Of 2,139 teeth that originally had been considered of questionable prognosis, 666 were lost. Of these, 394 were lost by one sixth of the patients and only 272 by the other five-sixths. 4.[ncbi.nlm.nih.gov]

Etiology

  • Only endodontic retreatment, endodontic surgery, or extraction will control the bacterial etiology. Modern retreatment is an effective means of addressing apical periodontitis.[ncbi.nlm.nih.gov]
  • This is the first report to highlight that apical periodontitis may intrigue the pathogenesis of OFG, which suggested that dental infection may be the direct and initial etiology of OFG.[ncbi.nlm.nih.gov]
  • The term periodontitis encompasses several polymicrobial infectious diseases, of multifactorial etiology, with chronic and aggressive forms.[ncbi.nlm.nih.gov]
  • Cirrhosis etiology or severity was not predictors of severe periodontitis.[ncbi.nlm.nih.gov]
  • , and bacteria are one among these etiologic agents.[doi.org]

Epidemiology

  • CONCLUSIONS: Complementary evidence from an epidemiological survey and a clinical study show that NAFLD is associated with periodontitis and that the association is stronger with significant liver fibrosis.[ncbi.nlm.nih.gov]
  • Author information 1 Department of Epidemiology and Preventive Medicine, Ehime University Graduate School of Medicine. 2 Epidemiology and Medical Statistics Unit, Translational Research Center, Ehime University Hospital. 3 Department of Preventive and[ncbi.nlm.nih.gov]
  • Case definition of periodontitis in epidemiological studies A recent review of analytical epidemiology revealed a conspicuous lack of uniformity in the definition of periodontitis in epidemiological studies [ 5 ].[bmcoralhealth.biomedcentral.com]
  • This review has confirmed previous work which has suggested that epidemiological studies of periodontal diseases are complicated by the diversity of methodologies and definitions used.[ncbi.nlm.nih.gov]
  • Dye, Global periodontal disease epidemiology, Periodontology 2000, 58, 1, (10-25), (2011).[doi.org]
Sex distribution
Age distribution

Pathophysiology

  • The main objective of this mini-review is to focus on the mechanisms of action of dietary polyphenols in improving the pathophysiology underlying chronic inflammatory diseases like periodontitis based on pre-clinical and clinical models.[ncbi.nlm.nih.gov]
  • Because glutamine, CTNF and AH target pathophysiologic mechanisms known to underline periodontitis, they are compelling candidates in clinical and mechanistic investigations of complementary medicine approaches to the management of periodontitis.[clinicaltrials.gov]
  • There is increasing evidence that inflammation plays a key role in the pathophysiology of Alzheimer’s disease (AD).[ncbi.nlm.nih.gov]
  • Indeed, a number of clinical and experimental studies demonstrated the importance of systemic peripheral inflammation or infection as pivotal contributors to the pathophysiology of AD, supporting a bi-directional communication between brain and peripheral[doi.org]
  • The association between periodontal disease and CVA has several possible pathophysiologic links.[doi.org]

Prevention

  • Individual brushing and interdental cleaning instructions, as well as tobacco counseling, are important in preventing and treating these diseases, Early signs of periodontitis are indication for treatment, including necessary maintenance visits, preventing[ncbi.nlm.nih.gov]
  • More importantly, periodontal attachment loss should be prevented by early detection of the JP2 clone of Aa by microbial diagnosis testing and/or preventive means. Copyright 2018. Published by Elsevier Taiwan.[ncbi.nlm.nih.gov]
  • Hiziki extract also prevented alveolar bone loss in a ligature-induced periodontitis rat model through reducing the distance between cementoenamel junction and alveolar bone crest (CBJ-ABC) and furcation involvement.[ncbi.nlm.nih.gov]
  • Author information 1 Department of Epidemiology and Preventive Medicine, Ehime University Graduate School of Medicine. 2 Epidemiology and Medical Statistics Unit, Translational Research Center, Ehime University Hospital. 3 Department of Preventive and[ncbi.nlm.nih.gov]
  • Main results: No studies were identified that assessed primary prevention of CVD in people with periodontitis.[cochrane.org]

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