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Journal of Clinical Periodontology

Ozge Gokturk, Fatma Ucan Yarkac, Gulsah Basol
AIM: The aim of this study is to develop and validate a periodontal aesthetic specific tool to assess aesthetic conditions perceived by patients with periodontal problems. MATERIALS AND METHODS: 100 patients were interviewed that described the non-aesthetic gingival appearance. An item pool with 22 items was generated. Subsequently, expert opinion on the selected item pool was gathered. In accordance with expert opinions, the questionnaire was finalized by reducing the number of items to 7...
August 14, 2018: Journal of Clinical Periodontology
T T Vianna, T Taiete, R C V Casarin, M C C Giorgi, F H B Aguiar, Karina Gonzales Silvério, F H Nociti, E A Sallum, M Z Casati
OBJECTIVE: Evaluate clinical and radiographic characteristics in peri-implant marginal tissues in patients with a history of chronic periodontitis, rehabilitated using Tissue Level or Bone Level implants. MATERIAL AND METHODS: Using a split-mouth design, 20 patients with a history of chronic periodontitis were selected and received 2 differents implants, Tissue Level group (n=20) and the Bone Level group (n=20). Peri-implant probing depth, relative peri-implant mucosal margin position, relative peri-implant clinical attachment level, peri-implant plaque index and peri-implant bleeding on probing were evaluated at prosthesis installation, 1, 3, 6, 12 and 24 months after implant loading...
August 14, 2018: Journal of Clinical Periodontology
Peter Meisel, Birte Holtfreter, Henry Völzke, Thomas Kocher
AIM: To assess the suitability of self-reported oral health status to predict 5- and 10-year tooth loss without involvement of any clinical measures. MATERIAL AND METHODS: Within the population Study of Health in Pomerania (SHIP) 2,776 subjects with 5-year follow-up data and 2,016 subjects with 10-year follow-up examination data were studied. Self-rated oral health was assessed at baseline and related to 5- and 10-year tooth loss, Odds ratios and probability of loss was estimated...
August 12, 2018: Journal of Clinical Periodontology
Marco Clementini, Nicola Discepoli, Carlotta Danesi, Massimo de Sanctis
AIM: to evaluate the possible benefit on wound healing and flap stability of periosteum inclusion, comparing a "split-full-split" thickness flap elevation versus a "split" thickness approach performed during CAF for the treatment of isolated-type gingival recessions in the upper jaw. MATERIAL AND METHODS: forty patients were randomized, 20 were treated with "split-full-split" (test group) and 20 with a "split" approach (control group)...
August 12, 2018: Journal of Clinical Periodontology
Helena Nilsson, Johan Sanmartin Berglund, Stefan Renvert
AIM: to determine whether having periodontitis is associated with cognitive decline among older adults. MATERIAL AND METHODS: A prospective population study of older adults, Swedish National Study on Ageing and Care, (SNAC) provided repeated registrations of cognitive functions. Cognitive decline was defined as ≥ 3-points deterioration from a predetermined level at baseline, using the Mini-Mental State Examination (MMSE). Between 2001 and 2003, 715 individuals had a medical as well as a clinical and radiographic dental examination...
August 4, 2018: Journal of Clinical Periodontology
Júlia Christ da Silva, Francisco Wilker Mustafa Gomes Muniz, Harry Juan Rivera Oballe, Michael Andrades, Cassiano Kuchenbecker Rösing, Juliano Cavagni
AIM: To systematically review the literature about the effect of periodontal treatment on oxidative stress (OxS) biomarkers. MATERIAL AND METHODS: Three databases (PubMed, EMBASE, and Scopus) were searched up to February/2018. Clinical trials with a follow-up of at least six weeks after mechanical periodontal treatment were included. Due to the high heterogeneity among the units and indices of measurements used in the studies, a meta-analysis was not performed. RESULTS: Overall, 3,199 studies were retrieved, of which 20 were included...
August 4, 2018: Journal of Clinical Periodontology
Poliana Mendes Duarte, Magda Feres, Lina Lameh Smeili Yassine, Geisla Mary Silva Soares, Tamires Szeremeske Miranda, Marcelo Faveri, Belen Retamal-Valdes, Luciene Cristina Figueiredo
AIM: To evaluate if non-diabetic subjects with periodontitis respond better than subjects with type 2 diabetes to the treatment protocol of scaling and root planing (SRP), metronidazole (MTZ) and amoxicillin (AMX). MATERIAL AND METHODS: Diabetic and non-diabetic subjects with severe periodontitis received SRP+MTZ [400mg/thrice a day (TID)]+AMX (500mg/TID) for 14 days. Subgingival biofilm samples were analyzed by checkerboard DNA-DNA hybridization for 40 bacterial species...
August 4, 2018: Journal of Clinical Periodontology
Marcos M Invernici, Sérgio L Salvador, Pedro H F Silva, Mariana S M Soares, Renato Casarin, Daniela B Palioto, Sérgio L S Souza, Mario Taba, Arthur B Novaes, Flávia A C Furlaneto, Michel R Messora
AIM: This randomized placebo-controlled clinical trial evaluated the effect of Bifidobacterium animalis subsp. lactis (B. lactis) HN019-containing probiotic lozenges as adjuvant to scaling and root planing (SRP) in patients with generalized chronic periodontitis. MATERIALS AND METHODS: Forty-one chronic periodontitis patients were recruited and monitored clinically, immunologically, and microbiologically at baseline (before SRP) and 30 and 90 days after SRP. All patients were randomly assigned to a Test (SRP+Probiotic, n=20) or Control (SRP+Placebo, n=21) group...
August 4, 2018: Journal of Clinical Periodontology
Juan Wu, Jie Yang, Jie Zhao, Jingrong Wu, Xuan Zhang, W Keung Leung, Weibin Sun
AIM: We report a rare case of periodontal Ehlers-Danlos syndrome (pEDS) associated with severe periodontitis and tooth loss in a Chinese family. MATERIAL AND METHODS: The proband complained of gingival bleeding and mobility, which were also reported in his mother, and maternal uncle and his maternal grandmother and great-grandfather in the past. All family members underwent oral, physical, dermatological, and genetic examinations. RESULTS: Oral manifestation of family members affected with pEDS presented severe periodontitis with multiple or total tooth loss...
July 19, 2018: Journal of Clinical Periodontology
A Quintero, A Chaparro, M Quirynen, V Ramirez, D Prieto, H Morales, P Prada, M Hernández, A Sanz
AIM: To evaluate the impact of two non-surgical periodontal treatment modalities on metabolic and periodontal clinical parameters in subjects with type 2 diabetes mellitus (T2DM) and poor glycaemic control and chronic periodontitis. MATERIAL AND METHODS: A randomized controlled clinical trial was conducted. 93 T2DM subjects with glycosylated haemoglobin (HbA1c) > 7% were randomly assigned to one of two groups receiving scaling with root planing in multiple sessions quadrant by quadrant (Q by Q) or within 24 hours (one stage)...
July 19, 2018: Journal of Clinical Periodontology
Danae A Apatzidou, Achilleas Iskas, Antonis Konstantinidis, Abeer M Alghamdi, Maria Tumelty, David F Lappin, Christopher J Nile
AIM: The oral mucosa possesses a non-neuronal cholinergic system. This study aimed to determine clinical evidence for a role of cholinergic mechanisms in the pathogenesis of periodontal diseases. MATERIALS AND METHODS: Fifty healthy participants, 52 patients with gingivitis and 49 with periodontitis were recruited. Full periodontal parameters were recorded and saliva and gingival crevicular fluid (GCF) collected. Levels of acetylcholine and inflammatory mediators were quantified using commercially available assay kits...
July 19, 2018: Journal of Clinical Periodontology
Stefan Renvert, Ann-Marie Roos-Jansåker, G Rutger Persson
AIM: To assess whether the treatment outcome differed between surgical debridement, with or without a bone substitute. MATERIALS AND METHODS: 41 adults with 3 or 4 wall peri-implant bone defects were enrolled in a 1-year RCT. Surgical debridement (control group), or in combination with a bone substitute (Endobon® ) (test group) was performed. RESULTS: Radiographic evidence of defect fill (primary outcome) was only significant in the test group (p = 0...
July 13, 2018: Journal of Clinical Periodontology
Yara L A S Levi, Gabriela S Novais, Raisa B Dias, Rodrigo A C Andraus, Michel R Messora, Hermann B Neto, Edilson Ervolino, Carolina S Santinoni, Luciana P Maia
AIM: To evaluate the effect of the prebiotic (PREB) Mannan-oligosaccharide (MOS) on the progression of the experimental periodontitis (EP) and intestinal morphology in rats. MATERIALS AND METHODS: Forty rats were randomly allocated into groups (n=10): C (control), PREB, EP and EP-PREB. Groups PREB and EP-PREB received MOS incorporated into the feed daily. After 30 days, groups EP and EP-PREB received a cotton ligature around their mandibular first molars, kept for 14 days...
July 12, 2018: Journal of Clinical Periodontology
Roberto Farina, Giovanni Franceschetti, Domenico Travaglini, Ugo Consolo, Luigi Minenna, Gian Pietro Schincaglia, Orio Riccardi, Alberto Bandieri, Elisa Maietti, Leonardo Trombelli
AIM: To comparatively evaluate the morbidity following maxillary sinus floor elevation according to either transcrestal (tSFE) or lateral (lSFE) approach with concomitant implant placement. MATERIALS & METHODS: Patients with ≥1 edentulous maxillary posterior site with residual bone height (RBH) of 3-6 mm were enrolled. tSFE was performed in association with a xenograft and a collagen matrix. For lSFE, the sinus was grafted with the xenograft, and the antrostomy was covered with a membrane...
July 10, 2018: Journal of Clinical Periodontology
Falk Schwendicke, Anne Sophie Engel, Christian Graetz
AIM: We assessed the long-term costs for treating chronic periodontitis (CP) patients. METHODS: A cohort of compliant CP patients was retrospectively evaluated. Costs for active periodontal therapy (APT, including scaling and root planning, open flap debridement, root resections) and supportive periodontal therapy (SPT including periodontal, restorative, endodontic, prosthetic and surgical treatments) were estimated from a mixed payer-perspective in Germany. The impact of tooth- and patient-level factors on annual costs were assessed using mixed-modelling...
July 6, 2018: Journal of Clinical Periodontology
Christian Schwahn, Stefanie Samietz, Torsten Mundt, Henry Völzke, Thomas Kocher, Julia Mayerle, Birte Holtfreter, Markus M Lerch, Reiner Biffar, Christian Schulz
AIM: Evidence for reducing Helicobacter (H.) pylori by periodontal therapy comes from small studies in China, limiting generalizability. To estimate the association between periodontal disease and anti-H. pylori IgG titer levels in a European country, we used population-based data from the Study of Health in Pomerania. MATERIALS AND METHODS: For pocket depth as the primary exposure, we restricted the age range to participants younger than 60 years (n = 2,481) to avoid selection bias due to edentulism in this cross-sectional study...
July 5, 2018: Journal of Clinical Periodontology
Tingting Shi, Min Min, Chenyu Sun, Yun Zhang, Mingming Liang, Yehuan Sun
OBJECTIVE: While some individual studies have suggested an association between periodontal disease and breast cancer, there has not been a formal meta-analysis that collates the existing evidence supporting the hypothesis that periodontal disease leads to a higher risk of developing breast cancer. Accordingly, this meta-analysis was conducted. METHODS: Relevant studies published until April 2018 were retrieved and were screened according to established inclusion criteria...
July 5, 2018: Journal of Clinical Periodontology
Jian Jiao, Li Zhang, Huan-Xin Meng, Dong Shi, Rui-Fang Lu, Li Xu, Xiang-Hui Feng, Zhan-Qiang Cao
AIM: This study aimed to evaluate clinical performance of non-surgical periodontal treatment (NSPT) and its influential factors in a large Chinese population with generalized aggressive periodontitis (GAgP). METHODS: Longitudinal periodontal examination data of 1,004 GAgP patients (numbers of patients with observation periods 6 weeks~, 3 months~, 6 months~, 1 year~, 3 year~ and > 5 years were 203, 310, 193, 205, 70 and 23, respectively) were extracted from a hospital-based electronic periodontal charting record system and analyzed by multilevel analysis...
July 5, 2018: Journal of Clinical Periodontology
Markus Laky, Isabella Anscheringer, Lukas Wolschner, Stefan Heber, Hady Haririan, Waltraud C Schrottmaier, Julia B Kral-Pointner, Manuel Salzmann, Ivo Volf, Andreas Moritz, Alice Assinger
AIM: Periodontitis results in platelet activation and enhanced risk for cardiovascular disease. As it is currently unknown whether periodontal treatment reverses platelet hyper-reactivity, we aimed to investigate the role of periodontal treatment on platelet activation. MATERIALS AND METHODS: In a prospective controlled therapeutic trial, 52 patients were enrolled and randomly selected for periodontal treatment or monitored without treatment for 3 months. Patient blood was analysed by flow cytometry for platelet activation markers and by light transmission aggregometry for platelet aggregation in response to pro-thrombotic stimuli...
July 4, 2018: Journal of Clinical Periodontology
L Lahdentausta, S Paju, P Mäntylä, K Buhlin, T Tervahartiala, M Pietiäinen, H Alfthan, M Nieminen, J Sinisalo, T Sorsa, P J Pussinen
AIM: Matrix metalloproteinase (MMP)-8, MMP-9, tissue inhibitor of matrix metalloproteinase (TIMP)-1 and myeloperoxidase (MPO) participate in extracellular matrix breakdown both in periodontium and atherosclerotic plaques. We investigated the diagnostic value of serum and saliva biomarkers in periodontitis and acute coronary syndrome (ACS). MATERIALS AND METHODS: The population was PAROGENE (n=481), a random cohort of patients with an indication for coronary angiography...
July 4, 2018: Journal of Clinical Periodontology
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