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Journal of Clinical Periodontology

Valeria Ramírez, María Hach, Rodrigo López
Since its introduction in 1999, the term aggressive periodontitis has been the topic of many investigations. Articles supporting the International Workshop for a Classification of Periodontal Diseases list several disease features, but do not offer operational criteria for identifying cases. Consequently, considerable variation in the understanding of aggressive periodontitis can be anticipated. AIM: To systematically asses, the definitions of aggressive periodontitis reported in original periodontal research...
December 11, 2017: Journal of Clinical Periodontology
Dana T Graves, Ahmed Alshabab, Mayra Laino Albiero, Marcelo Mattos, Joice Dias Correa, Shanshan Chen, Yang Yang
AIM: Periodontitis results from bacteria induced inflammation. A key cytokine, RANKL is produced by a number of cell types. The cellular source of RANKL critical for periodontitis has not been established. METHODS: We induced periodontal bone loss by oral inoculation of Porphyromonas gingivalis and Fusobacterium nucleatum in both normoglycemic and streptozotocin induced type 1 diabetic mice. Experimental transgenic mice had osteocyte specific deletion of floxed RANKL mediated by DMP-1 driven Cre recombinase...
December 8, 2017: Journal of Clinical Periodontology
L Nibali, C Sun, A Akcalı, Y C Yeh, Y K Tu, N Donos
BACKGROUND: Periodontal involvement of the furcation area (furcation involvement, FI) has been reported to confer to molars a higher risk of tooth loss. AIMS: The aim of this retrospective analysis was to assess the effect of FI on disease progression and tooth loss in molars of patients with chronic periodontitis undergoing supportive periodontal therapy (SPT) in a UK private practice setting. MATERIALS AND METHODS: Six-hundred and thirty-three molars were analysed in 100 chronic periodontitis patients treated with active periodontal therapy (APT) and followed up in SPT for at least 5 years...
December 8, 2017: Journal of Clinical Periodontology
Yvonne Jockel-Schneider, Markus Bechtold, Imme Haubitz, Stefan Störk, Stefan Fickl, Inga Harks, Martin Eigenthaler, Oliver Vollrath, Johannes Baulmann, Ulrich Schlagenhauf
AIM: This study assessed the impact of antiinfective periodontal therapy on the status of vascular health. MATERIALS AND METHODS: Periodontal and vascular health of 55 patients with severe untreated chronic periodontitis was evaluated before and 12 months after antiinfective periodontal therapy. Observed parameters were bleeding on probing (BoP), pocket probing depth (PPD), periodontal inflamed surface area index (PISA), pulse wave velocity (PWV), augmentation index (AIx), central pulse pressure (PPao), and peripheral systolic pressure (RRsys)...
December 8, 2017: Journal of Clinical Periodontology
Mario Aimetti, Giulia Maria Mariani, Elena Ercoli, Martina Audagna, Federica Romano
AIM: The aim of this study was to compare the clinical outcomes and soft-tissue rebound following Fibre Retention Osseous Resective Surgery (FibReORS) and Osseous Resective Surgery (ORS) over a 48-month period. MATERIALS AND METHODS: Thirteen chronic periodontitis patients, displaying two contralateral posterior sextants with residual intrabony defects ≤ 3 mm in single-rooted or multi-rooted teeth with no or grade I furcation involvement, were treated in a split-mouth study model...
December 8, 2017: Journal of Clinical Periodontology
Shriraksha Joshi, Anna L Suominen, Matti Knuuttila, Eduardo Bernabé
AIM: To explore the association between toothbrushing behaviour and change in periodontal pocketing among adults. METHODS: We pooled data from 1025 adults, aged 30-89 years, who participated in two national surveys in Finland (Health 2000 and Health 2011, BRIF8901) and reported their toothbrushing frequency. A cumulative measure of regular toothbrushing was created by counting the number of times participants reported brushing twice or more daily across the two surveys (ranging from 0 to 2)...
November 27, 2017: Journal of Clinical Periodontology
H S Schuch, K G Peres, F F Demarco, B L Horta, D P Gigante, M A Peres, L G Do
AIMS: To quantify the impact of life course income trajectories on periodontitis in adulthood. MATERIALS AND METHODS: Data from the 1982 Pelotas Birth Cohort Study, Brazil was used. Information on family income was collected at birth and ages 15, 19, 23 and 30 years. Group-based trajectory modelling was used to identify income trajectories. Periodontal measures were assessed through clinical examination at age 31. Log-Poisson regression models were used to estimate prevalence ratios (PRs) of any and moderate/severe periodontitis, as outcomes...
November 27, 2017: Journal of Clinical Periodontology
Daniel S Thoma, Michael Payer, Norbert Jakse, Stefan P Bienz, Jürg Hüsler, Patrick R Schmidlin, Ui-Won Jung, Christoph H F Hämmerle, Ronald E Jung
OBJECTIVES: to test whether or not the use of a xenogeneic block loaded with recombinant human bone morphogenetic protein-2 (rhBMP-2) results in different bone quantity and quality compared to an autogenous bone block. MATERIALS AND METHODS: 24 patients with insufficient bone volume for implant placement were randomly assigned to two treatment modalities: a xenogeneic bone block loaded with rhBMP-2 (test) or an autogenous bone block (control). The horizontal ridge width was evaluated prior to augmentation, after augmentation and at 4 months...
November 18, 2017: Journal of Clinical Periodontology
Mayte Martínez-Herrera, Francisco Javier Silvestre, Javier Silvestre-Rangil, Sandra López-Domènech, Celia Bañuls, Milagros Rocha
AIM: We aimed to evaluate serum RBP4 levels before and after periodontal therapy in lean and obese subjects with chronic periodontitis (CP) in order to determine its possible association with periodontitis. MATERIALS AND METHODS: This is an interventional study for which a total of 112 lean and 119 obese subjects were recruited. Patients with CP were evaluated before and after three months of non-surgical periodontal treatment. Periodontal, anthropometric, biochemical parameters and serum levels of TNFα, IL-6, hsCRP and RBP4 were assessed...
November 18, 2017: Journal of Clinical Periodontology
Laura Ziukaite, Dagmar E Slot, Fridus A Van der Weijden
OBJECTIVES: Diabetes mellitus and periodontitis are complex chronic diseases with an established bidirectional relationship. This systematic review evaluated in subjects with professionally diagnosed periodontitis the prevalence and odds of having diabetes. METHODS: The MEDLINE-PubMed, CENTRAL and EMBASE databases were searched. Prevalence of diabetes mellitus among subjects with periodontitis were extracted or if possible calculated. RESULTS: From the 803 titles and abstracts that came out of the search, 29papers met the initial criteria...
November 10, 2017: Journal of Clinical Periodontology
Simona M Gatej, Victor Marino, Richard Bright, Tracy R Fitzsimmons, Neville Gully, Peter Zilm, Rachel J Gibson, Suzanne Edwards, Peter M Bartold
AIM: This study investigated the role of Lactobacillus rhamnosus GG on bone loss and local and systemic inflammation in an in vivo mouse model of experimental periodontitis. MATERIALS AND METHODS: Experimental periodontitis was induced in mice by oral inoculation with Porphyromonas gingivalis and Fusobacterium nucleatum over a period of 44 days. The probiotic LGG was administered via oral inoculation or oral gavage prior to, and during disease induction. The antimicrobial activity of LGG on the inoculum was also tested...
November 9, 2017: Journal of Clinical Periodontology
Eglė Zasčiurinskienė, Nomeda Basevičienė, Rune Lindsten, Christer Slotte, Henrik Jansson, Krister Bjerklin
AIM: To compare two treatment strategies regarding the effect of orthodontic treatment on periodontal status in patients with plaque-induced periodontitis. SUBJECTS AND METHODS: This was a randomised clinical trial. Fifty periodontal patients were randomly assigned to the test or control groups according to periodontal treatment timing. All patients received supra- and sub-gingival debridement following baseline examination. Control group patients received cause-related periodontal treatment before the start of orthodontic treatment and which was performed simultaneous to orthodontic treatment for the test group patients...
November 6, 2017: Journal of Clinical Periodontology
Maurizio S Tonetti, Pierpaolo Cortellini, Gaia Pellegrini, Michele Nieri, Daniele Bonaccini, Mario Allegri, Philippe Bouchard, Francesco Cairo, Gianpaolo Conforti, Ioannis Fourmousis, Filippo Graziani, Adrian Guerrero, Jan Halben, Jacques Malet, Giulio Rasperini, Heinz Topoll, Hannes Wachtel, Beat Wallkamm, Ion Zabalegui, Otto Zuhr
AIM: To evaluate the non-inferiority of the adjunct of a xenogeneic collagen matrix (CMX) or connective tissue graft (CTG) to coronally advanced flaps (CAF) for coverage of multiple adjacent recessions and compare superiority in patient reported outcomes (PROM). MATERIAL AND METHODS: 187 subjects (92 CMX) with 485 recessions in 14 centres were randomized and followed-up for 6-months. Patients filled daily diaries for 15 days to monitor patient reported experience...
October 31, 2017: Journal of Clinical Periodontology
Caroline Schirmer, Gabriela Otero Dos Santos, Júlia Franciele Rost, Maria Beatriz Cardoso Ferreira, Patrícia Weidlich
AIM: Evaluate factors associated with pain and analgesic consumption following non-surgical periodontal therapy. MATERIALS AND METHODS: The sample consisted of 218 patients with chronic periodontitis, submitted to non-surgical scaling and root planing under local anesthesia at a public dental service in southern Brazil. The data collection instruments included a demographic questionnaire, as well as State-Trait Anxiety Inventory, Corah's Dental Anxiety Scale, Visual Analogue Scale, Numerical Rating Scale and Verbal Rating Scale...
October 27, 2017: Journal of Clinical Periodontology
Juan Flores, Carmen Álvarez-Novoa, Germán Barbieri, Conchita Martín, Mariano Sanz
AIM: To evaluate the long-term hard and soft tissue peri-implant tissue stability of bone level implants using a different implant placement protocol (submerged vs. transmucosal). MATERIALS AND METHODS: This study was partly a subset analysis of a multicentre study where in 40 patients a single bone level implant with platform switching and a conical implant-abutment interface was placed either submerged or transmucosal in non-molar sites. Changes in the peri-implant tissues between implant placement and 5 years were assessed clinically and radiologically...
October 15, 2017: Journal of Clinical Periodontology
Kelly McGowan, Troy McGowan, Saso Ivanovski
AIM: This systematic review aimed to determine the optimum dose and duration of amoxicillin-plus-metronidazole prescribed as an adjunct to non-surgical treatment of periodontitis. METHODS: Electronic searching identified 376 records, of which 18 were eligible blinded, randomized placebo-controlled trials. The primary outcomes assessed were periodontal pocket depth and clinical attachment level at 3-months, and secondary outcomes were adverse events and compliance...
October 13, 2017: Journal of Clinical Periodontology
Ricardo Teles, Kevin Moss, John S Preisser, Robert Genco, William V Giannobile, Patricia Corby, Nathalia Garcia, Heather Jared, Gay Torresyap, Elida Salazar, Julie Moya, Cynthia Howard, Robert Schifferle, Karen L Falkner, Jane Gillespie, Debra Dixon, MaryAnn Cugini
AIM: The goal of the present longitudinal cohort study was to examine patterns of periodontal disease progression at progressing sites and subjects defined based on linear mixed models (LMM) of clinical attachment loss (CAL). MATERIALS AND METHODS: A total of 113 periodontally healthy and 302 periodontitis subjects had their CAL calculated bimonthly for 12 months. LMMs were fitted for each site and the predicted CAL levels used to categorize their progression state...
October 6, 2017: Journal of Clinical Periodontology
Michitsuna Katafuchi, Bradley F Weinstein, Brian G Leroux, Yen-Wei Chen, Diane M Daubert
AIM: The purpose of this study was to determine if restoration emergence angle was associated with peri-implantitis. MATERIALS AND METHODS: A data set consisting of 96 patients with 225 implants (mean follow-up: 10.9 years) was utilized. Implants were divided into bone level and tissue level groups and radiographs were analyzed to determine the restoration emergence angles, as well as restoration profiles (convex or concave). Peri-implantitis was diagnosed based on probing depth and radiographic bone loss...
October 6, 2017: Journal of Clinical Periodontology
Masanori Iwasaki, George W Taylor, Shuji Awano, Akihiro Yoshida, Shota Kataoka, Toshihiro Ansai, Hidetoshi Nakamura
AIM: To evaluate the association between periodontal disease and pneumonia mortality in hemodialysis patients. MATERIALS AND METHODS: This prospective cohort study included 211 patients (mean age, 64.4 years) undergoing hemodialysis at a single medical center. The patients underwent a baseline clinical dental examination in 2008 and were then followed up until July 2015. Periodontal disease was defined as the presence of clinical attachment loss of ≥4 mm in ≥30% of the probed sites...
October 6, 2017: Journal of Clinical Periodontology
Yoshinori Shirakata, Richard J Miron, Yukiya Shinohara, Toshiaki Nakamura, Kotaro Sena, Naoto Horai, Dieter D Bosshardt, Kazuyuki Noguchi, Anton Sculean
AIM: To investigate the effect of a novel enamel matrix derivative formulation (EMD-liquid or Osteogain) combined with an absorbable collagen sponge (ACS) on periodontal wound healing in intra-bony defects in monkeys. MATERIALS AND METHODS: Chronic two-wall intra-bony defects were created at the distal aspect of eight teeth in three monkeys (Macaca fascicularis). The 24 defects were randomly assigned to one of the following treatments: (i) open flap debridement (OFD) + ACS alone, (ii) OFD + Emdogain + ACS (Emdogain/ACS), (iii) OFD + Osteogain + ACS (Osteogain/ACS) or (iv) OFD alone...
October 1, 2017: Journal of Clinical Periodontology
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