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Journal of Clinical Periodontology

Luigi Nibali, Yi-Chun Yeh, Daniela Pometti, Yu-Kang Tu
AIM: The aim of this study was to assess the stability over time of periodontal intrabony defects treated with minimally-invasive non-surgical therapy (MINST) and supportive periodontal therapy (SPT). METHODS: Clinical and radiographic analysis was carried out in 21 intrabony defects treated with MINST in 14 consecutive patients included in a prospective study and reassessed after 5 years of SPT. Baseline, 1-year and 5-year radiographs were analyzed and bone levels were compared by multilevel linear regression adjusted by latent variable method...
October 11, 2018: Journal of Clinical Periodontology
Falk Schwendicke, Joachim Krois, Thomas Kocher, Thomas Hoffmann, Wolfgang Micheelis, Rainer A Jordan
OBJECTIVE: With more teeth retained for longer in an ageing population, population-wide periodontal treatment needs may increase. We assessed and projected periodontal treatment needs from 1997 to 2030 in Germany. METHODS: Partial-mouth probing-pocket depths (PPD) from repeated waves (1997, 2005, 2014) of the nationally-representative German Oral Health Studies were transformed into full-mouth PPDs via decision-tree-based ensemble-modeling. In line with German healthcare-regulations, teeth with PPD≥4mm were regarded as needing periodontal treatment...
October 9, 2018: Journal of Clinical Periodontology
Aryan Eghbali, Lorenz Seyssens, Thomas De Bruyckere, Faris Younes, Roberto Cleymaet, Jan Cosyn
AIM: To evaluate the 5-year aesthetic outcome of single implants following alveolar ridge preservation (ARP) and connective tissue graft (CTG) at the buccal aspect. MATERIAL AND METHODS: Thirty-seven periodontally healthy non-smoking patients received flapless tooth extraction, ARP with a deproteinized bovine bone mineral with 10% collagen (DBBMC), implant placement (4-6 months later), a provisional screw-retained crown and CTG at the buccal mucosa (3 months later) and a permanent crown (3 months later)...
October 5, 2018: Journal of Clinical Periodontology
Jacob Holmer, Maria Eriksdotter, Marianne Schultzberg, Pirkko J Pussinen, Kåre Buhlin
AIMS: To test the hypothesis that periodontal disease contributes to increased risk of mild cognitive impairment (MCI), subjective cognitive decline (SCD) and Alzheimer's disease (AD). MATERIALS AND METHODS: This case-control study was conducted over a 3-year period in the municipality of Huddinge, Sweden. In total, 154 cases were consecutively enrolled from the Karolinska Memory Clinic at the Karolinska University Hospital and allotted to three diagnostic groups: AD, MCI and SCD, collectively referred to as "cases"...
October 5, 2018: Journal of Clinical Periodontology
L Abu Nada, A Al Subaie, A Mansour, X Wu, M N Abdallah, H Al-Waeli, A Ersheidat, L S Stone, M Murshed, F Tamimi
AIM: Selective Serotonin Reuptake Inhibitors (SSRIs) are one of the most common antidepressant drugs. SSRI use is associated with increased risk of bone fracture and titanium implant failure. The aim of this in vivo study was to investigate the effect of SSRIs on osseointegration and bone healing. MATERIALS AND METHODS: On a total of 24 Sprague-Dawley rats, a custom-made titanium implant was placed in the left tibia, while a unicortical defect was created in the right tibia...
October 5, 2018: Journal of Clinical Periodontology
Daniel Rodrigo, Ignacio Sanz-Sánchez, Elena Figuero, Juan Carlos Llodrá, Manuel Bravo, Raul G Caffesse, Nuria Vallcorba, Adrián Guerrero, David Herrera
AIM: To evaluate the prevalence of peri-implant diseases in Spain, as well as the associated risk indicators. MATERIAL AND METHODS: This is a cross-sectional study using a network of sentinel dentists, who randomly selected 10 patients with implants (placed, at least, 5 years before), which were clinically and radiographically evaluated. Case definitions were established for peri-implant mucositis [bleeding on probing (BOP) and no bone level ≥ 2 mm] and peri-implantitis (BOP plus bone level ≥ 2 mm)...
October 5, 2018: Journal of Clinical Periodontology
Jung-Seok Lee, Sun-Ho Choe, Jae-Kook Cha, Gi-Young Seo, Chang-Sung Kim
OBJECTIVES: To evaluate dimensional ridge alterations and sequential healing processes following ridge augmentation after tooth extraction in damaged extraction sockets with buccal-bone-deficiency. MATERIAL AND METHODS: Bilateral dental roots of three mandibular premolars were extracted with entire removal of the buccal-bone plate in eight beagle dogs. Unilateral sites were grafted with biomaterials (test group) and contralateral sites were healed without grafting (control group)...
September 23, 2018: Journal of Clinical Periodontology
Leire Virto, Pilar Cano, Vanesa Jiménez-Ortega, Pilar Fernández-Mateos, Jerián González, Håvard J Haugen, Ana Isabel Esquifino, Mariano Sanz
AIMS: To study the effect of adjunctive systemic administration of melatonin to standard mechanical periodontal therapy in obese rats with experimental periodontitis. MATERIALS AND METHODS: In 42 Wistar rats with an initial body weight of 180 g., half (n=21) were fed with a high-fat diet to induce obesity. In both obese and normal-weight groups, experimental periodontitis was subsequently induced through oral gavages with a combination of Porphyromona gingivalis and Fusobacterium nucleatum...
September 21, 2018: Journal of Clinical Periodontology
I Laleman, S De Geest, C Dekeyser, W Teughels, M Quirynen
AIM: To examine an organoleptic scoring method (OLS) whereby the sample is collected by negative pressure in a syringe and is subsequently smelled and rated away from the patient. MATERIALS AND METHODS: Data of 476 patients visiting a specialized halitosis clinic in Leuven (Belgium) after the introduction of this new method were reviewed retrospectively. Organoleptic (with the classic and with the negative pressure method) and instrumental (with the Halimeter® and OralChroma™ ) ratings of breath odour were retrieved from patient files together with the final diagnosis...
September 14, 2018: Journal of Clinical Periodontology
Amelie Bäumer, Dieter Kappesz, Ann-Kathrin Ozga, Christian Mertens, Peter Eickholz, Bernadette Pretzl
OBJECTIVES: To assess OHRQoL in patients with aggressive periodontitis (AgP) after periodontal treatment using the Oral Health Impact Profile-49 (OHIP-49) and compare to patients' dental status. MATERIAL AND METHODS: More than five years after therapy, 71 patients were examined and answered the OHIP-questionnaire. The dental and periodontal status were assessed according to the SSO (Swiss Dental Society) criteria. Descriptive statistics were performed with SPSS, correlation analysis and tests for differences using R 3...
September 14, 2018: Journal of Clinical Periodontology
Bernadette Pretzl, Shirin El Sayed, Dorothea Weber, Peter Eickholz, Amelie Bäumer
AIM: To assess tooth loss in periodontally compromised patients 20 years after active periodontal therapy (APT) and to detect potential influencing factors for tooth loss on patient level. MATERIAL AND METHODS: From a total of 100 patients, who were reevaluated ten years after APT, 70 could be reexamined 20 years ± 12 months after APT. Tooth loss during 20 years was detected and based on regression analyses the impact of patient-leveled factors was estimated. RESULTS: Of 1...
September 6, 2018: Journal of Clinical Periodontology
Stefan Kindler, Birte Holtfreter, Thomas Koppe, Maria Mksoud, Christian Lucas, Christian Seebauer, Henry Völzke, Thomas Kocher, Kimberly Johnson, Sönke Langner, Martin Albers, Hans Robert Metelmann, Till Ittermann
AIM: The aim of this study was to clarify the association between impacted or erupted third molars and periodontal pathology, assessed by probing depth (PD) and clinical attachment levels (CAL), in adjacent second molars. MATERIALS AND METHODS: Data from the population-based Study of Health in Pomerania (SHIP) was used. This is the first project with whole-body Magnetic Resonance Imaging (WB-MRI) application in a general population setting with dental issues. Calibrated and licensed dentists measured PD and CAL with a periodontal probe...
August 31, 2018: Journal of Clinical Periodontology
V Myllymäki, T Saxlin, M Knuuttila, U Rajala, S Keinänen-Kiukaanniemi, S Anttila, P Ylöstalo
AIM: To study whether periodontal condition is associated with the development of type 2 diabetes mellitus (T2DM). MATERIALS AND METHODS: A population-based follow-up study was conducted among persons born in 1935 and living in the city of Oulu, Finland (n=395). The baseline examinations were done during 1990-1992, and the follow-up examinations were done during 2007-2008. The data were gathered by questionnaires, laboratory tests and clinical measurements. Poisson regression models were used in the data analyses...
August 22, 2018: Journal of Clinical Periodontology
Mario Romandini, Andreina Laforì, Pierluigi Romandini, Giacomo Baima, Massimo Cordaro
AIM: As an infection-driven inflammatory disease, periodontitis could lead to a reactive increase in platelet count. This mechanism could partially mediate the well documented association between periodontitis and atherosclerotic cardiovascular disease. The aim of this cross-sectional study was to test the presence of an association between periodontitis and platelet count in a representative sample of the South Korea population. MATERIALS AND METHODS: A total of 5,197 subjects representative of 34...
August 22, 2018: Journal of Clinical Periodontology
Thomas De Bruyckere, Célien Eeckhout, Aryan Eghbali, Faris Younes, Paulien Vandekerckhove, Roberto Cleymaet, Jan Cosyn
AIM: To compare guided bone regeneration (GBR) with connective tissue graft (CTG) to re-establish convexity at the buccal aspect of single implants. MATERIALS AND METHODS: Patients with a single tooth gap in the anterior maxilla and horizontal alveolar defect were enrolled in a single-blind RCT. Sites had to demonstrate buccopalatal bone dimension of at least 6mm prior to surgery to ensure complete embedding of an implant without the need for bone augmentation. All received a single implant and were randomly allocated to the control group (GBR) or the test group (CTG)...
August 22, 2018: Journal of Clinical Periodontology
Peng Li, Yi-Man Eva Fung, Xiaohui Yin, Chaminda J Seneviratne, Chi-Ming Che, Lijian Jin
BACKGROUND: Antimicrobial-tolerant microbial persisters critically account for various infections and inflammation. This study identified the characteristics of Porphyromonas gingivalis persisters, and explored their underlying survival mechanisms through proteomic profiling. METHODS: Porphyromonas gingivalis cultured with different concentrations of hemin was treated with 100 μg/ml of metronidazole (MTZ). The viability of P. gingivalis persisters was determined by colony-forming unit assay and LIVE/DEAD staining...
August 20, 2018: Journal of Clinical Periodontology
Ozge Gokturk, FatmaUcan Yarkac, Gulsah Basol
AIM: The aim of this study was to develop and validate a periodontal aesthetic-specific tool to assess aesthetic conditions perceived by patients with periodontal problems. MATERIALS AND METHODS: Hundred patients were interviewed that described the nonaesthetic 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. MATERIALS 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 were 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
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