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Periodontal Breakdown (periodontal + breakdown)
Selected AbstractsSusceptibility of GTR-regenerated periodontal attachment to ligature-induced periodontitisJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 5 2004An experiment in the monkey Abstract Aim: This study aimed to compare the susceptibility of guided tissue regeneration (GTR)-regenerated periodontal attachment to ligature-induced periodontitis with that of the pristine periodontium. Methods: Periodontal breakdown was produced in four monkeys by the placement of orthodontic elastics around experimental teeth (test teeth). During a flap operation, the root surfaces were scaled and planed, and a notch indicating the apical termination of scaling and root planing was made in the root surface. Following resection of the crowns and endodontic treatment, an e-PTFE membrane was adapted over the roots. Subsequently, the flaps were sutured to complete closure of the wound (submerged). At membrane removal after 5 weeks, the crowns of the contralateral teeth serving as controls were resected, and the roots treated endodontically during a flap operation. Artificial composite crowns were then placed on both test and control roots. After 3 months of tooth cleaning, cotton floss ligatures were placed passively around both test and control teeth for a period of 6 months. Two weeks later the animals were sacrificed. Results: Histological analysis demonstrated that the instrumented root surfaces of the test teeth were covered by newly formed cementum of the reparative, cellular, extrinsic and intrinsic fiber type, while the cementum on the controls was mainly acellular extrinsic fiber cementum. Histometric assessments demonstrated that similar attachment loss had occurred on test (1.0±0.5 mm) and control roots (1.0±0.4 mm) during the 6 months of ligature-induced plaque accumulation. Conclusion: The results indicate that teeth with a periodontal attachment apparatus formed by GTR is not more susceptible to periodontitis than those with a pristine periodontium. [source] Cemental tear: a case reportINTERNATIONAL ENDODONTIC JOURNAL, Issue 1 2006M. L. Stewart Abstract Aim, To report a case of a cemental tear. Summary, A case is reported of a patient with a history of trauma, root canal treatment and retreatment procedures to eliminate recurring sinus tracts. An exploratory surgery, extraction, and biopsy resulted in a diagnosis of cemental tear. Key learning points, ,,The detachment of a fragment of cementum is described as a cemental tear. ,,Cemental tears have been reported in the periodontal literature associated with localized, rapid periodontal breakdown. Common causative factors are aging and traumatic occlusion but the exact aetiology is unknown. ,,Trauma may be considered as a potential aetiologic factor for cemental tears in addition to occlusal traumatism and aging. [source] Tooth-related risk factors for periodontal disease in community-dwelling elderly peopleJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 6 2010Toshinobu Hirotomi Hirotomi T, Yoshihara A, Ogawa H, Miyazaki H. Tooth-related risk factors for periodontal disease in community-dwelling elderly people. J Clin Periodontol 2010; 37: 494,500. doi: 10.1111/j.1600-051X.2010.01565.x. Abstract Objective: While most previous epidemiological studies have focused on subject-level risk factors for periodontal destruction, tooth-related factors have not been fully explored. The purpose of this study was to evaluate both tooth-related and subject-related factors affecting periodontal disease progression using a two-level multilevel model. Material and Methods: A longitudinal survey over a period of 10 years was carried out on 286 community-dwelling elderly subjects aged 70 years at baseline. Clinical attachment level (CAL) was measured at six sites per tooth on all teeth present and periodontal disease progression was defined as CAL3 mm. Results: Periodontal disease progression was found in 79% of the subjects and most frequently in maxillary molars. Multilevel logistic regressions revealed that subjects wearing removable dentures were significantly at risk for periodontal disease progression. Abutment teeth for removable/fixed dentures were also significantly more likely to suffer periodontal breakdown. Furthermore, the following tooth-related variables were found to be possible risk factors for periodontal disease progression: maxillary and multirooted teeth. Conclusion: Multirooted teeth and abutments for a fixed denture were possible risk factors for periodontal disease progression. [source] Actinobacillus actinomycetemcomitans and Porphyromonas gingivalis subgingival presence, species-specific serum immunoglobulin G antibody levels, and periodontitis disease recurrenceJOURNAL OF PERIODONTAL RESEARCH, Issue 3 2006T. E. Rams Background and Objective:, The biological and clinical effects of antibody against periodontal pathogenic bacteria are incompletely understood. This study evaluated the inter-relationships among periodontal levels of cultivable Actinobacillus actinomycetemcomitans and Porphyromonas gingivalis, species-specific serum immunoglobulin G (IgG) antibody levels, and periodontitis disease activity. Material and Methods:, Forty-three adults who had previously been treated for periodontitis and who also harbored cultivable A. actinomycetemcomitans or P. gingivalis were evaluated semiannually for clinical disease recurrence over a 36-month period. Each patient provided subgingival microbial samples, for the recovery of A. actinomycetemcomitans and P. gingivalis, from the two deepest pockets in each dentition sextant. A. actinomycetemcomitans and P. gingivalis serum IgG antibody levels were assessed using enzyme-linked immunosorbent assay (ELISA), together with whole-cell sonicate extracts from A. actinomycetemcomitans serotypes a,c and P. gingivalis ATCC 33277. Data were analyzed using the Mantel,Haenszel chi-square and Fisher exact two-tailed tests. Results:, Eighteen (60.0%) of 30 A. actinomycetemcomitans -positive subjects, and 10 (76.9%) of 13 P. gingivalis -positive subjects, exhibited recurrent periodontal breakdown within 36 months of periodontal therapy. Nineteen (67.9%) of the 28 patients with active periodontitis had A. actinomycetemcomitans or P. gingivalis serum antibody levels below designated threshold values. In comparison, 10 (66.7%) of 15 culture-positive clinically stable subjects showed A. actinomycetemcomitans or P. gingivalis serum antibody levels above threshold values. The difference between specific antibody levels in periodontitis-active and periodontitis-stable patients was statistically significant (p = 0.032). Conclusions:, Serum levels of IgG antibodies against A. actinomycetemcomitans or P. gingivalis in periodontitis-stable patients were higher than those in patients with active periodontitis. The results suggest that elevated levels of IgG antibody against A. actinomycetemcomitans and P. gingivalis have a detectable protective effect against periodontal infections with these microorganisms. [source] Influence of subcutaneous administration of recombinant TNF-, on ligature-induced periodontitis in ratsJOURNAL OF PERIODONTAL RESEARCH, Issue 2 2003Rok Ga Proinflammatory cytokine tumor necrosis factor alpha (TNF-,) was found in inflamed periodontal tissues and many studies pointed to its significant role in development of periodontal disease. In this study, the influence of subcutaneously administered recombinant human TNF-, (rhTNF-,) on inflammatory reaction and periodontal breakdown in rats was analyzed during experimental periodontitis, induced by placing silk ligatures around the maxillary right second molar tooth. The rats were divided into two groups with five animals in each; the first group was infused subcutaneously with rhTNF-, via osmotic pumps for 2 weeks and the second group was infused with phosphate-buffered saline (PBS) in the same manner. Inflammatory reaction and periodontal breakdown was evaluated morphometrically on hematoxylin and eosin stained sections. Serum ionized calcium and inorganic phosphates were monitored colorimetrically. Serum calcium and phosphate levels were similar in rats receiving rhTNF-, and PBS. Ligation resulted in accelerated periodontal breakdown, while subcutaneous rhTNF-, administration by itself had no significant effect. Combined effect of subcutaneous rhTNF-, administration and ligation resulted in a significantly greater inflammatory reaction and periodontal breakdown then either treatment alone. We concluded that the subcutaneous administration of rhTNF-, accelerates the progression of experimental periodontitis in rats. [source] Histometric evaluation of the effect of nicotine administration on periodontal breakdown: an in vivo studyJOURNAL OF PERIODONTAL RESEARCH, Issue 6 2001Francisco H. Nociti Jr The present study investigated the effect of nicotine administration on periodontal breakdown resulting from ligature-induced periodontitis in rats. Twenty adult male Wistar rats were used. After anesthesia, a mandibular first molar was randomly assigned to receive a cotton ligature in the sulcular area while the contralateral tooth was left unligated. The animals were randomly assigned to one of the following treatments, of daily intraperitoneal injections: A , saline solution, B , 0.37 mg of nicotine/kg, C , 0.57 mg of nicotine/kg and D , 0.73 mg of nicotine/kg. Thirty days later, the animals were sacrificed and the specimens routinely processed for serial decalcified sections. Statistical analysis (ANOVA) revealed greater bone loss (p<0.05) in the ligated teeth of animals which received nicotine (groups B/C/D) than in the ligated teeth of animals which received saline solution (group A). In addition, a dose-dependent response was observed among the nicotine groups. A negative effect of nicotine was observed in the unligated teeth of the experimental groups (p<0.05). Therefore, daily administration of nicotine enhanced, in a dose-dependent manner, the effects of local factors in producing periodontal breakdown. Furthermore, the nicotine seemed to have a direct deleterious effect on the periodontal tissues. [source] The mouth in HIV/AIDS: markers of disease status and management challenges for the dental professionAUSTRALIAN DENTAL JOURNAL, Issue 2010NW Johnson Abstract There are over 30 million people in the world with HIV infection and, whilst the rate of new infections is slowing, this number continues to grow. Although in Australia the overall prevalence of HIV infection in adults aged 15,49 is officially estimated at only 0.2%, representing less than 20 000 people living with HIV and AIDS, our geographical area contains populations with prevalences exceeding 10 times this. Oral health professionals must therefore practise safe, standard infection control at all times and be aware of the oral manifestations of HIV disease. These are predominantly opportunistic infections with fungi such as Candida albicans or with viruses of the herpes family, particularly herpes simplex, herpes zoster and Epstein-Barr virus infections. Warts or papillomas may arise due to human papilloma viruses , even in individuals on effective antiretroviral therapy. Rare types of fungal infection can occur, and severe bacterial infections, notably tuberculosis, are an ever-present risk. Susceptibility to periodontal breakdown is somewhat enhanced by the effects of HIV disease itself, and caries activity may increase because the patient neglects attention to diet and oral hygiene. Restorative and periodontal care need, therefore, to be maintained at a high level. Oral opportunistic infections cause much distress and the diagnosis and management of these is the responsibility of our profession. [source] The investigation of the ultrastructural neutrophil changes in alloxan-induced diabetes in rats: response to a chemotactic challengeCELL BIOCHEMISTRY AND FUNCTION, Issue 2 2004Nesrin Özsoy Abstract Experimental diabetes is one of the most popular conditions in which to study the relation between neutrophil leukocyte activity and periodontal destruction. The aetiology of neutrophil dysfunction in the gingival tissue associated with diabetes has yet to be clarified. Diabetes in rats decreases neutrophil chemotactic activity in proportion to the severity of this systemic disorder. The present study was carried out to evaluate the relationship between the severity of diabetes and the neutrophil response to two chemotactic agents, and to correlate the observed neutrophil defects with the degree of diabetes. In this study two chemotactic agents, casein (0.2,,l, 2,mg,ml,1) or N-formylmethionylleucylphenylalanine (FMLP; 0.2,,l, 10,4,M), were placed into the gingival crevices of alloxan-induced diabetic rats. Gingival biopsies were taken 15,min later and then at 5-min intervals up to 45,min and investigated by electron microscopy. Adherence and migration were observed in the rats with moderate diabetes 30,min after the application of casein. There was chemotaxis after 35,min of administration of the peptide FMLP. By 40,min neutrophils with pyknotic nuclei were observed. At 45,min neutrophils with a decreased number of granules were present. As the severity of the diabetes increased, the neutrophils degenerated and were structurally distorted. In the rats which had alloxan-induced diabetes there was abnormal periodontal damage. This damage is thought to be related to dysfunctional neutrophils. These findings many contribute to an answer to the following question: why is there an apparent variability in the susceptibilty of periodontal breakdown in diabetics? Copyright © 2003 John Wiley & Sons, Ltd. [source] | ||||||||||