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Periodontal Status (periodontal + status)
Kinds of Periodontal Status Selected AbstractsRelationship Between Periodontal Status and HbA1c in NondiabeticsJOURNAL OF PUBLIC HEALTH DENTISTRY, Issue 3 2009Hideaki Hayashida DDS Abstract Objectives: Many studies have reported an association between diabetes and periodontitis. We analyzed the periodontal status and glycosylated hemoglobin (HbA1c) level in nondiabetic subjects to investigate the relationship between periodontitis and glucose control in nondiabetics. Methods: Periodontal status, HbA1c, serum cholesterol, triglyceride, body mass index (BMI), and demographic variables were assessed in 141 Japanese adults. The difference in the HbA1c level was evaluated among subjects according to periodontal status. Results: After adjusting for age, gender, BMI, and smoking, alcohol, and exercise habits as covariates, the mean HbA1c was significantly elevated with periodontal deterioration (P = 0.023). Conclusions: There was a significant relationship between periodontal status and HbA1c levels in nondiabetics. [source] Periodontal status and IOTN interventions among young hemophiliacsHAEMOPHILIA, Issue 4 2006S. AZHAR Summary., ,Fifty-two young individuals suffering from severe haemophilia A and B volunteered to be compared with school- and college-going students for oral health status description and subsequent management. A total of 244 students (84.42% boys and 15.58% girls) with the age group of 13,23 years were divided into two groups, A and B (controls). The purpose of this study was to increase awareness about evidence-based dental practices by oral examinations followed by comparisons of periodontal health and prevalence of malocclusions among medically compromised students and healthy controls. Results described the oral health in severe haemophilic population to be compromised with combined simplified health index score of 0.50 and Decayed/Modified/Filled Teeth (DMFT) index score of 2.07 when compared with 0.42 and 0.95, respectively, among group B. Although prevalence of malocclusion and orthodontic treatment needs among group A were higher, yet it was not confirmed as a reason for degraded dental and periodontal status. However, spontaneous and/or toothbrush (trauma)-induced gingival bleeding episodes among group A could be explained as factors discouraging oral hygiene maintenance, particularly self-administered measures. Four haemophiliacs presented with symptoms of Temporomandibular Joint Dysfunction Syndrome (TMPDS). Evidence-based oral medicine and clinical practices need to be encouraged and applied to enhance the quality of life among haemophiliacs, particularly in developing world. Dental treatment needs of haemophilic population appear to be greater and maybe incorporated in routine dental practices, at institutional and individual levels. [source] Tooth wear in two ancient populations of the Khazar Kaganat region in the UkraineINTERNATIONAL JOURNAL OF OSTEOARCHAEOLOGY, Issue 1 2007W. H. Arnold Abstract Tooth wear is a common phenomenon in archaeological material. It has been related to the abrasiveness of diet and to the tribological attrition of teeth of individuals. Numerous investigations have been carried out in north and middle American samples as well as African anthropological material. Not much is known about tooth wear in European cultures. Eleven skulls from Chervona Gusarovka, and 14 skulls from the Upper Saltov sites of the Khazar Kaganat region (8th,10th centuries AD) in eastern Ukraine, with different diets were examined. A total of 208 teeth were studied for tooth wear, caries prevalence and periodontal status. Abrasion grades were determined according to a standardised classification and statistically evaluated. Periodontal status was measured using the distance between the enamel-cementum junction and alveolar crest and the gingival attachment level respectively. Tooth wear was significantly different (P,<,0.01) between the two populations. A low caries prevalence of 4.2% in the Chervona Gusarovka population and 1.7% in the Upper Saltov population was found. Significantly more alveolar crest bone resorption on the lingual side was found in the premolars and anterior teeth of the Chervona Gusarovka population. No significant differences were found regarding gingival attachment levels and gingival recession. It is concluded that the content and mode of food preparation influenced tooth wear, as reflected by the prevalence of dental caries and periodontal diseases in these ancient populations. Copyright © 2006 John Wiley & Sons, Ltd. [source] Periodontal conditions in patients with coronary heart disease: a case,control studyJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 3 2008Carin Starkhammar Johansson Abstract Aim: This study examined periodontal conditions in patients with coronary heart disease (CHD) and subjects with no history of CHD. Material and Methods: Participants were 161 patients (40,75) with severe angina pectoris (diagnosed as CHD by coronary angiography) who subsequently underwent percutaneous coronary intervention and 162 control subjects with no history of CHD. Periodontal status was recorded. Bone loss was determined on radiographs. Periodontal disease experience was classified into five groups according to Hugoson & Jordan. Results: Periodontal disease experience groups 4 and 5 were more common in the CHD group (25%) compared with the control group (8%). The mean bone level (the distance from the CEJ to the most coronal level of the alveolar bone) was 3.0±1.0 mm in CHD subjects and 2.6±0.8 mm in controls. CHD patients had significantly lower numbers of natural teeth, higher numbers of periodontal pockets 4,6-mm and higher bleeding on probing (%). In a stepwise regression analysis, the factor periodontal disease experience groups 4+5 gave an odds ratio of 5.74 (2.07,15.90) for having CHD after controlling for smoking and age. Conclusion: Severe periodontal disease expressed by several clinical and radiographic parameters was more prevalent among subjects with CHD than among controls. Analysis, the factor periodontal disease experience groups 4+5 gave an odds ratio of 5.74 (2.07,15.90) for having CHD after controlling for smoking and age. [source] The association of psychosocial factors and smoking with periodontal health in a community populationJOURNAL OF PERIODONTAL RESEARCH, Issue 1 2010L.-J. Chiou Chiou L-J, Yang Y-H, Hung H-C, Tsai C-C, Shieh T-Y, Wu Y-M, Wang W-C, Hsu T-C. The association of psychosocial factors and smoking with periodontal health in a community population. J Periodont Res 2009; doi: 10.1111/j.1600-0765.2008.01194.x. © 2009 John Wiley & Sons A/S Background and Objective:, The association between psychosocial factors and periodontal disease has been widely reported and might be modified by smoking status. This study investigated the association of periodontal status with psychosocial factors and smoking in a community population. Material and Methods:, A structured questionnaire was administered to a total of 1764 civilian noninstitutional (general population excluding from nursing homes, sanitariums and hospitals) Taiwanese individuals to assess the presence and severity of psychosocial factors [using the 12-item Chinese health questionnaire (CHQ-12)], smoking habits and other related factors. Periodontal status was established using the community periodontal index and by measuring clinical loss of attachment. Results:, Psychological factors and smoking were significantly associated with loss of attachment (odds ratio = 1.69, 95% confidence interval = 1.01,2.77, comparing the CHQ-12 score of , 6 with the CHQ-12 score of 0,2 and p = 0.032 for linear trend; odds ratio = 2.21, 95% confidence interval = 1.45,3.37, comparing smokers with nonsmokers) but not with community periodontal index. The association was found to be stronger among smokers than among nonsmokers. Smokers with a CHQ-12 score of , 6 had a higher odds ratio of loss of attachment (odds ratio = 2.49, 95% confidence interval = 0.91,6.49) than nonsmokers (odds ratio = 1.43, 95% confidence interval = 0.76,2.58). For periodontal health measured using the community periodontal index, married and divorced/widowed subjects tended to have poorer periodontal health (odds ratio = 3.38, 95% confidence interval = 1.26,10.81 and odds ratio = 3.83, 95% confidence interval = 1.21,13.83, respectively) than single subjects among nonsmokers but not among smokers. Conclusion:, Poor mental health had a stronger association with periodontal disease among smokers than among nonsmokers, especially in accumulative attachment loss. Our findings suggest that mental health and smoking might have a synergistic effect on the risk of developing periodontal disease. [source] Relationship Between Periodontal Status and HbA1c in NondiabeticsJOURNAL OF PUBLIC HEALTH DENTISTRY, Issue 3 2009Hideaki Hayashida DDS Abstract Objectives: Many studies have reported an association between diabetes and periodontitis. We analyzed the periodontal status and glycosylated hemoglobin (HbA1c) level in nondiabetic subjects to investigate the relationship between periodontitis and glucose control in nondiabetics. Methods: Periodontal status, HbA1c, serum cholesterol, triglyceride, body mass index (BMI), and demographic variables were assessed in 141 Japanese adults. The difference in the HbA1c level was evaluated among subjects according to periodontal status. Results: After adjusting for age, gender, BMI, and smoking, alcohol, and exercise habits as covariates, the mean HbA1c was significantly elevated with periodontal deterioration (P = 0.023). Conclusions: There was a significant relationship between periodontal status and HbA1c levels in nondiabetics. [source] Gene expression signatures in chronic and aggressive periodontitis: a pilot studyEUROPEAN JOURNAL OF ORAL SCIENCES, Issue 3 2004Panos N. Papapanou This pilot study examined gene expression signatures in pathological gingival tissues of subjects with chronic or aggressive periodontitis, and explored whether new subclasses of periodontitis can be identified based on gene expression profiles. A total of 14 patients, seven with chronic and seven with aggressive periodontitis, were examined with respect to clinical periodontal status, composition of subgingival bacterial plaque assessed by checkerboard hybridizations, and levels of serum IgG antibodies to periodontal bacteria assayed by checkerboard immunoblotting. In addition, at least two pathological pockets/patient were biopsied, processed for RNA extraction, amplification and labeling, and used to study gene expression using Affymetrix U-133 A arrays. Based on a total of 35 microarrays, no significantly different gene expression profiles appeared to emerge between chronic and aggressive periodontitis. However, a de novo grouping of the 14 subjects into two fairly robust clusters was possible based on similarities in gene expression. These two groups had similar clinical periodontal status and subgingival bacterial profiles, but differed significantly with respect to serum IgG levels against the important periodontal pathogens Porphyromonas gingivalis, Tannerella forsythensis and Campylobacter rectus. These early data point to the usefulness of gene expression profiling techniques in the identification of subclasses of periodontitis with common pathobiology. [source] Periodontal microbiota and clinical periodontal status in a rural sample in southern ThailandEUROPEAN JOURNAL OF ORAL SCIENCES, Issue 5 2002P. N. Papapanou We sought to determine (i) the association of subgingival bacterial profiles to clinical periodontal status in a population with limited access to dental care in Thailand, and (ii) the external validity of our earlier findings from a similar study in rural China. We examined 356 subjects, 30,39 yr old and 50,59 yr old, with respect to clinical periodontal status and subgingival plaque at maximally 14 sites per subject. Checkerboard hybridizations were used to analyse a total of 4343 samples. The prevalence of the 27 species investigated ranged between 87.2% and 100%. Discriminant analysis based on microbial profiles classified correctly 67.5% of all deep (, 5 mm) and 64.2% of all shallow sites, and 67.4% of all subjects with and 69.3% of all subjects without , 3 deep pockets. High colonization by ,red complex' bacteria was four times as likely (95% Confidence Limits (CL) 2.5,6.6) in subjects with ,,10 sites with attachment loss of ,,5 mm, and 4.3 times as likely (95% CL 2.6,7.1) in subjects with , 30 such sites. The data confirmed (i) the ubiquitous prevalence of the bacteria investigated in subjects with no regular access to dental care; and (ii) the high odds for periodontal pathology conferred by increased levels of specific periodontal bacteria. [source] Periodontal status and IOTN interventions among young hemophiliacsHAEMOPHILIA, Issue 4 2006S. AZHAR Summary., ,Fifty-two young individuals suffering from severe haemophilia A and B volunteered to be compared with school- and college-going students for oral health status description and subsequent management. A total of 244 students (84.42% boys and 15.58% girls) with the age group of 13,23 years were divided into two groups, A and B (controls). The purpose of this study was to increase awareness about evidence-based dental practices by oral examinations followed by comparisons of periodontal health and prevalence of malocclusions among medically compromised students and healthy controls. Results described the oral health in severe haemophilic population to be compromised with combined simplified health index score of 0.50 and Decayed/Modified/Filled Teeth (DMFT) index score of 2.07 when compared with 0.42 and 0.95, respectively, among group B. Although prevalence of malocclusion and orthodontic treatment needs among group A were higher, yet it was not confirmed as a reason for degraded dental and periodontal status. However, spontaneous and/or toothbrush (trauma)-induced gingival bleeding episodes among group A could be explained as factors discouraging oral hygiene maintenance, particularly self-administered measures. Four haemophiliacs presented with symptoms of Temporomandibular Joint Dysfunction Syndrome (TMPDS). Evidence-based oral medicine and clinical practices need to be encouraged and applied to enhance the quality of life among haemophiliacs, particularly in developing world. Dental treatment needs of haemophilic population appear to be greater and maybe incorporated in routine dental practices, at institutional and individual levels. [source] Oral hygiene practices, periodontal conditions, dentition status and self-reported bad mouth breath among young mothers, TanzaniaINTERNATIONAL JOURNAL OF DENTAL HYGIENE, Issue 4 2006EGS Mumghamba Abstract:,Objectives:,To determine the oral hygiene practices, periodontal conditions, dentition status and self-reported bad mouth breath (S-BMB) among young mothers. Study participants and methods:,This was a cross-sectional descriptive study conducted at Muhimbili National Hospital, Dar es Salaam, Tanzania. A total of 302 postpartum mothers, aged 14,44 years, were interviewed on oral hygiene practices and S-BMB using structured questionnaire. Oral hygiene, dentition and periodontal status were assessed using the Community Periodontal Index probe and gingival recessions (GR) using Williams Periodontal probe. Results:,Tooth brushing practice was 99%; tongue brushing (95%), plastic toothbrush users (96%), chewing stick (1%), wooden toothpicks (76%), dental floss (<1%); and toothpaste (93%). The prevalence of plaque and gingival bleeding on probing was 100%, gum bleeding during tooth brushing (33%), calculus (99%), probing periodontal pocket depth (PPD) 4,5 mm (27%), PPD 6+ mm (3%), GR 1+ mm (27%) and tooth decay (55%). The prevalence of S-BMB was 14%; the S-BMB had higher mean number of sites with plaque compared to the no S-BMB group (P = 0.04). Factors associated with S-BMB were gum bleeding on tooth brushing (OR = 2.4) and PPD 6+ mm (OR = 5.4). Conclusion:,Self-reported bad mouth breath is a cause of concern among young mothers, and associated significant factors were gum bleeding on tooth brushing and deep periodontal pockets of 6+ mm. Further research involving clinical diagnosis of bad mouth breath and intervention through oral health promotion and periodontal therapy are recommended. Clinical relevance:,This study provides baseline information on oral health status and the complaint on bad mouth breath which necessitates in the future need for objective assessment, diagnosis and management of bad mouth breath for enhanced social and professional interaction without embarrassments. [source] Tooth wear in two ancient populations of the Khazar Kaganat region in the UkraineINTERNATIONAL JOURNAL OF OSTEOARCHAEOLOGY, Issue 1 2007W. H. Arnold Abstract Tooth wear is a common phenomenon in archaeological material. It has been related to the abrasiveness of diet and to the tribological attrition of teeth of individuals. Numerous investigations have been carried out in north and middle American samples as well as African anthropological material. Not much is known about tooth wear in European cultures. Eleven skulls from Chervona Gusarovka, and 14 skulls from the Upper Saltov sites of the Khazar Kaganat region (8th,10th centuries AD) in eastern Ukraine, with different diets were examined. A total of 208 teeth were studied for tooth wear, caries prevalence and periodontal status. Abrasion grades were determined according to a standardised classification and statistically evaluated. Periodontal status was measured using the distance between the enamel-cementum junction and alveolar crest and the gingival attachment level respectively. Tooth wear was significantly different (P,<,0.01) between the two populations. A low caries prevalence of 4.2% in the Chervona Gusarovka population and 1.7% in the Upper Saltov population was found. Significantly more alveolar crest bone resorption on the lingual side was found in the premolars and anterior teeth of the Chervona Gusarovka population. No significant differences were found regarding gingival attachment levels and gingival recession. It is concluded that the content and mode of food preparation influenced tooth wear, as reflected by the prevalence of dental caries and periodontal diseases in these ancient populations. Copyright © 2006 John Wiley & Sons, Ltd. [source] Oral manifestations and dental status in paediatric HIV infectionINTERNATIONAL JOURNAL OF PAEDIATRIC DENTISTRY, Issue 1 2000F.J. Ramos-Gomez Objective. To describe the incidence and prevalence of oral manifestations of HIV infection in a population of perinatally infected children. Design. Retrospective and prospective study of a cohort of perinatally HIV-infected children. Setting. Community hospital and community-based paediatric clinic. Sample and methods. Forty perinatally HIV-infected children with a median age of 12 months were eligible and selected for the study, which included a medical chart review from birth and prospective follow-up. Each child was examined quarterly for oral manifestations, tooth eruption, and for 27 children, caries and periodontal status. Results. The incidence of pseudomembranous candidiasis was 43% (95% CI, 27,58%) within 6 months of birth. Oral candidiasis (defined as pseudomembranous or erythematous) was positively associated with low CD4 counts and the occurrence of plaque. Children with low CD4 counts were also found to have fewer teeth than children with high CD4 counts, after adjusting for age. Conclusions. Oral manifestations are common in paediatric HIV infection and are possible predictors of HIV disease progression. Primary care of HIV-infected children should include periodic oral examinations to monitor their HIV disease progression and to alleviate symptoms associated with oral opportunistic infections. [source] Markers of bone destruction and formation and periodontitis in type 1 diabetes mellitusJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 8 2009David F. Lappin Abstract Aim: To determine plasma concentrations of bone metabolism markers in type 1 diabetes mellitus patients and non-diabetic and to evaluate the influence of periodontitis on biomarkers of bone formation in these patient groups. Methods: Plasma concentrations of receptor activator of nuclear factor- ,B ligand (RANKL), osteoprotegerin (OPG), C-terminal telopeptide of type 1 collagen and osteocalcin were measured in type 1 diabetes mellitus patients (n=63) and non-diabetics (n=38) who were also subdivided on the basis of their periodontal status. Results: Diabetics had significantly lower osteocalcin concentrations, lower RANKL to OPG ratios and higher OPG concentrations (as shown by other researchers) than non-diabetics. The ratio of RANKL to OPG was altered by the periodontal status. Osteocalcin had a negative correlation and OPG a positive correlation with the percentage of glycated haemoglobin in the blood. Conclusion: Because, osteocalcin, a biomarker of bone formation, is lower in patients with periodontitis and in patients with type 1 diabetes mellitus with and without periodontitis than in non-diabetics without periodontitis, this might indicate that diabetics are less able to replace bone lost during active bursts of periodontitis and explain the greater severity of disease seen in studies of patients with diabetes. [source] Role of serum cytokines tumour necrosis factor- , and interleukin-6 in the association between body weight and periodontal infectionJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 2 2009Tuomas Saxlin Abstract Aim: To study the role of serum cytokines tumour necrosis factor , (TNF- ,) and interleukin 6 (IL-6) as potential mediators in the association between body weight and periodontal infection among an adult population. Material and Methods: This study was based on a subpopulation of the Health 2000 Health Examination Survey, which included dentate non-diabetic, non-rheumatic subjects, aged between 45 and 64 years, who had never smoked and whose serum levels of TNF- , and IL-6 were analysed and whose periodontal status was clinically determined (effective n=425). The number of teeth with periodontal pockets of 4 mm or more and the number of teeth with periodontal pockets of 6 mm or more were used as outcome variables. Relative risks and 95% confidence intervals were estimated using Poisson regression models. Results: Serum IL-6, but not TNF- , associated with teeth with deepened periodontal pockets. Multivariate models showed that IL-6, but not TNF- ,, could mediate the effect of body weight on periodontium. Conclusion: In this population of non-diabetic and non-rheumatic subjects, who had never smoked, serum IL-6 was associated with periodontal infection. The results suggest that serum IL-6 could be one mediating factor that connects body weight and periodontal infection. [source] Prospective study of complier individuals under periodontal maintenance therapy: analysis of clinical periodontal parameters, risk predictors and the progression of periodontitisJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 1 2009Telma Campos Medeiros Lorentz Abstract Aim: This prospective study aimed to evaluate the progression of periodontitis and the influence of risk variables among individuals attending a programme of periodontal maintenance treatment in an academic environment. Material and Methods: A total of 150 individuals diagnosed with chronic moderate-advanced periodontitis, and who had finished active periodontal treatment, were incorporated into the periodontal maintenance therapy. Social, demographic and biological variables of interest from subjects were collected at quarterly recalls, over a 12-month period. The effect of variables of interest and confounding on the periodontal status and progression of periodontitis was tested by univariate and multivariate logistic analysis. Results: A total of 130 subjects (86.7%) showed stable periodontal status, whereas 20 subjects (13.3%) presented periodontitis progression. Twenty-eight subjects (18.66%) presented tooth loss that resulted in a total of 47 lost teeth (1.38%). Diabetes was not found to be associated with periodontitis progression (p=0.67). Smoking was significantly associated with a greater progression of periodontitis (OR=2.7, 95% CI 1.01,7.22). Conclusions: Periodontal maintenance programmes in academic environment can stabilize the periodontal condition obtained after active periodontal therapy as well as control the action of risk variables for the progression of periodontitis. [source] TLR4 and IL-18 gene variants in aggressive periodontitisJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 12 2008Barbara Noack Abstract Aim: We aimed to assess the association of different genotypes with increased aggressive periodontitis susceptibility by studying functional relevant variants in the pathogen-recognition receptor Toll-like receptor 4 (TLR4) and variants in the promoter region of the pro-inflammatory cytokine interleukin-18 (IL-18). Material and Methods: One hundred and eleven patients with aggressive periodontitis and 80 periodontally healthy controls were genotyped for four functional variants in the TLR4 gene (c.896A>G and c.1196C>T) and in the IL-18 promoter (c.,368G>C and c.,838C>A). The genotype and allele frequencies, as well as the frequency of combined genotypes were compared between study groups. Results: There were no statistical differences in genotype and allele frequencies within the four variants between the groups. All study subjects were further classified into carriers and non-carriers of at least one variant of both genes. The logistic regression analysis adjusted for gender and smoking showed no association between carrier status of at least one variant of both genes and periodontal status (OR=1.41, 95% CI: 0.43,4.70). Conclusions: Our results reject the hypothesis that functionally relevant IL-18 and TLR4 gene mutations have a major effect on aggressive periodontitis susceptibility alone or in combination. [source] Periodontal therapy alters gene expression of peripheral blood monocytesJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 9 2007Panos N. Papapanou Abstract Aims: We investigated the effects of periodontal therapy on gene expression of peripheral blood monocytes. Methods: Fifteen patients with periodontitis gave blood samples at four time points: 1 week before periodontal treatment (#1), at treatment initiation (baseline, #2), 6-week (#3) and 10-week post-baseline (#4). At baseline and 10 weeks, periodontal status was recorded and subgingival plaque samples were obtained. Periodontal therapy (periodontal surgery and extractions without adjunctive antibiotics) was completed within 6 weeks. At each time point, serum concentrations of 19 biomarkers were determined. Peripheral blood monocytes were purified, RNA was extracted, reverse-transcribed, labelled and hybridized with AffymetrixU133Plus2.0 chips. Expression profiles were analysed using linear random-effects models. Further analysis of gene ontology terms summarized the expression patterns into biologically relevant categories. Differential expression of selected genes was confirmed by real-time reverse transcriptase-polymerase chain reaction in a subset of patients. Results: Treatment resulted in a substantial improvement in clinical periodontal status and reduction in the levels of several periodontal pathogens. Expression profiling over time revealed more than 11,000 probe sets differentially expressed at a false discovery rate of <0.05. Approximately 1/3 of the patients showed substantial changes in expression in genes relevant to innate immunity, apoptosis and cell signalling. Conclusions: The data suggest that periodontal therapy may alter monocytic gene expression in a manner consistent with a systemic anti-inflammatory effect. [source] Lipid peroxidation levels and total oxidant status in serum, saliva and gingival crevicular fluid in patients with chronic periodontitisJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 7 2007Ferda Alev Akal Abstract Objectives: Increased levels of reactive oxygen species lead to oxidative stress. Recent data suggest increased lipid peroxidation (LPO) levels and oxidative stress in periodontitis. Malondialdehyde (MDA), a significant LPO product, increases in oxidative stress. In this study, MDA levels and total oxidant status (TOS) in serum, saliva and gingival crevicular fluid (GCF) were investigated in patients with chronic periodontitis (CP). Materials and Methods: Thirty-six CP patients and 28 periodontally healthy controls were included in the study. Following clinical measurements and samplings, MDA and TOS levels were measured by high-performance liquid chromatography and a novel automatic colorimetric method, respectively. Results: While the saliva and GCF MDA levels, and serum, saliva and GCF TOS values were significantly higher in the CP group than the control group (p<0.05), no significant difference in serum MDA levels was found (p>0.05). Strong positive correlations were observed between periodontal parameters and MDA and TOS levels (p<0.05). Conclusions: The results revealed that LPO significantly increased locally in the periodontal pocket/oral environment, while TOS displayed both systemic and local increases in periodontitis. The findings suggest that increased LPO and TOS may play an important role in the pathology of periodontitis, and are closely related to the clinical periodontal status. [source] Gingival crevicular fluid interleukin-1,, prostaglandin E2 and periodontal status in a community populationJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 4 2007Y. Zhong Abstract Aim: Interleukin-1 , (IL-1,) and prostaglandin E2 (PGE2) are key inflammatory mediators involved in periodontal disease. The purposes of this molecular cross-sectional epidemiological study were to investigate relationships in a community sample between mean concentrations of IL-1, and PGE2 in gingival crevicular fluid (GCF) and (1) clinical periodontal signs and (2) risk factors of host inflammatory response and/or periodontal disease. Material and Methods: The sample comprised 6277 community-dwelling adults aged 52,74 years enrolled in the Atherosclerosis Risk in Communities (ARIC) study. IL-1, and PGE2 concentrations were measured using enzyme-linked immunosorbent assay. Person-level summary variables were computed for maximum pocket depth (MaxPD), maximum clinical attachment level (MaxCAL) and presence/absence of bleeding on probing (BOP). Mean GCF IL-1, and PGE2 concentrations were dependent variables in multiple linear regression models with periodontal measures and covariates as explanatory variables. Results: Both GCF IL-1, and PGE2 were positively related to MaxPD and BOP in multiple regression models (p<0.01). Increased levels of IL-1, and PGE2 were associated with body mass index 30 kg/m2. Conclusion: Higher levels of GCF IL-1, and PGE2 were significantly associated with clinical signs of periodontal disease and independently related to patient-based anthropomorphic measures, behaviours and exposures in community-dwelling adults. [source] Periodontal infection profiles in type 1 diabetesJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 12 2006Evanthia Lalla Abstract Objectives: We investigated the levels of subgingival plaque bacteria and serum IgG responses in patients with type 1 diabetes and non-diabetic controls of comparable periodontal status. Material and Methods: Fifty type 1 diabetes patients (mean duration 20.3 years, range 6,41) were age-and gender-matched with 50 non-diabetic individuals with similar levels of periodontal disease. Full-mouth clinical periodontal status was recorded, and eight plaque samples/person were collected and analysed by checkerboard hybridization with respect to 12 species. Homologous serum IgG titres were assessed by checkerboard immunoblotting. In a sub-sample of pairs, serum cytokines and selected markers of cardiovascular risk were assessed using multiplex technology. Results: Among the investigated species, only levels of Eubacterium nodatum were found to be higher in diabetic patients, while none of the IgG titres differed between the groups, both before and after adjustments for microbial load. Patients with diabetes had significantly higher serum levels of soluble E-selectin (p=0.04), vascular cell adhesion molecule-1 (VCAM-1; p=0.0008), adiponectin (p=0.01) and lower levels of plasminogen activator inhibitor-1 (PAI-1; p=0.02). Conclusions: After controlling for the severity of periodontal disease, patients with type 1 diabetes and non-diabetic controls showed comparable subgingival infection patterns and serum antibody responses. [source] Fc, receptor polymorphisms and periodontal status: a prospective follow-up studyJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 10 2006D. L. Wolf Abstract Aims: The aims of this study were to assess: (i) the distribution of Fc, receptor polymorphisms among patients with chronic periodontitis ("cases") and control subjects with no/minimal loss of periodontal tissue support in a Caucasian population; (ii) whether these polymorphisms can serve as severity markers for periodontitis; and (iii) whether they have any bearing on the response to periodontal therapy. Methods: The study sample consisted of 132 cases and 73 controls of comparable age and gender. Full-mouth periodontal status was assessed. Subgingival plaque (PL) samples and blood samples were obtained and analysed with respect to 19 bacterial species and homologous serum immunoglobulin G titres. Polymorphisms in the Fc, receptor IIa (131R/H) and IIIb (NA1/NA2) were assessed by polymerase chain reaction. Patients underwent periodontal therapy and were followed up at 4 and 30 months. Results: Neither polymorphism showed a skewed distribution among cases and controls. At baseline, periodontitis patients with Fc, RIIa-H/H131 genotype had more PL and deeper pockets than patients in other genotype groups (p<0.05). Both bacterial levels and antibody titres were unrelated to genotype. The longitudinal analysis failed to detect an association between genotype and response to periodontal therapy. Conclusions: The present data failed to demonstrate a clinically relevant relationship between the Fc, receptor IIa (131R/H) or IIIb (NA1/NA2) polymorphism and periodontal status. [source] Impact of periodontal preventive programmes on the data from epidemiologic studiesJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 2005Per E. Gjermo Abstract This report provides only circumstantial evidence for the impact of programmes on periodontal epidemiology. The prerequisites for programmes and campaigns are described, and epidemiologic data on periodontal disease are compared with known changes in factors that may be affected by such activities. Unfortunately, parameters for periodontal disease as a process are not available. Only variables indicating irreversible effects on the periodontal status can be obtained. A lack of appropriate studies creates additional problems. This review indicates that preventive programmes and campaigns to improve oral hygiene have affected periodontal epidemiologic data concerning gingivitis and mild/moderate periodontitis favourably. Severe periodontitis seems not to have been influenced by such activities. Smoking is strongly associated with the severity of periodontitis. Therefore, a positive effect may be anticipated following the smoking cessation campaigns currently introduced worldwide. However, because of the irreversible nature of our epidemiologic parameters, it will take decades before any effect may be evident. It is recommended that periodontal epidemiology should be revitalized by introducing a nominalistic categorization instead of the changing essentialistic approaches used so far in order to facilitate the interpretation of data. [source] Periodontal health improves systemic inflammatory and haemostatic status in subjects with coronary heart diseaseJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 2 2005L. Montebugnoli Abstract Objectives: A relationship between poor oral health and coronary heart disease (CHD) and systemic inflammatory and haemostatic factors has been recently documented in an Italian population. The present study was performed to assess whether intensive dental care may produce a periodontal improvement along with a change in systemic inflammatory and haemostatic factors. Material and Methods: The study population consisted of 18 males aged 40,65 years with proven CHD and elevated values of systemic inflammatory and haemostatic factors. A detailed description of their oral status was given by using two different dental indices (clinical periodontal sum score and clinical and radiographic sum score). Blood samples were taken for measurement of the following systemic markers of inflammation [(C-reactive protein (CRP), leucocytes, fibrinogen)] and haemostatic factors [(von Willebrand factor, fibrin D-dimer and oxidized-low density lipoprotein (Ox-LDL)]. All parameters were determined in each subject at baseline, after 4 months as a control and 3 months after an intensive protocol of scaling and root planing. anova for repeated measures was used for the statistical analysis. Results: No statistical difference was found between values at baseline and at the 4-month-control. All oral indexes showed a significant decrease (p<.01) 3 months after periodontal treatment. All systemic inflammatory indexes decreased but only the decrease in CRP reached statistical significance (p<.05). A significant decrease (p<.01) was also found as regards Ox-LDL among haemostatic factors. Conclusions: Preliminary results from the present study suggest an association between poor oral status and CHD, and provide evidence that the improvement of periodontal status may influence the systemic inflammatory and haemostatic situation. [source] Longitudinal evaluation of GCF IFN-, levels and periodontal status in HIV+ patientsJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 11 2003T. Alpagot Abstract Background/Aim: Loss of periodontal support and related tooth loss is a common finding among HIV+ patients. The etiology of this destruction may be an increase in the levels of pro-inflammatory cytokines and subsequent increase in periodontal disease activity. The purpose of this study was to investigate the associations between gingival crevicular fluid interferon gamma (GCF IFN- ,) and clinical measures of periodontal disease in HIV+ individuals. We monitored GCF IFN- , and periodontal status of selected sites in 33 HIV+ subjects over a 6-month period. Method: Clinical measurements including gingival index, plaque index, bleeding on probing, probing depth, attachment loss (AL), and GCF samples were taken from four lower incisors and the upper right posterior sextant of each patient at baseline and 6-month visits by means of sterile paper strips. GCF levels of IFN- , were determined by sandwich ELISA assays. A progressing site was defined as a site that had 2 mm or more AL during the 6-month study period. Results: Twenty-five of the 264 examination sites showed 2 mm or more clinical AL during the 6-month study period. Significantly higher GCF levels of IFN- , were found at progressing sites than in nonprogressing sites (p<0.001). GCF levels of IFN- , were highly correlated with clinical measurements taken at baseline and 6-month visits (0.001 Effects of specific nutrients on periodontal disease onset, progression and treatmentJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 7 2003Rodrigo F. Neiva Abstract Objectives: The aim of this paper is to review the available literature pertaining to the effects of specific nutritional elements (e.g. vitamin B-complex, vitamin C and dietary calcium) on general wound healing, periodontal disease status and response to periodontal therapy. Methods: Critical appraisal of various studies that have evaluated the effects of calcium, ascorbic acid and vitamin B-complex in wound healing and periodontal treatment. Results: Periodontal disease onset, progression and response to therapeutic interventions have been shown to be influenced by several systemic, local and environmental modifying factors. Nutritional supplementation has been suggested as a possible influencing factor on periodontal status and wound healing. Several studies have reported various degrees of association between nutritional elements/supplements and periodontal status, and others have reported possible positive influences of nutritional supplementation on periodontal therapeutic outcomes. Future research needs to more fully explore the presence and strength of association between nutrition and periodontal health. Conclusions: Data collected from the literature suggests that nutrient supplementation causes minimal or no side effects. However, the efficacy of prophylactic nutrient supplementation for the prevention of the onset and progression of periodontal disease, or for the enhancement of periodontal wound healing, remains to be determined. Zusammenfassung Es konnte gezeigt werden, dass der Beginn, der Verlauf und das Ansprechen auf therapeutische Intervention parodontaler Erkrankungen durch verschiedene modifizierende systemische, lokale und Umweltfaktoren beeinflusst werden. Ergänzungen zur Ernährung wurden als mögliche Einflussfaktoren für den parodontalen Status und die Wundheilung diskutiert. Diese Arbeit gibt eine Übersicht über die verfügbare Literatur zum Einfluss spezieller Elemente der Ernährung (z.B. Vitamin-B-Komplex, Vitamin C und Kalzium) auf die generelle Wundheilung, parodontale Erkrankungen sowie das Ansprechen auf parodontale Therapie. Verschiedene Studien haben über Zusammenhänge zwischen Elementen der Nahrung bzw. Ernährungsergänzungen und dem parodontalen Status berichtet. Andere berichten über mögliche positive Einflüsse von Ernährungsergänzungen auf das Ergebnis parodontaler Therapie. Besonderer Wert wird auf die kritische Bewertung der vorhandenen Studien gelegt und es werden Empfehlungen für zukünftigen Forschungsbedarf gegeben, um die Existenz und Ausprägung von Zusammenhängen zwischen Ernährung und parodontaler Gesundheit vollständig zu erfassen. Daten, die aus der Literatur gesammelt wurden, legen den Schluss nahe, dass eine Ergänzung der Ernährung minimale oder keine Nebenwirkungen hat. Allerdings die Wirksamkeit einer prophylaktischen Ernährungsergänzung für die Prävention der Entstehung und Progression von Parodontitis oder die Verbesserung der parodontalen Wundheilung muss noch bestimmt werden. Résumé L'apparition, la progression et la réponse de la maladie parodontale aux interventions thérapeutiques sont influencées par différents facteurs systémiques locaux et environnementaux. L'apport supplémentaire de substances nutritives a été suggéré comme facteur influençant l'état parodontal et la guérison. Cette étude revoit la littérature concernant les effets des éléments nutritionnels spécifiques comme le complexe vitaminique-B, le vitamine-C et le calcium diététique sur la guérison en général, l'état de la maladie parodontale et la réponse au traitement parodontal. Différentes études ont rapporté différents degrés d'association entre les éléments/suppléments nutritifs et l'état parodontal, et d'autres ont rapporté des influences positives possibles des suppléments nutritionnels sur la guérison thérapeutique parodontale. L'importance est axée sur l'appréciation critique d'études disponibles et sur une recommandation en recherches futures pour explorer davantage la présence et la force de l'association entre la nutrition et la santé parodontale. Des données collectées de la littérature suggèrent que l'apport de suppléments nutritifs n'est suivi que de peu ou pas d'effets secondaires. Cependant, l'efficacité d'un supplément nutritif prophylactique pour la prévention primaire et de la progression de la maladie parodontale, ou pour l'augmentation de la guérison parodontale reste à déterminer. [source] Clinical and microbiological studies of periodontal disease in Sjögren's syndrome patientsJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 2 2002B. Kuru Abstract Background: Little is known about the periodontal status of patients with Sjögren's Syndrome (SS), a chronic inflammatory autoimmune disease characterized by xerophthalmia and xerostomia. The aim of the present study was to evaluate whether the periodontal status of SS patients, in terms of clinical and microbiological parameters, differs from systemically healthy age- and gender-matched controls. Methods: 8 primary SS and 10 secondary SS patients were examined in comparison with 11 control subjects. All patients were diagnosed by the European Community Criteria. Control subjects were systemically healthy and not undergoing periodontal treatment. The comparison of clinical status was made in terms of mean periodontal parameters (plaque index, gingival index, gingival recession, probing pocket depth, probing attachment level and bleeding on probing) as well as the frequency distribution of probing pocket depth and probing attachment level measurements. Microbiological assays of the subgingival dental plaque samples were carried out by both a chairside enzyme test (Periocheck®) for the detection of peptidase activity (PA) and a polymerase chain reaction (PCR) analysis for 9 selected periodontal micro-organisms (Actinobacillus actinomycetemcomitans, Fusobacterium nucleatum, Prevotella intermedia, Treponema denticola, Porphyromonas gingivalis, Eikenella corrodens, Campylobacter rectus, Bacteroides forsythus, Streptococcus oralis). Results: The occurrence, severity and extent of periodontal lesions were not significantly different between the 3 patient groups for all periodontal parameters examined. No significant differences in the sub-gingival plaque samples from control, primary or secondary SS patients for the PA test, frequency or type of periodontal micro-organisms observed. Conclusion: No significant differences could be detected in either clinical or microbiological parameters of primary or secondary SS patients compared with that of control subjects. The results of the present study thus support the notion that the periodontal status of patients with SS do not differ from systemically healthy age- and gender-matched controls. Zusammenfassung Hintergrund: Es ist wenig über den parodontalen Status von Patienten mit Sjögren Syndrom (SS) bekannt, einer chronischen entzündlichen Autoimmunerkrankung, die durch Xerophtalmie und Xerostomie charakterisiert ist. Das Ziel der vorliegenden Studie war zu überprüfen, ob der parodontale Status der SS-Patienten bi Berücksichtigung der klinischen und mikrobiologischen Parameter von demjenigen bei systemisch gesunden alters- und geschlechtspassenden Kontrollen abweicht. Methoden: 8 primäre SS und 10 sekundäre SS Patienten wurden mit 11 Kontrollpersonen vergleichend untersucht. Alle Patienten waren durch Kriterien der EU diagnostiziert. Die Kontrollpersonen waren systemisch gesund und erhielten keine parodontale Behandlung. Der Vergleich des klinischen Status wurde auf der Basis von mittleren parodontalen Parametern (Plaque-Index, Gingivaindex, gingivale Rezession, Sondierungstiefe, Stützgewebeniveau, Provokationsblutung) sowie der Verteilungsmuster der Sondierungstiefe und des Stützgewebeniveaus vorgenommen. Mikrobiologische Assay's von subgingivalen Plaqueproben wurden sowohl mit einem chairside Enzymtest (Periocheck®) für die Feststellung der Peptidaseaktivität (PA) und einer Polymerasekettenreaktion (PCR) für 9 selektierte parodontale Mikroorganismen (Actinobacillus actinomycetemcomitans, Fusobacterium nucleatum, Prevotella intermedia, Treponema denticola, Porphyromonas gingivalis, Eikenella corrodens, Campylobacter rectus, Bacteroides forsythus, Streptococcus oralis) durchgeführt. Ergebnisse: Das Vorkommen, die Schwere und die Ausdehnung von parodontalen Läsionen unterschied sich nicht signifikant zwischen den 3 Patientengruppen für alle geprüften parodontalen Parameter. Es gab auch keine signifikanten Differenzen in den subgingivalen Plaqueproben von den Kontrollen, den primären oder sekundären SS Patienten für die PA Teste und Frequenz oder Art von beobachteten parodontalen Mikroorganismen. Schlussfolgerung: Es konnten keine signifikanten Differenzen sowohl bei den klinischen oder mikrobiologischen Parametern von primären oder sekundären SS Patienten im Vergleich mit Kontrollpersonen entdeck werden. Die Ergebnisse der vorliegenden Studie unterstützen die Ansicht, dass sich der parodontale Status von Patienten mit SS nicht von demjenigen gesunder alters- und geschlechtspassender Kontrollen unterscheidet. Résumé Origine: On en sait peu sur l'état parodontal des patients atteints du syndrome de Sjögren (SS), une maladie chronique autoimmune inflammatoire caractérisée par une xérophtalmie et une xérostomie. Le but de cette étude était d'évaluer si l'état parodontal des patients SS, en terme de paramètres cliniques et microbiologiques était différent de sujets contrôles en bonne santé générale du même âge et du méme sexe. Méthodes: 8 patients atteints de SS primaires et 10 de SS secondaires furent examinés et comparés avec des sujets contrôles. Tous les patients étaient diagnostiqués selon les critères de la communauté européenne. Les sujets contrôles étaient en bonne santé générale et ne suivaient pas de traitement parodontal. La comparaison des états parodontaux fut réalisée pour les paramètres cliniques moyens (indice de plaque, gingival, récession gingivale, profondeur de poche au sondage, niveau d'attache et saignement au sondage) et aussi pour la frèquence de distribution des mesures des profondeurs de poche au sondage et des niveaux d'attache. Les tests microbiologiques des échantillons de plaque sous-gingivale ont été réalisés à la fois par un test enzymatique au fauteuil (Periocheck®) pour la détection de l'activité peptidase (PA) et par réaction de polymérase en chaine (PCR) pour 9 micro-organismes parodontaux sélectionnés (Actinobacillus actinomycetemcomitans, Fusobacterium nucleatum, Prevotella intermedia, Treponema denticola, Porphyromonas gingivalis, Eikenella corrodens, Campylobacter rectus, Bacteroides forsythus, Streptococcus oralis). Résultats: La survenue, la sévérité et l'étendue de la maladie parodontale n'étaient pas significativement différente entre les 3 groupes de patients pour tous les paramètres parodontaux examinés. Aucune différence significative ne fut observée entre les échantillons de plaque sous-gingivale des contrôles et ceux des patients atteints de SS primaire et secondaire, pour PA, la frèquence ou le type de micro-organismes. Conclusions: Aucune différence significative ne put être détectée, ni pour les paramètres cliniques, ni pour les paramètres microbiologiques des patients atteints de SS primaire ou secondaire lorsque l'on comparait avec les sujets contrôles. Les résultats de cette étude corroborent ainsi l'idée suivant laquelle l'état parodontal des patients atteints de SS ne différe pas de celui des sujets en bonne santé du même âge et du même sexe. [source] Absence of a specific subgingival microflora in adults with Down's syndromeJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 11 2001W. Reuland-Bosma Abstract Background: Periodontal disease in Down's syndrome (DS) is generally characterized by a high degree of bone loss. Bone loss of 5 mm or more is observed in 70% of these subjects. Among DS subjects, considerable differences in disease progression occur. So far, no studies have been conducted in which specific properties of the subgingival microflora have been related to the condition observed. Aims: To investigate (1) the subgingival microflora in DS subjects and other mentally retarded (control) individuals which were matched to the utmost and (2) to investigate the subgingival microflora of a "low-risk" and a " high-risk" group formed in DS subjects. Material and Methods: 17 DS subjects and 17 control subjects were matched with respect to age, plaque level and bleeding on probing. In addition, the DS group was divided in a "low-risk" group (0,2 teeth lost due to periodontal disease n=6) and a "high-risk"group (6,13 teeth lost due to periodontal disease n=11). Prevalence and proportions of the putative periodontal pathogens Actinobacillus actinomycetemcomitans, Porphyromonas gingivalis, Prevotella intermedia, Bacteroides forsythus, Peptostreptococcus micros, Fusobacterium nucleatum and Campylobacter rectus in the subgingival plaque were determined using anaerobic culture techniques. No differences in the prevalence of distinct suspected periodontopathic bacteria and bacterial subgingival composition between the DS group and the control group could be established. Also no differences in the prevalence of the seven investigated microbial species between the "low-risk" and the "high-risk" group were observed. Conclusions: Because of the lack of differences in microflora between the DS group and the control group, a specific effect of the microbiological composition in the periodontal status of subjects with DS can be excluded in this population. Host factors constitute the more likely explanation of the differences observed in DS. Zusammenfassung Basis: Die parodontale Erkrankung beim Down Syndrom (DS) ist allgemein durch einen hohen Grad von Knochenverlust charakterisiert. Knochenverlust von 5 mm und mehr wird bei 70% der Personen beobachtet. Unter den DS Personen bestehen beträchtliche Differenzen in der Erkrankungsprogression. Bis heute sind keine Studien durchgeführt worden, in welchen die spezifischen Eingenschaften der subgingivalen Mikroflora in Beziehung zu den Bedingungen beobachtet wurden. Ziele: Untersuchung (1) der subgingivalen Mikroflora bei DS Personen und anderen mental retardierten (Kontrollen) Personen, die zu einer größten gemischt wurden und (2) der subgingivalen Mikroflora von Gruppen mit "geringem Risiko" und Gruppen mit "hohem Risiko" bei DS Personen. Material und Methoden: 17 DS Personen mit 17 Kontrollpersonen wurden im Hinblick auf Alter, Plaquemenge und Blutung auf Provokation eingeteilt. Zusätzlich wurde die DS Gruppe in "geringes Risiko" (0,2 Zähne infolge von parodontaler Erkrankung verloren, n=6) und in "hohes Risiko" (6,13 Zähne infolge parodontaler Erkrankung verloren, n=11) eingeteilt. Das Vorkommen und die Relationen von putativen parodontalen Pathogenen Actinobacillus actinomycetemcomitants, Porphyromonas gingivalis, Prevotella intermedia, Bacteroides forsythus, Peptostreptococcus micros, Fusobacterium nucleatum und Campylobacter rectus in der subgingivalen Plaque wurden mit anaerober Kulturtechnik bestimmt. Ergebnisse: Es konnten keine Differenzen in der Prävalenz der bezeichneten parodontopathogenen Bakterien und der bakteriellen subgingivalen Zusammensetzung zwischen DS Gruppe und der Kontrollgruppe beobachtet werden. Auch zwischen der Gruppe "geringes Risiko" und "hohes Risiko" wurden keine Differenzen in der Prävalenz der 7 untersuchten Spezies beobachtet. Schlußfolgerungen: Weil keine Differenzen in der Mikroflora zwischen DS Gruppe und der Kontrollgruppe vorhanden sind, kann ein spezifischer Effekt der mikrobiologischen Zusammensetzung beim parodontalen Status der Personen mit DS in dieser Population ausgeschlossen werden. Für die Erklärung der Differenzen, die bei den DS Personen beobachtet werden, sind die Wirtsfaktoren mehr wahrscheinlich. Résumé Origine: La maladie parodontale lors du syndrôme de Down (DS) est généralement caractérisée par une importante perte osseuse. Cette perte osseuse atteint 5 mm ou plus chez 70% de ces malades. Parmi les sujets DS, des différences considérables dans la progression de cette maladie se manifestent. Aucune étude n'a encore été entreprise dans laquelle la microflore sous-gingivale a été mise en relation avec les conditions observées. But: Le but de cette étude a été (1) d'analyser la microflore sous-gingivale chez les sujets DS et d'autres retardés mentaux servant de contrôles et (2) mieux connaître la microflore sous-gingivale chez les groupes de patients DS avec faible et haut risques. Matériaux et méthodes: 17 sujets DS et 17 sujets contrôles ont été analysés de manière parallèle en fonction de l'âge, du niveau de plaque dentaire et du saignement au sondage. De plus, le groupe DS était scindé en deux sous-groupes: "petit risque" (0 à 2 dents perdues pour cause de maladie parodontale; n=6), et "haut risque" (6 à 13 dents perdues; n=11). La fréquence globale et les proportions de pathogènes parodontaux putatifs l'Actinobacillus actinomycetemcomitans, le Porphyromonas gingivalis, le Prevotella intermedia, le Bacteroides forsythus, le Peptostreptococcus micros, le Fusobacterium nucleatum et le Campylobacter rectus dans la plaque sous-gingivale ont été déterminés en utilisant des techniques de culture anaérobie. Résultats: Aucune différence dans la fréquence globlale de ces bactéries ni dans la composition de la flore sous-gingivale n'a été trouvée entre le groupe DS et le groupe contrôle. Il n'y avait également aucune différence entre les sous-groupes à faible et à haut risques. Conclusions: Parce qu'aucune différence n'a été décelée dans la microflore entre les groupes DS et contrôle, aucun effet spécifique de leur flore sous-gingivale ne pourrait être responsable; les facteurs de l'hôte constituent très vraisemblablement l'explication des différences observées chez les sujets DS. [source] Interleukin-1 gene polymorphism and periodontal statusJOURNAL OF CLINICAL PERIODONTOLOGY, Issue 5 2001A case-control study Abstract Objectives: This case-control study examined polymorphisms at the interleukin-1 gene in relation to periodontal status, subgingival bacteria and systemic antibodies to periodontal microbiota. Methods: 132 periodontitis patients were age- and gender-matched with 73 periodontally intact controls. Full-mouth clinical assessments of the periodontal tissues were performed. Subgingival plaque samples (2440 in total) were analyzed by genomic DNA probes, and serum IgG antibodies to periodontal microbiota were assessed by an immunoassay. Polymorphisms in the IL-1A gene at position +4845 and the IL-1B gene at position +3953 were studied by PCR. A composite positive genotype was defined as at least one rare (#2) allele present at each locus. Results: No skewed distribution of the composite genotype was observed between cases and controls (45.2% vs 41.7%). In cases, both the composite genotype and the number of #2 alleles were positively correlated with the severity of attachment loss. No relationship between genotype and subgingival microbial profiles was observed. Genotype positive patients revealed both overall lower serum antibody levels and specific titers against selected bacteria. Conclusions: The composite genotype failed to distinguish between periodontitis patients and controls but correlated in patients with the severity of the disease and the antibody responses to periodontal microbiota. Zusammenfassung Grundlagen: Diese Fall-kontrollierte Studie prüfte die Polymorphismen am Interleukin-1 Gen in Beziehung zum parodontalen Status, subgingivalen Bakterien und systemischen Antikörpern zu parodontalen Mikroorganismen. Methoden: 132 Parodontitis-Patienten wurden nach Alter und Geschlecht mit 73 parodontal gesunden Kontrollen gemischt. Eine vollständige klinische Überprüfung des parodontalen Gewebes wurde durchgeführt. Subgingivale Plaqueproben (insgesamt 2440) wurden mit Genom DNA Testen analysiert, und die Serum IgG Antikörper zu parodontalen Bakterien wurden mit einem Immunoassay bestimmt. Die Polymorphismen am IL-1A Gen an den Stellen +4845 und am IL-1B Gen an der Positon +3953 wurden mittels PCR überprüft. Ein zusammengefaßter positiver Genotyp wurde so definiert, daß mindestens ein seltenes Allel (#2) an jeder Position vorhanden war. Ergebnisse: Es wurde keine schiefe Verteilung der zusammengefaßten Genotypen zwischen den Probanden und den Kontrollen (45.2% versus 41.7%) beobachtet. Bei den Probanden waren sowohl der zusammengefaßte Genotyp als auch die Anzahl der #2 Allele positiv mit dem Ausmaß des Stützgewebeverlustes korreliert. Zwischen den Genotypen und den subgingivalen Bakterienprofilen wurden keine Beziehungen gefunden. Genotyp positive Patienten zeigten sowohl allgemein niedrigere Serumantikörperlevel als auch spezifischen Titer gegen die selektierten Bakterien. Zusammenfassung: Der zusammengefaßte Genotyp untereschied sich nicht zwischen den Parodontitis-Patienten und den Kontrollen, aber korrelierte bei den Patienten mit der Schwere der Erkrankung und der Antikörperantwort auf parodontalen Bakterien. Résumé Cette étude a examiné les polymorphismes du gène Interleukine-1 (IL-1) en relation avec l'état parodontal, les bactéries sous-gingivales et les anticorps systémiques aux bactéries parodontales. 132 patients avec parodontite d'âge et de sexe similaires aux 73 contrôles sans problèmes parodontaux ont été recrutés. Les analyses clinique des tissus parodontaux de toute la bouche ont été effectuées. Des échantillons de plaque dentaire sous-gingivale (2220 au total) ont été analysés par des sondes ADN génomiques et des anticorps IgG sériques aux bactéries parodontales ont été analysés par immuno-essais. Les polymorphismes de IL-1A à la position +4845 et de IL-1B à la position +3953 ont étéétudiés par une réaction de la chaîne polymérase (PCR). Un génotype composite positif était défini comme un rare (#2) allèle présent à chaque endroit. Aucune répartition spéciale du génotype composite n'a été observée entre les cas et les contrôles (45.2% versus 42%). Chez les personnes présentant des cas tant le génotype composite que le nombre d'allèle #2 étaient en relation positive avec la sévérité de la perte d'attache. Aucune relation entre le génotype et les profils microbient sous-gingivaux n'a été mise en évidence. Les patients positifs aux génotypes possédaient des niveaux d'anticorps sériques et des titres spécifiques inférieurs contre des bactéries sélectionnées. Le génotype composite ne permet pas la distinction entre les patients avec parodontite et les contrôles, mais est en corrélation chez les patients avec la sévérité de la maladie et les résponses de l'anticorps à la flore parodontale. [source] The outcome of a preventive dental care programme on the prevalence of localized aggressive periodontitis in Down's syndrome individualsJOURNAL OF INTELLECTUAL DISABILITY RESEARCH, Issue 7 2006M. Zigmond Abstract Background Periodontal disease in Down's syndrome (DS) individuals develops earlier and is more rapid and extensive than in age-matched normal individuals. The present study evaluated a group of DS patients, who had been participating in a 10-year preventive dental programme, for the impact of the programme on their periodontal status. Methods Thirty DS patients (mean age 23.3 ± 4 years) were compared with 28 age-matched healthy controls (mean age 22.8 ± 5 years). The hygiene level, gingival condition and periodontal status (periodontal probing depth, clinical attachment level and radiographic alveolar bone loss) were determined. Results In spite of similar oral hygiene and gingival measures, DS patients, as opposed to the control ones, had a severe periodontal disease. The prevalence, extent and severity of periodontitis in the DS group were significantly greater than in the control group. The teeth most commonly and severely affected were the lower central incisors and the upper first molars. DS patients lost significantly more teeth due to periodontitis. Conclusions The clinical and radiographic picture found in the present DS group is characteristic of localized aggressive periodontitis. Within the limitations of this study, it seems that the preventive dental programme had no effect on periodontal destruction progression of localized aggressive periodontitis in DS individuals and that impaired oral hygiene plays a relatively minor role in the pathogenesis of this disease. Future controlled studies are needed to assess the effectiveness of different preventive dental programmes in preventing the progression of periodontitis in DS patients. [source] Salivary microbial levels in relation to periodontal status and caries developmentJOURNAL OF PERIODONTAL RESEARCH, Issue 2 2010Y. Iwano Iwano Y, Sugano N, Matsumoto K, Nishihara R, Iizuka T, Yoshinuma N, Ito K. Salivary microbial levels in relation to periodontal status and caries development. J Periodont Res 2010; 45: 165,169. © 2010 John Wiley & Sons A/S Background and Objective:, Although an inverse relationship between caries and periodontal disease has been suggested, some studies have reported a positive correlation between periodontal disease and the decayed, missing and filled teeth (DMF) index. The aim of the present study was to examine the relationship between caries and periodontal disease. Material and Methods:, We assessed the clinical parameters and salivary levels of Porphyromonas gingivalis and Streptococcus mutans using real-time polymerase chain reaction in 40 subjects with varying degrees of caries and periodontal disease. Results:, The salivary levels of S. mutans were significantly higher in the periodontally healthy group than in the periodontitis group. The salivary levels of P. gingivalis were significantly higher in the caries-free group than in the periodontally healthy group with caries. The salivary levels of S. mutans were significantly increased after the initial periodontal treatment. Conclusions:, This study showed that an inverse relationship exists between periodontitis and caries in terms of the clinical and bacteriological findings. [source]
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