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Showing 6 results for Periodontal Diseases

M. Lotfazar ,
Volume 15, Issue 4 (1-2003)

Papillon Lefevre Syndrome (PLS) is a rare recessive autosomal disease, which is associated with palm and sole hyperkeratosis and early periodontium break down of deciduouse and permanent dentition. In the differential diagnosis of PLS, congenital form of palm and sole hyperkeratosis should be considered.Recently, mutation in catepesin C gene has been recognized as a genetic basis for PLS disease. In this disease, complete lack of catepesin C enzyme activity, due to the mutations on both allels, are observed. Actinobacillous actinomycetemcomitans (A.a) bacteria are presented as the main periodontal pathogene in PLS disease. The treatment results have been contradictory and no agreement has been obtained in this regard. Elimination of A.a bacteria and administration of synthetic retinoids are reported as a suitable treatment.
M. Ramezanian , A. Alizade ,
Volume 17, Issue 1 (4-2004)

Statement of Problem: Tooth extraction is always considered as the final treatment option in dentistry.Considering the numerous advances in dentistry, nowadays the preservation of the permanent teeth until old age is common. However, in most economically poor countries or those without security service insurance,the high rate of extraction, particularly among restorable teeth, is regrettable.
Purpose: The aim of the present study was to determine the reasons for tooth extraction among patients referred to the faculty of Dentistry, Tehran University of Medical Sciences in 2002.
Materials and Methods: This descriptive and cross-sectional study was conducted on 320 patients. The information about patient's general knowledge, oral health status, tooth location and causes of extraction were collected and recorded in a questionnaire. The data were submitted to statistical Chi-Square test.
Results: No statistically significant difference was found between two genders in their mentioned causes for extraction. The most prevalent reasons were as follows: Caries (50%), Periodontal diseases (16.6%). Absence of an acceptable occlusion, prosthetic problems, patient's request, etc... make up the remaining 33.4% of the reasons.
Conclusion: According to this study, it is suggested to investigate extraction etiology at the society level and if similar results are obtained, necessary steps should be taken to prevent caries and periodontal problems as the major mentioned causes for tooth extraction.
F. Haghighati, M. Mousavi Jazi, B. Golestan, H. Kashani,
Volume 23, Issue 3 (12-2010)

Background and Aims: There is not sufficient knowledge about the relationship between smoking and vertical bone loss in periodontal diseases. There are also important evidences which propose harmful effects of smoking on periodontal tissues including alveolar bone. The purpose of this study was to assess the relationship between smoking and prevalence and severity of vertical bone defects.
Materials and Methods: This case-control study consisted of 71 individuals with angular bone defects (case) and 69 individuals without angular bone defects (control) between 18 to 70 years old. People were selected by radiography, examining and filling up the questionnaire. Vertical bone defect was defined as interproximal bone resorption to the extent of ≥2mm with a clear angel towards the Mesial or Distal of root. Data were analyzed using SPSS software.
Result: The mean age of studied individuals was 37.14 years (±12.72). Among people with angular bone defects, 21.1% were light smokers and 25.4% were moderate-heavy smokers. There was a significant difference between smokers and nonsmokers in terms of smoking status and the chance of having angular bone defects (P=0.001). Simultaneous study of the effect of sex, age, brushing and smoking status showed that except sex, other variables have a significant effect on angular bone defects. The chance of having angular bone defects in light and heavy-moderate smokers was more than that in nonsmokers (adjusted OR=4.17 and adjusted OR=3.87, respectively).
Conclusion: These observations propose that smoking is related to increase in prevalence and severity of vertical bone defects. Smoking is considered as a potential risk factor for vertical periodontal bone loss.

Yalda Elham, Neda Moslemi, Hoda Barati,
Volume 31, Issue 4 (1-2019)

Background and Aims: Lichen planus is a chronic inflammatory mucocutaneous disease with unknown etiology. One of the most common manifestations of patients with oral lichen planus is gingival involvement in the form of generalized erythematous areas. The aim of this study was to review the articles evaluating the role of plaque control on the gingival manifestations of oral lichen planus.
Materials and Methods: Motor searches of Ovid Medline and EM base databases, PubMed, Google Scholar, and Science Direct were searched for article published between January 1990 and December 2017 using of relevant key words. After reviewing the abstracts of articles, 20 full articles were selected and among them, 7 relevant articles were reviewed in this study.
Conclusion: From the literature, it was concluded that effective plaque control is the main part of lesions treatment and improvement of symptoms and gingival manifestations of oral Lichen planus.

Roxana Sadeghamalnikraftar, Maryam Rezai Dastjerdi, Hemat Gholinia, Babak Amoian,
Volume 32, Issue 1 (7-2019)

Background and Aims: Removable partial denture (RPDs) is a common therapy for rehabilitation of partialy edentulous patients while RPD causes a lot of periodontal problems. The purpose of this study was to investigate the effect of RPDs made in Babol dental school on the periodontal health of abutment and non-abutment teeth.
Materials and Methods: In this cross sectional study, 70 patients who were candidates for RPDs divided into four groups according to Kennedy classification. The following periodontal parameters were evaluated for abutment and non-abutment teeth, plaque index (PI), calculus index (CI), width of keratinized gingiva, bleeding on probing (BOP), periodontal pocket depth (PPD), tooth mobility (TM) and gingival recession. This clinical measurement was taken immediately before insertion of the RPD, then one, three, and six months later. These parameters were then analyzed using Mann-Whitney, Independent sample t-test, Covariance, Chi-square statistical tests.
Results: In Class I; the mean score for the width of keratnized gingiva (P<0.001), PPD (P=0.002), and BOP (P<0.001) of the abutment and non-abutment teeth were significantly different after 1 month. After 3 months there were significant differences with regard to the PI (P=0.01), width of keratnized gingiva (P<0.001), BOP (P<0.001) and PPD (P<0.001). After 6 months, only the PI, CI, and TM parameters were not statistically significant. In Class II; the mean score for width of keratnized gingiva (P<0.001) and PI (P=0.002) after 1 month, width of keratnized gingiva (P<0.001), BOP (P=0.02), PPD (P=0.05) and TM (P=0.03) after 3 months and width of keratnized gingiva (P<0.001), PI (P=0.04), BOP (P<0.001) and TM (P=0.03) after six months were statistically significant. In Class III; only gingival recession did not show any significant difference at 1 and 3 months later. The width of keratnized gingiva (P<0.001), PI (P=0.001), BOP (P<0.001) and TM (P=0.03) after 6 months were statistically significant.
Conclusion: This study showed that RPDs affect the periodontal condition of both abutment and non-abutment teeth, which can be reduced by more precise design of the prosthesis, periodontal follow ups and good oral hygiene.

Arezoo Khabazian, Fateme Azarnoosh, Sayed Mohsen Sadeghi,
Volume 33, Issue 2 (8-2020)

Background and Aims: Periodontal diseases are prevalent and are not only a threat to oral and dental health of patients and community, but also affect the quality of life associated with oral health. Therefore, the present study aimed to evaluate the effects of non-surgical periodontal therapy on the quality of life associated with oral health in patients with periodontitis and gingivitis.
Materials and Methods: 47 patients with gingivitis and moderate to severe chronic periodontitis referred to the periodontology department of Yazd Dental School in 2019 were studied. OHIP-14 validated questionnaire was used to assess the quality of life related to oral health. At the beginning of the study, both groups completed the questionnaire. Then scaling and root planning for periodontitis group and scaling for gingivitis group were done. Patients completed the questionnaires again 9-12 weeks after periodontal treatment. Data were analyzed by SPSS software version 22 using independent T-test, Chi-square, Mann-Whitney and Wilcoxon tests.
Results: The mean score of quality of life in patients with gingivitis was 19.18±11.68 before the treatment and 13.26 ±11.41 after treatment. The mean score of quality of life in patients with periodontitis was 23.29±9.80 before treatment and 13.95±9.68 after treatment. All the differences between groups before and after treatment were statistically significant (showing better quality of life after the treatment) (P<0.05). There was no statistically significant difference between the mean score of quality of life related to oral health in the studied patients according to the age and sex (P>0.05).
Conclusion: According to the results of this study, treatment of periodontal diseases improves quality of life related to oral health in patients with gingivitis and moderate to severe chronic periodontitis.

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