Frequency of chronic periodontitis in a cross section of Pak army personnel

To determine the frequency of periodontitis in lower ranks of Pakistan Army. A descriptive study. The study was conducted at Armed Forces Institute of Dentistry, Rawalpindi between Aug 2003 and Feb 2005. This is a in which Periodontal status of maxillary and mandibular incisors and permanent first molars in five hundred and fifteen personnel of the Pakistan Army was evaluated using plaque index, probing depths, attachment loss, bleeding upon probing, tooth mobility and presence of calculus. One hundred and sixty five [32.04%] subjects had 5 mm or deeper probing depths as well as associated attachment loss of at least 2 mm and were considered to be suffering from Chronic Periodontitis. The study detected that a noticeable percentage of subjects in this population had a substandard level of oral hygiene and consequently suffered from Chronic Periodontitis

Risk indicators for tooth loss due to periodontal disease in Pakistani adults

The objective of this study was to identify risk indicators for periodontitis using cross sectional data from a group of Pakistani adults. The study group consisted of 426 individuals, aged between 18-75 years old. All extractions were performed in two dental hospitals over a 30 day period. Documented information included patient age and gender, medical history findings, dental care visit history, tooth brushing frequency, types and number of extracted teeth, history of menopause and the reasons for the extraction. Reasons were divided into periodontal disease versus other reasons in multiple logistic regression analysis. A total of 426 patients had 486 teeth extracted. More teeth per patient were lost due to periodontal disease than for other reasons [1.32 +/- 0.6 versus 1.05 +/- 0.2, P <0.001]. Factors significantly associated with tooth loss due to periodontal reasons in logistic regression analysis were age >35 years [OR 6.36; 95% confidence interval [CI] 1.63-1.72], smokers [OR 1.09; 95% CI 1. 78 to 1.85], anterior tooth type [OR 3.71; 95% CI 1.82 to 1.89], and the presence of either of the following medical conditions: diabetes mellitus [OR 2.65; 95% C11.85 to 1.91], hypertension [OR 10.32; 95% CI 1.88 to 1.93], cardiovascular disease[OR 14.7 ;95%1.94 tol.98] or rheumatoid arthritis [OR 10.22; 95% CI 1.96 to 1.99] and Menopause [OR 5.2 P <0.001]. Our data suggests that tooth loss due to periodontal disease is associated with the risk indicators of age, smoking, dental care visits, frequency of tooth brushing, diabetes mellitus, hypertension, rheumatoid arthritis, menopause and anterior tooth type, in this study group

rare case of adolescent idiopathic gingival hyperplasia

There are a number of etiologic factors relevant to gingival hyperplasia. Generally, instition of proper oral hygiene is sufficient for maintaining normal healthy gingiva. Once established gingival hyperplasia can best be treated by resection of all gingival excess, using flaps and gingivectomies. Monthly periodontal check-ups [scaling and polishing] are scheduled to control the gingival inflammation. Cooperation between the periodontist and the patient remains vital for successful management of gingival hyperplasia

Current status of periodontal disease in the junior ranks of Army Units at Rawalpindi

Periodontal disease like dental caries is an important cause of loss of teeth in our country. 1400 army personnel aged 18-52 years were examined for their periodontal disease status and type of periodontal treatment required by recording Community Periodontal Index of Treatment Needs [CPITN]. Results showed that 98% of the subjects suffered from varying degrees of periodontal disease ranging from mild gingivitis to advanced periodontitis. 64% of subjects required simple treatment like scaling or oral prophylaxis and oral hygiene improvement. 31% required complex periodontal treatment including surgery due to the advanced disease. As bacterial plaque plays a major role in the aetiology of periodontal disease, effective plaque control procedures can prevent and arrest the disease progression