ABSTRACT
Background: Periodontal disease is one of the most important oral diseases contributing to the global burden of chronic disease. Motivation in periodontitis patients is thought to play a major role in influencing periodontal health in this patient. This online study focuses on different areas for motivation such as age,cleaning methods, ,frequency of dental visits, knowledge of inter disciplinary relation,frequency of referrals etc.among different health-care professionals. Aim: The main purpose of this study was to assess the medical professional’s knowledge about relation between periodontal and systemic health in health professionals in J&K state.Material & Methods:The study sample consisted of 500 participants ranging between 20 and 60 years old. The questionnaire was prepared and circulated by the mobile application (WhatsApp). A questionnaire consisting of multiple choice questions was used as assessment tool and its content evaluated the patients profile, their knowledge about periodontal disease, the dental professional’s commitment to instruct the patients towards oral hygiene.Results:The result of this study showed that the respondents have moderate awareness regarding the importance of dental, in specific to periodontal health care.Conclusions:Hence, there is an urgent need for comprehensive educational programs to promote good oral health and impart education about the correct oral hygiene practices. There is need for awareness not only in the general population but also in health-care professionals too.
ABSTRACT
Background: Periodontal diseases are characterized by the presence of bleeding, inflammation, sensitivity, discomfort, mobility and tooth loss. Plenty of studies supported the assumption that vitamin D deficiency might be a risk factor for periodontal diseases. Our study aimed to investigate the true association between serum vitamin D level and the presence of periodontal disease. Materials and methods: The study evaluated 40 patients (age group 19-35 years) attending the outpatient department, Department of Periodontics and Implantology, Govt. Dental College and Hospital, Srinagar, equally divided into two groups (Group I and Group II) according to the inclusion criteria. Group I included generalized aggressive periodontitis patients while Group II included non periodontitis patients. Clinical parameters and serum 25-hydroxyvitamin D level were assessed. Results: Serum vitamin D levels of periodontitis patients compared to non-periodontitis patients presented non statistically significant differences (p-value = 0.878). Conclusion: Although the serum vitamin D level in aggressive periodontitis patients was lower than the healthy controls but the difference seemed to be statistically insignificant and hence it can be concluded that the serum vitamin D deficiency is not a risk factor for periodontitis.
ABSTRACT
Background: Polycystic ovary syndrome (PCOS) is the most common endocrine disorder among women of reproductive age. A convergent association between polycystic ovary syndrome (PCOS) and periodontal disease, in particular chronic periodontitis (CP), has recently been proposed. The underlying molecular mechanisms of this association are not fully understood, though it is thought that chronic inflammation is responsible. Aim: To assess the awareness of periodontal health status and systemic inflammation of women receiving medical treatment for PCOS and women newly diagnosed with PCOS. Materials and methods: A total of 500 PCOS diagnosed women were recruited based on convenience sampling and completed a survey containing questions related to demography, lifestyle preferences, PCOS awareness and periodontal awareness. Results: Lack of awareness of oral hygiene and its importance on overall treatment of PCOS was observed. Conclusion: There is a dire need of generating oral hygiene awareness via health centres, internet, media etc. and providing full information about the association of PCOS with Oral hygiene, so that many symptoms of PCOS can be overcome after strictly following oral hygiene measures.
ABSTRACT
Background: Periodontitis is result of cumulative exposure of dental plaque, thus the main aim of periodontal therapy is the prevention of plaque accumulation and maintain periodontal health. The clinical effect of scaling and root-planning (SRP) are well documented .Antimicrobial agents act as an adjunct to periodontal therapy. One of the most frequently used antimicrobial agents is chlorhexidine gluconate (CHX), it is a broad spectrum antiseptic with a pronounced antimicrobial effect Clinical improvements after SRP are associated with microbiological changes that include a decrease in microbial load and a mean percentage change of certain periodontal pathogens , such as Treponema denticola, Porphyromonas gingivalis and Tarnella forsythus. These species are gram negative anaerobes which possess, an enzyme capable of hydrolyzing synthetic trypsin substrate, BANA. Methods: This study included 30 individuals who were randomly distributed in two groups test (SRP + CHX) and control (SRP) Results: The results of the study stated that the treatment with SRP and CHX improved clinical and microbiological parameters compared to the SRP alone as a monotherapy. Conclusion: CHX rinsing and repeated professional plaque removal could have equivalent therapeutic benefits, the use of CHX offers the great advantage of not requiring the patient’s presence in the dental office
ABSTRACT
Bisphosphonates, synthetic (Non-biodegradable) analogues of pyrophosphate, were initially used in industry as water softening agents in irrigation systems and lateron discovered as bone loss inhibitors. Bisphosphonates inhibit bone resorption by being selectively taken up and adsorbed to mineral surfaces in bone, where they interfere with the action of the bone-resorbing osteoclasts. Thus, they have been proposed in the management of periodontal diseases by inhibiting the osteoclastic bone resorption and hence are used as a host modulating factor for prevention of bone loss. The other indications being Osteoporosis , Paget’s disease, Malignant hypercalcemia , Bone metastasis, Multiple myeloma etc. Gastro intestinal intolerance, Renal and hepato-toxicity, Hypocalcaemia, Osteonecrosis of jaws seen especially after invasive dental treatment (called as Bisphosphonate related osteonecrosis of jaw, BRONJ) are the main side effects of bisphosphonate therapy. To overcome such effects during dental management of patients, the recommendations focus on conservative surgical procedures, proper sterile technique, appropriate use of oral disinfectants and the principles of effective antibiotic therapy. The dentist should retain in his/her file the acknowledgment and consent for the treatment.