ABSTRACT
A romã (Punica granatum) possui uma vasta história médica conhecida por sua ação antibacteriana, antioxidante e anti-inflamatória. A presente revisão teve como objetivo verificar os potenciais efeitos terapêuticos do uso de produtos derivados da P. granatum como coadjuvante no tratamento das doenças periodontais. Descritores em inglês e português dos termos: "romã", "doença periodontal", "gengivite", "periodontite" e "punica granatum", foram utilizados para consulta nas bases de dados Pubmed, Lilacs e Scielo. Para avaliação dos efeitos anti-inflamatórios, antimicrobianos e clínicos da romã foram incluídos trabalhos clínicos e pré-clínicos, sem restrições de data. Os diferentes estudos selecionados avaliaram P. granatum em diferentes formulações, incluindo bochechos, géis, infusão, dentifrícios, e chips biodegradáveis. Os resultados demostraram que os componentes fitoquímicos de P. granatum, como polifenóis flavonoides, punicalaginas, ácido punícico e antocinas apresentam propriedades relevantes pró-saúde periodontal, que incluem efeitos anti-inflamatórios, antioxidantes, hemostáticos e imunoregulatórios. Estudos in vivo utilizando diferentes formulações da romã em participantes acometidos por gengivite ou periodontite apresentaram reduções nos índices de placa, sangramento gengival e profundidade de sondagem em graus variados. Conclui-se que P. granatum pode ser uma promissora alternativa à terapia antimicrobiana padrão, para auxílio do controle mecânico de placa, com melhora dos sinais clínicos das doenças periodontais. Contudo, mais estudos clínicos ainda são necessários. (AU)
The pomegranade (Punica granatum) has a vast medical history know by its antibacterial, antioxidant and antiinflammatory action. The presente review aimed at verifying the potential therapeutic effects of products derived from P. granatum as adjuvant in the treatment of periodontal diseases. English and Portugueses descriptors of the terms "pomegranate", "periodontal disease", "gingivitis", "periodontitis" and "Punica granatum" were used for search in Pubmed, Lilacs and Scielo databases. To assess the anti-inflammatory, antimicrobial and clinical effects of pomegranate, clinical and preclinical were included, with no date restrictions. The different studies evaluated P. granatum in different formulations, including mouthwash, gels, infusion, dentifrices, and biodegradable chips. Results showed that the phytochemical components of P. granatum, such as polyphenois flavonoids, punicalagins, punicic acid and antocines, demonstrated relevant periodontal prohealth properties, including anti-inflammatory, antioxidant, hemostatic and immunoregulatory effects. In vivo studies, using different pomegranade formulations in individuals affected by gingivitis or periodontitis, showed reductions in plaque index, gingival bleeding and probing depth in different levels. It was concluded that P. granatum could be a promising alternative to the standard antimicrobial therapy in order to aid the mechanical control of plaque, with improvement of clinical signs of periodontal diseases. However, more clinical studies are still necessary. (AU)
Subject(s)
Periodontal Diseases/classification , Periodontal Diseases/complications , Periodontitis , Gingivitis , Anti-Infective Agents/therapeutic use , Anti-Inflammatory Agents/therapeutic useABSTRACT
El propósito de este trabajo es, en primer término, determinar cuales son los factores más importantes en el diagnóstico periodontal; su evolución en el tiempo y cuál sería el futuro en la clasificación de las enfermedades periodontales en base a los avances que se están realizando en biología molecular. Se está trabajando en la investigación de los biomarcadores salivales como predictores de la enfermedad periodontal, un rápido test de saliva podría diagnosticar dicha patología (21, 22, 27, 28, 29). Las clasificaciones van evolucionando a medida que se conoce más sobre estasenfermedades (2). Aún falta mucha investigación para poder realizar una clasificación basada en la etiología (2).La biología molecular parece ser muy prometedora, ya que podríamos ser másespecíficos en la etiología de la enfermedad y esclarecer muchas de nuestras incertidumbres (21)
The purpose of this essay is to determine which are the most importantfactors in the periodontal diagnosis, its evolution in time and also determinewhich would be the future classification of periodontal diseases based on theadvances being made in molecular biology.Even today determining the causes of periodontal disease remains a complexmatter.Work is being done today in the research of salivary biomarkers as predictorsof periodontal desease, through rapid saliva test could diagnose thisdisease.21, 22, 27, 28, 29Classifications are evolving as we know more about this disease.2There is still way more research to be made in order to be able to establisha classification based in etiology.2Molecular biology seems to be very promising in that we can be more specificin the etiology of the disease and clarify many of our uncertainties.
Subject(s)
Humans , Molecular Biology/trends , Periodontal Diseases/classification , Periodontal Diseases/diagnosis , Biomarkers/chemistry , Periodontal Diseases/etiology , Saliva/chemistryABSTRACT
In order to obtain more knowledge about the causation of periodontal diseases the various forms of the disease have to be classified. In the past 130 years, various classification systems for periodontal diseases based on the understanding of the nature of these diseases at the time the classifications were proposed. Revisions to existing systems have been largely influenced by three dominant paradigms that reflect thinking at the time the classifications were proposed: the clinical characteristics paradigm (1870-1920), the classical pathology paradigm (1920-1970), and the infection/host response paradigm (1970-present). The changes in the paradigm have always been followed by the conceptual changes in the classification of periodontal disease. Although classification systems for periodontal diseases currently in use are firmly based on, and dominated by, the infection/host response paradigm, some features of the older paradigms are still valid and have been retained.
Subject(s)
Host-Parasite Interactions , Host Specificity , Humans , Periodontal Diseases/classification , Periodontal Diseases/microbiology , Periodontal Diseases/pathology , Periodontitis/classification , Periodontitis/microbiology , Periodontitis/pathologyABSTRACT
El edentulismo en el sector posterior maxilar es una de las condiciones más comunes que se presenta en la consulta odontológica9, 10, 12. La prevalencia del edentulismo difiere sustancialmente en la mayoría de los países del mundo (4). Algunos de los índices más altos son encontrados en el Reino Unido y Nueva Zelandia, y los más bajos en Estados Unidos.
Subject(s)
Humans , Male , Female , Periodontal Diseases/classification , Dental Implantation, Endosseous/methods , Alveolar Bone Loss/classification , Jaw, Edentulous, Partially/rehabilitation , Dental Prosthesis, Implant-Supported , Denture, Partial, Fixed , Sinus Floor Augmentation/methods , Mouth Rehabilitation , Bone Resorption/classificationSubject(s)
Humans , Male , Adolescent , Female , Child , Dental Care for Children , Gingival Diseases/classification , Gingival Diseases/epidemiology , Periodontal Diseases/classification , Periodontal Diseases/epidemiology , Chronic Disease , Gingiva/anatomy & histology , Periodontium/anatomy & histology , Risk Factors , School DentistryABSTRACT
Se escribe sobre la importancia de la infección que representa la enfermedad periodontal como iniciación o agravamiento de las alteraciones en losdistintos sistémas que conforman nuestro organismo, como también a la inversa las enfermedades sistémicas pueden facilitar la acción de la placa bacteriana al disminuir las defensas de los tejidos de soporte. El objetivo de éste trabajo es conocer la existencia de éstos factores sistémicos en cada unode los grados de evolución de la enfermedad gingivoperiodontal
Subject(s)
Humans , Male , Female , Chronic Disease , Periodontal Diseases/classification , Risk Factors , Age and Sex Distribution , Argentina , Gingival Diseases/classification , Medical Records , Data Interpretation, StatisticalABSTRACT
Aim: To determine the periodontal status and treatment needs among dental fluorosis subjects residing in Ennore, Chennai, using Community Periodontal Index of Treatment Needs (CPITN). Materials and Methods: All the subjects with dental fluorosis above 15 years of age, permanent residents of Ennore, were included in the study. Subjects with known systemic diseases and subjects with other intrinsic dental stains were excluded from the study. Periodontal status was estimated using CPITN and Dental fluorosis was recorded using Dean's Dental Fluorosis Index. Results: The total number of study subjects was 1075, of which 489 were males and 586 were females. Males were predominantly affected with periodontal disease than females. This was found to be statistically significant (P=0.000). The association between Degree of Fluorosis and Periodontal Status is statistically significant (P=0.000). There was statistically significant difference in mean number of sextants between the degree of fluorosis in each of the periodontal status (P=0.000). Conclusion: The finding that the lower prevalence of shallow pockets in the study area, where the fluoride level in the drinking water ranges from 1.83 to 2.01 ppm, indicates that the use of fluoride in water is beneficial to the periodontal tissues.
Subject(s)
Adolescent , Adult , Dental Calculus/epidemiology , Dental Plaque/epidemiology , Dental Prophylaxis/statistics & numerical data , Female , Fluorosis, Dental/classification , Fluorosis, Dental/epidemiology , Gingival Hemorrhage/epidemiology , Humans , India/epidemiology , Male , Middle Aged , Needs Assessment/statistics & numerical data , Oral Hygiene/statistics & numerical data , Periodontal Diseases/classification , Periodontal Diseases/epidemiology , Periodontal Index , Periodontal Pocket/epidemiology , Root Planing/statistics & numerical data , Sex Factors , Young AdultABSTRACT
As medidas de auto-relato têm sido utilizadas para avaliação epidemiológica de doenças crônicas em grandes populações, oferecendo vantagens de custo e logística. Alguns quiestionários têm sido testados em diferentes populações para a avaliação de doença periodontal, com resultados ainda escassos. O foco deste estudo foi analisar o desempenho de um conjunto de medidas de auto-relato sobre doença periodontal na estimativa da prevalência da periodontite numa amostra de indivíduos brasileiros...
Subject(s)
Humans , Male , Female , Periodontal Diseases/classification , Periodontal Diseases/epidemiology , Health Surveys , Periodontitis/epidemiology , Surveys and Questionnaires , Validation Studies as TopicSubject(s)
Humans , Female , Adult , Dental Pulp Diseases/classification , Dental Pulp Diseases/therapy , Periodontal Diseases/classification , Periodontal Diseases/therapy , Anti-Infective Agents/therapeutic use , Surgical Flaps , Metronidazole/therapeutic use , Dental Pulp Necrosis/diagnosis , Dental Pulp Necrosis/therapy , Dental Prophylaxis/methods , Dental Scaling/methods , UruguayABSTRACT
El objetivo de este trabajo es considerar la relevante importancia de detectar y diagnosticar las lesiones periodontales que involucran las furcaciones de las piezas dentarias multirradiculares, porque ellas condicionan el plan de tratamiento a seguir. Si bien estas lesiones responden a la misma etiología y características generales de todas las enfermedades gingivoperiodontales, conforman una situación especial debido a la particular anatomía de la región y a la ubicación de estas piezas en la arcada. Se consideran los diferentes parámetros a tener en cuenta para lograr un correcto diagnóstico que permita llegar a un plan de tratamiento preciso, condiciones esenciales ambas para lograr el éxito a largo plazo. Se llega a la conclusión que, si bien el manejo de un diente multirradicular con su furcación afectada periodontalmente sigue siendo un complejo desafío terapéutico, existen hoy múltiples recursos que bien indicados y utilizados nos posibilitan tratar con cierto éxito estas lesiones y mantener así las piezas dentarias propias que a veces, a priori, parecerían perdidas.
Subject(s)
Humans , Furcation Defects/diagnosis , Furcation Defects/etiology , Furcation Defects/therapy , Periodontal Diseases/classification , Furcation Defects/surgery , Furcation Defects/epidemiology , Platelet-Derived Growth Factor/therapeutic use , Guided Tissue Regeneration , Freeze Drying/methods , Patient Care Planning , Tooth Root/abnormalities , Bone Transplantation/methodsSubject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Aged, 80 and over , Periodontal Diseases/classification , Periodontal Diseases/diagnosis , Periodontal Diseases/epidemiology , Age and Sex Distribution , Argentina/epidemiology , Periodontal Pocket/diagnosis , Cross-Sectional Studies , Dental Records , Gingivitis/diagnosis , Gingivitis/epidemiology , Medical History Taking , Tooth Mobility/diagnosis , Periodontal Index , Periodontal Attachment Loss/diagnosis , Periodontitis/diagnosis , Periodontitis/epidemiologyABSTRACT
As doenças periodontais são condições inflamatórias dos tecidos de proteção e suporte dos dentes que podem acometer crianças, adolescentes e adultos. A classificação internacional elaborada pela Academia Americana de Periodontia em 1999 distingue, basicamente, sete tipos de doenças periodontais destrutivas, dentre elas a periodontite agressiva (PA). Entretanto,o atual sistema de classificação apresenta problemas inerentesnão somente com a nomenclatura proposta como também nos parâmetros utilizados.
Subject(s)
Humans , Child , Adolescent , Periodontal Diseases/classification , Periodontal Diseases , PeriodontitisSubject(s)
Humans , Periodontal Diseases/classification , Epidemiologic Studies , Periodontics , Risk FactorsABSTRACT
As infecções dento-gengivais podem ter repercussões de ordem sistêmica. Recentemente, foi sugerido que a doença periodontal teria um papel relevante na saúde geral do indivíduo, sendo reconhecida como fator de risco para algumas condições sistêmicas. Portanto, a doença periodontal na gravidez pode ser considerada uma causa determinante do baixo peso de crianças ao nascer. Este estudo busca avaliar através de pesquisa bibliográfica, a influência da doença periodontal e o mecanismo pelo qual esta pode influenciar mulheres que tiveram bebês de baixo peso ao nascimento
Subject(s)
Humans , Female , Pregnancy , Infant, Newborn , Periodontal Diseases/classification , Risk Factors , Obstetric Labor, Premature/prevention & controlABSTRACT
Awareness of periodontal problems and how they interpret this and their timely intervention affects periodontal health. Many people neither recognize the symptoms of periodontal disease nor do they associate existing symptoms with the disease. Hence one should ensure that the routes of science transfer are open so that the appropriate knowledge regarding the prevention and control of periodontal diseases are available to the public.