The prevalence of periodontal disease and oral hygiene care in Savannakhet Province, Lao People's Democratic Republic.

The objective of this study was to evaluate the prevalence of periodontal diseases in Savannakhet Province, Lao PDR. This survey was conducted 14 years after the country reformed its economic structure towards the free market. Thirty villages were picked by simple random sampling from a total of 1,560 villages. Two thousand four hundred and fifty-three individuals, aged twelve and over, were interviewed about oral hygiene practice, and were examined for periodontal health status using the community periodontal index of treatment needs (CPITN) index. Forty percent of the sample had regular practices, 56.5% occasional practices and 3.5% were ignorant about oral hygiene. Oral hygiene practices were performed in the morning by using a toothbrush (61.1%) and the index finger (24.8%). The cleaning agent was water alone for 68.6% and salt powder for 28%. The prevalence of healthy gingiva was nearly zero in all age groups. Gingival bleeding was very low. The most common periodontal problem was calculus deposits, found in 3-5 sextants of all age groups. The pocket depth was 4-5 mm on average; however a depth of more than 6 mm was not observed.

Comparison between 2 surgical techniques for the treatment of early-onset periodontitis.

The objective of this study was to compare guided tissue regeneration (GTR) and osseous surgery (OS) in treatment of early-onset periodontitis. Six patients participated in this research, presenting 15 paired defects randomly assigned to 1 of the surgical groups. Pre-operative clinical parameters (probing depth and attachment loss) between the two groups were not significantly different. Results 1 year following surgery showed probing depth reduction (2.60 +/- 1.30 mm) and clinical attachment gain (2.20 +/- 1.42 mm) were significantly greater in the GTR group than in the osseous surgery group (P < 0.05). The gingival recession was -0.53 +/- 0.52 mm and -0.40 +/- 0.74 mm for the osseous and the guided tissue regeneration group, respectively (no significant difference, P > 0.05). Radiographic analysis by two techniques illustrated that the interproximal alveolar bone changes at the margin of the defects in the OS group were slightly decreased (-0.20 +/- 1.15; 0.26 +/- 0.74 mm) and those in the GTR group were slightly increased (0.16 +/- 0.96; 0.26 +/- 0.68 mm), but showed no significant difference (P > 0.05). The base of the GTR-treated defects showed significant increase in bone fill (1.67 +/- 0.68; 1.97 +/- 0.74 mm; P < 0.05). At a follow-up reexamination 1 year following surgery, oral hygiene and gingival conditions in both groups were at satisfactory levels and gingiva was clinically healthy throughout the entire study period, except the first 4 to 6 weeks following surgery.

[Comparison of some subgingival microflora from juvenile periodontitis before and after scaling and root planing].

Actinobacillus actinomycetemcomitans and Capnocytophaga are subgingival bacteria that have correlation with juvenile periodontitis. Studies were carried out in a group of 20 patients with juvenile periodontitis before, after treatment by scaling, root planing, oral hygiene instruction and 20 patients with healthy gingiva as a control group. Gingival index, plaque index, pocket depth were measured. Subgingival bacteria were counted on selective media and compared by phase contrast microscopy. Before treatment all measurements in the patients and the control group were significantly different (P less than 0.05). In the patients before and after treatment all clinical measurements were significantly different (P less than 0.05) but the amount of A.actinomycetemcomitans and Capnocytophaga were not significantly different (P greater than 0.05). These results indicate that treatment of juvenile periodontitis by scaling, root planing and oral hygiene instruction improve the clinical measurements but are not effective in reducing proportions of subgingival bacteria.