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[PMID]:29291254
[Au] Autor:Manresa C; Sanz-Miralles EC; Twigg J; Bravo M
[Ad] Endereço:Adult Comprehensive Dentistry, Dental School, University of Barcelona, Feixa LLarga s/n, Hospitalet de Llobregat, Barcelona, Spain, 08907.
[Ti] Título:Supportive periodontal therapy (SPT) for maintaining the dentition in adults treated for periodontitis.
[So] Source:Cochrane Database Syst Rev;1:CD009376, 2018 01 01.
[Is] ISSN:1469-493X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Periodontitis is a bacterially-induced, chronic inflammatory disease that destroys the connective tissues and bone that support teeth. Active periodontal treatment aims to reduce the inflammatory response, primarily through eradication of bacterial deposits. Following completion of treatment and arrest of inflammation, supportive periodontal therapy (SPT) is employed to reduce the probability of re-infection and progression of the disease; to maintain teeth without pain, excessive mobility or persistent infection in the long term, and to prevent related oral diseases.According to the American Academy of Periodontology, SPT should include all components of a typical dental recall examination, and importantly should also include periodontal re-evaluation and risk assessment, supragingival and subgingival removal of bacterial plaque and calculus, and re-treatment of any sites showing recurrent or persistent disease. While the first four points might be expected to form part of the routine examination appointment for periodontally healthy patients, the inclusion of thorough periodontal evaluation, risk assessment and subsequent treatment - normally including mechanical debridement of any plaque or calculus deposits - differentiates SPT from routine care.Success of SPT has been reported in a number of long-term, retrospective studies. This review aimed to assess the evidence available from randomised controlled trials (RCTs). OBJECTIVES: To determine the effects of supportive periodontal therapy (SPT) in the maintenance of the dentition of adults treated for periodontitis. SEARCH METHODS: Cochrane Oral Health's Information Specialist searched the following databases: Cochrane Oral Health's Trials Register (to 8 May 2017), the Cochrane Central Register of Controlled Trials (CENTRAL) (the Cochrane Library, 2017, Issue 5), MEDLINE Ovid (1946 to 8 May 2017), and Embase Ovid (1980 to 8 May 2017). The US National Institutes of Health Trials Registry (ClinicalTrials.gov) and the World Health Organization International Clinical Trials Registry Platform were searched for ongoing trials. No restrictions were placed on the language or date of publication when searching the electronic databases. SELECTION CRITERIA: Randomised controlled trials (RCTs) evaluating SPT versus monitoring only or alternative approaches to mechanical debridement; SPT alone versus SPT with adjunctive interventions; different approaches to or providers of SPT; and different time intervals for SPT delivery.We excluded split-mouth studies where we considered there could be a risk of contamination.Participants must have completed active periodontal therapy at least six months prior to randomisation and be enrolled in an SPT programme. Trials must have had a minimum follow-up period of 12 months. DATA COLLECTION AND ANALYSIS: Two review authors independently screened search results to identify studies for inclusion, assessed the risk of bias in included studies and extracted study data. When possible, we calculated mean differences (MDs) and 95% confidence intervals (CIs) for continuous variables. Two review authors assessed the quality of evidence for each comparison and outcome using GRADE criteria. MAIN RESULTS: We included four trials involving 307 participants aged 31 to 85 years, who had been previously treated for moderate to severe chronic periodontitis. Three studies compared adjuncts to mechanical debridement in SPT versus debridement only. The adjuncts were local antibiotics in two studies (one at high risk of bias and one at low risk) and photodynamic therapy in one study (at unclear risk of bias). One study at high risk of bias compared provision of SPT by a specialist versus general practitioner. We did not identify any RCTs evaluating the effects of SPT versus monitoring only, or of providing SPT at different time intervals, or that compared the effects of mechanical debridement using different approaches or technologies.No included trials measured our primary outcome 'tooth loss'; however, studies evaluated signs of inflammation and potential periodontal disease progression, including bleeding on probing (BoP), clinical attachment level (CAL) and probing pocket depth (PPD).There was no evidence of a difference between SPT delivered by a specialist versus a general practitioner for BoP or PPD at 12 months (very low-quality evidence). This study did not measure CAL or adverse events.Due to heterogeneous outcome reporting, it was not possible to combine data from the two studies comparing mechanical debridement with or without the use of adjunctive local antibiotics. Both studies found no evidence of a difference between groups at 12 months (low to very low-quality evidence). There were no adverse events in either study.The use of adjunctive photodynamic therapy did not demonstrate evidence of benefit compared to mechanical debridement only (very low-quality evidence). Adverse events were not measured.The quality of the evidence is low to very low for these comparisons. Future research is likely to change the findings, therefore the results should be interpreted with caution. AUTHORS' CONCLUSIONS: Overall, there is insufficient evidence to determine the superiority of different protocols or adjunctive strategies to improve tooth maintenance during SPT. No trials evaluated SPT versus monitoring only. The evidence available for the comparisons evaluated is of low to very low quality, and hampered by dissimilarities in outcome reporting. More trials using uniform definitions and outcomes are required to address the objectives of this review.
[Mh] Termos MeSH primário: Antibacterianos/uso terapêutico
Periodontite Crônica/terapia
Desbridamento Periodontal/métodos
Periodontia/métodos
Fotoquimioterapia/métodos
Perda de Dente/prevenção & controle
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Periodontite Crônica/complicações
Placa Dentária/terapia
Seres Humanos
Meia-Idade
Ensaios Clínicos Controlados Aleatórios como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Nm] Nome de substância:
0 (Anti-Bacterial Agents)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180102
[St] Status:MEDLINE
[do] DOI:10.1002/14651858.CD009376.pub2


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[PMID]:29407506
[Au] Autor:Ahn JC; Lee JH; Yoon JH; Lee JY; Kim JH
[Ad] Endereço:Department of Orthodontics, National Health Insurance Service Ilsan Hospital, Goyang, Republic of Korea.
[Ti] Título:Interdisciplinary treatment of a patient with multiple missing teeth and periodontitis.
[So] Source:Am J Orthod Dentofacial Orthop;153(2):278-289, 2018 Feb.
[Is] ISSN:1097-6752
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:A 49-year-old woman with several missing and periodontically compromised teeth was referred to the orthodontic department of National Health Insurance Service Ilsan Hospital by the periodontic department for interdisciplinary treatment. Multiple posterior teeth had been extracted 10 days earlier. Her chief complaint was crowding of the anterior teeth, and she wanted to improve both esthetics and function. Orthodontic, periodontic, and prosthodontic treatments were undertaken in the proper timing and sequence with an interdisciplinary approach. As a result, improved periodontal health and a stable occlusion and vertical dimension were achieved. Although there were limited teeth and alveolar bone for anchorage, good esthetic and functional treatment results were obtained through the application of temporary anchorage devices and proper biomechanics.
[Mh] Termos MeSH primário: Comunicação Interdisciplinar
Periodontia/métodos
Periodontite/complicações
Prostodontia/métodos
Perda de Dente/complicações
[Mh] Termos MeSH secundário: Cefalometria
Estética Dentária
Feminino
Seres Humanos
Meia-Idade
Periodontite/diagnóstico por imagem
Periodontite/terapia
Radiografia Dentária
Radiografia Panorâmica
Perda de Dente/diagnóstico por imagem
Perda de Dente/terapia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180213
[Lr] Data última revisão:
180213
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


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[PMID]:28962734
[Au] Autor:Zhang J; Zhang AM; Zhang ZM; Jia JL; Sui XX; Yu LR; Liu HT
[Ad] Endereço:Department of Stomatology, Dongying People's Hospital, Dongying, China. Electronic address: zhangjin2105@163.com.
[Ti] Título:Efficacy of combined orthodontic-periodontic treatment for patients with periodontitis and its effect on inflammatory cytokines: A comparative study.
[So] Source:Am J Orthod Dentofacial Orthop;152(4):494-500, 2017 Oct.
[Is] ISSN:1097-6752
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: In this study, we aimed to investigate the efficacy of combined orthodontic-periodontic treatment in the treatment of patients with periodontitis and its effects on the levels of inflammatory cytokines. METHODS: A total of 117 patients with periodontitis were randomly assigned to the basic group (receiving basic periodontic treatment, n = 58) and the combined group (receiving combined orthodontic-periodontic treatment, n = 59). In addition, 52 healthy people without periodontal disease were selected as the normal group. Probing depth, tooth mobility, plaque index, clinical attachment level, and sulcus bleeding index were recorded. ELISA was applied to detect gingival crevicular fluid (GCF) and serum levels of inflammatory cytokines. A 2-year clinical follow-up was conducted. RESULTS: Before treatment, the periodontal parameters (probing depth, tooth mobility, plaque index, clinical attachement level, and sulcus bleeding index) and GCF and serum levels of inflammatory cytokines (high-sensitivity C-reactive protein, interleukin-1ß, interleukin-5, interleukin-6, interleukin-8, tumor necrosis factor-α, and prostaglandin E2) in the combined and basic groups were higher than those in the normal group. After 6 and 18 months of treatment, the periodontal parameters and GCF and serum levels of inflammatory cytokines decreased in the combined and basic groups. The periodontal parameters and the GCF and serum levels of inflammatory cytokines in the combined group were significantly lower than those in the basic group after 18 months of treatment. The combined group had a lower recurrence rate compared with the basic group. CONCLUSIONS: Combined orthodontic-periodontic treatment had good clinical efficacy in the treatment of periodontitis and could effectively decrease the levels of inflammatory cytokines.
[Mh] Termos MeSH primário: Citocinas/análise
Líquido do Sulco Gengival/química
Periodontite/sangue
Periodontite/terapia
[Mh] Termos MeSH secundário: Adulto
Terapia Combinada
Citocinas/sangue
Feminino
Seres Humanos
Masculino
Meia-Idade
Ortodontia Corretiva
Periodontia
Periodontite/imunologia
Resultado do Tratamento
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Nm] Nome de substância:
0 (Cytokines)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171019
[Lr] Data última revisão:
171019
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:171001
[St] Status:MEDLINE


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[PMID]:28572416
[Au] Autor:Barwacz CA; Pantzlaff E; Allareddy V; Avila-Ortiz G
[Ad] Endereço:Dr. Barwacz is Assistant Professor, Department of Family Dentistry and Craniofacial Clinical Research Program, University of Iowa College of Dentistry & Dental Clinics; Dr. Pantzlaff is a Graduate Student, Department of Oral Surgery, University of Michigan School of Dentistry and was a Predoctor
[Ti] Título:Graduate Periodontics Programs' Integration of Implant Provisionalization in Core Curricula: Implementation of CODA Standard 4-10.2.d.
[So] Source:J Dent Educ;81(6):696-706, 2017 Jun.
[Is] ISSN:1930-7837
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The aim of this descriptive study was to provide an overview of the status of implementation of Commission on Dental Accreditation (CODA) Standard 4-10.2.d (Provisionalization of Dental Implants) by U.S. graduate periodontics programs since its introduction in 2013. Surveys were sent in May 2015 to 56 accredited postdoctoral periodontics program directors to ascertain program director characteristics; status of planning, implementation, and curriculum resulting from adoption of Standard 4-10.2.d; preferred clinical protocols for implant provisionalization; interdisciplinary educational collaborators; and competency assessment mechanisms. The survey response rate was 52% (N=29); the majority were male, aged 55 or older, and had held their position for less than ten years. Among the responding programs, 93% had formal educational curricula established in implant provisionalization. Graduate periodontics (96%) and prosthodontics (63%) faculty members were predominantly involved with curriculum planning. Of these programs, 96% used immediate implant provisionalization, with direct (chairside) provisionalization protocols (86%) being preferred over indirect protocols (14%) and polyethylethylketone provisional abutments (75%) being preferred to titanium (25%) provisional abutments. Straight and concave transmucosal emergence profile designs (46% each) were preferred in teaching, with only 8% of programs favoring convex transmucosal profiles. A majority of responding programs (67%) lacked protocols for communicating to the restorative referral a mechanism to duplicate the mature peri-implant mucosal architecture. Regional location did not play a significant role in any educational component related to implant provisionalization for these graduate periodontal programs. Overall, this study found that a clear majority of graduate periodontics programs had established formal curricula related to implant provisionalization, with substantial clinical and philosophical consensus within the specialty.
[Mh] Termos MeSH primário: Currículo
Implantes Dentários/normas
Educação de Pós-Graduação em Odontologia/normas
Periodontia/educação
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Inquéritos e Questionários
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Dental Implants)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170603
[St] Status:MEDLINE
[do] DOI:10.21815/JDE.016.033


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[PMID]:28572415
[Au] Autor:Hearty L; Demko C; Bissada NF; da Silva APB
[Ad] Endereço:Mr. Hearty is a DMD student, School of Dental Medicine, Case Western Reserve University; Dr. Demko is Associate Professor, Department of Community Dentistry, School of Dental Medicine, Case Western Reserve University; Dr. Bissada is Professor and Chair, Department of Periodontics, School of Dental M
[Ti] Título:Factors Influencing Dental Students' Interest in Advanced Periodontal Education: Perspectives of Department Chairs.
[So] Source:J Dent Educ;81(6):691-695, 2017 Jun.
[Is] ISSN:1930-7837
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The number of graduates of U.S. dental schools enrolled in U.S. postdoctoral programs in periodontics has been decreasing. The aims of this study were to determine the perspectives of periodontics department chairs regarding 1) features of a school's predoctoral curriculum that promote student interest in advanced periodontal education and 2) characteristics of a periodontal residency program that make it more attractive to dental students over other specialty programs. In 2015, a 14-question survey was designed and sent to chairs of periodontics departments at all 65 U.S. dental schools at the time. Questions addressed number of instructional hours; specialty clinic rotations; elective courses; number of applicants to periodontal residency; existence of a residency program; length of the residency program; and externships, fellowships, and financial stipends offered. The survey response rate was 73.8%. The results showed that departments offering more than seven clinical credit hours in periodontics to predoctoral students had the greatest number of residency applicants. Most of the applicants were from institutions that offered specialty clinic rotations, elective courses, and residency programs in periodontics. The number of applicants did not change significantly if a stipend or fellowship was offered. However, the availability of an externship was significantly associated with a greater number of applicants (p=0.042). These results suggest that offering periodontal clinical rotations, elective courses, and especially externships in periodontics during predoctoral education may encourage more graduating students to pursue postdoctoral periodontal education.
[Mh] Termos MeSH primário: Escolha da Profissão
Educação de Pós-Graduação em Odontologia
Docentes de Odontologia
Internato e Residência
Periodontia/educação
Estudantes de Odontologia/psicologia
[Mh] Termos MeSH secundário: Currículo
Educação de Pós-Graduação em Odontologia/economia
Bolsas de Estudo
Seres Humanos
Internato e Residência/economia
Periodontia/economia
Inquéritos e Questionários
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170821
[Lr] Data última revisão:
170821
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170603
[St] Status:MEDLINE
[do] DOI:10.21815/JDE.016.032


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[PMID]:28253578
[Au] Autor:Ouyang XY
[Ad] Endereço:Department of Periodontology, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Meterial Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China.
[Ti] Título:[State of the art diagnostic criteria of severe periodontitis].
[So] Source:Zhonghua Kou Qiang Yi Xue Za Zhi;52(2):72-74, 2017 Feb 09.
[Is] ISSN:1002-0098
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:Periodontitis could be categorized as mild, moderate, and severe according to the severity of the disease. This categorizing system could also be used together with other classification systems. The present article introduced the status about the case definition of severe periodontitis, including the standard of case definitions for surveillance of periodontitis reported by the Centers for Disease Control and Prevention (CDC) in partnership with the American Academy of Periodontology (AAP) and the consensus report on the definition of periodontitis case for use in risk factor research by Europe workshop. A consensus on the state of the art definition of severe periodontitis for use in clinical work was gained base on the expertise of Chinese Society of Periodontology, Chinese Association of Stomatology. The background of this consensus and the significance of the criteria for the case definition were discussed.
[Mh] Termos MeSH primário: Consenso
Periodontite/diagnóstico
[Mh] Termos MeSH secundário: China
Seres Humanos
Periodontia
Periodontite/classificação
Periodontite/etiologia
Fatores de Risco
Índice de Gravidade de Doença
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170801
[Lr] Data última revisão:
170801
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170304
[St] Status:MEDLINE
[do] DOI:10.3760/cma.j.issn.1002-0098.2017.02.003


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[PMID]:28253577
[Au] Autor:Society of Periodontology, Chinese Stomatological Association
[Ti] Título:[Consensus of Chinese experts on diagnosis of severe periodontitis and treatment principles of periodontitis in special population].
[So] Source:Zhonghua Kou Qiang Yi Xue Za Zhi;52(2):67-71, 2017 Feb 09.
[Is] ISSN:1002-0098
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:Today, there is greater awareness about periodontal diseases amongst Chinese dental clinicians. However, confusions regarding some clinical conditions have been remained in diagnosis and treatment of periodontal disease. Therefore, the Chinese Society of Periodontology undertook the formation of consensus in order to provide perspective to the dental clinicians and to help them in evaluation of the patient's risk factors, so as to make a better treatment decisions in their clinical practice. In the present consensus report, the diagnosis of severe chronic periodontitis at individual level and treatment recommendations of patients with systemic diseases and specific conditions, such as diabetes, hypertension, tumour, period of pregnancy, and the aged, were provided.
[Mh] Termos MeSH primário: Periodontite Crônica/diagnóstico
Periodontite Crônica/terapia
Consenso
Periodontia
[Mh] Termos MeSH secundário: Fatores Etários
Idoso
Diabetes Mellitus
Feminino
Seres Humanos
Hipertensão
Masculino
Neoplasias
Gravidez
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170801
[Lr] Data última revisão:
170801
[Sb] Subgrupo de revista:D; IM
[Da] Data de entrada para processamento:170304
[St] Status:MEDLINE
[do] DOI:10.3760/cma.j.issn.1002-0098.2017.02.002


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[PMID]:28203007
[Au] Autor:Li Z; Liu YS; Ye HQ; Liu YS; Hu WJ; Zhou YS
[Ad] Endereço:Department of Prosthodontics, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China.
[Ti] Título:[Diagnossis and treatment of complicated anterior teeth esthetic defects by combination of whole-process digital esthetic rehabilitation with periodontic surgery].
[So] Source:Beijing Da Xue Xue Bao Yi Xue Ban;49(1):71-5, 2017 02 18.
[Is] ISSN:1671-167X
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:OBJECTIVE: To explore a new method of whole-process digital esthetic prosthodontic rehabilitation combined with periodontic surgery for complicated anterior teeth esthetic defects accompanied by soft tissue morphology, to provide an alternative choice for solving this problem under the guidance of three-dimensional (3D) printing digital dental model and surgical guide, thus completing periodontic surgery and digital esthetic rehabilitation of anterior teeth. METHODS: In this study, 12 patients with complicated esthetic problems accompanied by soft tissue morphology in their anterior teeth were included. The dentition and facial images were obtained by intra-oral scanning and three-dimensional (3D) facial scanning and then calibrated. Two esthetic designs and prosthodontic outcome predictions were created by computer aided design /computer aided manufacturing (CAD/CAM) software combined with digital photography, including consideration of white esthetics and comprehensive consideration of pink-white esthetics. The predictive design of prostheses and the facial appearances of the two designs were evaluated by the patients. If the patients chose the design of comprehensive consideration of pink-white esthetics, they would choose whether they would receive periodontic surgery before esthetic rehabilitation. The dentition design cast of those who chose periodontic surgery would be 3D printed for the guide of periodontic surgery accordingly. RESULTS: In light of the two digital designs based on intra-oral scanning, facing scanning and digital photography, the satisfaction rate of the patients was significantly higher for the comprehensive consideration of pink-white esthetic design (P<0.05) and more patients tended to choose priodontic surgery before esthetic rehabilitation. The 3D printed digital dental model and surgical guide provided significant instructions for periodontic surgery, and achieved success transfer from digital design to clinical application. The prostheses were fabricated by CAD/CAM, thus realizing the whole-process digital esthetic rehabilitation. CONCLUSION: The new method for esthetic rehabilitation of complicated anterior teeth esthetic defects accompanied by soft tissue morphology, including patient-involved digital esthetic analysis, design, esthetic outcome prediction, 3D printing surgical guide for periodontic surgery and digital fabrication is a practical technology. This method is useful for improvement of clinical communication efficiency between doctor-patient, doctor-technician and doctors from different departments, and is conducive to multidisciplinary treatment of this complicated anterior teeth esthetic problem.
[Mh] Termos MeSH primário: Projeto Auxiliado por Computador
Dente Canino/diagnóstico por imagem
Estética Dentária
Incisivo/diagnóstico por imagem
Boca/diagnóstico por imagem
Boca/patologia
Modelagem Computacional Específica para o Paciente
Periodontia/métodos
Tecnologia Odontológica/instrumentação
Tecnologia Odontológica/métodos
[Mh] Termos MeSH secundário: Cor
Dente Canino/patologia
Tomada de Decisões
Modelos Dentários
Seres Humanos
Imagem Tridimensional/métodos
Incisivo/patologia
Equipe de Assistência ao Paciente
Satisfação do Paciente/estatística & dados numéricos
Periodontia/instrumentação
Impressão Tridimensional
Cirurgia Bucal/métodos
Cirurgia Bucal/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170217
[St] Status:MEDLINE


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[PMID]:28203005
[Au] Autor:Shen X; Shi J; Xu L; Jiao J; Lu RF; Meng HX
[Ad] Endereço:Department of Periodontology, Peking University School and Hospital of Stomatology & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China.
[Ti] Título:[Clinical evaluation of periodontal-orthodontic treatment in patients with aggressive periodontitis and malocclusion].
[So] Source:Beijing Da Xue Xue Bao Yi Xue Ban;49(1):60-66, 2017 02 18.
[Is] ISSN:1671-167X
[Cp] País de publicação:China
[La] Idioma:chi
[Ab] Resumo:OBJECTIVE: To evaluate the clinical effect and safety of periodontal-orthodontic treatment in patients with aggressive periodontitis (AgP) and malocclusion. METHODS: A retrospective analysis was conducted in 25 AgP patients, who had received periodontal-orthodontic treatment in Peking University School and Hospital of Stomatology. Clinical indexes, including probing depth (PD), bleeding index (BI) and percentage of sites with bleeding on probing (BOP%) were evaluated at three time points: Baseline (T0); active periodontal treatment finished and before orthodontic treatment (T1); and after orthodontic treatment (T2). Also changes of ratio of the residual alveolar bone height (RBH) and the occurrence of root resorption were evaluated by periapical radiographs. RESULTS: (1) Compared with T0, all the clinical parameters including PD, BI, BOP% and percentage of sites with PD>3 mm were significantly improved (P<0.001). (2) Significant difference was observed in the average RBH between T0 (68.37%±15.60% and T2 (70.27%±14.23%). RBH in upper incisors [(58.79%±16.71% at T0, 65.54% (55.74%, 78.13%) at T2], upper canines [77.62% (66.06%, 87.17%) at T0, 79.57% (69.75%, 86.52%) at T2] and upper molars [74.30% (61.69%, 84.45%) at T0, 76.76% (68.12%, 85.09%) at T2] showed significant increase (P<0.05). (3) After orthodontic treatment, varying degrees of root resorption occurred in (23.94%±13.45%) of teeth per capita, among which the lower and upper incisors showed the highest incidence (68.48% and 65.31% in homogeneous teeth, respectively). CONCLUSION: After active periodontal treatment, orthodontic treatment in AgP patients had not aggravated inflammation and alveolar bone resorption; root resorption occurred in two-thirds of incisors approximately.
[Mh] Termos MeSH primário: Periodontite Agressiva/complicações
Periodontite Agressiva/terapia
Perda do Osso Alveolar/etiologia
Perda do Osso Alveolar/prevenção & controle
Má Oclusão/terapia
Ortodontia Corretiva/efeitos adversos
[Mh] Termos MeSH secundário: Processo Alveolar/crescimento & desenvolvimento
Processo Alveolar/patologia
Dente Canino/patologia
Seres Humanos
Incisivo/patologia
Dente Molar/patologia
Ortodontia Corretiva/estatística & dados numéricos
Índice Periodontal
Bolsa Periodontal/patologia
Bolsa Periodontal/terapia
Periodontia/métodos
Periodontia/estatística & dados numéricos
Estudos Retrospectivos
Reabsorção da Raiz/etiologia
Reabsorção da Raiz/patologia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170217
[St] Status:MEDLINE


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[PMID]:28111388
[Au] Autor:Saarani NN; Jamuna-Thevi K; Shahab N; Hermawan H; Saidin S
[Ad] Endereço:Faculty of Biosciences & Medical Engineering, Universiti Teknologi Malaysia.
[Ti] Título:Antibacterial efficacy of triple-layered poly(lactic-co-glycolic acid)/nanoapatite/lauric acid guided bone regeneration membrane on periodontal bacteria.
[So] Source:Dent Mater J;36(3):260-265, 2017 May 31.
[Is] ISSN:1881-1361
[Cp] País de publicação:Japan
[La] Idioma:eng
[Ab] Resumo:A guided bone regeneration (GBR) membrane has been extensively used in the repair and regeneration of damaged periodontal tissues. One of the main challenges of GBR restoration is bacterial colonization on the membrane, constitutes to premature membrane degradation. Therefore, the purpose of this study was to investigate the antibacterial efficacy of triple-layered GBR membrane composed of poly(lactic-co-glycolic acid) (PLGA), nanoapatite (NAp) and lauric acid (LA) with two types of Gram-negative periodontal bacteria, Fusobacterium nucleatum and Porphyromonas gingivalis through a disc diffusion and bacterial count tests. The membranes exhibited a pattern of growth inhibition and killing effect against both bacteria. The increase in LA concentration tended to increase the bactericidal activities which indicated by higher diameter of inhibition zone and higher antibacterial percentage. It is shown that the incorporation of LA into the GBR membrane has retarded the growth and proliferation of Gram-negative periodontal bacteria for the treatment of periodontal disease.
[Mh] Termos MeSH primário: Antibacterianos
Regeneração Óssea
Ácidos Láuricos
[Mh] Termos MeSH secundário: Apatitas
Bactérias
Ácido Láctico
Membranas Artificiais
Periodontia
Polímeros
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents); 0 (Apatites); 0 (Lauric Acids); 0 (Membranes, Artificial); 0 (Polymers); 33X04XA5AT (Lactic Acid)
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170823
[Lr] Data última revisão:
170823
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170124
[St] Status:MEDLINE
[do] DOI:10.4012/dmj.2016-177



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