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عضویت

جستجوی مقالات مرتبط با کلیدواژه « periodontal diseases » در نشریات گروه « پزشکی »

  • جابر یقینی، نرگس نقش*، ریحانه نقدی بادی
    مقدمه

    اختلالات خواب می تواند روی ارگان های مختلفی اثر گذارد و احتمال ابتلا به بیماری های قلبی عروقی، دیابت، افسردگی و اختلالات ایمنی را بالا برده و نیز سبب کاهش دانسیته استخوانی گردد. پریودنتیت شامل التهاب بافت های پریودنتال است که پاسخ کاهش یا افزایش یافته میزبان به فاکتورهای مستعدکننده التهاب (می تواند در حضور بیماری سیستمیک زمینه ای باشد) باعث این بیماری می شود. دراین مطالعه سعی بر این است که رابطه بین اختلالات خواب و بیماری های پریودنتال بررسی شود.

    روش بررسی

    در این مطالعه مقطعی-تحلیلی ، 60 نفر نمونه سالم بدون بیماری های سیستمیک، مراجعه کننده به بخش پریو دانشکده دندانپزشکی اصفهان در سال تحصیلی 98-1397 به دو گروه دارای اختلال خواب و فاقد اختلال خواب تقسیم شدند (با استفاده از پرسش نامه PSQI) و از لحاظ شدت پریودنتیت مزمن ارزیابی شدند. در این مطالعه شاخص پلاک silness and loe، شاخص لثه ای Loe and Sillness و شاخص جرم بررسی شدند. هم چنین فاکتور های دموگرافیک، رفتارهای بهداشتی فرد و ارتباط بین شدت پریودنتیت و اختلال خواب مورد بررسی قرار گرفت. داده های به دست آمده، با آزمون  tمستقل، پیرسون، من ویتنی و رگرسیون چندگانه با استفاده از نرم افزار SPSS version 16 تجزیه و تحلیل و α=0.05 به عنوان سطح معناداری در نظر گرفته شد.

    نتایج

    شدت پریودنتیت با سن BMI (Body Mass Index) ، شاخص جرم، دفعات استفاده از مسواک و نخ دندان و نمره حاصل از پرسشنامه PSQI رابطه معنی داری داشت (0/5<P). با کنترل سن، جنس و شاخص جرم و پلاک، در افراد با پریودنتیت متوسط (0/001<P) و شدید (0/006=P) ارتباط معنی داری بین اختلال خواب و شدت بیماری پریودنتال وجود داشت، اما در مورد پریودنتیت ملایم ارتباط نزدیک به سطح معنی دار بود (0/087=P).

    نتیجه گیری

    به نظر می رسد اختلالات خواب با شدت پریودنتیت ارتباط دارد، بنابراین ممکن است بهداشت خواب در کنترل بیماری پریودنتال کمک کننده باشد. با این حال مطالعات بیشتری در این خصوص توصیه می شود.

    کلید واژگان: بیماری های پریودنتال, اختلالات خواب, التهاب}
    Jaber Yaghini, Narges Naghsh*, Reyhane Naghdi Badi
    Introduction

    Sleep disorders can affect on different organs and increase the risk of cardiovascular disease, diabetes, depression, immunity disorders and decrease the bone density. Periodontitis includes inflammation of periodontium because of increased or decreased response of the host immunity to predisposing factors (it can be in presence of systemic diseases). The aim of this study was to evaluate the relationship between sleep disorders and periodontal diseases.

    Methods

    In this analytic-cross sectional study, 60 individuals clinically healthy that referring to Department of Periodontology of Isfahan Dental School at year 2018-19 categorized into 2 groups: with or without dyssomnias (with PSQI questionnaire). In this study, Sillness and Loe plaque index, Loe and Sillness gingival index and calculus index were investigated. Similarly assessed demographic factors, personal health behaviors and relation between the severity of periodontitis and dyssomnia and were assessed. Data analyzed by SPSS statistics 16 software using independent T-test, Mann-Whitney, Pearson and multinominal regression.

    Results

    Severity of periodontitis had a significant relationship with age, BMI (Body Mass Index), calculus index, frequency of flossing and brushing as well as score of PSQI questionnaire (p<0.5). By controlling age, gender, mass and plaque index, there was a significant relationship between dyssomnias and severity of periodontal disease in the patients with moderate periodontitis (P>0.001) and severe periodontitis (P=0.006), but in the case of mild periodontitis, the relationship was close to the significant level (p=0.087).

    Conclusion

    It seems that dyssomnias is in relation to severity of periodontitis; therefore sleep hygiene may help controlling periodontal diseases. However more studies are needed in this field.

    Keywords: Dyssomnias, Periodontal Diseases, Inflammation}
  • Shams Waleed Khalid, Ahlam Taha Mohammed
    Purpose

    This study aimed to evaluate the effect of total antioxidant capacity on periodontal diseases among ionizing radiation workers. The relationship between oxidative stress and periodontal health in this specific occupational group was assessed to gain insights into potential antioxidant supplementation needs and strategies to promote periodontal well-being.

    Materials and Methods

    This case-control study was conducted among ionizing radiation workers (CT scan section) and control group participants. Salivary samples were collected from both groups, and total antioxidant capacity was measured using an Enzyme-Linked Immunosorbent Assay (ELISA) kit. Clinical periodontal parameters were also assessed. Statistical analysis was performed using T-tests to compare the results between the groups.

    Results

    The study group showed a significantly lower total antioxidant capacity (2.534) compared to the control group (3.806) (p = 0.022). Significant differences were observed in plaque index, probing pocket depth, and clinical attachment loss between the groups. These findings suggest a potential association between radiation exposure, decreased antioxidant capacity, and periodontal tissue damage.

    Conclusion

    Radiographic workers exposed to ionizing radiation had lower antioxidant capacity and higher rates of periodontal diseases. Maintaining adequate antioxidants is crucial for protecting periodontal tissues. Further research should investigate mechanisms and exposure variations.

    Keywords: Total Antioxidant Capacity, Ionizing Radiation, Periodontal Diseases, Oxidative Stress, Radiographicworkers, Salivary Samples}
  • Maedeh Banki, Narges Gholizadeh, Nafiseh Sheykhbahaei *

    Human beings share identical blood systems, even though they differ in several particular types. The distribution sequence of RH and ABO systems is complicated around the world. Various research in recent years has demonstrated that non-O blood groups, also known as ABO blood groups, are associated with an increased risk of developing oral diseases such as Candida infection, periodontal diseases, and oral cancer. The major aim of this extensive literature review was to determine the relationship between oral diseases and ABO blood grouping. We searched PubMed and google scholar using different terms and combinations to find papers related to oral diseases and ABO blood types. There was no language restriction, and all studies that investigated the relationship between ABO blood types and any oral diseases were included. The findings of this study suggested that ABO blood subtypes could be considered risk factors in the evolution of several diseases in the oral cavity that affect teeth, periodontium, and oral mucosa.

    Keywords: ABO Blood-Group System, Mouth Diseases, Periodontal Diseases, Dental Caries}
  • Narges Naghsh, Jaber Yaghini, Tahmineh Narimani, Elahe Khodarahmi
    Background

    This study was designed to evaluate the antimicrobial activity of common gum protection and antiplaque toothpastes against Porphyromonas gingivalis (P. gingivalis) and Streptococcus oralis (S. oralis) as important periodontal pathogens.

    Materials and Methods

    This experimental study investigated the antimicrobial activity of 15 commonly used toothpastes from different companies on the two common types of periopathogens, S. oralis and P. gingivalis. The antimicrobial activity of toothpaste was evaluated at three concentrations of 100%, 50%, and 25% and analyzed by agar well diffusion plate method and zone of inhibition. The obtained data were compared and statistically analyzed by SPSS software using one‑way ANOVA and the least significant difference post hoc tests (α = 0.05).

    Results

    One‑way ANOVA showed that the mean diameter of the two‑bacterial zone of inhibition was significantly different at 100%, 50%, and 25% concentrations of toothpastes (P < 0.001). In general, the mean diameter of the zone of inhibition was greater at 100% concentration than the other two concentrations in all toothpastes. The highest zone of inhibition of the S. oralis was in the toothpastes containing tin. Further, the highest zone of inhibition of P. gingivalis was found in the triclosan‑containing toothpastes.

    Conclusion

    Toothpastes containing triclosan had the most antimicrobial activity against P. gingivalis. Moreover, toothpastes containing tin compounds had the most antimicrobial effect against S. oralis.  

    Keywords: Bacteria, periodontal diseases, toothpastes}
  • Morad Hedayati Panah, Leila Shahsavand Baghdadi, Saeedeh Fatholahi*

    Aplastic anemia (AA) is a rare disease characterized by pancytopenia, susceptibility to infection, and difficulty maintaining hemostasis. Drugs are considered to be one of the most important risk factors associated with AA. Various studies have identified the pharmaceutical agents that may contribute to the development of AA. It is common for patients with severe periodontal disease and AA to experience spontaneous bleeding during brushing in terms of thrombocytopenia, which may further exacerbate dental problems. AA patients require comprehensive periodontal treatment that necessitates collaboration with a hematologist.

    Keywords: Aplastic anemia, Hematologic disease, Oral manifestation, Periodontal diseases}
  • Maryam Darabi, Ronak Bakhtiari*, Ahmad Jafari, _ Majid Mehran, Seyed Saeed Eshraghi, Anis Barati
    Background and Objectives

    Periodontal diseases are resulted from gum infections and dental plaques, which are mainly caused by the bacterial agents. Since dental monitoring includes important prognostic roles, the aim of this study was to detect the most common periodontal pathogenic bacteria in children.

    Materials and Methods

    A total of 200 clinical samples were collected from dental plaques and gingival grooves. Tar- get-specific primers were designed for hbpA in Aggregatibacter actinomycetemcomitans, fimA in Porphyromonas gingivalis and 16S rRNA in Prevotella intermedia, Tannerella forsythia and Treponema denticola. Then, a multiplex polymerase chain reaction method was optimized for the highlighted bacterial agents.

    Results

    In general, the highest and the lowest bacterial prevalence rates belonged to Tannerella forsythia (88%) and Por- phyromonas gingivalis (13%), respectively. Furthermore, prevalence rates of Aggregatibacter actinomycetemcomitans, Prevotella intermedia and Treponema denticola were 25, 21 and 45% in samples, respectively.

    Conclusion

    There were significant associations between dental/oral health and microbial community. Metabolism of the oral bacteria, including biofilm formation, can affect gums and develop dental plaques and hence dental caries, especially in children. Early diagnosis of dental caries in children via rapid, accurate molecular methods can increase the diagnostic capacity in clinical cases and therefore prevent periodontal infections in adulthood.

    Keywords: Periodontal diseases, Bacterial pathogens, Dental plaques, Dental caries, Children}
  • حدیث احسانی، علی جعفری، امیرحسین علی اکبری، علی اصغر نادی قرا، اعظم نحوی*
    سابقه و هدف

    آموزش بهداشت دهانی در سنین نوجوانی، می تواند سبب تغییر دانش و رفتار بهداشتی ایشان شده و در نهایت به پیشگیری از بروز بیماری های پریودنتال دوره بلوغ منجر شود. مطالعه حاضر با هدف مقایسه اثرگذاری آموزش بهداشت دهانی توسط انیمیشن و آموزش شفاهی به روش معمول در تغییر دانش، رفتار و شاخص های پریودنتال نوجوانان، انجام پذیرفت.

    مواد و روش ها

    در مطالعه مداخله ای نیمه تجربی حاضر، 371 دانش آموز 13 تا 15 ساله مدارس منتخب ساری، که توسط نمونه گیری خوشه ای برگزیده شد و دارای معیارهای ورود و فاقد معیارهای خروج بودند، به دو گروه کنترل با آموزش شفاهی (187 نفر) و مداخله با آموزش توسط انیمیشن(184 نفر) تقسیم شدند. پرسشنامه و معاینات بالینی شاخص های لثه ای (GI)، پلاک (PI) و خونریزی از سالکوس لثه (SBI) پیش از مداخله و چهار هفته پس از مداخله انجام شد و داده ها در نرم افزار SPSS ver23 وارد شد. از آزمون های t مستقل و کوواریانس جهت آنالیز داده ها استفاده شده و 0/05 <p معنی دار در نظر گرفته شد.

    یافته ها

    پس از مداخله، میانگین نمرات شاخص های دانش، رفتار، GI، PI و SBI به ترتیب از  6/27، 5/90، 1/10، 0/85 و 0/31 به 7/53،     7/08 ، 0/73، 0/53 و 0/21 تغییر یافت. تمامی شاخص ها در گروه کنترل نیز بهبود یافتند؛ با این حال، پس از مداخله، اختلاف چشمگیری میان گروه انیمیشن و گروه کنترل در تمامی شاخص ها، به استثنای رفتار بهداشتی، به ثبت رسید (0/05<p).

    استنتاج

    آموزش بهداشت دهانی توسط انیمیشن رویکردی نوین و تاثیرگذار است که می تواند جذابیت بیش تری برای نوجوانان داشته و در پیشگیری از بیماری های پریودنتال موثر باشد.

    کلید واژگان: آموزش بهداشت, انیمیشن, بلوغ, بیماری های پریودنتال, شاخص های پریودنتال}
    Hodis Ehsani, Ali Jafari, Amirhosein Aliakbari, AliAsghar Nadi Ghara, Azam Nahvi*
    Background and purpose

    Utilizing engaging techniques, such as animation, to educate adolescents about oral health can significantly impact their knowledge and behavior, resulting in the prevention of periodontal diseases. The current study aimed to compare the effectiveness of health education utilizing animation vs traditional education methods in improving adolescents' attitudes, behavior, and periodontal markers.

    Materials and methods

    In this interventional study, 371 students aged 13 to 15 were randomly selected by cluster sampling and divided into two groups: control (187 students) and intervention (184 students). Questionnaires and clinical examinations of the Gingival Index (GI), Plaque Index (PI), and Sulcus Bleeding Index (SBI) were completed before and four weeks following the intervention, and the data were entered into the SPSS software (v. 23). The independent t-test and covariance analysis were used to analyze the data, and P<0.05 was considered significant.

    Results

    After the intervention, the average scores of knowledge, behavior, GI, PI, and SBI indices were changed from 6.27, 5.90, 1.10, 0.85, and 0.31 to 7.53, 7.08, 0.73, 0.53, and 0.21, respectively. All indices in the control group also improved; however, after the intervention, a significant difference was recorded between the animation group and the control group in all indices, except health behavior (P<0.05).

    Conclusion

    Oral health education through animation is a novel and effective approach that can be more appealing to adolescents and beneficial in reducing periodontal diseases in young patients.

    Keywords: adolescence, animation, health education, periodontal diseases, periodontal indices}
  • Nazan Karahan *, Gulhan Unal Kocaman
    Background & aim

    Periodontal diseases cause adverse obstetric outcomes in pregnancy. However, pregnant women generally avoid going to the dentist. This study was conducted to assess the reliability and validity of Periodontal Diseases Assessment Index (PEDIAP) in Pregnancy for Midwives in Turkish society.

    Methods

    This is a validation study consisted of 111 pregnant women referred to antenatal clinic of a training hospital in western Turkey in 2017. Construct validity of the index was calculated by exploratory and confirmatory factor analyses (EFA, CFA), reliability by Cronbach's alpha coefficient, inter-applicant agreement with Kendal W coefficient and intraclass correlation coefficient (ICC) and factor structure with principal components analysis and Varimax rotation using SPSS for Windows 20.0 software.

    Results

    Results showed that the index explained 33.94% of the total variance, and the factor loading values were between 0.47 and 0.68. Based on the CFA, fit indices were found to be χ2/sd = 1.6384, RMSEA = 0.0762, and CFI = 0.9795. The regression coefficients and t values were significant (t > 1.96). The index was found to have a positive correlation with (CPITN) scores (p < .001). The Cronbach alpha coefficient was calculated to be 0.774. It was found that the Kendal W coefficient ranged from 0.550-1 for each item, the ICC coefficient was 0.869, and correlation was significant (p < 0.001). The cut-off value of the index was specified as 3.5

    Conclusion

    The results of this study show that the PEDIAP is a valid and reliable index for use in research and midwifery care.

    Keywords: Periodontal diseases, pregnancy, Oral Health, Midwifery}
  • Ali Seyed‑Monir, Ebrahim Seyed‑Monir, Sanaz Mihandoust
    Background

    Diode lasers can be used in the treatment of periodontal diseases as they have an anti‑bactericidal effect, and regulate oral tissue inflammatory responses. This study aimed to evaluate the adjunctive effects of Diode 940 nm laser on mechanical periodontal debridement.

    Materials and Methods

    In this split‑mouth single‑blind randomized clinical trial, 12 patients were selected. Forty‑four oral segments were enrolled in the scaling and root planing (SRP) group and SRP + Laser group with a 1:1 allocation ratio following a simple randomization procedure (coin flip). Clinical parameters (pocket depth, clinical attachment loss [CAL], and bleeding on probing [BOP]) were measured at baseline. After the SRP, a 940 nm Diode laser (1 Watt power and continuous wave mode) was used in the SRP + Laser group as an adjunctive treatment. The clinical parameters were remeasured 2 months posttreatment. Statistical analysis was carried out using an unpaired t‑test with a 5% significant level by SPSS.

    Results

    Although all clinical parameters had more improvements in the SRP + Laser group, the differences were not significant between the two study groups (P > 0.05). Only in individual tooth evaluations, CAL changes in first and second premolars and BOP changes in second premolars show statistically significant improvement in the SRP + L group compared to the SRP group (P < 0.05).

    Conclusion

    Using diode 940 nm laser as an adjunctive treatment for SRP may be helpful and be suggested for periodontal treatment.

    Keywords: Dental scaling, lasers, periodontal diseases, periodontitis, root planing, semiconductor}
  • Reyhaneh Shoorgashti, Ardavan Etemadi*, Soheila Mirzaee, Ramin Shoorgashti
    Background and Aim

    This study reviewed the literature regarding the correlation of periodontal disease and outcome of in vitro fertilization (IVF).

    Materials and Methods

    "IVF", "In Vitro Fertilization", and "Periodontitis" were searched in PubMed, Web of Science, and Google Scholar databases to find English articles published up to August 2022. A free online resource developed by the Canadian Agency for Drugs and Technologies in Health was used to search the grey literature. Duplicate screening and extraction of citations were also carried out. No search filter was applied during searching. Two independent reviewers evaluated the title and abstract of the retrieved articles. Next, the articles retrieved in the initial search were reviewed independently for relevant information to the research question.

    Results

    The relationship between periodontitis and IVF has been studied in a limited number of studies. According to most articles, periodontal disease may affect IVF implantation and vice versa in women who want to conceive through this procedure. Low sperm motility and reduction in sperm count were also seen in males with periodontitis. Only one study found no correlation between the presence of periodontal disease and unwanted IVF results.  

    Conclusion

    According to the results, periodontitis can impair the reproductive function since it causes systemic bacteremia. Oral health should be addressed by the primary care providers before the onset of any fertility treatment. There is; however, a need for further investigations into the possible implications of periodontal disease in women seeking fertility care.

    Keywords: Mouth Diseases, Periodontal Diseases, Reproductive Techniques, Sperm Injections}
  • Fatemeh Isamorad, Farnaz Kouhestani *, Pardis Aghandeh, Saeed Reza Motamedian
    Introduction

    The present study systematically reviews the studies on the application and effect of periodontal ligament stem cells (PDLSCs) in the regeneration of periodontal defect in animal and human models.

    Materials and Methods

    The databases of PubMed, Scopus, Cochrane Library, Embase, and ProQuest, as well as the Web of Science were searched for relevant published articles in English without time limit until August 2022. The eligibility criteria were the studies focusing on the use and effect of PDLSCs on periodontal regeneration. Exclusion criteria included the articles which did not report the extent of periodontal regeneration, and those failing to provide flow cytometry and differentiation tests to prove the stemness of PDLSCs.

    Results

    In this review, 27 animal and 4 human studies meet the eligibility criteria. Human samples had periodontal disease, and various surgical periodontal defects had been created in the animals (mouse, rat, rabbit, dog, and sheep). Meta-analysis was not possible due to heterogeneity in study designs. Based on the literature review, there was inconsistency in the limited number of conducted human research. However, cementum, PDL, and bone regeneration increased in animal models in the PDLSCs group compared to the control ones. No complication in PDLSCs groups was reported.

    Conclusions

    The application of PDLSCs as one of tissue engineering components can impose beneficial effects on periodontal tissue regeneration in animal models. However, more human studies with higher quality are required to assess clinical efficacy of this method.

    Keywords: Periodontal Diseases, Periodontal Regeneration, Periodontal ligament, stem cells, Systematic review, Tissue engineering}
  • Ashkan Salari*, Fardin Zarei, Farnoosh Khaksari, Reza Delbari, Soheil Taghavi
    Introduction

    The present study aimed to assess the prevalence of periodontal bony lesions in radiographs in the Iranian population.

    Materials and Methods

    In this analytical cross-sectional study, 440 radiographic images of patients aged 15-60 years were selected based on the study’s inclusion criteria. Two researchers evaluated all radiographs and recorded patient age, gender, and bone-related lesions (horizontal , vertical and furca involvement) in a checklist. Chi-square test was used for data analysis. (α=0.05).

    Results

    273 images (62.05%) had no lesions and 167 images (37.95%) had lesions. In the 167 examined images, a total of 845 bone lesions were observed . The highest frequency was in horizontal lesions in the anterior mandible and central incisor teeth and the lowest type of lesion was related to vertical lesions in the posterior mandible and in the third molar (P<0.001). The most types of bone lesions; Based on the type of tooth, was related to horizontal lesions in the lateral incisor and the lowest type of lesion was related to vertical lesions in the first premolar tooth (P<0.001). Based on restoration, the most related to horizontal lesions in amalgam and the least related to vertical lesions and furca in veneer (P<0.001). Based on the contact status, the most was related to horizontal lesions in open contact and the least was related to vertical lesions (P<0.001).

    Conclusion

    Based on this study, there is a significant association between the type of periodontal bony lesion and involved teeth, restoration type, contact status, presence of calculus on radiographs.

    Keywords: Periodontal Diseases, Alveolar Bone Loss, Radiography, Panoramic, Furcation Defects}
  • Narges Naghsh, Jaber Yaghini, Atefeh Arab, Samaneh Soltani
    Background

    This study investigated the number of bacterial colonies in four types of suture threads, including silk, nylon, monocryl, and monocryl plus after periodontal surgery in patients with moderate‑to‑severe periodontitis.

    Materials and Methods

    In this single‑blind randomized clinical trial, a total of 12 patients with periodontitis who required periodontal flap surgery in all quadrants were included. One type of suture, either silk, nylon, monocryl, or monocryl plus (coated with triclosan), was used following each surgery in each quadrant. Sutures (3 mm) were removed from the mid, posterior, and anterior regions of the flap 7 days postoperatively, and placed in a tube‑containing buffer medium to transfer to the culture medium in a laboratory. Then, the bacterial colonies on each culture medium were counted manually. Finally, the mean number of grown colonies(anaerobic and aerobic) was computed and compared in each group of sutures. Data were analyzed by SPSS (Version 20) using the repeated measures ANOVA and least significant difference follow‑up tests (α = 0.05).

    Results

    The findings of this study indicated a significantly higher mean number of aerobic, anaerobic, and aerobic‑anaerobic colonies in silk suture than in the other three types of sutures (P < 0.05). However, no significant difference was observed among other types of sutures (P > 0.05).

    Conclusion

    The results of this study showed that silk suture had a higher bacterial adhesion (aerobic, anaerobic, and aerobic‑anaerobic) than monofilament sutures, including nylon, monocryl, and monocryl plus. Moreover, no significant difference was found among the monofilament sutures in the number of colonies grown on them.

    Keywords: Colony forming unit, periodontal diseases, suture}
  • Asal Omidsalar, Shahin Emami Meibodi, Ferena Sayar, Ahmad SheibaniNia
    Background and Objective

     Periodontal problems are very common among patients undergoing fixed orthodontics treatment. Using mouthwashes such as Listerine and Persica is recommended in order to prevent such complications. There have, however, been no information on the comparative effects of Listerine and Persica mouthwashes so far. Thus the comparative study presented here under the title of “Evaluating the comparative effects of Listerine Zero and Persica Mouthwashes on the Periodontal Conditions of fixed orthodontics Patients was conducted at the Department of Dentistry of Azad University of Tehran.

    Materials and Methods

     A blind randomized clinical trial was conducted on 30 patients. All subjects were between 20 and 50 years of age; had been under fixed orthodontic treatment for at least two months; did not have serious systemic health complications; had a minimum of 5 teeth in each quadrant for evaluation. Root planning and scaling were conducted on male and female subjects prior to their entry into the study. The SI, GI, PI, and BOP indices of each subject were then recorded in the base-line stage. The subjects were then divided into two random groups. The first group was treated with Persica (Pursina Co., Iran) and the second group with Listerine Zero (Johnson & Johnson, New Jersey, USA). The two groups were followed up twice after two and four weeks of treatment and their SI, GI, PI, and BOP indices were recorded.

    Results

     The SI, GI, PI, and BOP indices were found to have changed by similar amounts in both groups (P<0.12). The changes in GI, PI, and BOP were, however, statistically significant within each group (P<0.02). The changes in SI index within the Persica group were found to increase only within the first two weeks of treatment (P<0.05).

    Conclusion

     Following the comparative study described above, both mouthwashes appear to positively affect the periodontal condition of fixed orthodontics patients. Both mouthwashes were, however, found to have similar effects.

    Keywords: Listerine, Persica, Periodontal diseases, Fixed orthodontics}
  • مریم ربیعی، محمدحسین حیدری، عنایت الله همایی راد، محمد سمامی*
    زمینه و هدف

    ارزیابی نتایج طرح تحول سلامت در دندانپزشکی که از اسفند 94 با هدف بهبود سلامت دهان و دندان شروع به کار کرده است، در راستای بهبود برنامه ریزی برای اقدامات آینده اهمیت وافری دارد. لذا هدف از انجام مطالعه حاضر، ارزیابی تاثیر طرح تحول سلامت بر روی شاخص های رایج سلامت عمومی دهان در استان گیلان بود.

    روش بررسی

    این مطالعه مقطعی- تحلیلی با استفاده از داده های معاونت بهداشتی دانشگاه علوم پزشکی گیلان و نتایج سرشماری عمومی نفوس و مسکن سال های 1390 و 1395 انجام شد. تجزیه تحلیل داده ها با استفاده از روش رگرسیون حداقل مربعات معمولی، با در نظر گرفتن متغیرهای وابسته شامل شاخص های DMFT (decayed teeth, missing teeth due to caries, and filled teeth due to caries-permanent teeth)، dmft (decayed teeth, missing teeth due to caries, and filled teeth due to caries-primary teeth) و شاخص های بیماری های پریودنتال (CPI) (Community Periodontal Index) و متغیرهای مستقل شامل جنسیت، تحصیلات، سکونت در شهر/ روستا، درصد افراد 13 سال، نرخ بی سوادی، نرخ باروری و قرار داشتن یا نداشتن در طرح تحول، جهت بررسی تفاوت بین دو گروه قبل و بعد از اجرای طرح تحول از نظر متغیر ها و بررسی ارتباط متغیرهای مستقل با متغیر های وابسته، انجام شد. نهایتا داده ها توسط نرم افزار STATA SE نسخه 15 مورد تجزیه و تحلیل قرار گرفتند.

    یافته ها

    طرح تحول سلامت رابطه معنی داری با تغییر شاخص های DMFT و CPI 2 تا CPI 6 نداشته است اما منجر به کاهش dmft و شاخص CPI 1 شد (05/0P<) که کاهش شاخص CPI 1 مطلوب نبود.

    نتیجه گیری

    به نظر می رسد علی رغم فعالیت های وسیع طرح تحول سلامت در دندانپزشکی در حوزه پیشگیری و درمان هنوز هم نیاز به تغییرات بیشتری خصوصا از لحاظ فرهنگی و آموزشی و فراهم آوردن امکانات بیشتر جهت دسترسی تمام اقشار جامعه به ویژه اقشار ضعیف به خدمات بهداشتی و درمانی می باشد.

    کلید واژگان: سلامت دهان, شاخص dmft, بیماری های پریودنتال}
    Maryam Rabiei, MohammadHossein Heidari, Enayatollah Homaei Rad, Mohammad Samami*
    Background and Aims

    The evaluation of the results of health transformation plan in dentistry, which started in March 2016 with the aim of improving oral and dental health, is extremely important in order to improve planning for future actions. Therefore, the purpose of the present study was to evaluate the effect of the health transformation plan on common oral health indices in Guilan province in Iran.

    Materials and Methods

    This cross-sectional analytical study was performed using the Health Deputy of Guilan University of Medical Sciences data and results of the general population and housing census of the 2010 and 2015. Data analysis was done using Ordinary Least Squares regression method, considering dependent variables including DMFT, dmft and periodontal disease indices (CPI) and independent variables including gender, education, urban or rural residence, percentage of 13-year-old population, illiteracy rate, fertility rate and being or not in the transformation plan, to investigate the difference between the two groups before and after the implementation of the transformation plan in terms of variables and to examine the relationship between independent and dependent variables. Finally, data were analyzed by STATA SE software version 15.

    Results

    The health transformation plan did not have a significant relationship with the change of DMFT and CPI 2 to CPI 6 indices, but had succeeded in reducing dmft and CPI1 (P<0.05), which reduction in CPI1 index was not desirable.

    Conclusion

    It seems that despite the extensive activities of the health transformation plan in dentistry in the field of prevention and treatment, there is still a need for more changes, especially in terms of culture and education. Also, there is need to provide more facilities for access to services by all sections of the society, especially the weak sections for healthcare.

    Keywords: Oral health, Dmft index, Periodontal diseases}
  • Ali Taghipour, Hassan Rezanezhad, Kavous Solhjoo, Amir Abdoli, Meghdad Eslami, Masoud Foroutan, Atefeh Fathi, Zahra Haghparast, Saeed Bahadori*

    There are frequent epidemiological and experimental proofs to propose that Entamoeba gingivalis and Trichomonas tenax infections are ignored factors for the development of dental and periodontal diseases. For a more comprehensive review, the present study was designed and conducted, including a systematic search in PubMed, Scopus, Web of Science, and Google Scholar databases for retrieving related reports up to December 01, 2019. Finally, 48 studies (a total of 70 datasets), including 30 datasets with case-control designs (1711 patients and 614 controls) and 40 datasets with cross-sectional designs (a total of 7257 participants) met the eligibility criteria. Based on the random-effects model, the pooled prevalence of protozoan infections in dental and periodontal patients was estimated to be 25.2% (95% CI, 21.2-29.8%; 2210/8968). In case-control designed studies, the prevalence of protozoan infections in dental and periodontal patients (35.8%, 614/1711) was found to be significantly higher than in controls (14.4%, 198/1371; OR: 4.15, 95% CI: 2.92-5.92). In addition, E. gingivalis (OR: 3.81, 95% CI: 2.36-6.14) and T. tenax (OR: 5.08, 95% CI: 2.81-9.20) were significantly higher in dental and periodontal patients compared to the controls. Our results demonstrated an apparently significant association between these protozoan infections in dental and periodontal patients. In conclusion, more standardized experimental designs are proposed using the animal model, and longitudinal (cohort) studies support the association between these protozoan infections in dental and periodontal patients to understand whether E. gingivalis and T. tenax infections are a co-factor in the development of dental and periodontal patients.

    Keywords: Entamoeba gingivalis, Trichomonas tenax, Dental diseases, Periodontal diseases}
  • محمدمصطفی آقامحسنی *، شیرین زهرا فرهاد
    مقدمه

    سلول‌های بنیادی و مهندسی بافت پتانسیل بالایی را از زمان معرفی، در درمان بیماری‌های پریودنتال نشان داده‌اند. سلول‌های بنیادی مزانشیمی، سلول‌های تمایز نیافته‌ای هستند که که می‌توانند به بافت‌های مختلفی تمایز پیدا کنند. هدف این مطالعه، بررسی اثربخشی انواع مختلفی از این سلول‌ها در درمان نقایص پریودنتال می‌باشد.

    شرح مقاله

     سلول‌های بنیادی مزانشیمی در اطراف بافت‌های مختلفی وجود دارند و می‌توان از منابع مختلف داخل دهانی یا خارج دهانی از آن‌ها برای پروسه‌های بازسازی بافت پریودنشیم استفاده کرد. از میان سلول‌های بنیادی خارج دهانی، سلول‌های بنیادی مغز استخوان و پس از سلول‌های بنیادی بافت چربی نتایج امیدوار‌کننده‌ای در خصوص توانایی این سلول‌ها در بازسازی پریودنشیم نشان داده‌اند. از میان منابع داخل دهانی، سلول‌های بنیادی مزانشیمی لیگامان پریودنتال و پس از آن سلول‌های پالپ دندانی نتایج و توانایی بیشتری را در مقایسه با بقیه‌ی انواع سلول‌ها جهت بازسازی بافت پریودنشیم نشان داده‌اند. سلول‌های بنیادی لیگامان پریودنتال همچنین توانسته‌اند الیاف شارپی را در پروسه‌های بازسازی پریودنشیم در مطالعات مخلتف به وجود آورند.

    نتیجه گیری

    سلول‌های بنیادی مزانشیمی نتایج امیدوارکننده‌ای را جهت استفاده در پروسه‌های بازسازی بافت پریودنتال نشان داده‌اند. اگرچه با توجه به مطالعات محدود بالینی و پیش بالینی انجام شده تاکنون، برای استفاده‌ی بالینی از این سلول‌ها به مطالعات بیشتری نیاز می‌باشد.

    کلید واژگان: مهندسی بافت, بیماری های پریودنتال, سلول های بنیادی مزانشیمی, لیگامان پریودنتال}
    Mohammad Mostafa Aghamohseni *, Shirin Zahra Farhad
    Introduction

    Stem cells and tissue engineering have shown great potential in the treatment of periodontal diseases since their introduction. Mesenchymal stem cells are undifferentiated cells that can differentiate into different tissues. The aim of this study was to evaluate the effectiveness of different types of these cells in the treatment of periodontal defects.

    Description

    Mesenchymal stem cells exist around different tissues and can be obtained and used from different intraoral or extraoral sources for periodontal tissue regeneration procedures. Among extracellular stem cells, bone marrow stem cells followed by adipose tissue stem cells have shown promising results regarding the ability of these cells to regenerate the periodontium. Among intraoral sources, periodontal ligament mesenchymal stem cells and then dental pulp cells have shown more results and ability compared to other cell types to regenerate periodontal tissue. Periodontal ligament stem cells have also been able to generate sharpey fibers in periodontal regeneration procedures in various studies.

    Conclusion

    Mesenchymal stem cells have shown promising results for use in periodontal tissue regeneration processes. However, due to the limited clinical and preclinical studies performed so far, more studies are needed for assessing the clinical use of these generative of cells.

    Keywords: Tissue engineering, Periodontal diseases, Mesenchymal stem cells}
  • ساره سالم علی*، محمد شمیل علی، عبدالناصر الجبوری، حسنین احمد هادی الجمیلی
    سابقه و هدف

    بیماری پریودنتال نوعی بیماری التهابی مزمن است که منجر به آسیب به بافت نرم و سخت می شود. با توجه به اهمیت سلامت پریودنتال در فرد، این مطالعه با هدف بررسی ارتباط بین تغییرات میانجی های التهابی و ابتلا به بیماری پریودنتال انجام شد.

    مواد و روش ها

    این مطالعه مورد- شاهدی بر روی 120 نفر از مراجعین به گروه پریودنتیکس دانشکده دندانپزشکی دانشگاه بغداد، در سه گروه سالم، گروه پریودنتیت و گروه ژنژیویت و هر گروه شامل 40 نفر (20 مرد و 20 زن) انجام شد. اطلاعات دموگرافیک همه افراد در فرم اطلاعات ثبت شد. پارامترهای پریودنتال شامل خونریزی به هنگام پروبینگ (BOP)، شاخص پلاک (PI)، از دست رفتن چسبندگی بالینی (CAL)، عمق پروبینگ پاکت (pd) و سطح سرمی اینترلوکین-6 (Il-6)، ایمونوگلوبولین جی (IgG) با روش الایزا و پروتیین واکنشی سی با تکنیک رنگ سنجی ارزیابی شد.

    یافته ها

    میانگین دامنه اینترلوکین-6 برای گروه های پریودنتیت، ژنژیویت و سالم به ترتیب برابر با 1/509±17/3940، 2/214±17/1432 و 1/119±11/3846، میانگین دامنه CRP برای گروه های پریودنتیت، ژنژیویت و سالم به ترتیب برابر با 3/771±5/4477، 3/483±3/5853 و 1/134±2/3813 و میانگین دامنهIgG  برای گروه های پریودنتیت، ژنژیویت و سالم به ترتیب برابر با 2/073±12/3875، 2/380±15/0109 و 1/081±9/4851 بود. پارامترهای بیوشیمیایی و پارامترهای پریودنتال در گروه های پریودنتیت و ژنژیویت نسبت به گروه سالم افزایش بسیار معنی داری داشت (0/05>p).

    نتیجه گیری

    بر اساس نتایج این مطالعه، سطح بالای میانجی های التهابی با بیماری پریودنتال مرتبط بوده و با پیشرفت بیماری پریودنتال و انتقال از ژنژیویت به پریودنتیت افزایش می یابد و همچنین مقادیر برش مطالعه را می توان برای تخمین موارد سالم یا بیمار مبتلا به پریودنتال به کار برد.

    کلید واژگان: بیماری های پریودنتال, اینترلوکین-6, پروتئین واکنشی C, ایمونوگلوبولین G}
    S Salam Ali*, MS Ali, A Al-Gebori, HAH Al-Jumaily
    Background and Objective

    Periodontal diseases are chronic inflammatory diseases leading to damage to soft and hard tissue. Due to the importance of periodontal health in people, this study was designed to investigate the association between changes in the inflammatory mediators with the development of periodontal disease.

    Methods

    The case-control study was conducted on 120 individuals who referred to University of Baghdad, Dentistry School, Department of Periodontics in three groups: healthy group, periodontitis group, and gingivitis group, every group containing 40 individuals (20 men and 20 women). The demographic data of all individuals were recorded in the information form. Periodontal parameters, including bleeding on probing (BOP), plaque index (PI), clinical attachment loss (CAL), probing pocket depth (pd) and the serum levels of Interleukin-6 (Il-6), Immunoglobulin G (IgG) by ELISA technique, C-reactive protein (CRP) were evaluated using colorimetric technique.

    Findings

    The mean range of IL-6 was 17.3940±1.509, 17.1432±2.214, 11.3846±1.119, for periodontitis, gingivitis, and healthy groups, the mean range of CRP was 5.4477±3.771, 3.5853±3.483, 2.3813±1.134 for periodontitis, gingivitis, healthy groups, and the mean range of IgG was 12.3875±2.073, 15.0109±2.380, 9.4851±1.081 for periodontitis, gingivitis, healthy groups, respectively. Biochemical and periodontal parameters showed highly significant increase in periodontitis and gingivitis groups compared to healthy group (p<0.05).

    Conclusion

    According to the results of this study, the high levels of inflammatory mediators are associated with periodontal disease, and increase with the progression of periodontal disease, and the transition from gingivitis to periodontitis, and the study's cutoff values can be applied to estimate healthy cases or patients with periodontal disease.

    Keywords: Periodontal Diseases, Interleukin-6, C-Reactive Protein, Immunoglobulin G}
  • ناصر سرگلزائی، علیرضا قاسمیان، علی فروزان فر، مریم سادات دانشمند*، عبدالله جوان
    مقدمه
    التهاب پریودنتال (پریودنتیت) یکی از شایع ترین بیماری های عفونی است که در نتیجه عدم رعایت بهداشت دهان و پلاک میکروبی به وجود می آید. آماس ایجاد شده می تواند منجر به تاثیرات سیستمیک در جریان خون محیطی و تغییراتی در میزان هموگلوبین، هماتوکریت و ایندکس های خونی شود.این مطالعه به بررسی ارتباط بین شاخص های پریودنتال با ایندکس های خونی هماتوکریت و هموگلوبین بیماران می پردازد.
    مواد و روش ها
    این طرح مشاهده ای از نوع مقطعی، بر روی مراجعه کنندگان به مرکز کوهورت دانشگاه علوم پزشکی مشهد که دارای پرونده کامل بودند، انجام شد. ابتدا شاخص های پریودنتال بیماران شامل ایندکس لثه و CPITN(The Community Periodontal Index of Treatment Needs) از پرونده های موجود استخراج گردید. این افراد با توجه به متغیر CPITN به سه گروه تقسیم بندی شدند. افراد با CPITN صفر، بعنوان گروه سالم و افراد با CPITN 1 و 2، بعنوان گروه جینجیویت و افراد با CPITN 3 یا 4، بعنوان گروه پریودنتیت در نظر گرفته شدند. ایندکس های خونی (Blood indices) (هموگلوبین، هماتوکریت) نیز از پرونده بیماران استخراج گردید و سپس ارتباط بین ایندکس های خونی هماتوکریت و هموگلوبین خون بیماران با شاخص های پریودنتال با استفاده از آزمون های آماری مورد بررسی قرار گرفت.
    یافته ها
    در این مطالعه پرونده 242 نفر، شامل 158 زن و 84 مرد بررسی شد که به ترتیب 87 نفر در زیرگروه سالم، 89 نفر در زیرگروه جینجیویت و 68 نفر در گروه پریودنتیت طبقه بندی شدند. در مردان و زنان، گروه ها از نظر متوسط هموگلوبین با یکدیگر اختلاف معنی داری نداشتند. متوسط هماتوکریت مردان در گروه سالم نسبت به گروه جینجیویت بطور معنی داری بیشتر بود (P=0.006) به طوری که میانگین و انحراف معیار هماتوکریت در گروه سالم 4/2±7/45 و در گروه جینجیویت 7/2±3/43 بود. ولی در زنان هیچگونه ارتباطی میان ایندکس لثه با هماتوکریت یا هموگلوبین در هر دو گروه دیده نشد.
    نتیجه گیری
    ارتباط قوی و معنی داری بین ایندکس های خونی و بیماری پریودنتال در این مطالعه مشاهده نشد. در مردان، گروه ها از نظر متوسط هموگلوبین با یکدیگر اختلاف معنی داری نداشتند ولی متوسط هماتوکریت در گروه سالم نسبت به گروه جینجیویت بطور معنی داری بیشتر بود. اما در زنان، گروه ها از نظر متوسط هماتوکریت و هموگلوبین با یکدیگر اختلاف معنی داری نداشتند. هیچگونه همبستگی میان GI با هماتوکریت یا هموگلوبین در هر دو گروه دیده نشده است. آنالیز پیشگویی کننده رگرسیون نشان داد که، به ازای هر یک واحد افزایش در GI، بطور متوسط هماتوکریت، 37/0 واحد کمتر خواهد بود. ولی ارتباط معنی داری برای GI و هموگلوبین یافت نشد.
    کلید واژگان: بیماری های پریودونتال, هموگلوبین, هماتوکریت, شاخص های پریودنتال}
    Naser Sargolzaie, Alireza Ghasemian, Ali Forouzanfar, Maryam Sadat Daneshmand *, Abdollah Javan
    Introduction
    Periodontal inflammation, which is one of the most common infectious diseases, can be caused by poor oral hygiene and microbial plaque, and the resulting inflammatory products can also lead to systemic effects on the peripheral blood system. The present study aimed to investigate the relationship of periodontal indices with hematocrit and hemoglobin in patientsMaterials &
    Methods
    This cross-sectional observational study was performed on those referring to Mashhad University of Medical Sciences Cohort Center with a complete file. Firstly, patients' periodontal indices, including the Community Periodontal Index of Treatment Needs (CPITN) and Löe-Silness gingival index (GI), were extracted from the existing record files. These individuals were assigned to three groups according to the CPITN variable. Individuals with CPITN zero were considered a healthy group, individuals with CPITN 1 and 2 as a gingivitis group, and individuals with a CPITN of 3 or 4 as a periodontitis group. Blood indices (hemoglobin, hematocrit) were also extracted from patients' records. Thereafter, the relationship of hematocrit and hemoglobin with their periodontal indices was investigated using statistical tests.
    Results
    In this study, the records of 242 participants, including 158 females and 84 males, were examined, out of whom 87 cases were healthy, 89 had gingivitis, and 68 had periodontits. In males and females, there were no significant differences between mean hemoglobin; however, the mean hematocrit of men in the healthy group was significantly higher than that in the gingivitis group. The mean of hematocrit were 2.4± 45.7 and 2.7±43.3 in the healthy and gingivitis groups, respectively. Nonetheless, in females, GI displayed no association with hematocrit or hemoglobin in either group.
    Conclusion
    There was no significant difference between blood indices and periodontal disease in this study. In men, there was no significant difference in mean hemoglobin; nonetheless, the mean hematocrit was significantly higher in the healthy group than that in the gingivitis group. However, in females, there was no significant difference between mean hematocrit and hemoglobin. No correlation was detected between GI and hematocrit or hemoglobin in either group. Predictive regression analysis illustrated that for each unit increase in GI, the average hematocrit would be 0.37 units lower; however, no significant relationship was found between GI and hemoglobin.
    Keywords: Hemoglobin, Hematocrit, Periodontal diseases, periodontal indices}
  • K Ghods, A Alaee*, A Jafari, A Rahimi
    Background and Aim

    Tooth mobility, which is prevalent among patients seeking dental healthcare services, happens when the tooth is reversibly displaced horizontally or vertically beyond its normal physiological limits. Tooth mobility is classified into 2 subgroups: localized and generalized. Generalized tooth mobility occurs when more than 2 teeth are mobile. In this review, the available studies regarding the common etiologies of generalized tooth mobility are discussed.  

    Materials and Methods

    In this review article, data were collected by reviewing the available articles published between 2011 to 2021 in national and international journals by searching the PubMed, PubMed Central, Medline, EBSCO, Google Scholar, and Embase databases using the key words “Tooth Mobility”, “Tooth Movement” “Periodontal Disease”, “Systemic Disease”, and “Malignant Disease”. Among the relevant articles, 51 were chosen.

    Results

    It seems that numerous etiologies, which can be either physiological or pathological, can result in generalized tooth mobility.

    Conclusion

    Since an optimal treatment outcome depends on accurate diagnosis, it is crucial for the dentists to be aware of the common etiologies of this condition.

    Keywords: Periodontal Diseases, Tooth Mobility, Literature Review}
نکته
  • نتایج بر اساس تاریخ انتشار مرتب شده‌اند.
  • کلیدواژه مورد نظر شما تنها در فیلد کلیدواژگان مقالات جستجو شده‌است. به منظور حذف نتایج غیر مرتبط، جستجو تنها در مقالات مجلاتی انجام شده که با مجله ماخذ هم موضوع هستند.
  • در صورتی که می‌خواهید جستجو را در همه موضوعات و با شرایط دیگر تکرار کنید به صفحه جستجوی پیشرفته مجلات مراجعه کنید.
درخواست پشتیبانی - گزارش اشکال