Condition Of Periodontal Tissues Research Articles

Replantation of an Avulsed-Tooth by Using Trepanation: A Case Report

Tooth avulsion is one of the common types of orofacial and dental trauma that frequently occurs in sports and requires prompt management and a good treatment plan to achieve satisfactory outcomes. The aim of this case report is to present an overview of the tooth replantation using a trepanation procedure that has not been previously discussed in any formal publication. A clinical case concerning the management of tooth avulsion applying trepanation principles is narratively described along with a follow-up on the periodontal tissue condition after 2 years of treatment. The findings revealed the absence of inflammatory resorption, the most severe form of resorption typically seen within the initial 2 years following the replantation of an avulsed tooth. Nonetheless, caution should still be exercised regarding signs of surface root resorption, which although more favorable than inflammatory resorption and replacement resorption, should not be overlooked. Trepanation has demonstrated its ability to prevent inflammatory resorption for a minimum of 2 years post-replantation with no indication of ankylosis observed. Further investigation into trepanation is warranted to delve into the potential advantages of this procedure.

A study of CPITN score in Periodontics Clinic Patients, RSGM Airlangga University, 2022

Background: Approximately 90% of the global population suffers from periodontal disesase, characterizes by bleeding gums, pain, and bad breath. The impact of this disease is diverse, ranging from tooth loss, disruption of aesthetics and confidence, to influencing individual nutritional status. The disease can be caused by damage of the periodontal tissues. Therefore, the Community Periodontal Index of Treatment Needs (CPITN) is highly essential for assessing the extend of issues in periodontal tissues, including evaluating oral and dental health problems in patients. This assessment can aid in the treatment and prevention of periodontal disease. Material and Methods: This research is a descriptive study. The population consists of all patients who visited the periodontology clinic at the Faculty of Dentistry, Airlangga University, in the year 2022. The sample was taken using a total sampling technique, involving secondary data obtained from the periodontal status cards of patients, specifically focusing on the examination data related to the condition of periodontal tissues based on the Community Periodontal Index of Treatment Needs (CPITN). Conclusion: The CPITN scores vary between gender and age groups of the patients. Therefore, bivariate research is needed to analyze the relationship of these parameters with the CPITN scores of periodontology patients.

Effect of oral health on functional disability and mortality in older adults in Japan: a cohort study.

Oral health has previously shown associations with functional disability and mortality. We aimed to explore the associations of various aspects of oral health status with functional disability and mortality using survival analysis, as well as the relative magnitudes of the impact of these aspects on outcomes. We obtained data for individuals aged 75years and older in Shimane, Japan, who had at least one oral health check-up between April 1, 2016, and March 31, 2022under Japan's long-life medical care system insurance system. Those with missing data or with functional disability at baseline were excluded. 13aspects of oral health status were assessed by dentists or dental hygienists as part of the check-up (using protocols provided by the JapanDental Association and the Japanese Ministry of Health, Labour and Welfare): number of remaining teeth, subjective masticatory performance, objective masticatory performance, periodontal tissue status, functional dysphagia, tongue mobility, articulation, oral hygiene, number of decayed teeth, inadaptation of dentures of the upper jaw and lower jaw (considered separately), oral mucosal disease, and dry mouth. Multivariate Cox proportional hazards models were used to analyse the associations between each aspect of oral health and functional disability and mortality, with fully adjusted models adjusting for sex, age, BMI, medical history, or a propensity score derived from these covariates. Population-attributable fractions (PAFs) were calculated to assess the differential impacts of these oral health status aspects on outcome occurrence. Of the 24 619individuals who had an oral health check-up during the study period, 21 881individuals wereincluded in the analysis of functional disability (9175 [41·93%] men, 12 706 [58·07%] women, mean age 78·31years [SD 2·88], mean follow-up 41·43months [20·80]), and 22 747individuals in the analysis of mortality (9722 [42·74%] men, 13 025 [57·26%] women, mean age 78·34years [2·89], mean follow-up 42·63months [20·58]). All 13aspects of oral health status showed significant associations with the occurrence of mortality, while functional disabilitywas associated with 11aspects (excluding oral mucosal disease and dry mouth) in the fully adjusted model. Based on PAFs, of all oral health aspects assessed, objective masticatory performance hadthegreatestimpact on both functional disability (PAF 23·10% [95% CI 20·42-25·69] for the lowest and 10·62% [8·18-12·99] for the second-lowest quartile of performance) and mortality (16·47% [13·44-19·40] and 8·90% [5·87-11·82]). Various aspects of oral health are associated with mortality and functional disability. Maintaining good oral health in older adults might help to reduce these outcomes. None.

The effect of a new 3-hydroxypyridine derivative LHT-2-20 on free radical oxidation in experimental periodontitis

Aim. To study the effect of a new complex compound LHT-2-20 (2-ethyl-6-methyl-3-hydroxypyridine-2-(3benzoyl phenyl)-propanoate) on free radical oxidation in experimental periodontitis.Materials and methods. The experimental study was performed on 195 white mongrel mice weighing 19–23 g and 137 white mongrel rats weighing 180–220 g. The effect of a new complex compound LHT-2-20 (2-ethyl-6methyl-3-hydroxypyridine-2-(3-benzoyl phenyl)-propanoate) on the intensity of free radical oxidation and the local state of periodontal tissues during a course of intragastric administration was studied on the experimental model of periodontitis. Statistical processing of the results was carried out using the SPSS Statistics 20.0 software package with the analysis of variance (ANOVA) and the parametric Tukey’s test.Results. The LHT-2-20 compound reduced elevated levels of primary and secondary lipoperoxidation products (conjugated dienes, malondialdehyde in plasma and in erythrocytes during spontaneous and iron-induced oxidation) already at the early stages of the experiment, bringing the studied parameters closer to the reference values by the end of the course of treatment. The use of the compound LHT-2-20 contributed to an increase in the activity of the main antioxidant enzymes (catalase and superoxide dismutase), normalizing them to baseline values by the end of the experiment. With the correction of free radical processes, the use of LHT-2-20 limited the local inflammatory response in periodontal tissues, which was confirmed by a decrease in gingival edema and hyperemia, bleeding, depth of periodontal pockets, and tooth mobility.Conclusion. The results of this study confirm the anti-inflammatory potential of the compound and the multiplicity of its effects due to the impact on the mechanisms of oxidative stress. The expediency of further study of the drug is justified by the prospect of creating a new drug and its subsequent wide clinical application as part of the complex therapy of periodontal inflammation.

A study on the association between electric toothbrush use on calculus formation and periodontal tissue condition in Korean adults: 7th Korea National Health and Nutrition Examination Survey

Objectives: This study aimed to assess the relationship between electric toothbrush use and the presence of community periodontal index (CPI) code calculus among Korean adults. Methods: Data from the 7th Korea National Health and Nutrition Examination Survey were analyzed. Multiple logistic regression analysis with a complex sampling design was conducted, adjusting for general characteristic factors. Analyses were performed using SPSS Statistics 29.0. Results: Among the participants, the prevalence of electric toothbrush users was 5.3%. Within this group, 4.7% had periodontal disease, whereas 5.9% did not (p=0.025). Even after adjusting for general characteristics factors in model Ⅱ of electric toothbrush use, the odds ratio remained statistically significant at 0.791 (95% CI: 0.631-0.992) in all cases. Conclusions: Electric toothbrush use appears to be associated with potential benefits in managing the CPI code calculus distribution; however, evidence supporting this notion remains insufficient. The study findings suggest that these results could be a basis for future studies related to oral hygiene products and the design of oral health promotion programs.

Prevalence of inflammatory periodontal diseases.

Determining the prevalence of inflammatory periodontal diseases makes it possible to determine the age group most prone to them, which will help to implement correct treatment and prevention measures for persons of this group, aimed at increasing the level of individual and public health of the Republic of Kazakhstan. The purpose of the study was to determine the prevalence of inflammatory periodontal diseases among the population of the city of Astana according to several criteria and to compare data on the statistics of periodontitis incidence from the world and Kazakhstan. The research was conducted using the methods of clinical examinations and statistical data processing. The study involved 642 people aged 18 to 80 years who, within twelve months, applied to dental institutions in the city of Astana and were checked according to the inclusion and exclusion criteria. Clinical studies included determining the level of oral hygiene using the OHI-S simplified oral hygiene index and determining the condition of periodontal tissue using the CPITN periodontal disease treatment need index. It was found that the highest prevalence of various forms of gingivitis and periodontitis was observed in the 66-80 age group - 99% and 69%, respectively. The general distribution in all groups indicated a directly proportional relationship between the frequency of detection of inflammatory periodontal diseases and the age of the group participants. A comparison of data on the incidence of periodontal disease in the world and in Kazakhstan showed a 3.52% lower incidence rate in Kazakhstan compared to the world average. The use of regular and timely preventive and treatment measures for the population group most prone to inflammatory periodontal diseases will make it possible to improve the state of individual health of the population and, accordingly, raise the level of public health.

The impact of probiotic supplementation on dental and general health metrics in pediatric populations

Relevance. Acute respiratory infections account for over 90% of infectious diseases in children. These children are classified as frequently ill, representing a significant concern in contemporary pediatrics. The presence of odontogenic infections further depletes their immunity and acts as a persistent source of sensitisation for the child's body.Materials and methods. A clinical-laboratory longitudinal prospective study was conducted on 477 children aged 12 and 15 years. The children were categorised into groups based on their risk of developing caries (minimal, moderate, high). Oral health status was assessed using the DMF index, oral hygiene was evaluated using the OHI-S index, and periodontal tissue condition was assessed using the PMA index. The activity of cariogenic flora aggression enzymes was measured by the level of salivary sialidase. The child's health status was evaluated using the infection index and the recurrence index. The schoolchildren were recommended a course of a preparation consisting of a combination of the probiotic Streptococcus salivarius M18 (at least 5 x 10^8 CFU) and vitamin D3 (320 IU or 8 µg of vitamin D3) at a dosage of one tablet per day, taken sublingually, for two months twice a year.Results. The study identified moderate correlations between salivary sialidase levels and several indicators, including the gingivitis index, the quantity of dental plaque, and the increase in sialidase activity in saliva. The level of salivary sialidase is regarded as a marker for plaque formation and the extent of periodontal tissue inflammation. Comprehensive oral sanitation, coupled with the strategic use of immunoprophylactic agents, resulted in significant improvements in oral health indicators (OHI-S, PMA, caries reduction) and specific child health metrics (infection index, recurrence index). Additionally, there was a notable reduction in salivary sialidase levels. The method demonstrated the highest efficacy in 12-year-old children who were at high risk of developing caries.Conclusion. The obtained data should be considered when planning individual therapeutic and preventive measures for schoolchildren with varying risks of developing caries and differing overall health statuses. Probiotic-based preparations should be incorporated into these measures.

INDEX ASSESSMENT OF THE PERIODONTAL TISSUE CONDITION IN MILITARY PERSONNEL OF THE UKRAINIAN ARMED FORCES WITH INFLAMMATORY AND DYSTROPHIC-INFLAMMATORY DISEASES OF PERIODONTAL TISSUES DEPENDING ON THEIR STRESS RESISTANCE AND LEVEL OF REACTIVE ANXIETY

War has a negative impact not only on human mental health, but also manifests itself in an increase in the frequency and prevalence of pathology of organs and body systems, including the dentofacial system. One of the factors influencing the progressive growth of periodontal diseases is a high level of psychoemotional stress. Despite the large number of studies on stress, its role in the genesis of dental diseases has not been sufficiently studied. Therefore, the study of the relationship between psychoemotional state and periodontal diseases in military personnel of the Armed Forces of Ukraine is a timely and relevant subject of research. The aim of the study – To evaluate the state of periodontal tissues in military personnel of the Armed Forces of Ukraine with inflammatory and dystrophic-inflammatory diseases depending on their stress resistance and level of reactive anxiety. Materials and methods. Dental examination of military personnel of the Ukrainian Armed Forces was conducted on the basis of the Department of Pediatric Dentistry of I. Gorbachevsky TNMU. On the basis of periodontal indices (PMA, PBI, PI, PSR) the state of periodontal tissues was evaluated in 22 military personnel with chronic catarrhal gingivitis, 42 military personnel with generalized periodontitis of the initial – I degree and 36 military personnel with GP of the II degree (main group), which were divided into 4 groups according to their stress resistance and level of reactive anxiety: Group I very high stress tolerance with low level of reactive anxiety; Group II high level of stress tolerance with low level of reactive anxiety; Group III threshold level of stress tolerance with moderate level of reactive anxiety; Group IV low level of stress tolerance with high level of reactive anxiety. The obtained results were compared with the data of 37 patients of civilian specialties with periodontal diseases (comparison group). Results and discussion. As a result of the studies, it was found that in military personnel of the Ukrainian Armed Forces (main group), with an increase in psychoemotional stress, the values of periodontal indices increased, which, on average, were higher in CCG: PMA – 1,6 times, PBI – 2,0 times, PSR – 1,5 times, p<0.01; in initially I degree GP: PMA – by 1,4 times, PBI – by 2,1 times, PI – by 1,7 times, PSR – by 1,8 times; in grade II GP: PMA – by 1,5 times, PBI – by 1,4 times, PI – by 1,6 times, PSR – by 1,3 times, p<0.01, compared to similar values in the comparison group. Conclusions. Thus, as a result of the research it was found that in military patients of the Armed Forces of Ukraine with increasing psychoemotional stress the state of periodontal tissues significantly deteriorated, which was confirmed by an increase in periodontal indices, indicating the need for comprehensive treatment of the initial II degree of GP.

LONG-TERM OUTCOMES OF PREVENTIVE MEASURES IN CHILDREN FOLLOWING RADICAL URANOSTAPHYLOPLASTY

The presence of congenital non-union of the palate in children does not allow to carry out hygienic measures to the full extent, therefore it requires carrying out planned remedial and medical and preventive measures at all stages of observation. The purpose of the work is to study the long-term outcomes of the effectiveness of treatment and preventive measures after the radical uranostaphyloplasty. Research methods. In order to objectively assess the dental situation in 17 patients, we assessed the hygiene indices of Green-Vermillion, Silness-Loe, РМА SBI, saliva secretion rate, oral fluid pH, optical density, viscosity, α-amylase activity, medium molecular weight content, the presence of sialic acids, and the content of total protein and oxyproline. Results and discussion. When examining children in 6 months after surgery, it was found out that during this period of time the Green-Vermillion, Silness-Loe and bleeding indexes worsened by 1,3; 1,2; 1,3 times, respectively, and the PMA index increased by 1,4 times. The picture of changes in the physicochemical and biochemical components of oral fluid and its qualitative properties looks different. We would like to remind you that after the completion of the first course of treatment and prevention measures, we failed to normalize the levels of some of them. Over a period of time of 6 months, there was a deepening of the negative trend and the rate of salivation was by 1,3 times lower, but the activity of α-amylase improved by 1,2 times compared to the previous period of examination. The indexes of average mass molecules, sialic acids, total protein and oxyproline increased again by 1.5; 1,4; 1,2; 1,3 times, respectively. The fact of the stability of indexes of hydrogen ion concentration, optical density and viscosity was encouraging, which indicated an improvement in the rheological properties of oral fluid. This situation prompts the need to develop new methodological approaches regarding long-term observation of children with congenital non-union of the palate and determining an algorithm for their medical support. Conclusion. Persistent deterioration in hygiene indexes, periodontal tissue condition, salivary gland secretory activity, and qualitative properties of oral fluid cannot be fully resolved even in the long term after surgical intervention. This necessitates regular treatment and preventive measures, along with continuous improvement of these strategies. Prospects for further research. Further research is planned.

Study of the anti-inflammatory properties of preventive toothpaste

Relevance. An essential component of the treatment and prevention of periodontal diseases is regular individual oral hygiene. Educating patients on effective hygiene practices using toothpaste with anti-inflammatory properties can significantly reduce gingivitis symptoms. Our study evaluated the impact of toothpaste containing octadecafluorodecahydronaphthalene on periodontal tissues among international students who experienced a change in residence.Material and methods. Over 10 days, we observed a group of 26 international students studying at Kirov State Medical University, who used toothpaste containing perfluorodecalin and identical toothbrushes twice daily. The study included index assessments (OHI-S, PMA), as well as microbiological and biochemical analyses. Descriptive and analytical statistical methods were employed.Results. Positive clinical dynamics were observed, with reductions in OHI-S and PMA indices. There was a decrease in the total microbial count and specific types of periodontopathogenic microorganisms. Additionally, clinical improvement in periodontal tissue condition (gingival mucosa) was noted, attributed to the effects of perfluorinated compounds on periodontal microcirculation. The product's anti-plaque and anti-inflammatory effects were confirmed through clinical, microbiological, and biochemical methods.Conclusion. Daily use of toothpaste with octadecafluorodecahydronaphthalene (perfluorodecalin) had a beneficial effect on the condition of periodontal tissues, reducing inflammation by altering the microbiota structure within the biofilm and decreasing the number of periodontopathogenic microorganisms.

Implementation of a predictive strategy in the diagnosis of inflammatory periodontal diseases

Relevance. The diagnosis of periodontal diseases, considering their severity, prevalence, progression, and staging, can be achieved by determining the levels of biomarkers or molecular imaging biomarkers in biofluids such as crevicular or sulcular fluid (GCF or GSF), saliva, and oral fluid. GCF is currently regarded as one of the diagnostically significant biological fluids for assessing the condition of periodontal tissues, not only in clinical diagnostic laboratories but also in dental offices. The implementation of sensitive, highly accurate, non-invasive, and specific methods for rapid GCF diagnosis, based on the qualitative analysis of biomarkers of cytokine imbalance, immunological disorders, changes in non-specific defence factors, and biophysical indicators, will allow for an objective assessment of the condition of periodontal tissues.Purpose. To improve the efficiency of periodontitis prevention using a developed mathematical model for personalized prediction of the course of inflammatory periodontal diseases based on the investigated biomarkers in GCF.Material and methods. The study included 101 patients: Group I consisted of 22 patients diagnosed with K05.10 (gingivitis), Group II included 31 patients diagnosed with K05.31 (mild periodontitis), and Group III comprised 18 patients diagnosed with K05.31 (moderate periodontitis). The comparison group consisted of 30 individuals with clinically healthy periodontium. All subjects underwent clinical and instrumental examination, determination of periodontal indices, GCF collection, and quantitative analysis of immune regulatory mediators (IL-1β, IL-6, TNF-α, IL-8, MCP-1, IL-17, VEGF, IL-1RA).Results. The study of immune regulatory mediators confirmed the significance of increased levels of pro- and anti-inflammatory cytokines/chemokines, as well as the reduction of the anti-inflammatory biomarker IL-1RA in GCF at the early stages of inflammatory changes in periodontal tissues. This is accompanied by the appearance of signs indicating the destruction of the dentogingival junction. Using logistic regression and training a multiclass classifier based on the support vector machine method, a model was developed to predict the risk of dentogingival junction loss in patients, potentially leading to periodontitis.Conclusion. The results of logistic regression modelling and training a multiclass classifier based on the support vector machine method demonstrate that in diagnosing the initial stages of periodontal tissue damage with the loss of the dentogingival junction (DGJ), the most effective approach is the comprehensive use of inflammatory process biomarkers and the development of multi-marker algorithms based on a computer program.

CLINICAL AND MORPHOLOGICAL ASSESSMENT OF THE EFFECTIVENESS OF THE APPLICATION INNOVATIVE THERAPEUTIC AND PROPHYLACTIC TOOTHPASTE IN THE COMPLEX TREATMENT OF PATIENTS WITH MAJOR DENTAL DISEASES

The social and economic development of a society is largely determined by the level of health of its young population. The objective of this study was to increase the effectiveness of preventive and comprehensive treatment of young patients with major dental diseases using an innovative therapeutic and preventive toothpaste based on organic gel. A group of 32 volunteers participated in the study. All patients underwent a complex dental examination that included basic and additional methods (determination of indices of caries intensity, indicators of oral hygiene (simple hygiene index OHI-S, Silnes-Low index), evaluation of periodontal tissue status (papillary-limbal alveolar abscess index PMA, gingival bleeding in inflammatory periodontal disease index BI Müllmann), evaluation of pain (hypersensitivity) to stimuli using a visual analog scale (VAS), measurement of the electrical conductivity of tooth enamel using the Dentest electrodiagnostic device (ZAO Geosoftident), clinical evaluation of enamel remineralization rate, spectrophotometer "VITA (Easy Shade) (VITA) to evaluate tooth discoloration, oral fluid immunoassay, and cytomorphometric studies of the buccal epithelium. The results of the clinical trials showed that the therapeutic and prophylactic toothpaste has excellent consumer characteristics, has no allergic or local irritant effects on the oral mucosa, improves the natural protection of the oral cavity, effectively cleans up to 100% of the oral cavity, provides anti-inflammatory effects, eliminates gum swelling and bleeding from the first use, reduces tooth sensitivity, reduces tooth enamel structure, and was shown to have no toxic effect on the cells of the buccal epithelium. The results of the clinical trial suggest that the innovative therapeutic and prophylactic dentifrice can be recommended for daily use in a wide range of individuals, as well as in patients with low tooth enamel resistance, various periodontal diseases, and oral mucosa.

INDEX ASSESSMENT OF PERIODONTAL TISSUES AND DETERMINATION OF TREATMENT NEEDS IN PATIENTS WITH CHRONIC RHEUMATIC HEART DISEASE

This study addresses the pressing scientific and practical issue in modern dentistry: enhancing dental care effectiveness for patients with chronic rheumatic heart disease. The purpose of this research is to comprehensively assess the condition of tooth-supporting tissues and quantify inflammatory phenomena in periodontal tissues among patients with chronic rheumatic heart disease, as well as to determine the necessary extent of periodontal care based on periodontal indices. Participants and methods. The periodontal tissues of 719 patients with chronic rheumatic heart disease from the Rheumatology Department of Lviv Regional Clinical Hospital, along with 290 clinically healthy individuals in the comparison group, were examined. To evaluate the clinical course of dystrophic-inflammatory periodontal diseases in patients with chronic rheumatic heart disease, we examined 267 individuals in the main group who had generalized periodontitis, categorized as follows: 42 patients with initial stage (I degree), 115 with moderate (II degree), and 110 with severe (III degree) periodontitis. The comparison group comprised 70 patients diagnosed with generalized periodontitis, among them, 21 had initial-stage disease, 29 had moderate-stage disease, and 20 had severe-stage disease. During the analysis, the oral hygiene was assessed by applying hygienic indices by J.C. Green and J.R. Vermillion (OHI-S, 1964) and Fedorov-Volodkina. The Muhlemann and Son index was used to objectively measure gingival papillary bleeding (RVI); the papillary-marginal-alveolar index (PMA) in the Parma modification, in combination with the Schiller-Pysarev test (1989), was employed to evaluate gingival inflammation. The periodontal index (PI) by A.L. Russel (1956) was used to assess the state of periodontal tissues, and pathological changes were recorded using the periodontal screening PSR test. Results were scored, and based on established criteria and scores, the need for treatment and its extent were determined. Results and discussion. According to the results of dental examinations in patients with chronic rheumatic heart disease, a high prevalence of periodontal diseases was found, reaching 92.49%. This was 13.18% higher compared to the prevalence in the control group. Dystrophic-inflammatory conditions with advanced severity levels were predominant, as evidenced by the index indicators. In chronic rheumatic heart disease patients, the average periodontal index was 6.11±0.10, compared to 4.14±0.19 in clinically healthy individuals (p < 0.05). Moreover, a higher lesion of periodontal tissues was observed in younger age groups. As the duration of rheumatic disease increased, the frequency of detecting generalized periodontitis also increased, with this condition being diagnosed in all subjects with a 10-year history of rheumatic disease. Conclusion. The Analysis of the research data on the condition of periodontal tissues, along with objective index assessments, reveals the following: periodontal diseases are more prevalent in individuals with chronic rheumatic heart disease, particularly affecting younger age groups. The severity and progression of these diseases are influenced by the course of the underlying condition. This underscores the presence of pathogenetic conditions that contribute to the rapid progression of the dystrophic-inflammatory process in periodontal tissues. It also emphasizes the importance of providing specialized periodontal care to patients with chronic rheumatic heart disease, with the level of care directly linked to the course and duration of the systemic disease.

РЕЗУЛЬТАТЫ ОПРЕДЕЛЕНИЯ PH ДЕСНЕВОЙ ЖИДКОСТИ, У ПАЦИЕНТОВ С НЕСЪЕМНЫМИ ПРОТЕЗАМИ, ИЗГОТОВЛЕННЫМИ ТРАДИЦИОННЫМ И ЦИФРОВЫМ МЕТОДОМ

Relevance. Non-removable dentures have an effect on the marginal periodontal of the supporting teeth. An objective criterion for evaluating the periodontal reaction is the hydrogen index of the secreted gingival fluid as the physiological environment of the body, the transudate of blood serum filling the gingival sulcus. The aim of the study was to determine the effect of non–removable prostheses made by traditional and digital methods on the condition of periodontal tissues by measuring the pH of gingival fluid. Materials and methods. To determine the pH of the gingival fluid, special strips of universal indicator paper were used, which allow measuring the pH of the biological fluid in the range from 3.0 to 7.5 units with a minimum step of 0,3. Results. Digital and traditional methods of manufacturing non-removable prostheses are statistically significantly distinguishable with a significance level of p < 0,025 by the pH value of the secreted gingival fluid. Thus, the hydrogen index of gingival fluid in patients with prosthetics using traditional technologies was shifted to a more acidic environment (the median samples differ by 15,4%). Our study made it possible to establish that the hydrogen index of gingival fluid in supporting teeth covered with non-removable dentures made by the digital method is closer to the boundary values of the norm, which indicates their weakly pronounced effect on the condition of the marginal periodontium, due primarily to the smaller thickness of the edge of the artificial crown, which does not have a repelling effect on the gingival margin, unlike from traditional designs with a thicker edge, secondly, the anatomical shape of the prosthesis, which differs little from a natural tooth, and thirdly, significantly less influence of the microbial landscape with a more precise fit of the edge of the artificial crowns to the posterior ledge.

Structural and Functional Characteristics of the Oral Cavity Organs and Tissues in Workers of the Petrochemical Industry of the Republic of Uzbekistan.

Purpose: The aim of the study was to determine the dental status, level, and structure of dental diseases, as well as to identify some clinical and functional deviations in the organs and tissues of the oral cavity among workers in certain industrial enterprises. Methodology: A comprehensive dental examination was conducted on 1600 individuals, including 420 from the Fergana Oil Refinery Plant (FNPP - main group (MG)-1), 425 from the Almalyk Mining and Metallurgical Plant (AGMK - MG-2), and 605 from the Navoi Chemical Plant (NavCP - MG-3), as well as 150 patients as a control group (CG) who visited a dental clinic. Tooth sensitivity (TS), pain and discriminatory sensitivity (PS and DS) of the oral mucosa, taste perception threshold, and functional mobility of the taste receptors on the tongue, enamel resistance to caries, microhardness (MH) of enamel and dentin, and the condition of periodontal tissues and pH of mixed saliva were determined. The data obtained were processed using statistical methods. Findings: It was determined that the levels and relative weights of the main dental diseases among workers in the studied industries remain quite high; carious and non-carious lesions of the tooth hard tissues, deformation and defects of teeth and dental rows (18.5%), periodontal tissue diseases (74.7%), diseases of the oral mucosa - 38.7%; the need for prosthetics (58.4%) and other pathologies. Additionally, almost all clinical and functional indicators and local non-specific reactivity of the tissues of the oral cavity in workers were disrupted. Unique Contribution to Theory, Policy and Practice: The presence of the main dental diseases among those surveyed from the studied groups is quite high, with noted reductions in the excitability threshold of teeth, around tooth tissues and the oral mucosa, disruption of PS and DS of the oral mucosa, as well as deterioration of the condition of tooth hard tissues. Based on the obtained results, the authors suggest continuing in-depth scientific research with the aim of developing effective methods for the diagnosis and prevention of dental diseases among workers in these industries.

Assessment of periodontal tissue condition in adult residents of Arkhangelsk

Assessment of periodontal tissue condition in adult residents of Arkhangelsk

ВЛИЯНИЕ РЕВМАТОИДНОГО АРТРИТА НА ТЕЧЕНИЕ ЗАБОЛЕВАНИЙ ПАРОДОНТА

The most common chronic systemic autoimmune disease of connective tissue is rheumatoid arthritis, the incidence of which is up to 50% (in Russia). The etiology of rheumatoid arthritis is still not known for certain. Scientists pay special attention to searching and studying the factors influencing the occurrence of this disease. Researchers are interested in periodontitis as a likely factor in the development of rheumatoid arthritis. The literature presents limited data on the study of the characteristics of the course of dental diseases in patients with rheumatoid arthritis, which indicates the need for further study of this issue and clarification of the relationships between the intensity of caries, the condition of periodontal tissues and the temporomandibular joint in this category of patients. The study of these issues is of scientific and practical interest, as it allows us to improve the methods of diagnosis and monitoring of patients with rheumatoid arthritis by a dentist. The purpose of this study is to determine the effect of rheumatoid arthritis on the course of periodontal diseases. Materials and methods. The methodology of the scientific research is based on the analysis of domestic and foreign literature in the eLIBRARY databases; basic and additional methods of examining the patient were carried out. During the clinical examination, we assessed the general condition of the patient with rheumatoid arthritis, his dental and periodontal status. Results and discussion. A clinical examination of a patient with somatic pathology was carried out. Microorganisms of periodontal pockets were determined, the data obtained were compared with a patient who does not have a systemic disease. Conclusions. Patients with rheumatoid arthritis generally have a thin gingival biotype. Immunological parameters of oral fluid (IgA) in rheumatoid arthritis decrease, which indicates a lack of local and general immunity and leads to damage to periodontal tissue. In the future, this scientific research will help us develop optimal methods for diagnosing and treating patients with autoimmune disease.

Is There a Correlation Between Periodontal Disease Symptoms and the COVID-19 Vaccination?

This study aimed to investigate and compare potential associations between different COVID-19 vaccines and periodontal diseases, mainly gingival bleedingand oral malodor (bad breath). This cross-sectional study used an online questionnaire consisting of 15 questions regarding demographic information, medical history, type of COVID-19 vaccine received, history of COVID-19, and general and periodontal symptoms after vaccination. The survey was voluntary and privately accessed online using SurveyMonkey®. A total of 2000 participants from three regions of Saudi Arabia participated in the study from October 11, 2021, to October 11, 2022. Of the participants, 95.8% received at least one dose of the available COVID-19 vaccine. Oxford-AstraZeneca was the most administered (41.7%). Patients who suffered from chronic diseases or had a history of COVID-19 infection were less likely to be vaccinated (OR= 0.62, 95% CI 0.40-0.97; OR=0.62, 95% CI 0.39-0.99) compared with people with no chronic diseases or who had a history of COVID-19. The odds ratios for gingival bleeding, oral malodor, mobility, and tooth loss indicated no significant differences regarding vaccination status. COVID-19 vaccines might not affect periodontal tissue conditions. People should not avoid vaccination due to concerns with oral or general health, as the benefits of vaccination outweigh the potential side effects.

MULTIDISCIPLINARY PERIODONTIA-ORTHODONTIA APPROACH IN A CASE OF MIDLINE DIASTEMA WITH LABIAL FRENECTOMY USING ELECTROSURGERY

Introduction: Periodontal tissue condition plays an important role as an adjunctive in the success of orthodontic therapy. One of prominent esthetic problem is midline diastema case, which was caused by high and aberrant frenulum attachment. This clinical case aims to report the frenectomy procedures with electrosurgery through multidiscipline perio- orthodontic approach to close the midline diastema. Case: : A female 19 years old patient was referred from orthodontic clinic with chief complaint there was a gap between her central insisif in upper jaw. The frenulum showed the Blanch test positive and there was no clinical attachment loss. Case Treatment: Frenectomy with electrosurgery was done to eliminate the aberrant frenulum attachment. This procedure followed with fixed orthodontic therapy to close the midline diastema and prevent any relapse. Discussions: Frenectomy can be achieved with electrosurgery which has many advantages such as coagulation, a better visualization, blood-less area, bacterimial risk reduction, an uneventful healing process, less post operative discomforts, and minimal scar tissue formation. Fixed orthodontic appliance was bonded to close the gap between central incisors. The intraoral examination showed that there was no any relaps in midline after one year follow up debonding of fixed orthodontic. Conclusion and Suggestions: a functional and esthetic outcome can be achieved through multidiscipline perio-orthodontic approach. The combination of frenectomy and orthodontic therapy showed an optimal result to close the midline diastema. Conclusion and Suggestions: a functional and esthetic outcome can be achieved through multidiscipline perio-orthodontic approach. The combination of frenectomy and orthodontic therapy showed an optimal result to close the midline diastema.

The influence of chronic stress on periodontal tissues in orthodontic patients in conditions of martial law

There is a close relationship between the condition of periodontal tissues and maloccluson. Timely functional diagnosis of changes that occur in periodontal tissues during orthodontic tooth movement is an important link in the prevention of periodontal diseases during orthodontic treatment. At the present time, special attention is paid to the problem of the influence of "war stress" on the maxillo-facial system of a human. Aim of the was work to study the changes in the state of periodontal supporting tissues in orthodontic patients according to periotestometry data during the last 15 years and in the conditions of martial law. Periotestometry of teeth in orthodontic patients was performed before the start of treatment with the Periotest device. All patients were divided into 4 groups according to the results in different years of the study. A total of 136 patients participated in the study. The biggest discrepancies when comparing periotestometry indicators were found between the data of the control and fourth group (in conditions of martial law) and an increase in the indicators of tooth mobility with a statistically significant difference of p<0.001 was proven. When comparing the indicators of groups 2 and 4 for most teeth, the statistically significant difference was from p<0.05 to p<0.001. When comparing the data of the tooth periotest in patients of groups 3 and 4, the indicators of tooth mobility also increased, although within the limits of statistical error (p>0.05). Over the past 15 years, a steady trend to increase in the mobility of all teeth on both jaws has been established. The largest changes in indicators were found in the dynamics of the fifteen-year follow-up (2008 to 2023) between people with an orthognathic bite of the control group and patients of the 4th group with malocclusion. Such changes may be related to the social and psycho-emotional stress that a person constantly experiences in conditions of martial law.