Tooth Mobility Index Research Articles

Tooth mobility index

ABSTRACT The presence of tooth mobility is frequently observed as a typical consequence and potential exacerbating factor for periodontal disease. The successful handling of this issue significantly impacts the results of periodontal therapy. To ensure the effective clinical management of tooth mobility, it is imperative to possess a precisely evaluating tooth mobility indices. This article aims at different indices that are done and evaluates their respective constraints.

Relationship of Tooth Mobility with Systemic Diseases among Patients Reporting Private Dental College in Chennai

Periodontitis begins with bacterial infection of the oral structures and if not properly treated eventually leadsto tooth loss. Over the past decade, a growing body of scientific evidence suggests an exquisite associationbetween oral infection and systemic diseases. The purpose of our study was to compare the tooth mobilitywhich is the main indicator of periodontal diseases with systemic diseases. An institutional study wasconducted using case records of patients attending private dental college from July 2019- March 2020 .A total of 71 case sheets of patients who had recorded tooth mobility index were retrieved and data wascollected. Data analysis was done using SPSS software version 23.0. Chi-square association was done toexplore the relationship between tooth mobility and systemic diseases. From the study results, 50.70%of participants belong to the age group of 36-55 yrs, 40.85% were females and 59.15% were males, thusshowing male predominance in the current study population. 66.197% of study participants have absenceof systemic diseases and 33.803% have systemic diseases. 4.2% of participants with systemic diseasesand 2.12% of participants without systemic diseases have mobile teeth between 17-24 (GROUP IV). Nostatistically significant association was found between tooth mobility and systemic diseases.(P = 0.858).The results of the present study indicate that prevalence of increased number of mobile teeth was foundamong participants with systemic diseases. But the association was not statistically significant. Knowledgeof disease interrelationships and their associations may prove to reduce patient risks and prevent systemicdisease outcomes and hence further studies to be carried out to assess the interrelationships.

Relating oral hygiene, gingival, and periodontal status with nicotine dependence among smokers - A cross-sectional study

Background: The objective was to examine the oral hygiene, gingival, and periodontal status among smokers and to relate them with nicotine dependence. Methods: The cross-sectional study was carried out among smokers and nonsmokers in Benin-City, Edo State. Data collection was done through questionnaire and oral examination. The indices applied were Fagerstrom test, Simplified Oral Hygiene Index (OHI-S), Gingival Index (GI), Community Periodontal Index, and tooth mobility index. Results: A total of 40 (20 smokers and 20 nonsmokers) persons participated in the study. The mean OHI-S for smokers was 2.87 ± 0.92 while that of nonsmoker was 2.20 ± 0.73 and this was statistically significant (P = 0.015). The mean GI for smokers was 1.04 ± 0.36 while that of nonsmoker was 0.80 ± 0.22 and this was statistically significant (P = 0.018). The mean number of mobile teeth for smokers was 0.15 ± 0.49 while that of nonsmoker was. 00 ± 0.00 and this was not statistically significant (P = 0.178). One-quarter (25%) of smokers had score 3 and 4 while only 5% of nonsmokers had were found Shallow and deep pockets were found score 3 and 4. About half (45.0%) of the smokers had low-moderate nicotine dependency among the smokers revealed that. Participants with higher nicotine dependence had nonsignificantly poorer oral hygiene, gingival, and periodontal status than their counterparts. Conclusion: Smokers generally had poorer oral hygiene, gingival, and periodontal status as compared to the nonsmokers. Smokers with higher nicotine dependence did not have poorer oral hygiene, gingival, and periodontal status than their counterparts.

Tooth mobility in a nigerian specialist periodontology clinic

Objective: Tooth mobility, which is a common problem among patients seeking dental health-care attention, causes occlusal instability, masticatory disturbances, esthetic challenges, and impaired quality of life. The objective of this study was to determine the prevalence and pattern of tooth mobility among patients attending a Nigerian specialist periodontology clinic. Materials and Methods: All the patients who visited the Periodontology Clinic of University of Benin Teaching Hospital, Benin City, from January to December 2014, were retrospectively studied. Those with recorded tooth mobility assessed using Miller tooth mobility index were further analyzed. Results: Of the 736 records assessed, 75 patients, aged between 18 and 94 years with median age of 56 years and mean age of 53.89 ± 17.82 years, had tooth mobility, giving a prevalence of 10.2%. The greater proportion of the patients were elderly (32.0%), females (58.7%), ever married (82.7%), indigenous (61.3%), and completely dentate (53.3%). The leading primary presenting complaints were toothache (37.3%), teeth replacement (14.7%), and shaking teeth (13.3%). Nearly half (48.0%) of the patients had one or more underlying medical condition. About two-thirds (61.3%) cleaned their teeth once daily, and 58.7% had previous visits to the dentist. The total number of mobile teeth was 202. Incisors (59.4%) and first molars (7.4%) were found to be the dominant mobile teeth. The mean debris score, calculus score, and oral hygiene score were 1.40 ± 0.09, 1.49 ± 0.12, and 2.78 ± 0.18, respectively, using simplified oral hygiene index. Conclusion: Data from this study revealed that one out of every ten patients attending Nigerian periodontology clinic had tooth mobility of varying grades, and teeth of esthetic (incisors) and masticatory ( first molars) value were mainly affected. Prompt and effective care should be rendered to facilitate retention of the affected teeth.

The influence of removable partial dentures on the periodontal health of abutment and non-abutment teeth.

Objective:The aim of this study was to evaluate the influence of removable partial dentures (RPD) on the periodontal health of abutment and non-abutment teeth.Materials and Methods:A total 107 patients with RPD participated in this study. It was examined 138 RPD, they were 87 with clasp-retained and 51 were RPD with attachments. The following periodontal parameters were evaluated for abutment and non-abutment teeth, plaque index (PLI), calculus index (CI), bleeding on probing (BOP), probing depth (PD) (mm) and tooth mobility (TM) index. These clinical measurements were taken immediately before insertion the RPD, then one and 3 months after insertion. The level of significance was set at (P < 0.05).Results:The mean scores for PLI, CI, BOP, PD, and TM index, of the abutment teeth and non-abutment teeth were no statistically significant at the time of insertion of RPD. After 1-month, PLI was statistically significant (0.57 ± 0.55 for abutment and 0.30 ± 0.46 for non-abutment teeth). After 3 months, there were significant differences between abutment and non-abutment teeth with regard to the BOP (1.53 ± 0.50 and 1.76 ± 0.43 respectively), PD (0.28 ± 0.45 and 0.12 ± 0.33 respectively) and PLI (1.20 ± 0.46 and 0.75 ± 0.64 respectively). No significant mean difference in TM and CI was found between the abutment and non-abutment teeth (P > 0.05).Conclusions:With carefully planned prosthetic treatment and adequate maintenance of the oral and denture hygiene, we can prevent the periodontal diseases.

Association between Oral Health Status and Type 2 Diabetes Mellitus among Sudanese Adults: A Matched Case-Control Study

AimThe purpose of this study was to compare the clinical and subjective oral health indicators of type 2 diabetic patients (T2DM) with age and gender matched non-diabetic controls. A second aim was to identify clinical and subjective oral health indicators that discriminate between well-controlled and poorly controlled T2DM patients as well as between patients with long and short duration of the disease.MethodsA total of 457 individuals participated in the study (154 T2DM cases and 303 non-diabetic controls). The T2DM group was sub-divided according to metabolic control [(well-controlled: glycosylated haemoglobin test ≤8%), (poorly controlled: glycosylated haemoglobin test > 8%)] and according to duration of T2DM [(long duration: >10 years), (short duration: ≤10 years)]. Participants were interviewed using a structured questionnaire including socio-demographics, lifestyle and oral health related quality of life factors. The clinical examination comprised full mouth probing depths, plaque index, tooth mobility index, furcation involvement and coronal and root surface caries.ResultsThe T2DM patients presented with more probing depths ≥4mm, furcation involvement, tooth mobility, missing teeth, and oral impacts on daily performance (OIDP). The corresponding adjusted odds ratios and their 95% confidence intervals were 4.07 (1.74–9.49), 2.96 (1.36–6.45), 5.90 (2.26–15.39), 0.23 (0.08–0.63) and 3.46 (1.61–7.42), respectively. Moreover, the odds ratio was 2.60 (1.21–5.55) for the poorly controlled T2DM patients to have high levels of mobility index and 2.94 (1.24–6.94) for those with long duration of T2DM to have high decayed, missed and filled teeth (DMFT) values.ConclusionThis study revealed that chronic periodontitis, tooth mobility, furcation involvement and OIDP were more prevalent among T2DM patients compared to their non-diabetic controls.

Periodontal disease in gestational and type 1 diabetes mellitus pregnant women

The present study evaluated the relationship between periodontal disease and its clinical variables in Brazilian non-diabetic pregnant women (C), gestational diabetes mellitus (GDM), or type 1 diabetes mellitus (T1DM). A periodontal exam was performed in one hundred and sixty-one pregnant women (GDM:80; T1DM:31; C:50) by a single-blinded calibrated examiner who recorded plaque index (PI), gingival index (GI), bleeding index (BI), gingival margin location (GM), probing depth (PD), clinical attachment level (CAL), bleeding on probing (BOP), and tooth mobility index (MI). The medical variables were age, pregestational body mass index (pre-BMI), fasting plasma glucose (FPG), and glycated hemoglobin (HbA(1c) ). The GI, GM, PD, CAL, BOP, and MI were significantly higher (P < 0.01) among GDM and T1DM than for C. The PI was higher in GDM and similar between C and T1DM. The Adjusted Final Model for medical variables to evaluate the effects of groups on periodontal parameters confirmed these results. The presence of periodontal disease was significantly higher in Brazilian diabetic pregnancies (GDM and T1DM) when compared to non-diabetic pregnant women (C). The degree of periodontal disease was similar between the GDM and T1DM groups. Age, pregestational BMI, and HbA(1c) were factors related to CAL development in these two types of diabetes mellitus.

Effect of Oral Diseases on Mothers Giving Birth to Preterm Infants

Objectives: To determine the association between preterm birth (PTB) and maternal oral diseases during pregnancy. Subjects and Methods: This prospective study was performed by the neonatal and dental departments at Jordan University Hospital. The study included 100 women who gave birth to preterm singleton infants (born less than 37 complete weeks from last menstrual period) between January and July 2009. The control group included an equal number of women who delivered singleton, full-term infants on the same day or the day after the women in the study. The mothers’ demographic data were collected using a questionnaire, and an oral examination was conducted for each participant. Statistical analysis was performed using SPSS for Windows release 16.0 (SPSS Inc., Chicago, Ill., USA). Factors related to PTB were studied in univariate and multivariate logistic regression analyses. Results: Significantly higher DMFT (decayed, missing, filled teeth) index scores, Silness and Loe plaque index scores and Mühlemann tooth mobility index scores were associated with PTB. Mothers who did not have prepregnancy dental checkups had a significantly higher incidence of PTB. Fewer mothers in the PTB group visited dentists during their last pregnancy compared with controls. Conclusions: Oral health, especially healthy periodontium, is one reliable indicator for predicting a safe pregnancy outcome.

Follow-up study of periodontal tissues around the abutment teeth in Konus telescope denture

The purpose of this study was to evaluate the periodontal tissues around the 47 abutment teeth in patients with advanced periodontitis for 5 years maintenance periods. The periodontal and prosthetic treatment were carried out and 16 Konus telescope dentures were applied for 11 patients. During 5 years maintenance therapy, periodontal conditions were observed once a year assessing probing depth, attachment level, tooth mobility index, gingival index, marginal alveolar bone height, width of periodontal ligament and loss of lamina dura. The results showed that increase of probing depth in 0.61 mm and attachment loss in 0.78 mm were observed for 5 years. A slight gingival inflammation occurred and tooth mobility increased in some extent. Enlargement of periodontal ligament space and loss of lamina dura in 40% of abutment teeth were observed for 5 years. There were six decayed teeth, six teeth, from which a intracoronal crown was removed, and two extracted teeth in 47 abutment teeth. In conclusion, the periodontal tissues around abutment teeth in Konus telescope denture changed slightly at one year after denture placement, after which, the periodontal tissues were well maintained.