This single case report serves as a good example to show that SCTG can be successfully performed to treat gingival recession associated with a glass ionomer-restored root surface.
Objectives
The aim of this randomized split‐mouth clinical trial was to evaluate the effects of ozone therapy on clinical and biochemical parameters of moderate to severe generalized periodontitis patients after non‐surgical periodontal therapy.
Methods
A total of 36 moderate to severe generalized periodontitis patients were included in the study. The patients were systemically healthy and 18 to 64 years of age. Periodontal parameters, including plaque index (PI), gingival index (GI), probing depth (PD), percentage of bleeding on probing, percentage of pockets deeper than 5 mm and clinical attachment level (CAL), and percentage of ≥3 mm CAL, were evaluated at baseline and 3 months following periodontal therapy. All participants were treated non‐surgically. Topical gaseous ozone was applied into periodontal pockets twice a week for 2 weeks during active periodontal therapy. Gingival crevicular fluid pentraxin‐3 (PTX‐3), interleukin‐1β (IL‐1β), and high sensitivity C‐reactive protein (Hs‐CRP) were evaluated. All statistical data were analyzed using SPSS software.
Results
Total of 36 participants completed the study (18 males, 18 females). PI, GI, PD, percentage of bleeding on probing, percentage of pockets deeper than 5 mm and CAL, and percentage of ≥3 mm CAL were improved, and there were no significant differences between the two sides. All inflammatory parameters, PTX‐3, Hs‐CRP, and IL‐1, were reduced at 3‐month follow‐up. Only the decrease in PTX‐3 levels between baseline and 3‐month follow‐up was statistically significant.
Conclusions
Ozone therapy did not have any additional effect on periodontal parameters. All cytokines were reduced after periodontal therapy. Only PTX‐3 levels were significantly lower at ozone sites compared to those at the control sites.
Vestibuloplasty is indicated when prosthesis stability is poor due to mandibular or maxillary atrophy. The use of autogenous grafts to provide sufficient vestibular depth is widely accepted. In this retrospective study, the outcomes of vestibuloplasty performed on 41 patients using various types of autogenous grafts (full-thickness skin, dermal, reversed dermal, meshed skin and palatal mucosal) are presented. The best results were obtained with palatal mucosal grafts, but graft size is limited. Meshed skin grafts were shown to be the best alternative.
ÖZAmaç: Bu çalışmada periodontitis ve gingivitis hastalarında E. gingivalis ve T. tenax yaygınlığının araştırılması amaçlanmıştır. Yöntem: Çalışmamıza 107 periodontitis hastası ve 68 gingivitis hastası alınmıştır. Ağzında tespit edilen mevcut mikrobiyal dental plaklar kazınmış ve kazınan plak parçaları, içerisinde % 0,9 serum fizyolojik bulunan tüplere konulmuştur. Örnekler ışık mikroskobu altında incelenmiştir. Ayrıca T. tenax için aynı örnekten bir miktar da besiyerine ekilmiş ve 37°C'de inkübe edilmiştir. Bulgular: Periodontitis hastalarının 38'inde E. gingivalis, üçünde T. tenax ve ikisinde hem E. gingivalis hem de T. tenax birlikte tespit edilmiş-tir. Gingivitis hastalarının ise 22'sinde E. gingivalis, 2'sinde T. tenax, 1'inde ise E. gingivalis ve T. tenax birlikte bulunmuştur. Sonuç: Çalışmamızda periodontitis ve gingivitis hastalarında oral protozoonlar yüksek oranda bulunmuştur. Yeni yapılacak çalışmalarla E. gingivalis ve T. tenax prevalansının belirlenmesi ve özellikle korunma prensiplerine uyulması gerektiği kanısındayız (Turkiye Parazitol Derg 2016; 40: 17-21 ABSTRACT Objective: The aim of this study was to determine the prevalence of Entamoeba gingivalis and Trichomonas tenax in periodontitis and gingivitis patients. Methods: The study consisted of 107 periodontitis patients and 68 gingivitis patients. Bacterial plaque samples were collected with a curette from the deepest pocket in each quadrant and placed into separate tubes containing sterile 0.9% saline solution. Samples were examined at a magnification of ×400 by light microscopy. Cultivation for T. tenax was performed using the same samples, and the cultures were examined after 48 hours.Results: E. gingivalis was present in the samples from 38 periodontitis patients, whereas T. tenax was present in samples from only 3 periodontitis patients. Both E. gingivalis and T. tenax were found together in the samples from 2 periodontitis patients. In total, 22 and 2 gingivitis patients were found to be infected with E. gingivalis and with T. tenax, respectively. Only 1 gingivitis patient was found to be infected with both E. gingivalis and T. tenax. Conclusion: In our study, oral protozoa were found in a high percentage in periodontitis and gingivitis patients. We believe that the prevalence of E. gingivalis and T. tenax should be determined via new studies and, in particular, the protection principles should be complied with (Turkiye Parazitol Derg 2016; 40: 17-21).
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