Background:Periodontitis is a group of inflammatory diseases affecting the supporting tissues of the tooth. Both aggressive periodontitis (AP) and chronic periodontitis (CP) have a multifactorial etiology, with dental plaque as the initiating factor. However, the initiation and progression of periodontitis are influenced by other factors including microbiologic, social and behavioral and systemic and genetic factors. The prevalence of periodontal diseases varies in different regions of the world according to the definition of periodontitis and the study population, and there are indications that they may be more prevalent in developing than in developed countries.Materials and Methods:A cross-sectional study was conducted among the adolescents of 15-18 years of age in Mangalore City. One thousand one hundred students aged 15-18 years were selected for the study from the schools and colleges in Mangalore City using a convenient sampling method. The prevalence of AP and CP were assessed in the study using a community periodontal index. Students who were diagnosed clinically and radiographically were subjected to microbiological examination to confirm AP.Results:A high prevalence of gingivitis and periodontitis was found in students belonging to the lower socioeconomic status group compared with the higher socioeconomic groups, which were associated with poor oral hygiene habits. The prevalence of AP was found to be 0.36% and that of CP was found to be 1.5%.Conclusion:Oral diseases have a significant impact on the social and psychological aspects of an individual's life. Exposure to risk factors, such as age, low socio-economic status, poor education, low dental care utilization, poor oral hygiene levels, smoking, psychosocial stress and genetic factors are significantly associated with an increased risk of periodontitis among adolescents. Although genetic factors play a major role in periodontitis, the treatment outcome will still be influenced by environmental and behavioral factors.
The goal of periodontal therapy is to prevent, arrest, control or eliminate periodontitis. It has been reported that scaling and root planning, when combined with local delivery system such as sub gingival medicament reduces microbes and improves clinical parameters better than scaling and root planning alone. Therefore the aim of the present study was to compare the clinical efficacy between two medicaments, delivered in gel form, one containing metronidazole and the other containing curcumin, as an adjunct to mechanotherapy. Fifteen subjects were selected, based on the inclusion and exclusion criteria of both sexes, in a split mouth design. Selected sites were randomly divided into two groups (group A -metronidazole whereas group Bcurcumin) and the following clinical parameters such as gingival index (GI), modified sulcular bleeding index (mSBI), probing pocket depth (PPD) were recorded and assessed on day 0 and 30 th days. When compared with metronidazole, a significant decrease in all clinical parameters was seen using curcumin. This study revealed that the experimental local drug i.e. curcumin used along with scaling and root planning is effective in reducing gingival inflammation and reducing pocket depth.
Background: To assess the periodontal health status among Koraga tribal community residing in Mangalore Taluk.Methods: The study subjects comprised of 400 Koraga tribal’s in the age range of 20-55 years living in Mangalore Taluk. The data regarding oral hygiene practices prevalent in the tribal population was collected by interviewing. Intra oral examination was carried out by using mouth mirror and CPI probe and included simplified oral hygiene index (OHI-S), community periodontal index (CPI), loss of attachment and dental aesthetic index (DAI).Results: Of the total population examined, 81% brushed once daily with 34% of the subjects using tooth paste and brush as oral hygiene aid while, the rest of them used a combination, with other indigenous methods. Majority of them used tobacco in the smokeless form (36%). The oral hygiene status was poor in 56% of the subjects. The present study showed that majority of the Koragas suffered from various gingival and periodontal diseases as assessed by community periodontal index. The dental aesthetic index indicated that 37.5 % of study subjects had very severe malocclusion.Conclusions: This group of people has a poor oral hygiene and periodontal status because they are deprived of the awareness and availability of treatment facilities. Their inappropriate oral hygiene practices, inadequate dental health resources and low socio-economic status are the major factors in this population to cause increased prevalence of periodontal disease.
Diagnosis of periodontal disease mainly depends on clinical signs and symptoms. However, in the case of bone destruction, radiographs are valuable diagnostic tools as an adjunct to the clinical examination. Two dimensional periapical and panoramic radiographs are routinely used for diagnosing periodontal bone levels. In two dimensional imaging, evaluation of bone craters,lamina dura and periodontal bone level is limitedby projection geometry and superimpositions of adjacent anatomical structures. These limitations of 2D radiographs can be eliminated by the use of three-dimensional imaging techniques such as computed tomography. Cone beam computed tomography (CBCT) generates 3D volumetric images. CBCT displays 3D images that are necessary for the diagnosis of intra bony defects, furcation involvements and buccal/lingual bone destructions. CBCT applications provide obvious benefits in periodontics, however; it should be used only considering the necessity and the potential hazards of the examination.
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