Non-surgical periodontal therapy was effective in improving periodontal clinical data and in reducing the plasma levels of IL-6, CRP, and fibrinogen in hypertensive patients with severe periodontitis.

Periodontal therapy significantly reduced levels of CRP, IL-6, fibrinogen, blood pressure, LVM and arterial stiffness, lowering cardiovascular risk in refractory hypertensive patients.

No abstract

Odontogenic sinusitis (OS) is a highly prevalent, underappreciated and underdiagnosed disease that has been known for over 100 years. Apical periodontitis, periodontal disease and iatrogenic extrusion of foreign bodies into the sinus are the main causes of OS. Although the prevalence of sinus pathosis of dental origin is still controversial, otolaryngologists recognize that in the presence of recalcitrant sinusitis, a dental origin should be considered and properly treated. Currently, cone-beam computed tomography is the gold-standard imaging technique to assess the relationship between dental conditions, especially apical periodontitis and sinus diseases, and whenever this association is detected, patients should be seen by both a dentist and an otolaryngologist in order to achieve complete recovery. This article reviews the current concepts regarding the definitions, diagnosis and management of OS from a clinical point of view.

Objetivo: O objetivo da presente revisão de literatura foi discutir a relação entre a infecção secundária e a infecção persistente e o insucesso endodôntico. Material e Métodos: Foi realizada uma pesquisa bibliográfica abrangendo artigos de revisão e de pesquisa, a partir de buscas em bases de dados SciELO, Periodicos CAPES, PubMed e MedLine utilizando os seguintes descritores: endodontia, periodontite periapical, infecção. Foram incluídos artigos publicados no período de 1990 a 2016 e escritos nas línguas inglesa e portuguesa. Além disso, os artigos foram selecionados após a leitura do seu resumo e a verificação da adequação do mesmo ao conteúdo dessa revisão. Resultados: A literatura atual parece concordar que a desinfecção inadequada do sistema de canais radiculares e mecanismos de adaptação e resistência microbiana desempenham papel importante no insucesso endodôntico. Porém, a mesma ainda é controversa com relação ao papel do E. faecalis nesses casos de insucesso. Conclusão: Pode-se concluir, dentro das limitações do presente estudo, que o respeito às técnicas endodônticas é fundamental para obter sucesso e que novos estudos, utilizando proteômica, podem contribuir para esclarecer quais os principais micro-organismos envolvidos, bem como seu mecanismo de ação.

The null hypothesis was rejected in favour of the alternative hypothesis. In other words, the presence of chronic apical periodontitis was associated with higher plasmatic levels of CRP, IL-6 and fibrinogen, in a population of severely hypertensive patients. However, the weak association between CAP and each dependent variable suggests a modest participation of endodontic infection on the plasmatic levels of biomarkers.

Giardia lamblia is the causative agent of giardiasis, a common parasitic infection of the human and animal digestive tract. Although several drugs have been available to treat this infection, they present unpleasant side effects or cytotoxicity. In order to find a more natural treatment for the disease, we analyzed the effects of the methanolic extract and three fractions obtained from Hovenia dulcis Thunb. (Rhamnaceae) leaves on G. lamblia. Comparing all fractions, dichloromethane was more efficient in reducing Giardia growth. The exposition of G. lamblia to this fraction lead to degenerations in the surface, modifications in the cell shape and alterations in the localization of nuclei. Besides that, the adhesion of G. lamblia was also altered. Experiments revealed that the obtained fraction did not present cytotoxic effects in mammalian cells. In summary, dichloromethane fraction has strong antigiardial effects and could become an important new substance for the treatment of giardiasis.

Severe and generalized chronic periodontitis seem to play a role as risk indicators for hypertensive patients.