Objectives Bad breath is a condition that negatively affects people's social interactions and quality of life. The aim of this study was to evaluate the effect of thyme mouthwash on intraoral halitosis, gingival index (GI) and plaque index (PI) in patients with gingivitis. Methods In this retrospective study, 60 gingivitis patients (30 women/30 men) received initial periodontal treatment followed by oral hygiene instructions (OHI) and then were divided into four groups: The control group (C) received only OHI, while chlorhexidine (CHX) mouthwash was prescribed to the CHX group, Zinc acetate and CHX diacetate mouthwash was prescribed to the zinc acetate and CHX diacetate (ZnA) group, and the thyme (T) group was instructed to use thyme mouthwash. GI, PI and volatile sulfur compound (VSC) values were recorded at baseline and at the first week of treatment. Results The initial values of the recorded parameters did not differ significantly between the groups. In all groups, VSCs, GI and PI decreased after treatment (p = 0.001). There was no significant difference between the PI values of the groups after treatment (p = 0.188). On the contrary, the GI and VSC values after treatment were significantly different between the groups (p = 0.001). GI values were highest in the control group and lowest in the CHX group. In terms of VSCs, a significant difference was found between groups T and C, and between groups T and ZnA (p = 0.001). Conclusion This study showed that the use of thyme mouthwash after periodontal treatment was effective in improving bad breath and gingivitis in gingivitis patients.
Oral focal mucinosis (OFM); It is a rare soft tissue lesion of unknown etiology. It was first described by Tomich in 1974. It usually occurs as a localized, asymptomatic pedunculated or sessile growth on the gingiva or hard palate. In the intraoral examination of a 14-year-old systemically healthy female patient who applied to our clinic with the complaint of gingival enlargement in the maxillary palate region, a well-circumscribed mass of approximately 2 cm in diameter, covered with normal mucosa, extending from the gingival to the hard palate, in the palatal region of the right first premolar and first molar teeth. The patient stated that he noticed the mass 3-4 years ago and did not experience any pain.The lesion was taken with excisional biopsy under local anesthesia and sent to the pathology department. The patient was diagnosed with OFM as a result of pathological evaluation. No recurrence after 1 year.
Periodontal hastalıkların tedavisinde ilk basamak, periodontal hastalıkların etiyolojisinde rol oynayan bakteri plağı ve diştaşlarının mekanik olarak uzaklaştırılması ve oral hijyenin sağlanmasıdır. Bazı oral hastalık durumlarında mekanik tedaviye ek olarak, çeşitli sebeplerle bazı ilaç ve kimyasal ajanlar kullanılabilmektedir. Kortikostreoidler; birçok hastalığın tedavisinde güçlü antiinflamatuar, antialerjik ve immünosupresif etkileri nedeniyle oral mukokütonoz hastalıklarda sıklıkla kullanılmaktadır. Kortikosteroidlerin farklı kullanım şekilleri olsa da oral mukozal hastalıklarla ilişkili ağız lezyonlarının tedavisinde sıklıkla topikal formu tercih edilmektedir. Bu olgu serisinin amacı, konvansiyonel periodontal tedaviyi takiben iyileşmeyen dişetindeki kırmızı lezyonlara topikal kortikosteroid uygulamasının etkisini değerlendirmektir
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