Background: Polycystic ovary syndrome (PCOS) is commonly associated with periodontal disease. Aims: The aim of the study is to assess the prevalence of periodontal diseases in female patients with PCOS in a tertiary centre at Kerala. Subjects and Methods: The study was held between December 2019 and December 2021 where a total of 320 female subjects in the age group of 20–35 years were included and among them 160 were PCOS diagnosed and 160 were healthy controls. Anthropometric and periodontal parameters were recorded and assessed among the groups. Statistical Analysis Used: Bivariate analysis between periodontal diseases and other covariant were done using Chi-square test. Those variables which were showing significant level up to 10% were taken to logistic regression model for estimating the adjusted risk for the periodontal diseases in PCOS patients. Results: In the PCOS group, 70 subjects (43.7%) were affected by gingivitis, 68 subjects (42.5%) were affected by mild periodontitis and 22 patients (13.7%) were diagnosed with moderate periodontitis. Gingivitis was observed in 153 subjects (95.6%) in the control group and mild periodontitis was only observed in 7 subjects (4.3%) (P < 0.001). Conclusions: We can conclude that a dental check-up should be made mandatory in the management protocol of PCOS and the gynaecologist should also play a pivotal role along with the periodontist in the prevention, diagnosis and treatment of periodontal disease in PCOS patients.
Context: Regeneration of periodontal tissues depend on the adhesion and development of fibrin clots to the root surface. Demineralization of the root surface ensures removal of smear layer uncovering dentin tubules and collagen matrix. Root conditioning agents were introduced to remove the smear layer and enhance the adhesion of blood components. Aims: The aim of the study was to determine the effect of erbium, chromium-doped yttrium, scandium, gallium and garnet (Er, Cr: YSGG) laser on smear layer removal (SLR) and fibrin network formation when compared to tetracycline, and ethylene-diamine-tetra-acetic acid (EDTA) for periodontal regeneration. Settings and Design: The study was conducted at Amrita school of dentistry and the study design involves in vitro comparative study. Subjects and Methods: Forty dentinal sections were prepared from freshly extracted teeth that were periodontally affected. The samples were divided into four groups: Scaling and root planing (SRP), tetracycline, EDTA, and Er, Cr: YSGG laser. The samples were assessed using a scanning electron microscope and photomicrographs were taken and analyzed for removal of smear layer, blood component adhesion (BCA), and fibrin network formation. Statistical Analysis Used: Analysis of variance test and Kruskal–Wallis test with P < 0.05 considered to be statistically significant. Results: There was a significant difference between Er, Cr: YSGG laser, tetracycline hydrochloride, and EDTA categories when compared with SRP categories. There was no significant difference between Er, Cr: YSGG laser, tetracycline, and EDTA according to SLR scoring and BCA scoring. Conclusions: It can be concluded that Er, Cr: YSGG laser-treated samples presented complete elimination of smear layer, formation of fibrin network, and BCA along with desensitizing effect for a better reduction in dentin hypersensitivity.
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