With the increasing prevalence rates of periodontitis cases, it has a great impact on human health, especially elderly patients. It constitutes a major health problem that can cause significant burdens. Infections are the main pathology that have been previously reported among studies in the literature because it has a strong correlation. There are common mechanisms that can cause systemic diseases: induction of systemic inflammation, inflammatory markers, the release of toxins, and translocation into other organs through the bloodstream. Proving the correlation between the potential presence of the involved pathogen and systemic diseases might be a significant key factor in predicting these systemic events. In addition, it will assist to have proper management in early intervention. The aim of the study was to provide more insight into the effect of correlation between periodontitis and other systemic diseases according to studies in the literature. Multiple organisms that can cause periodontitis have been significantly correlated with the development of many systemic diseases, such as atherosclerosis, coronary artery disease (CAD), pneumonia, respiratory tract infections, oral and colorectal cancers, diabetes and Alzheimer’s disease. Moreover, Porphyromonas gingivalis has been commonly reported with the variously discussed systemic diseases which should draw more attention towards the proper management and prevent this organism and other microbes within the literature to enhance the outcomes.
The success of endodontic surgeries can be significantly associated with the selected dental flap. Many flaps have been reported among studies in the literature with variable frequencies of advantages and disadvantages and with different indications for each flap. This literature review discusses the most commonly reported types of endodontics flaps along with the reported advantages and disadvantages, in addition to the uses, applications, and most probable indications and contraindications for each designed flap. Among the reported flap designs, clinical success and favorable outcomes were observed with the ones that limited the damage to the root-attached tissues. Moreover, crestal bone loss has been reported to be minimal when using the full mucoperiosteal flap designs. Many previous studies have reported that using triangular and rectangular flap designs has been associated with favorable events regarding crestal bone loss, with the observed complete healing of the resorption damaging events and absent alternations of the heights of the crestal bone that were potentially affected. Further details of each flap design are provided within the full manuscript of this article based on the obtained evidence from previous investigations.
Clinically, the management of severy atrophic maxilla might represent a significant challenge for the attending dentists and surgeons to successfully perform and achieve fabricated complete maxillary dentures. Making a hollow denture base for these defects has also been previously reported as a valid approach that can be used to decrease the weight of the maxillary prosthesis. Many modalities have been proposed for these procedures with favorable outcomes, and variable events of disadvantages and adverse events. This literature review aims to collect enough evidence regarding the different reported techniques of the hollow maxillary denture, according to the different studies. Many techniques have been previously reported as using magnets, using implants, intramucosal inserts, springs, suction disks, lightweight dentures, and modified impression techniques. Many materials have been previously used with the 3D spacers of the lightweight denture techniques as dental stone, silicon putty, cellophane-wrapped asbestos, light-body coated gauze, modeling clay, salt, thermocol, caramel, and glycerine soap. Favoring one of the modalities over the other requires the inauguration of future studies with an adequate sample size to validate the efficacy and safety of these modalities. All of this information is furtherly discussed within the manuscript based on the collected evidence from the different studies in the literature.
When compared to adults, older persons have a higher prevalence and incidence of periodontal diseases. The prevalence of periodontitis is substantially greater in the geriatrics group, which is 75 years old on average, compared to those who are 60 years old on average. Periodontitis can lead to tooth loss if natural periodontal therapies are not used. Periodontitis is the sixth most frequent incurable illness in the world, characterized by bacterial-induced and host-mediated deterioration of both soft and hard structures around the teeth. A severe type of periodontitis affects around 10% of the world's population. Periodontitis is more frequent in adults because of its chronic and debilitating nature, with around 66% of the 65-year-old age group in the United States afflicted by chronic periodontitis. A critical component of a successful disease prevention and health promotion trajectory is having up-to-date information on demographics, clinical symptoms, and illness burden on individuals, particularly in underrepresented regions where preventive programs are targeted and executed. As a result, the purpose of this paper is to evaluate the existing research on the prevalence, incidence, and consequences of periodontal diseases in the older population.
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