Dental pain, anxiety and fear are important factors that prevent patients from seeking dental care. In this study, we aimed to evaluate the pain perception of patients during scaling and its relationship with dental anxiety. One hundred dental patients participated in the study. Pain levels after scaling were assessed with a Visual Analog Scale (VAS) and an Anxiety Questionnaire consisting of seven questions. The mean VAS score for the entire study group was 17.3 ± 13.8 with no statistically significant differences between gender and different age groups. The mean anxiety score was 11.66 ± 4.17. This was significantly higher in women (P = 0.005), but there were no statistically significant differences between different age groups. There was a statistically significant correlation between VAS and total anxiety score (P < 0.001) as well as each question, except for questions number 3 and 4 in men. Patients were found to experience only limited pain during scaling. They were anxious because they expected pain, women being more anxious than men. Hence, dentists should seek to alleviate or reduce pain and anxiety related to treatment not only to successfully complete the treatment, but also to sustain and carry the patients into successful maintenance and patient recall. (J Oral Sci 53, 341-348, 2011)
For the clinician, the planning of therapy is probably the most critical and difficult step in the treatment of patients with periodontal disease. A new paradigm for periodontal diagnosis will certainly increase understanding of periodontal diseases, which may eventually optimise the predictability of treatment and improve the clinical management of patients with periodontal disease.
Background:Alkaline phosphatase (ALP) enzyme is involved in the destruction of the human periodontium. The present study was conducted to determine the presence and levels of ALP activity in gingival crevicular fluid (GCF) in periodontal health, gingivitis, and chronic periodontitis.Materials and Methods:GCF samples were collected from 45 sites which were divided into three equal groups of healthy samples and gingivitis and chronic periodontitis samples. Various clinical parameters were evaluated and the levels of ALP were estimated using a semi-autoanalyzer. Analysis of variance was employed to compare the ALP levels in different groups. Pearson's correlation coefficient was utilized to find the correlation between ALP levels and various clinical parameters.Results:Difference in the mean ALP levels between healthy and gingivitis groups was found to be nonsignificant (P>0.05) and that between the chronic periodontitis group and healthy as well as gingivitis groups was found to be highly significant (P<0.001). Significant correlations existed between ALP levels and gingival index, probing depths, as well as clinical attachment levels.Conclusion:The finding of the present study confirms the relationship between ALP level and periodontal disease, thus indicating that GCF ALP levels can be used as potential biochemical markers for the detection and progression of periodontal disease.
The diversity of signalling opportunities within microbial communities, and the significant role of these molecules in coordinating gene expression and promoting biofilm formation, has provided the impetus to investigate the potential of inhibitory analogues to disrupt these networks, thereby providing mechanisms to control or influence the development of dental plaque. Within the oral biofilms, resident bacterial cells interact with one another and exchange messages in the form of signalling molecules and metabolites. In this review article, our aim is to elaborate the role of this quorum sensing and their involvement in pathogenesis to decipher information that can be useful to target pathways to control diseases.
Periodontal diseases have alarmed the current scenario globally. Still very less evidences has been clued in this area. Previously it was thought that virus is not involved with severe cases of periodontitis. In 20th century, virus association of periodontal cases has shown for the first time. After that several studies covered the strong evidences about direct virus isolation from deep focal sites. The articles published recently in journals of repute has shown a very strong evidences in the involvement of human herpes virus, Epstein Barr virus, Human cytomegalovirus, Human Immunodeficiency Virus in both chronic as well aggressive periodontitis. Our main aim of this review is to have compiled information in this article for what have been done in the area and remaining futuristic approach; as a current concern. This will not only help in early diagnostic and virus characterization as well identification of biomarkers for disease. The compiled information and critical aspects in the area will also help to develop suitable diagnostics and therapeutics.These uncertainties have given targeted efforts to find viral etiologic factors for periodontitis.
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