Introduction:The purpose of this study is to evaluate the clinical outcomes of non-surgical periodontal therapy specifically for psychiatric, diabetic, nephropathic and gastrointestinal patients. The clinical presentation of the diseases of these patients is followed by the selection of some of the patient typologies according to the above classification, followed by the documented evaluation of the periodontal prior status and 1 week of non-surgical periodontal non-surgical posttraumatic treatment. Materials and methods: The study was conducted in a total of 311 patients, out of which 206 were ill patients included in the assessment, of which 80 were cardiac patients, 76 diabetic patients, 43 nephropathic patients, 7 gastrointestinal patients included in the study ours, after meeting the inclusion criteria. Patients included in the study are divided by age, sex and socio-health status. Results: Outcome results in delayed treatment in diabetic patients with oral cavity injuries. The minimum amount of bacterial plaque in patients with gastrointestinal diseases is the most typical element of this category. The appearance of gingival hypertrophy in patients with hypertension treated with calciumblockers and the faintest gingivitis during treatment of nephropathy patients are the typical features found in the relevant patient category. Patient's vulnerability to combinations of diseases that follow and encourage each other was higher in the cardiac and diabetic relationship than in nephropathy and diabetes patients. Cardiac patients, if we talk about the healing process, in the probability values, reacted
Objectives:Removal of pro inflammatory stimuli after CABG, wound closure and the regenerative ability of the bone marrow will ensure a gradual recovery of hematological parameters. The aim of this study was to assess the hematological changes after CABG.Materials and Methods:A prospective cohort study included 164 consecutive patients undergoing on pump CABG surgery between January 2012 and January 2013. Patients with primary hematologic disease, emergent or urgent CABG and off-pump CABG were not included. A time line protocol was employed.Results:All patients survived surgery. Average values of erythrocytes, hemoglobin and hematocrit declined, to reach lower values on day 3 after surgery (-33.6 %, -33.1 %, -32.6 % versus preoperative value, p<0.001) and then gradually increased to reach normal values after one month and the preoperative values after three months. The average values of leukocytes and neutrophils increased rapidly to achieve the highest value on day 2, while the average value of lymphocytes decreased quickly to achieve lower value on day 1 after surgery (+74.7 %, +127.1 %, -52.4 % respectively from the preoperative value, p<0.001). The average platelet count decreased to the lowest value on day 2 after surgery (-26.4 % from the preoperative value, p<0.001), after which gradually increased up to +100.8 % of preoperative value on day 14 (p<0.001) and then gradually decreased to reach normal values on day 21 and preoperative values after three months.Conclusions:Average values of the three peripheral blood cells parameters undergo important changes after CABG, but not life threatening, and regain normal and preoperative values after 1-3 months after surgery.
Background Apical periodontitis as an endodontic diagnosis has attracted attention for the close relationship between the periodontal nature and the endodontic nature that this pathology represents. The appearance of pathology in periodontal tissues, but originating from the infected canal of the affected tooth, is caused by the passage of pulpal infection–inflammation products only between the apical foramen toward the periodontal tissues positioned at the exit of the tooth canal. Depending on the morphology of the canal, it can be one inflamed area, or several that form a whole, if the pulp has terminal branches, like “river delta,” in its apical exit. Main body of the abstract The study aims to evaluate the clinical significance whether to treat or not with antibiotics of apical periodontitis. This study aims to look at this pathology from the perspective of the articles already published in the literature and after processing the conclusions of all the articles, come up with current recommendations on the treatment or not with antibiotics of the clinical cases presented with the pathology of the apical periodontium. Results The classification of apical periodontitis occurs depending on the clinical signs visible with radiographs and the objective and subjective complaints of the patient. Regardless of subclassifications of apical periodontitis, the cause is bacteria or symbiosis of bacteria causing pulpitis, so as in any bacterial infection there is a tendency to treat them with antibiotics locally rather than in a systemic way, as long as the infection does not cause systemic symptoms such as fever, or massive swelling of the affected area. Short conclusion From the analysis of the collected information, it is clear that the trend for treatment of apical periodontitis in the future does not lie in the application of antibiotics, but rather in irrigation solutions or the use of devices for the purpose of disinfecting the canal affected by the pathology. However, in no case is it indicated to eliminate the mechanochemical canal cleaning protocol before applying any type of treatment methodology.
Introduction: The characteristic appearance of chronic periodontitis with the absence of bacterial plaque or with minimal amounts of it, but with the presence of gingival health, expressed in the specific pink color of the gingiva, is associated with active stages of the disease and its inactive stages. The aim of this study is to compare cross-sectional and retrograde data on the prevalence of chronic periodontitis in the two respective groups of patients, evaluated according to specific periodontal diagnostic tools. Materials and Methods: The study was applied in two groups of patients: the first group of patients presented at the dental clinic in the period October 2019 - January 2020 and the second group; in the period October-November in the annual interval 2010-2018. In these patients, periodontal status was assessed based on probing values, bacterial plaque index, bleeding index, and amount of gingival fluid in specific dentures. The number of natural teeth and the number of teeth replaced with fixed prosthetics were recorded. Results: For both cross-sectional and retrograde data, chronic periodontitis is a disease that affects young people, with a higher prevalence in females. This data is expressed with high ratios of tooth loss for periodontal reasons. The highest dental care for replacement with fixed prosthetics, again belongs to the female sex, but with a high bacterial plaque index. The high index of gingival hemorrhage with reduced bacterial plaque index, are data with high percentages both for the group of patients cross-sectional data and for the group of patients with retrograde data. Conclusions: The high prevalence of chronic periodontitis at a young age indicates a poor prognosis of this disease at older ages. Gingival recession associated with loss of attachment for patients with chronic periodontitis have higher values at age intervals 31-50 years, intervals where systemic pathologies are in the stages of development and stabilization in the human body. Doi: 10.28991/SciMedJ-2021-0301-5 Full Text: PDF
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