Classificação das Doenças e Condições Periodontais e Peri-implantares 2018: guia Prático e Pontos-Chave

Steffens, João Paulo; Marcantonio, Rosemary Adriana Chiérici

doi:10.1590/1807-2577.04704

Cited by 47 publications

(61 citation statements)

References 25 publications

(62 reference statements)

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“…e inclusion criteria for participation in this study were patients with periodontitis who had no disease other than periodontitis. e diagnosis of periodontitis was based on the current Classification of Periodontal Diseases [4,5]. e following conditions were considered exclusion criteria: patients undergoing periodontal treatment and antimicrobial agent usage in the last 12 months; therapies with anti-inflammatories, corticosteroids, or immunosuppressant agents; smokers for less than 5 years; pregnant or lactating women; oncologic and diabetic patients; autoimmune, infectious, or allergic conditions; and morbidly obese (BMI > 40 kg/m2) or malnourished (BMI < 1.8.5 kg/m2) individuals.…”

Section: Type Of Study and Inclusion And Exclusion Criteriamentioning

confidence: 99%

“…Periodontitis is classified according to its severity in stages, I to IV, based on the extent of interproximal tooth loss and/or the percentage of radiographic bone loss. In addition to severity, the disease is graded according to its progression (slow, moderate, or rapid) and its effects on the systemic health of individuals [4,5].…”

Section: Introductionmentioning

confidence: 99%

“…Based on its direct relationship with systemic diseases, periodontitis is a risk factor for cardiovascular diseases and may exacerbate the complications of diabetes and those of some systemic disorders such as those of genetic, inflammatory, metabolic, and endocrine origins, which can directly affect the loss of periodontal tissues [5]. Possible pathways involved in this process include persistent, low-grade systemic inflammation caused by disseminated proinflammatory mediators and periodontium-originating bacteremia [6].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Mechanical Periodontal Therapy Recovered the Phagocytic Function of Monocytes in Periodontitis

Naiff

Carneiro

Guimarães

et al. 2020

International Journal of Dentistry

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Background. Several studies have focused on the association between periodontitis and systemic implications; however, the biological mechanisms of the immune responses before and after periodontal therapy involved in this relationship, such as phagocytic functions, remain unclear. Objectives. This study aimed to investigate whether periodontal treatment improves the phagocytic function of blood monocytes in patients with severe periodontitis. Materials and Methods. A nonrandomized sample of 55 participants was enrolled in the study. Two groups were studied: control (n = 27, healthy subjects without periodontal disease) and patients (n = 28, individuals with periodontitis). Treatment of periodontitis (scaling and root planing) was performed until the clinical resolution of periodontal pockets and inflammation. The following clinical periodontal parameters were assessed: probing depth, clinical attachment level, visible plaque index (PI), and gingival bleeding on probing index before and after mechanical periodontal treatment. The phagocytic index (PhI) and nitro blue tetrazolium test (NBT) were assessed before and immediately after the end of treatment. Results. Periodontitis induced impaired phagocytosis by monocytes. Phagocytosis at baseline was significantly lower in periodontitis patients [median, 13.2 (range of 7.1 to 20.8) and 60.7 (40.6 to 88.6)] than in controls [27.4 (15.5 to 40.5)] and 98 (68.2 to 122.9)] for nonsensitized or sensitized samples, respectively. After supportive therapy, patients showed a significant enhancement of phagocytic functions [33.7 (14.6 to 53.2) and 108.5 (99.6 to 159.5)] for nonsensitized and sensitized samples, respectively. Periodontal treatment increased the phagocytic capacity to a level similar to that observed in the control group and improved the capacity of phagocytes to produce superoxide anion. Conclusions. The results suggest that periodontal therapy in patients with severe periodontitis provides a state of homeostasis due to the reestablishment of phagocytic function and increased production of NBT (Regional Registry No. RBR-24T799; Universal Registry No. U1111-1133-5512).

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Section: Type Of Study and Inclusion And Exclusion Criteriamentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Mechanical Periodontal Therapy Recovered the Phagocytic Function of Monocytes in Periodontitis

Naiff

Carneiro

Guimarães

et al. 2020

International Journal of Dentistry

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“…A periodontite é uma doença inflamatória crônica multifatorial associada à presença de um biofilme bacteriano e caracteriza-se pela perda progressiva dos tecidos de suporte dos dentes 1 . Recente consenso para classificação das doenças periodontais apresenta o parâmetro Perda de Inserção Periodontal (PIP) como característica determinante para identificação de periodontite [1][2][3] , sendo esta uma medida representativa da destruição acumulada dos tecidos periodontais.…”

Section: Introductionunclassified

Perda de inserção periodontal e associações com indicadores de risco sociodemográficos e comportamentais

Teixeira

Marín-León

Gomes

et al. 2019

Rev. odontol. UNESP

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“…Além do prejuízo estético, a perda dentária tem como consequência um processo de remodelação e reabsorção óssea alveolar, deixando o espaço protético vulnerável a migração dos dentes adjacentes e comprometimento da funcionalidade oclusal (FERREIRA, 2013;J, 2018).…”

Section: Introductionunclassified

Condicionamento Gengival associado à Prótese Implanto Suportada em Regiões Estéticas: Relato de Caso Clínico / Gingival Conditioning associated with Implant Prosthesis in Aesthetic Regions: Clinical Case Report

Silva

Sant'Ana

2019

IDonline

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Resumo: Considerando a estética anterior do sorriso gengival, o uso de próteses implanto-suportadas tem sido bastante eficaz para reabilitação de espaços protéticos. Entretanto, para um resultado de excelência em estética, a morfologia gengival deve estar harmonizada com o sorriso e a prótese. Este estudo teve como objetivo relatar o caso clínico de uma paciente que foi submetida a exodontia seguida de provisório imediato dos elementos 12 e 22, e posteriormente a exodontia dos elementos 11 e 21, seguido da instalação de prótese provisória múltipla do incisivos superiores. A fim de harmonizar o sorriso, foram trabalhadas algumas sessões de condicionamento gengival, utilizando a técnica de pressão sob a margem gengival através do término da prótese provisória. Para isto, foram coletados imagens e dados em prontuários. Ao final do tratamento notouse uma melhora na arquitetura gengival e perfil de emergência. Logo, conclui-se que o tratamento para condicionamento gengival previamente a prótese definitiva é um passo importante na reabilitação de áreas protéticas, principalmente quando em regiões estéticas.Abstract: Considering the anterior aesthetics of gingival smile, the use of implant-supported prostheses has been very effective for rehabilitation of prosthetic spaces. However, for a result of aesthetic excellence, gingival morphology must be harmonized with smile and prosthesis. This study aimed to report the clinical case of a patient who underwent extraction followed by immediate provisional extraction of elements 12 and 22, and subsequently the extraction of elements 11 and 21, followed by the installation of a temporary multiple incisor prosthesis. In order to harmonize the smile, some gingival conditioning sessions were worked, using the pressure technique under the gingival margin through the completion of the provisional prosthesis. For this, images and data were collected from medical records. At the end of treatment, an improvement in gingival architecture and emergence profile was noted. Therefore, it is concluded that the treatment for gingival conditioning prior to the definitive prosthesis is an important step in the rehabilitation of prosthetic areas, especially when in aesthetic regions.

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Classificação das Doenças e Condições Periodontais e Peri-implantares 2018: guia Prático e Pontos-Chave

Cited by 47 publications

References 25 publications

Mechanical Periodontal Therapy Recovered the Phagocytic Function of Monocytes in Periodontitis

Mechanical Periodontal Therapy Recovered the Phagocytic Function of Monocytes in Periodontitis

Perda de inserção periodontal e associações com indicadores de risco sociodemográficos e comportamentais

Condicionamento Gengival associado à Prótese Implanto Suportada em Regiões Estéticas: Relato de Caso Clínico / Gingival Conditioning associated with Implant Prosthesis in Aesthetic Regions: Clinical Case Report

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