Acute periodontal lesions (periodontal abscesses and necrotizing periodontal diseases) and endo‐periodontal lesions

Herrera, David; Retamal‐Valdes, Belén; Alonso, Bettina; Feres, Magda

doi:10.1002/jper.16-0642

Cited by 126 publications

(143 citation statements)

References 136 publications

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“…The recently introduced classification of periodontal diseases (Caton et al, ) aims to identify well‐defined clinical entities using clear criteria that are able to link diagnosis with prevention and treatment, thus moving towards precision and individualized dentistry. It defines specific criteria for the following diagnoses: (a) periodontal health (Lang and Bartold, ); (b) gingivitis (Trombelli, Farina, Silva, & Tatakis, ); (c) reduced but healthy periodontium (successfully treated periodontitis); (d) gingival inflammation in a periodontitis patient (treated periodontitis with persistent inflammation) (Chapple et al, ); (e) periodontitis (Papapanou et al, ; Tonetti, Greenwell, & Kornman, ); (f) periodontitis as a manifestation of systemic diseases (Albandar, Susin, & Hughes, ; Jepsen et al, ); and (g) necrotizing periodontal disease (Herrera, Retamal‐Valdes, Alonso, & Feres, ).…”

Section: Introductionmentioning

confidence: 99%

“…It defines three new case diagnoses including (a) periodontal health; (b) reduced but healthy periodontium (successfully treated periodontitis); and (c) gingival inflammation in a periodontitis patient (treated periodontitis with persistent inflammation) (Albandar et al, ; Chapple et al, ; Jepsen et al, ). It also recognizes three periodontitis diagnoses: necrotizing periodontal diseases (Herrera et al, ), periodontitis (Tonetti et al, ) and periodontitis as a manifestation of systemic diseases. Once the diagnosis is made, periodontitis cases need to be characterized by the newly introduced process of staging and grading (Papapanou et al, ; Tonetti et al, ).…”

Section: Introductionmentioning

confidence: 99%

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Implementation of the new classification of periodontal diseases: Decision‐making algorithms for clinical practice and education

Tonetti

Sanz

2019

J Clinic Periodontology

167

171

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Background Implementation of the new classification of periodontal diseases requires careful navigation of the new case definitions and organization of the diagnostic process along rationale and easily applicable algorithms. The aim of this report was to describe the rationale for one such approach designed for clinical practice and education. Methods The authors developed empiric decision‐making algorithms based on the new classification to effectively discriminate between the key periodontal diagnoses of periodontal health, gingivitis and periodontitis. Results A stepwise approach is proposed that includes (a) a sensitive screening step able to discriminate periodontal health, gingivitis and suspect periodontitis; (b) a specific confirmation step to provide differential diagnosis between periodontitis and the other conditions characterized by attachment loss; (c) a step to assess the severity and complexity of management of the periodontitis case (staging); and (d) a step to assess the risk profile of the case (grading). Specific decision‐making algorithms are described for all steps of the diagnostic process. Conclusions The proposed process allows discrimination between the different case definitions of periodontal health and disease. The diagnostic accuracy and cost‐effectiveness of the process need to be validated in prospective trials generalizable to operators with different level of expertise, different populations and clinical settings.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Implementation of the new classification of periodontal diseases: Decision‐making algorithms for clinical practice and education

Tonetti

Sanz

2019

J Clinic Periodontology

167

171

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“…Esse fato explica a alta prevalência e incidência de casos em pessoas que estão sujeitas a grande estresse psicológico, 20 sejam estudantes em véspera de provas ou soldados em forças armadas. 30,37,38 Tendo em vista que estudos têm apontado que a realização de atividade física poderia diminuir os níveis de estresse dos indivíduos, 32 assim como, melhorar a qualidade do sono, 39 a indicação desta possibilidade para o usuário foi realizada. No entanto, o usuário não aderiu à esta estratégia terapêutica.…”

Section: Discussionunclassified

Gengivite Ulcerativa Necrosante: um relato de caso

Sartori¹,

Ferreira²,

Martins³

et al. 2019

Rev. Fac. Odontol. Lins

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Introdução: Diversos fatores predisponentes são reportados na Gengivite Ulcerativa Necrosante (GUN): estresse, deficiências nutricionais e disfunções do sistema imunológico.Objetivo: Descrever e discutir a abordagem diagnóstica e o manejo terapêutico conservador de um caso clínico de GUN em um paciente masculino de 21 anos, sem doença sistêmica e com o estresse como provável mecanismo de patogênese predisponente envolvido.Caso Clínico: O paciente procurou atendimento devido a dor na gengiva e halitose. Ao exame clínico observou-se ausência de papila interdental com ulcerações, secreção supurativa e sangramento ao toque. Ao questionado reportou estar mais estressado que o habitual, dormindo pouco e alimentando-se de forma menos saudável que de costume. Assim, foi realizado o debridamento local. O usuário foi orientado a realizar bochechos com água oxigenada (dez volumes). Aconselhamento dietético e a indicação de realização de atividades físicas e melhora da qualidade e quantidade de sono também foram feitas. Após um mês, foi obtida a resolução dos sinais e sintomas e nenhuma recidiva foi observada em 1 ano de acompanhamento. Conclusão: Um correto diagnóstico dos fatores causais é fundamental para a formulação de um plano de tratamento preciso. A terapia inicial é realizada com o objetivo de interromper a progressão da doença e diminuir os sintomas clínicos da doença. Além disso, o projeto terapêutico deve ser direcionado para uma abordagem ampliada do sujeito, a qual deve visar o controle dos fatores predisponentes.

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“…Once the immune-inflammatory response is activated, it can be maintained through the constant positive response of pro-inflammatory cytokines 59 . Periodontitis may also lead to the migration of Gram negative bacterial species present in the periodontal biofilm into the systemic circulation leading to bacteremia 60 . In view of the seriousness of this clinical picture, it is important to have adequate therapy, as well as routine visits to the doctor and dentist in a way that prevents the progression of diabetes mellitus or periodontitis [61][62][63][64] .…”

Section: Interrelation Between Diabetes and Periodontal Diseasementioning

confidence: 99%

Interrelation between Diabetes Mellitus and periodontal disease: an integrative review

et al. 2018

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Introduction: In cases where there is an association of two or more diseases, it’s complex to improve individual’s well-being and quality of life, especially when these diseases have a bidirectional relation, as observed between diabetes mellitus and periodontal disease. Aim: The present study aims to review the literature on the relation between Diabetes Mellitus and Periodontal Disease, identifying the main aspects and pathognomonic characteristics.Conclusion:Due to the exposed in the literature on the interrelation of diabetes mellitus and periodontal disease, further studies are needed for a better understanding of the subject, knowing that the interdisciplinary approach is very important for the patient to have a better quality of life.

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Acute periodontal lesions (periodontal abscesses and necrotizing periodontal diseases) and endo‐periodontal lesions

Cited by 126 publications

References 136 publications

Implementation of the new classification of periodontal diseases: Decision‐making algorithms for clinical practice and education

Implementation of the new classification of periodontal diseases: Decision‐making algorithms for clinical practice and education

Gengivite Ulcerativa Necrosante: um relato de caso

Interrelation between Diabetes Mellitus and periodontal disease: an integrative review

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