Periodontal Pathogens and Clinical Periodontal Status of School Children: A Cross-Sectional Study

Cortelli, Sheila Cavalca; Aquino, Davi Romeiro; Cortelli, José Roberto; Raslan, Suzane A; Roman-Torres, Caio Vg; Balejo, Rodrigo Dp; Fern,; Costa, o O

doi:10.4172/2332-0702.1000131

Cited by 2 publications

(2 citation statements)

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“…showed that the periodontitis was not associated with saliva microorganisms. [ 42 ] In line with our and Cortelli et al . results, Belstrom et al .…”

Section: Discussionsupporting

confidence: 93%

Dental caries and gingival evaluation in children with congenital heart disease

et al. 2018

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Background:Dental health is one of the most important health burdens of children health. The association between dental health and endocarditis has been already demonstrated, but there is controversy about different frequency of dental caries, periodontitis, and saliva microorganism in comparison to healthy population and children with congenital heart diseases (CHDs). In this study, we evaluated these differences.Methods:Seventy-six healthy children and 68 CHD patients were enrolled in the present case–control study. Dental decay, periodontitis, oral microorganisms, serum calcium, phosphorus, and frequency of carbohydrate and protein consumption of all participants were evaluated by standards method.Results:CHD patients experienced more periodontitis, but the difference was not significant (0.12 vs. 0.09, P = 0.2). In healthy children, the mean saliva colony counts of Streptococcus mutans were more significant (50639 ± 3324 vs. 35285 ± 27226, P = 0.03), which was diminished by adjusting the carbohydrate consumption. The mean colony count of Lactobacilli in children with CHD was nonsignificant higher than healthy children (P = 0.3).Conclusions:Pediatric patients with CHD experience insignificantly higher dental decay, periodontitis, and saliva Lactobacilli colony counts. The frequency of decayed tooth and gingival diseases in healthy children is high, and hence, more dental care attention in our health system is needed for healthy children.

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“…showed that the periodontitis was not associated with saliva microorganisms. [ 42 ] In line with our and Cortelli et al . results, Belstrom et al .…”

Section: Discussionsupporting

confidence: 93%

Dental caries and gingival evaluation in children with congenital heart disease

et al. 2018

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“…36 A previous study by Cortelli et al have shown that children with gingivitis have significantly higher levels of systemic LPS levels than gingival healthy individuals. 37 The main purpose of dental SRP is to restore healthy gingivae by completely removing dental plaque, calculus and toxic substances such as LPS that trigger gingival inflammation, from the tooth surface. 38 This strategy may cause a drastic reduction in the number of subgingival microorganisms as well as a change in the composition of the plaque from one with more gram-negative anaerobic bacteria (Pg) to one with more gram-positive facultative bacteria (Streptococcus salivarius, Streptococcus gordonii, Streptococcus mutans, Streptococcus sanguinis and some Lactobacillus species).…”

Section: Discussionmentioning

confidence: 99%

Effect of scaling and root planing on level of immunoglobulin E and immunoglobulin G₄in children with gingivitis and house-dust mite allergy: A pilot randomised controlled trial

et al. 2019

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Background and Objective: There is a pressing need for developing innovative strategies to prevent allergic diseases among children. As house-dust mite (HDM) allergy is often seen in children with gingivitis, strategies should be derived from a conceptual framework of allergen elimination and pathogen eradication; one such strategy is dental scaling and root planing (SRP) to remove dental plaque and periodontal pathogens. The study aimed to evaluate the beneficial effects of comprehensive 6-months dental SRP to reduce the level of immunoglobulin E (IgE) and immunoglobulin G4 (IgG4) in children with gingivitis and HDM allergy. IgE and IgG4, whose production is controlled mainly by Th-2 cells and B cells, are proven biomarkers for atopic inflammatory responses. Methods: The present study conducted a non-blinded randomised controlled trial with superiority design. A total of 10 subjects (age range 6–16 years) with gingivitis and positive skin-prick test to HDM from Pediatric Allergy Outpatient Clinic, Dr. Soetomo General Hospital were enrolled in the present study. Of the 10 subjects, only five received dental SRP. We further evaluated total serum IgE and IgG4 level before and 6 months after treatment. Results and Discussion: Subjects in the standard treatment group showed a slight decrease in the IgE level ([Formula: see text]) but no change in the IgG4 level ([Formula: see text]), while subjects in the intervention group showed a significant decrease in IgE ([Formula: see text]) and IgG4 levels ([Formula: see text]). Conclusion: The study results suggest that 6-month comprehensive dental scaling combined with root planing may help to reduce IgE and IgG4 levels in children with gingivitis and HDM allergy. Furthermore, untreated or undertreated gingivitis is often associated with worsening allergic manifestation and thus should be avoided. Trial Registration: ISRCTN31416107, retrospectively registered on 17 April 2018.

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Periodontal Pathogens and Clinical Periodontal Status of School Children: A Cross-Sectional Study

Cited by 2 publications

References 31 publications

Dental caries and gingival evaluation in children with congenital heart disease

Dental caries and gingival evaluation in children with congenital heart disease

Effect of scaling and root planing on level of immunoglobulin E and immunoglobulin G₄in children with gingivitis and house-dust mite allergy: A pilot randomised controlled trial

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Periodontal Pathogens and Clinical Periodontal Status of School Children: A Cross-Sectional Study

Cited by 2 publications

References 31 publications

Dental caries and gingival evaluation in children with congenital heart disease

Dental caries and gingival evaluation in children with congenital heart disease

Effect of scaling and root planing on level of immunoglobulin E and immunoglobulin G4in children with gingivitis and house-dust mite allergy: A pilot randomised controlled trial

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Product

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Effect of scaling and root planing on level of immunoglobulin E and immunoglobulin G₄in children with gingivitis and house-dust mite allergy: A pilot randomised controlled trial