Risk factors for periodontitis &amp; peri‐implantitis

Darby, Ivan

doi:10.1111/prd.12447

Cited by 81 publications

(39 citation statements)

References 18 publications

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“…Concerning the habit of smoking, even though smoking was identified in the bivariate analysis as a risk factor associated with the presence of moderate and severe periodontitis ( Table 4 ), when analyzing all variables together through logistic regression no correlation between smoking habit and periodontitis was found to be statistically significant. Although this result may be inherent to the specific characteristics of our sample, it must be highlighted that smoking is a risk factor for periodontal disease widely reported and studied in the scientific literature [ 58 , 61 ]. The amount of cigarettes smoked by the participants and the time that the ex-smokers had not smoked were also not included in the present study.…”

Section: Discussionmentioning

confidence: 92%

“…Although our entire HIV+ sample was on HAART and had a satisfactory median CD4 T-cell count of 556.03 (SD: 313.57), the HIV-infected individuals were more likely to have moderate and severe periodontitis than the uninfected ones, regardless of other variables that may also influence periodontitis, such as the presence of xerostomia, smoking, hygiene habits, socioeconomic status, diet, mental health, age, and microbiological factors [ 58 , 59 ].…”

Section: Discussionmentioning

confidence: 99%

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Factors Associated with Periodontitis in Patients with and without HIV

Pereira

Amorim

Sampaio

et al. 2023

International Journal of Dentistry

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Purpose. The aim of this study was to compare clinical periodontal conditions in HIV-positive people on HAART with an HIV-negative group, in addition to investigating factors associated with periodontitis in the entire sample. Methods. This was a cross-sectional study. Data were collected by oral clinical examination for the diagnosis of periodontitis, review of medical records, and application of a questionnaire containing personal data, deleterious habits, and oral hygiene habits for the other variables. The results were analyzed by Pearson’s χ2 test and Student’s t-test. A logistic regression model was constructed for the multivariate analysis and periodontitis was defined as a dependent variable. The analysis was performed on the entire sample (HIV+ and HIV−) and also on the group consisting of only people living with HIV. Results. Individuals older than 43 years old and with HIV were more likely to develop moderate and severe periodontitis (47.80 and 4.84 times, respectively). When analyzing only HIV+, in addition to age (OR = 2.795; CI = 1.080−7.233), the use of nonnucleoside reverse transcriptase inhibitors (NNRTIs) (OR = 2.841; CI = 1.135−7.112) was also associated with moderate and severe periodontitis. Conclusion. It was possible to observe a higher prevalence of periodontitis among individuals with HIV, showing an association between the virus, advanced age, and moderate or severe periodontitis.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Factors Associated with Periodontitis in Patients with and without HIV

Pereira

Amorim

Sampaio

et al. 2023

International Journal of Dentistry

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“…We can mention that some prosthetic restoration materials, despite having many years of use, such as metal-ceramics with base metal alloys of Ni-Cr, Cr-Co or titanium (Ti), have not yet fallen into disuse, due to their esthetic and functional benefits and lower cost [ 46 ]. However, the use of this type of restoration, together with poor hygiene practices and some systemic conditions of the patient, have caused changes in the periodontium, which accelerate its destruction and consequent dental mobility and loss of restored dental organ [ 177 ]. After some years of the patients having restoration in the mouth, this leads to the extraction and enlargement of the prosthesis, leaving many of them partially edentulous, having to use movable prosthesis that are cumbersome and uncomfortable, or having to undergo the placement of dental implants, with all the implications that this entails in terms of cost and invasion of the tissues.…”

Section: Future Perspectivesmentioning

confidence: 99%

Potential Impact of Prosthetic Biomaterials on the Periodontium: A Comprehensive Review

et al. 2023

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The success of a prosthetic treatment is closely related to the periodontal health of the individual. The aim of this article was to review and present the importance of prosthetic restorative materials on the condition of the periodontium, the changes that occur in the composition of the subgingival microbiota and the levels of inflammatory markers in gingival crevicular fluid. Articles on the influence of different prosthetic restorative materials on subgingival microbiota and proinflammatory cytokines were searched for using the keywords “prosthetic biomaterials”, “fixed prosthesis”, “periodontal health”, “subgingival microbiota”, “periodontal biomarkers” and “gingival crevicular fluid” in PubMed/Medline, Science Direct, Scopus and Google Scholar. The type of material used for prosthesis fabrication together with poor marginal and internal fit can result in changes in the composition of the subgingival microbiota, as well as increased accumulation and retention of dentobacterial plaque, thus favoring the development of periodontal disease and prosthetic treatment failure. Biological markers have helped to understand the inflammatory response of different prosthetic materials on periodontal tissues with the main purpose of improving their clinical application in patients who need them. Metal-free ceramic prostheses induce a lower inflammatory response regardless of the fabrication method; however, the use of CAD/CAM systems is recommended for their fabrication. In addition, it is presumed that metal-ceramic prostheses cause changes in the composition of the subgingival microbiota producing a more dysbiotic biofilm with a higher prevalence of periodontopathogenic bacteria, which may further favor periodontal deterioration.

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“…Periodontitis is a multifactorial disease which is born from an alteration of the balance between host, environment, and immune system [ 1 ]. The progression of the lesion is certainly mediated by the attack of bacteria that colonise the tooth surface, the gingival margin, and the subgingival environment in a susceptible host [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

Efficacy Ozone Therapy in Reducing Periodontal Disease

2023

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The aim of this study is to highlight the properties of ozone as an aid to non-surgical therapy compared to non-surgical therapy alone. This study included thirty Caucasian patients (eighteen women and twelve men) aged between 35 and 65, recruited at the Oral Hygiene and Prevention Center of the Dental Clinic of the Vita-Salute San Raffaele University, at the San Raffaele hospital in Milan. The periodontal probing was recorded with a PC-PUNC 15 manual probe (Hu Friedy) at time 0; the scaling and root planing session was performed at T1 with or without the aid of ozone therapy, and then, the patients were re-evaluated at one month (T2), three months (T3), and six months (T4). The results obtained show that there are not statistically significant differences in terms of reduction in clinical periodontal indices such as plaque, bleeding, and pocket depth between the two groups. Therefore, treatment with ozoral gel would not seem to improve non-surgical periodontal therapy alone. However, clinical periodontal indices significantly improved in patients treated with non-surgical therapy and ozone gel. From this point of view, ozone gel can be used as an aid to non-surgical therapy due to its excellent characteristics, in particular, its powerful virucidal action.

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Risk factors for periodontitis & peri‐implantitis

Cited by 81 publications

References 18 publications

Factors Associated with Periodontitis in Patients with and without HIV

Factors Associated with Periodontitis in Patients with and without HIV

Potential Impact of Prosthetic Biomaterials on the Periodontium: A Comprehensive Review

Efficacy Ozone Therapy in Reducing Periodontal Disease

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