• The Journal of the Korean dental association
• /
• v.22 no.11 s.186
• /
• pp.953-960
• /
• 1984

The author applied the attachment fixation overdenture on the patient whose residual alveolar ridge height was poor to increase mechanical denture retention, and observed the periodontal condition of the abutment roots after insertion of attachment fixation overdenture. The author obtained the conclusions as follows; 1. Attachment fixation overdenture showed better mechanical retention than conventional overdenture did, but it resulted unfavorable crown-root ratio. 2. Within one year after insertion, there were not significant changes in periodontal health, which was indicated by plaque index, gingival index, pocket depth, tooth mobility gingival hyperplasia and alveolar bone change. 3. Mild periodontal thickening was observed. 4. This study emphasized the importance of adequate follow-up care and home care instructions.

• Journal of Periodontal and Implant Science
• /
• v.24 no.1
• /
• pp.39-49
• /
• 1994

It has been believed that antioxidant enzymes such as CuZn- and Mn-superoxide dismutase and catalase protect the tissue from damage resulting from the oxygen derived free radicals($O_2\;^-$, $H_2O_2$ and OH ). The purpose of this study was to investigate the relationship between activity of antioxidant enzymes including CuZn- and Mn- superoxide dismutase and catalase and inflammatory periodontal disease and periodontal parameters. For this study, the patients were classified into normal, gingivitis, adult periodontitis and rapidly progressive periodontitis, and then their papillary bleeding index(PBI) and probing depth were checked. Gingival tissues were surgically obtained from the patients during periodontal surgery, extraction, and clinical crown lengthening procedure. The activity of CuZn- and Mn- superoxide dismutase and catalase in the gingival tissues was measured by using UV-spectrophotometer by the same methods as Crapo et al. And Aebi did, respectively. The results were as follows : 1. CuZn- and Mn- and total-superoxide dismutase activity were significantly low in rapidly progressive periodontitis group in comparison to normal group (P<0.05). 2. In comparison of the antioxidant enzyme activity according to papillary bleeding index group(PBI), Mn-superoxide dismutase activity only was significantly lower in PBI 2, 3, and 4 groups than PBI 0 group(P<0.05). 3. Superoxide dismutase activity failed to show any significant difference according to probing depth. But significant]y high catalase activity was shown in deep pocket group (${\ge}7mm$)(P<0.05). In conclusion, these results suggest that the activity of Mn-superoxide dismutase among the antioxidant enzymes may reflect the inflammatory status of gingival tissue and that the decreased activity of superoxide dismutase may be one of responsibe factors for progression of rapidly progressive periodontitis.

• Journal of Periodontal and Implant Science
• /
• v.28 no.2
• /
• pp.377-388
• /
• 1998

This double-blind controlled clinical and microbiological study was carried out to determine the effects of mouthwash preparation containing the mixture of herbal extract on developing plaque and gingivitis in the experimental gingivitis model. Following a 2-week normalization period, 34 dental students were distributed randomly into 1 of 3 treatment groups. They rinsed, under supervision, two times daily for 3 weeks with either normal saline(CT), 0.1% chlorhexidine(CH), or the mixture of herbal extract (HT), but refrained from any oral hygiene measures. The Plaque Index(PlI), the Gingival Index(GI), and the amount of Gingival Crevicular Fluid(GCF) were measured at week 0,1,2, and 3 of the experimental period, while the assessment of total wet weight of plaque and the phase contrast microscopic examination of plaque were performed at the end of experimental period(3 weeks). Subjects using mouthrinse preparation containing the mixture of herbal extract demonstrated negligible, if any, changes in the accumulation and microbial composition of plaque compared to those using normal saline, while the reduction of gingival inflammation by this mixture was highly significant and comparable to that of chlorhexidine. The results of this study indicate that the preparation containing the mixture of herbal extract do not provide any antiplaque benefits but is very effective in inhibiting the development of and in reducing existing experimental gingivitis when used as mouthrinse. Further research is needed to determine whether a significant reduction of gingival inflammation without a concomitant decrease in plaque accumulation is of clinical importance.

• Journal of Periodontal and Implant Science
• /
• v.52 no.6
• /
• pp.455-465
• /
• 2022

Purpose: Periodontal diseases are inflammatory conditions that alter the host's response to microbial pathogens. Type 2 diabetes mellitus (T2DM) is a complex disease that affects the incidence and severity of periodontal diseases. This study investigated the gingival crevicular fluid (GCF) levels of colony-stimulating factor-1 (CSF-1) and interleukin-34 (IL-34) in patients with stage III grade C periodontitis (SIII-GC-P) and stage III grade C periodontitis with uncontrolled type 2 diabetes (SIII-GC-PD). Methods: In total, 72 individuals, including 24 periodontally healthy (PH), 24 SIII-GC-P, and 24 SIII-GC-PD patients, were recruited for this study. Periodontitis patients (stage III) had interdental attachment loss (AL) of 5 mm or more, probing depth (PD) of 6 mm or more, radiographic bone loss advancing to the middle or apical part of the root, and tooth loss (<5) due to periodontal disease. Radiographic bone loss in the teeth was also evaluated; grade C periodontitis was defined as a ratio of the percentage of root bone loss to age greater than 1.0. The plaque index (PI), gingival index (GI), presence of bleeding on probing (BOP), PD, and clinical AL were used for clinical periodontal assessments. GCF samples were obtained and analyzed using an enzyme-linked immunosorbent assay. Results: All clinical parameters-PD, AL, GI, BOP, and PI-were significantly higher in the SIII-GC-PD group than in the PH and SIII-GC-P groups for both the full mouth and each sampling site (P<0.05). The total IL-34 and CSF-1 levels were significantly higher in the SIII-GC-PD group than in the PH and SIII-GC-P groups (P<0.05), and there were significant differences between the periodontitis groups (P<0.05). Conclusions: These findings suggest that IL-34 and CSF-1 expression increases in patients with SIII-GC-PD. CSF-1 was associated with the inflammatory status of periodontal tissues and T2DM, while IL-34 was associated only with T2DM.

• Journal of the korean academy of Pediatric Dentistry
• /
• v.33 no.3
• /
• pp.457-468
• /
• 2006

It is widely known that individuals with mental retardation (MR) and Down's syndrome (DS) often develop early onset periodontal diseases. In this study, the prevalence of periodontopathic bacteria in MR persons and DS patients was compared with normal persons. Plaque index and gingival index were measured. Five periodontopathic bacteria, Actinobacillus actinomycetemcomitans. Porphyromonas gingivalis, Tannerella forsythia, Treponema denticola, Fusobacterium nucleatum were surveyed in subgingival plaque samples by the polymerase chain reaction. Results : 1. Plaque index and gingival index were higher in MR persons group and DS patients group than normal persons group (p<0.05). 2. The prevalence of periodontopathic bacteria in normal persons group were lower than that of MR persons group and DS. Significant differences were observed in the prevalence of P. gingivalis, T. denticola and A. actinomycetemcomitans(P<0.05). 3. Prevalence of P. gingivalis(5.9%) at age 8-10 was lower than other ages in normal persons group, and its prevalence increased with age Prevalence of P. gingivalis, T. denticola and A. actinomycetemcomitans at MR persons group and DS patients group were higher than those of same ages of normal persons group. 4. Plaque index was associated with T. denticola and gingival index was associated with T. denticola and A. actinomycetemcomitans(P<0.05). These results suggested that plaque index, gingival index and prevalence of periodontopathic pathogens, especially P. gingivalis, T. denticola and A actinomycetemcomitans in DS patients group and MR persons group are higher than those of normal persons group.

• Journal of Periodontal and Implant Science
• /
• v.51 no.1
• /
• pp.30-39
• /
• 2021

Purpose: The present study was undertaken to examine whether periodontal probe visibility (PV) accurately reflects gingival thickness (GT) and to identify factors affecting PV using cluster and multivariate analyses. Methods: The clinical characteristics of the maxillary central incisors (n=90 subjects) were examined. Clinical photographs, sex, PV, probing depth, gingival width, papilla height, GT as measured with an ultrasonic device, and the ratio of crown width to crown length were recorded. Multivariate analysis, using multinomial baseline-category logistic regression, was used to identify factors predictive of PV. Cluster analysis was used to identify gingival biotypes. Results: In the multivariate analysis, sex was the only significant predictor of PV (odds ratio, 6.48). Two clusters of subjects were created based on morphometric parameters. The mean GT among cluster A subjects was significantly lower than that among cluster B subjects (P=0.015). No significant difference was found between cluster A and B subjects in terms of PV score (P=0.583). Conclusions: Periodontal PV was not associated with GT as measured directly using an ultrasonic device. Sex was a highly significant predictor of periodontal PV. GT was found to be correlated with morphological characteristics of the periodontium.

• Journal of dental hygiene science
• /
• v.23 no.1
• /
• pp.13-19
• /
• 2023

Background: Periodontitis is a chronic inflammatory condition associated with dysbiosis of the oral microbiota. The aim of the present clinical study was to explore the adjunctive effect of ozonized water irrigation in the circuits of ultrasonic scalers for the full-mouth decontamination of patients with periodontitis Stage I or II. Methods: The study was a randomized, single-blinded, parallel-group clinical trial. The test group (n=25) was treated with ultrasonic scalers irrigated with ozonized water, whereas the control group (n=25) received normal tap water irrigation within the ultrasonic scalers used during the professional mechanical debridement. Full mouth plaque score, bleeding score, probing pocket depth, and the gingival index were evaluated at baseline, two, and 4 weeks after treatment. The pain perceived and dental anxiety were also assessed after treatment by means of the visual analog scale (VAS). Results: All periodontal parameters resulted in significant improvement for both study groups. The effect of the treatment group on the gingival index was significant, in particular, patients in the test group experienced a greater reduction in this score. No significant differences could be observed with regards to the average probing depth, full mouth plaque index and bleeding score. Patients treated with ozonized water running in the circuits of ultrasonic scalers displayed also lower scores for pain and dental anxiety. Conclusion: The present study showed a significant clinical effect on gingival inflammation attributable to adjunctive ozone irrigation during nonsurgical periodontal therapy. Further studies, including patients with severe periodontitis and greater sample sizes, are recommended to test the clinical effect of ozonized water in the circuits of ultrasonic scalers.

• Journal of Periodontal and Implant Science
• /
• v.28 no.4
• /
• pp.631-646
• /
• 1998

The purpose of this study was to access the clinical effects of C31G, Listerine and CPC on the earlyx periodontitis when they were used as a adjunctives to the mechanical plaque control. Each groups were composed of 12 patients and in three test groups, C31G(Exp 1 group), Listerine(Exp 2 group) and CPC mouthrinse(Exp 3 group) were used three times a day. and as a control, placebo solution was used. Plaque index, gingival index, bleeding index, pocket depth and loss of attachment were measured as clinical parameters. After scaling and oral hygiene instruction, root planing is done two weeks later. During the eight weeks of experimental period, mouth gargling is done by all groups. The changes in the clinical parameters of the all sites were monitored every two weeks. The results were as follows : 1. The plaque index showed a siginificant difference in Exp 1 group compared with test 2 group after 2 weeks use of mouth rinse(P<0.05). 2. The gingival index showed a significant difference in Exp 1 group compared with baseline value(P<0.05) but there was no significant difference between the groups after 2 weeks use of mouthrinse (P<0.05). 3. The plaque index, gingival index and bleeding index showed a significant difference in all groups compared with baseline value after 4 weeks of root planing and mouthrinse use(P<0.05). but there was no significant difference between the groups(P<0.05). 4. Periodontal pocket depth showed a significant difference in all groups compared with baseline value after 4 weeks of root planing and mouthrinse use(P<0.05). and there was significant difference between the Exp 1 group and control group(P<0.05). 5. Loss of attachment showed a significant difference in all Exp groups compared with baseline value after 4 weeks of root planing and mouthrinse use(P<0.05). and there was significant difference between the Exp 1 group and control group(P<0.05). The results suggest that C31G, Listerine and CPC were effective for early periodontitis as a adjunctive to mechanical plaqe control.

• Journal of dental hygiene science
• /
• v.17 no.6
• /
• pp.508-515
• /
• 2017

This study was conducted to investigate the optimal management interval in 33 healthy adults by observing changes in oral health on the basis of the plaque control index and gingival index. When plaque control score was compared according to the period, it was found that oral hygiene management was the best in the fourth visit (p<0.05). Improved oral hygiene status was observed during the 3- and 6-month follow-up (p<0.05). Regarding gingival index, the fourth visit showed the healthiest gingival status (p<0.05). At the 3-month follow-up, the gingival index worsened, but a healthy gingival status was attained by 6-month follow-up (p<0.05). The plaque control score according to interest in dental health showed that the 'interested' group had good oral hygiene management (p<0.05). As a motivation for oral hygiene status and gingival health, examination with a 'phase contrast microscope' in the first visit and calculation of the 'evaluation index' in the follow-up visit tended to improve the patients' ability for oral hygiene management (p>0.05). The questionnaire survey showed, that the optimal management interval was 1, 3, and 6 months. As a result, with the effective management interval for the preventive management program focused on professional mechanical tooth cleaning, which was administered weekly, the maximum ability for oral hygiene management was attained at the fourth visit. The effective management period was 1 month. The use of a phase contrast microscope and the calculation of the evaluation index for oral hygiene management could influence the motivation to improve oral hygiene management.

• Journal of dental hygiene science
• /
• v.13 no.4
• /
• pp.418-425
• /
• 2013

This study was investigated in order to provide basic data for prevention of periodontal disease and maintenance through proper lifestyle by finding the relevance of periodontal health with lifestyle habits. Data were collected from total of 326 subjects in their forties and fifties by using questionnaire and examination of periodontal health status. Results were analyzed by using IBM SPSS Statistics 19.0. The smoking status were statistically significant to gingival index (p<0.01), pocket depth (p<0.001), and clinical attachment loss (p<0.001). Smoking amount per day were statistically significant to gingival index (p<0.05), pocket depth (p<0.01), and clinical attachment loss (p<0.001). Duration of smoking were statistically significant to gingival index (p<0.05), pocket depth (p<0.01), and clinical attachment loss (p<0.001). Drinking cycle were statistically significant to gingival index (p<0.05), and clinical attachment loss (p<0.05). It is investigated that smoking (p<0.05) influence on clinical attachment loss. Dental care institute needs to make patients be aware of the fact that excessive smoking and drinking affect the periodontal health status for prevention of periodontal disease and maintenance of oral health. Therefore systematic educational programs to stop smoking and drinking should be prepared.