Aim:To evaluate the effect of non-surgical periodontal therapy on plasma lipid levels in hyperlipidemic patients with chronic periodontitis.Materials and Methods:After considering the inclusion and exclusion criteria, 30 hyperlipidemic patients with chronic periodontitis in the age group of 30–70 years, undergoing treatment in Ahmed Gasim Cardiac and Renal transplant Centre in north Sudan were recruited for the study. Patients were randomly assigned to the study and control groups. The study group received non-surgical periodontal therapy – oral hygiene instructions, scaling and root planing. The control group participants received only oral hygiene instructions. Lipid profile [total cholesterol (TC), low density lipoprotein (LDL), high density lipoprotein (HDL), triglycerides (TG)], C-reactive protein (CRP), and periodontal parameters [Plaque index (PI), Gingival index (GI), probing pocket depth (PD), and attachment loss (ATL)] were measured and compared at baseline and after 3 months of the respective intervention. Between-groups analysis was done using independent “t” test and within-group analysis was done using dependent “t” test.Results:At baseline, groups were comparable based on lipid profile and periodontal parameters. After 3 months, the control group showed significant decrease in the PI and GI scores while there was no significant change in the other parameters. However, the study group showed significant decrease in the LDL and CRP levels along with a significant decrease in PD, ATL, PI, and GI scores, compared to the baseline values.Conclusion:Local non-surgical periodontal therapy resulted in improved periodontal health, with significant decrease in the LDL and CRP levels in hyperlipidemic patients with chronic periodontitis. Hence, local non-surgical periodontal therapy may be considered as an adjunct in the control of hyperlipidemia, along with standard care.
ObjectiveThis study was conducted to investigate the association between gingival tissue biotypes and different facial phenotypes.MethodThis was a cross-sectional study conducted in the dental clinics of Riyadh Elm University, Riyadh, Saudi Arabia. Gingival tissue biotypes were assessed and facial measurements recorded for 80 subjects who met the inclusion criteria. Data are presented as numbers (percentages) for all categorical variables and mean ± standard deviation plus median (interquartile range) for all continuous variables. Both descriptive and inferential statistics were analyzed and a P-value ≤ 0.05 was accepted as significant for all statistical tests.ResultsThe age range of the participants was 21–40 years (mean 28.8 ± 04.3), and the majority were males (65.0%). The thin gingival tissue biotype was found in 39 subjects (48.8%) while the thick gingival biotype was present in 41 subjects (51.2%). The majority of patients were mesoprosopic (41.2%), followed by those who were leptoprosopic (37.5%) and euryprosopic (21.3%). The thick gingival tissue biotype was more prevalent in 21–30-year-old patients. The mesoprosopic facial phenotype was significantly associated with presence of the thin gingival tissue biotype (odds ratio = 3.600, p = 0.049).ConclusionsIt was found that the mesoprosopic facial phenotype was more likely to exhibit the thin gingival tissue biotype. The mesoprosopic facial phenotype was the most common facial phenotype of the subjects. The thick gingival tissue biotype was more prevalent in younger people.
Background: Dental calculus is a form of hardened dental plaque of both inorganic (mineral) and organic (cellular and extracellular matrix) components. Whereas kidney (renal) calculi is a solid concentration or crystal aggregation formed in the kidneys from dietary minerals present in urine. Aim & Objective:The study aimed to investigate and explore the relationship between dental calculus formations among recurrent renal calculi formers. The objective was instigated due to the multiple shared features and the high prevalence of formation factors and the calcification process of dental calculus and renal calculi. Methods & Materials:The study was comprised of 65 patients of the lithotripsy clinic participated in the study; all volunteered after reviewing and accepting the study's proposal. The control group consisted of 31participants whilst the study group had 34 participants. Oral examination was carried out for both groups using the gingival index, plaque index, and oral hygiene index--calculus index, debris index. Saliva and urine samples were obtained to measure the levels of Calcium (Ca), phosphate (P), magnesium (Mg) and pH. Results: Plaque, Calculus and Gingival Indices showed High mean values among study group with significant differences compared to control group. Saliva and urinary samples resulted lower magnesium ions in the study group but not statistically difference compered to the control one, while high scores of calcium and phosphorus ions were found in the study group. Conclusion: After laboratory investigations and bio statistical analysis a relation has been found linking both conditions. In light of this result, urologist are advised to refer these patients to have follow up sessions in dental clinic to maintain their oral health.
Specific systemic disorders increase the patient's susceptibility to periodontal disease, either by compromising the immune response or by influencing the mineralization of bone and dental tissues, in consequence, patients affected with those illnesses may additionally deteriorate to severe periodontitis and typically lose their teeth at an early age. Systemic diseases with a periodontal element encompass rare genetic syndromes in which the patients expand aggressive periodontitis as a secondary manifestation. In this report, the clinical presentation, differential diagnosis, comprehensive and periodontal status of three siblings affected by aggressive periodontitis in association with recessive hyperkeratotic mutation is discussed.
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