Oral malodour is the general term used to describe disagreeable odor in expired air with psychological component in patients with special needs. The aim of this study is to evaluate the effect of essential oil mouthwash on oral halitosis and periodontal status of patient with special needs. 26 patients aged between 16-45 were enrolled in this single-blind, parallel-group study. Informed consent was obtained. The following parameters were recorded: gingival index, plaque index, organoleptic breath assessment, and BANA test from tongue coating samples prior to treatment with essential oil mouthwash (group 1) or a placebo (group 2) at baseline and 28 days after the start of treatment. There were significant differences (p[0.05) in plaque and gingival index after treatment with essential oil mouthwash compared to the placebo. The results provide a statistically significantly greater level of efficacy in controlling established plaque and gingival index after use of essential oil mouthwash. Therefore, it can be recommended in halitosis therapy in order to maintain a good periodontal status.
Obesity, a common metabolic disorder, is a condition for the development of chronic diseases, such as hypertension, diabetes mellitus, cardiovascular and cerebrovascular diseases. The present study evaluates the prevalence of periodontal diseases in Romania and their association with obesity, as a risk factor. This cross-sectional study included 170 subjects aged between 18-65, with healthy periodontal status, gingivitis, aggressive periodontitis and chronic periodontitis. All subjects completed the questionnaire with independent variables: age, education, socio-economic status, oral hygiene habits, smoking habit, the presence of any systemic diseases. Periodontal examination included: plaque index, gingival index, probing depth, clinical attachment level. Body mass index (BMI) and waist circumference (WC) were measured. Statistically significant correlations were found between periodontal diseases and BMI and WC: according to BMI 30.5% were obese, and 42.5% had high WC. 51.9% of obese participants had chronic periodontitis. Gingivitis and initial periodontitis do not influence BMI and WC, only the chronic periodontitis remained significantly associated with obesity. Our study suggests that there is an association between chronic periodontitis and BMI- defined obesity or WC, but further prospective studies should be carried on to establish the extent of it. The prevention and management of obesity may represent an approach to control periodontal health. Our study evaluates the prevalence of periodontal diseases in Romania and their association with obesity, as a risk factor.
Background: Cervical lesions appear on the cervical surface of the lingual or buccal side of the tooth and are classified into carious and non-carious lesions. Aim: The present study evaluates the performance of three different types of aesthetic restorative materials, used for the restoration of carious or non-carious cervical lesions. Materials and methods: The study comprised 195 cervical lesions in 45 patients. The restorations were carried out for non-carious cervical lesions in 34.62% of the cases, for primary carious lesions in 40.00% of the cases, and to replace a previous restoration in 25.38% of the cases. The restorations were evaluated at 2 weeks (the reference line), and then at 1 and 2 years after placement. The following have been assessed: restoration retention, color harmonization, surface texture, margin discoloration, anatomical contour, margin integrity, and the presence of secondary caries. The characteristics were registered in conformity with the modified USPHS criteria. Results: At the one-year evaluation, we noticed the loss of 12 restorations, and after 2 years, the loss of 19 restorations. The results showed significant differences between restorative materials regarding color, margin adaptation, margin coloration, surface texture, as well as criteria regarding the anatomical contour (p <0.05). Conclusions: The evaluation of the success of restorative material retention must consider the location of the cervical lesion. A successful treatment depends particularly on a full understanding of the factors that caused the lesions and on the method of their treatment.
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