A randomized clinical trial of salivary substitute as an adjunct to scaling and root planing for management of periodontal inflammation in mouth breathing patients

Bhatia, Anu; Sharma, RK; Tewari, Shikha; Narula, Satish Chander

doi:10.2334/josnusd.57.241

Cited by 9 publications

(8 citation statements)

References 16 publications

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“…If the upper fibres were displaced then the breathing was considered through the nose and if lower fibres quivered, it suggested mouth breathing. 9 Forthly, Water holding test. Participants were asked to fill the mouth with water and hold it for three to five minutes.…”

Section: Diagnosis Of Mouth Breathingmentioning

confidence: 99%

Distribution of Gingival Inflammation in Mouth breathing patients: An Observational pilot study

Sharma¹,

Bhatia²,

Tewari³

et al. 2016

J Dent Indones

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Mouth breathing has been reported to affect gingival health in children. However, studies on the effect of mouth breathing in adult patients are scarce. Objective: To examine the relationship between mouth breathing and gingival condition and to evaluate the distribution of gingival inflammation in young adult mouth breathing patients. Methods: Study groups comprised of participants with mouth breathing (test group) and nose breathing (control group) patients with gingivitis. Both the groups underwent periodontal examination. PI, GI and BOP % sites were recorded and analyzed statistically for the differences in mean values. Results: Mouth breathing patients showed higher full mouth GI and BOP scores. Upper anterior segment in mouth breathing patients showed highest GI and BOP followed by lower anterior segment, lower posterior and upper posterior region. Conclusion: Within the limits of present study, our findings suggest that relative to control group participants, test group i.e. patients with mouth breathing had higher gingival inflammation and bleeding sites in upper anterior region.

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Section: Diagnosis Of Mouth Breathingmentioning

confidence: 99%

Distribution of Gingival Inflammation in Mouth breathing patients: An Observational pilot study

Sharma¹,

Bhatia²,

Tewari³

et al. 2016

J Dent Indones

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“…Mouth breathing also induces a dry condition in the intraoral area, which could increase the possibility of periodontitis. This hypothesis was explained in another study, suggesting that the salivary substitute had a positive effect on the periodontal condition in mouth breathing patients with CP [33]. According to these studies, tonsillectomy might reduce mouth breathing, and improved mouth breathing could have a beneficial effect on periodontitis.…”

Section: Discussionmentioning

confidence: 92%

Analysis of Chronic Periodontitis in Tonsillectomy Patients: A Longitudinal Follow-Up Study Using a National Health Screening Cohort

et al. 2020

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This study aimed to compare the risk of chronic periodontitis (CP) between participants who underwent tonsillectomy and those who did not (control participants) using a national cohort dataset. Patients who underwent tonsillectomy were selected from a total of 514,866 participants. A control group was included if participants had not undergone tonsillectomy from 2002 to 2015. The number of CP treatments was counted from the date of the tonsillectomy treatment. Patients who underwent tonsillectomy were matched 1:4 with control participants who were categorized based on age, sex, income, and region of residence. Finally, 1044 patients who underwent tonsillectomy were matched 1:4 with 4176 control participants. The adjusted estimated value of the number of post-index date (ID) CP did not reach statistical significance in any post-ID year (each of p > 0.05). In another subgroup analysis according to the number of pre- ID CP, it did not show statistical significance. This study revealed that tonsillectomy was not strongly associated with reducing the risk of CP. Even though the tonsils and periodontium are located adjacently, and tonsillectomy and CP may be related to bacterial inflammation, there was no significant risk of CP in patients undergoing tonsillectomy.

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“…Increased gingival inflammation in absence of higher plaque [19] further substantiates this assumption. Previous studies emphasized the role of oral dryness in oral inflammation [20], [21]. In the oral cavity, salivary mucins bind with water to form coating over oral mucosa thereby protecting tissues from desiccation [22].…”

Section: Discussionmentioning

confidence: 99%

Association of Upper Lip Coverage with Gingival Inflammation: A Cross-Sectional Study

Kaur¹,

Sharma²,

Tewari³

et al. 2020

EJDENT

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Objective: As dryness is reported to be associated with inflammatory conditions in different body parts, incomplete coverage by upper lip may be responsible for gingival inflammation. The objective of the study was to assess status of gingival inflammation with reference to upper lip coverage. Materials and methods: Patients with plaque-induced gingivitis consisting of 38 individuals with incomplete upper lip coverage (ILC) and 38 individuals with complete upper lip coverage (CLC) were enrolled. Plaque index (PI), gingival index (GI) and bleeding on probing (BOP) were recorded in whole dentition excluding third molars. Bleeding/plaque ratio was also calculated for different regions of dentition. Logistic regression analysis was applied to examine association between BOP at labial sites of maxillary anterior teeth and upper lip coverage. Results: Significantly higher PI, GI, BOP scores and BOP/plaque ratio were noted at labial sites of maxillary anterior teeth in ILC group as compared to CLC group (p=.001, p=.011, p=.004 and p=.016 respectively). Significantly higher scores of BOP were found at labial sites than palatal sites of ILC group (p=.003). Regression analysis revealed that maxillary anterior labial sites in ILC group were 1.51 times more likely of having BOP (adjusted odds ratio 1.51, 95% confidence interval (CI) 1.13-2.03, p=.006). Conclusion: Incomplete upper lip coverage of maxillary gingiva is associated with higher periodontal inflammatory parameters at labial sites of maxillary anterior teeth.

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A randomized clinical trial of salivary substitute as an adjunct to scaling and root planing for management of periodontal inflammation in mouth breathing patients

Cited by 9 publications

References 16 publications

Distribution of Gingival Inflammation in Mouth breathing patients: An Observational pilot study

Distribution of Gingival Inflammation in Mouth breathing patients: An Observational pilot study

Analysis of Chronic Periodontitis in Tonsillectomy Patients: A Longitudinal Follow-Up Study Using a National Health Screening Cohort

Association of Upper Lip Coverage with Gingival Inflammation: A Cross-Sectional Study

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