exudates and Periodontal-Pocket

The aim of the present study was to assess the efficacy of acellular dermal matrix (ADM) and subepithelial connective tissue grafts (sCTG) in the treatment of Miller class I and II gingival recession (GR) defects.. Six patients with eight GR sites were randomly assigned to the test group (GR defects treated with ADM) and control group (GR defects treated with sCTG). Recession height (RH) and width, probing depth, keratinized gingiva, clinical attachment level, and full mouth plaque and bleeding scores were measured at baseline, 3 and 6 months.. The differences in mean changes were insignificant between the two groups in all parameters. In both groups, improvements from baseline to 3 and 6 months were significant for mean RH reduction and clinical attachment gain. A significant increase in the mean keratinized gingiva width was observed in both groups at 3 and 6 months.. ADM and sCTG yield similar outcomes when used in the treatment of GR defects.

Topics: Acellular Dermis; Adult; Asian People; Connective Tissue; Dental Plaque Index; Female; Follow-Up Studies; Gingiva; Gingival Recession; Humans; Keratins; Malaysia; Male; Middle Aged; Periodontal Attachment Loss; Periodontal Index; Periodontal Pocket; Skin Transplantation; Tooth Root; Treatment Outcome; Young Adult

Chronic periodontitis (CP) is a global public health issue. Studies have suggested CP could be linked to obesity due to their similar pathophysiological pathway. The aim of this study is to determine the prevalence of CP and to assess the predictors for CP among the obese Malaysian population.. This is a cross-sectional study on obese participants. Obesity is defined as an individual who has Body Mass Index (BMI) ≥ 27.5 kg/m(2). A convenience sampling method was used. A total of 165 paricipants were recruited. This study involved answering questionnaires, obtaining biometric and clinical measurements of Visible plaque index (VPI), Gingival bleeding index (GBI), Probing pocket depth (PPD) and Clinical attachment loss (CAL). Data analysis was carried out using SPSS statistical software (SPSS Inc., version 20, US).. A total of 165 participants; 67 (40.6%) males and 98 (59.4%) females participated in the study. Mean age of the participants was 43.9 (± 8.9). The prevalence of CP among the obese population was found to be 73.9%. Out of this, 43 and 55% were categorised as moderate and severe CP respectively. Around 64% of participants had sites with CAL ≥ 4 mm and participants with sites with PPD ≥ 4 mm were reported to be 25%. Around 83% of the participants had sites with GBI ≥ 30 and 92% of participants had sites with VPI ≥ 20%. GBI and VPI were found to have significantly higher odds for CP.. Prevalence of CP was high among obese Malaysians. GBI and VPI were potential predictors for CP in this obese population.

Topics: Adult; Aged; Alcohol Drinking; Body Mass Index; China; Chronic Periodontitis; Cross-Sectional Studies; Dental Care; Dental Plaque Index; Educational Status; Ethnicity; Female; Humans; India; Malaysia; Male; Middle Aged; Obesity; Periodontal Attachment Loss; Periodontal Index; Periodontal Pocket; Prevalence; Smoking; Toothbrushing

To assess effect of periodontal status of antenatal mothers on pregnancy outcomes in a selected population in Malaysia.. Prospective cohort study on a multi-ethnic convenient sample.. 73 healthy pregnant women between 28 to 36 gestation weeks attending 5 ante-natal centres were recruited. Both Interviewer-administered Questionnaire and Periodontal examination, which included Plaque index, Gingival index, Papillary Bleeding index, probing pocket depth and attachment loss were conducted.. Pregnancy outcome data which included gestational age at delivery, birth weight of newborn and delivery complications were collected after delivery.. Study sample of 73 mothers was approximately in 1:3 case:control ratio (21.9% & 78.1% respectively). Case was defined as those with preterm (PT) deliveries and low birth weight (LBW) infants whereas control was otherwise. 37 pregnant women were diagnosed with periodontal disease (minimum 2 teeth with > or = 5 mm periodontal pockets and > or = 3 mm attachment loss) and 36 without periodontal disease (PD). Of those with PD, 4 (10.8%) had PT delivery and 3 (8.1%) had LBW infants. None of the PD variable means or PD status associated significantly with either of the two groups (P>0.05). Logistic regression analysis to test the possible predictor (demographic and clinical) for PT or LBW status indicated only Plaque Index mean as a significant predictor (P < 0.03).. In this study population, PD was not shown to be a risk factor for PT delivery or LBW infant. Only mean Plaque Index was associated with PT deliveries and LBW infants.

Topics: Adult; Birth Weight; Case-Control Studies; Cohort Studies; Dental Plaque Index; Ethnicity; Female; Gestational Age; Gingival Hemorrhage; Humans; Infant, Low Birth Weight; Infant, Newborn; Infant, Premature; Malaysia; Obstetric Labor Complications; Periodontal Attachment Loss; Periodontal Diseases; Periodontal Index; Periodontal Pocket; Pregnancy; Pregnancy Complications; Pregnancy Outcome; Premature Birth; Prospective Studies; Risk Factors; Young Adult

Maternal periodontitis has been suggested as one of the risk factors for low birth weight (LBW) infants. The objective of this study was to determine the association between maternal periodontitis and LBW infants among Malay women.. Screening periodontal examinations were carried out on all eligible Malay pregnant women in the second trimester of pregnancy attending two randomly selected community maternal and child health clinics in Kota Bharu, Kelantan. Patients with four or more sites with pocket depth 4 mm or higher, and clinical attachment loss 3 mm or higher at the same site with presence of bleeding on probing were diagnosed as having periodontitis in this study. Using this definition, systematic random sampling was utilized for selection of 250 subjects for each exposed and non-exposed group. Of 500 subjects enrolled in the study, 28 (5.6%) were either dropped or lost to follow-up. Of the remaining 472 subjects, 232 with periodontitis were in the exposed group and 240 with healthy periodontium were in the nonexposed group.. The incidence of LBW was 14.2% (95% CI: 9.70-18.75) in women with periodontitis, and 3.3% (95% CI: 1.05-5.62) in women without periodontitis. The relative risk of having LBW infants was 4.27 times higher for women with periodontitis compared with those without periodontitis (95% CI: 2.01-9.04). After adjustment for potential confounders using multiple logistic regression analysis, significant association was found between maternal periodontitis and LBW (OR = 3.84; 95% CI: 1.34-11.05).. The results of this study provide additional evidence that pregnant women with periodontitis are at a significantly higher risk of delivering LBW infants.

Topics: Adult; Cohort Studies; Educational Status; Female; Follow-Up Studies; Gingival Hemorrhage; Humans; Incidence; Income; Infant, Low Birth Weight; Infant, Newborn; Malaysia; Occupations; Parity; Periodontal Attachment Loss; Periodontal Pocket; Periodontitis; Pregnancy; Pregnancy Complications; Pregnancy Outcome; Pregnancy Trimester, Second; Prenatal Care; Prospective Studies; Risk Factors; Social Class; Tobacco Smoke Pollution

The aims of this study were to determine the dental and periodontal status and the associated treatment needs, other than that for prosthetic care, in patients who requested removable partial dentures. Forty-six patients who had never worn removable partial dentures before were examined for plaque index, tooth status, gingival index, loss of periodontal attachment and tooth mobility. Prior to prosthetic treatment, 15% of the teeth needed conservative treatment and 1% needed extractions. From the periodontal point of view, 65% of the teeth needed some form of related therapy, and 2% of the teeth were at risk of extraction due to advanced mobility.

Topics: Adult; Aged; Dental Caries; Dental Plaque Index; Denture, Partial, Removable; DMF Index; Female; Humans; Jaw, Edentulous, Partially; Malaysia; Male; Middle Aged; Periodontal Diseases; Periodontal Index; Periodontal Pocket; Tooth Diseases; Tooth Extraction; Tooth Mobility