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Paula Goes - One of the best experts on this subject based on the ideXlab platform.
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gingivitis increased probing depth Clinical Attachment Loss and tooth Loss among patients with end stage chronic kidney disease a case control study
Journal of Public Health, 2018Co-Authors: Iana T Parente, Zaira R Lima, Luzia Herminia Teixeira, Mario Roberto Pontes Lisboa, Iracema Matos Melo, Paulo Roberto Santos, Paula GoesAbstract:To perform a comprehensive analysis of the association between periodontal status and end-stage chronic kidney disease (ESCKD). Forty-five ESCKD and 26 healthy patients were Clinically evaluated. The visible plaque index (VPI), gingival bleeding index (GBI) and community periodontal index were obtained from all patients. In addition, the association among gingivitis, increased probing depth, Clinical Attachment Loss and edentulism with ESCKD was statistically assessed (chi-square test, p < 0.05). An additional Student’s t-test (p < 0.05) was performed to evaluate the differences in VPI and GBI between both groups of patients. ESCKD was strongly associated with gingivitis (p = 0.002, OR = 8.76, 95% CI = 1.84-41.71), increased probing depth (p < 0.001, OR = 17.44, 95% CI = 4.14-72.33), Clinical Attachment Loss (p < 0.001, OR = 5.59, 95% CI = 3.00-10.41) and edentulism (p = 0.013, OR = 1.95, 95% CI = 1.14-3.35). Moreover, patients with ESCKD had increased VPI and GBI (p < 0.05) compared to healthy individuals. Within the limits of this study, it was concluded that ESCKD patients showed greater plaque accumulation and a higher risk of presenting periodontal diseases compared to healthy subjects.
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Gingivitis, increased probing depth, Clinical Attachment Loss and tooth Loss among patients with end-stage chronic kidney disease: a case-control study
Journal of Public Health, 2017Co-Authors: Iana T Parente, Zaira R Lima, Luzia Herminia Teixeira, Mario Roberto Pontes Lisboa, Iracema Matos Melo, Paulo Roberto Santos, Paula GoesAbstract:To perform a comprehensive analysis of the association between periodontal status and end-stage chronic kidney disease (ESCKD). Forty-five ESCKD and 26 healthy patients were Clinically evaluated. The visible plaque index (VPI), gingival bleeding index (GBI) and community periodontal index were obtained from all patients. In addition, the association among gingivitis, increased probing depth, Clinical Attachment Loss and edentulism with ESCKD was statistically assessed (chi-square test, p
Ira B Lamster - One of the best experts on this subject based on the ideXlab platform.
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The Host Response in Gingival Crevicular Fluid: Potential Applications in Periodontitis Clinical Trials.
Journal of periodontology, 1992Co-Authors: Ira B LamsterAbstract:Traditional Clinical variables of periodontal pathology have only limited value as indicators for future disease progression in patients with adult periodontitis. Consequently, other aspects of the periodontal lesion are being examined for their diagnostic utility. Analysis of the host response in gingival crevicular fluid (GCF) is among the most intensely studied of these new diagnostic approaches. Specific indicators of the humoral immune response, cellular immune response, and acute inflammatory response have been identified in GCF. The relationship of indicators of the humoral immune response to active periodontal disease is equivocal. Specific indicators of the cellular immune response in GCF may ultimately prove to be important diagnostically, but the relationship of any specific marker to active periodontal disease has not been reported. In contrast, the acute inflammatory response in GCF has been extensively studied and a number of factors appear to be associated with an increased risk for future disease progression. Indicators of enhanced polymorphonuclear leukocyte activity, (lysosomal β-glucuronidase, lysosomal collagenase), Prostaglandin E2 , and an indicator of acute tissue destruction (the cytoplasmic enzymes aspartate aminotransferase) have been associated with the occurrence of Clinical Attachment Loss. An example of the application of a GCF marker in a periodontitis Clinical trial is provided by describing the relationship of lysosomal βglucuronidase in GCF at baseline and 2 weeks following root planing and scaling to the occurrence of disease activity during the following 6 months. Persistently elevated levels of this enzyme were related to Clinical Attachment Loss. The positive, negative, and total predictive values for β-glucuronidase as an identifier of Clinical Attachment Loss were 86%, 71%, and 76%, respectively. The accumulated evidence suggests that inclusion of a GCF-based determination of the acute inflammatory response in periodontitis Clinical trials is justified. The information obtained may provide both a quantitative assessment of the host response and a measure of how effective the therapy is in reducing the risk of future Clinical Attachment Loss. J Periodontol 1992; 63:1117-1123.
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risk indicators for future Clinical Attachment Loss in adult periodontitis tooth and site variables
Journal of Periodontology, 1992Co-Authors: John T Grbic, Ira B LamsterAbstract:In an earlier report, we examined the relationship of patient-derived Clinical and epidemiological variables to the risk for future Clinical Attachment Loss (CAL) in chronic adult Periodontitis. We determined that the extent of the patient's existing periodontal disease as measured by mean Attachment Loss (MAL) and the patient's age were the most important patient-derived risk indicators for CAL among those factors evaluated. In this study, we examined the tooth and site variables that were associated with CAL. Seventyfive patients with chronic adult Periodontitis were followed for 6 months. Clinical data at baseline, including Attachment level and probing depth, were obtained from six sites per tooth. The hazard rate for CAL at all sites was 2.0%, and 4.1% of teeth displayed at least one site with CAL. Mandibular and maxillary molars and maxillary premolars displayed the highest incidence of CAL (6.1%, 5.6%, 5.5%, respectively), while maxillary anterior teeth (1.8%) and mandibular premolar teeth (2.1%) d...
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risk indicators for future Clinical Attachment Loss in adult periodontitis patient variables
Journal of Periodontology, 1991Co-Authors: John T Grbic, Ira B Lamster, Romanita Celenti, James B FineAbstract:We studied patient-derived variables to identify individuals at risk for future Clinical Attachment Loss (CAL). Seventy-five patients with chronic adult periodontitis were followed for 6 months and Clinical and epidemiological parameters collected at baseline were related to CAL. Clinical parameters were obtained from 6 sites per tooth and wholemouth averages were calculated. Epidemiologic parameters were obtained by questionnaire and interview. After the baseline examination, patients were treated with root planing and scaling. Thirty-one patients (41.3%) demonstrated ≥ 1 site with CAL of ≥ 2.5 mm, while 16 patients (21.3%) demonstrated CAL at ≥ 2 sites. Epidemiological factors such as gender, health status, marital status, education, and occupation were not associated with CAL. In contrast, baseline mean Attachment level, age, baseline mean probing depth, baseline mean recession, percentage of sites exhibiting bleeding on probing, and the number of missing teeth were related to CAL. Using logistic model...
Antonio Wilson Sallum - One of the best experts on this subject based on the ideXlab platform.
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influence of immediate Attachment Loss during instrumentation employing thin ultrasonic tips on Clinical response to nonsurgical periodontal therapy
Quintessence International, 2010Co-Authors: Renato Correa Viana Casarin, Francisco H Nociti, Enilson Antonio Sallum, Antonio Wilson Sallum, Sandro Bittencourt, Ribeiro Edel P, Marcio Zaffalon CasatiAbstract:OBJECTIVE: Mechanical instrumentation is fundamental to periodontal treatment. However, independent of the instrument used in scaling, an immediate Attachment Loss occurs at the bottom of the periodontal pocket. This study aimed to determine the influence of tip diameter on Attachment Loss and the influence of Attachment Loss on the periodontal response to nonsurgical treatment. METHOD AND MATERIALS: Fifteen patients presenting periodontal pockets with a probing depth of 3.5 mm or more in bilateral teeth were divided into two groups: test group-instrumented with a thin tip, and control group-instrumented with a traditional tip. Probing depth, relative gingival position, and relative Attachment level were evaluated immediately before and after and at 1 and 3 months after treatment using an electronic computerized probe. The data were analyzed using ANOVA and Tukey tests (P = .05). RESULTS: Both groups presented Attachment Loss immediately after instrumentation; however, the thin tip resulted in statistically higher immediate Clinical Attachment Loss than the traditional tip (0.85 and 0.15 mm, respectively; P .05). CONCLUSION: In spite of the higher immediate Clinical Attachment Loss inflicted by thin ultrasonic tips during instrumentation, this did not affect the Clinical response to the nonsurgical treatment.
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Clinical Attachment Loss produced by curettes and ultrasonic scalers
Journal of Clinical Periodontology, 2005Co-Authors: Renato De Vasconcelos Alves, Luciana Machion, Marcio Zaffalon Casati, Francisco H Nociti, Enilson Antonio Sallum, Antonio Wilson SallumAbstract:Objectives: The aim of this study was to Clinically detect the immediate effect of root instrumentation with curettes and ultrasonic scalers on Clinical Attachment level. Material and Methods: Twelve subjects with moderate chronic periodontitis, presenting probing depths of 3.5–6.5 mm on anterior teeth, upper and/or lower, were selected. Teeth were randomly assigned to one of the following groups: US group – scaled with an ultrasonic scaler; and CC group – scaled and planed with 5–6 Gracey curettes. The selected teeth were probed with a computerized electronic probe, guided by an occlusal stent and subjected to scaling and root planing. Immediately following instrumentation, teeth were probed again. The difference between relative Attachment level (RAL) immediately before and after instrumentation was considered trauma from instrumentation. Results: Intra-group analysis revealed statistically significant differences between RAL immediately before and after instrumentation in both groups (0.77±0.51 for US group; and 0.73±0.41 for CC group, p<0.0001). However, inter-group analysis did not show statistically significant difference in trauma from instrumentation caused by the two different instruments (p=0.816). Conclusions: Within the limits of this study, it was concluded that root instrumentation causes a mean immediate Attachment Loss of 0.75 mm, and that instrumentation with either curettes or ultrasonic scalers do not seem to reduce significantly the trauma from of instrumentation produced.
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Clinical Attachment Loss produced by curettes and ultrasonic scalers
Journal of Clinical Periodontology, 2005Co-Authors: Renato De Vasconcelos Alves, Luciana Machion, Marcio Zaffalon Casati, Francisco H Nociti, Enilson Antonio Sallum, Antonio Wilson SallumAbstract:Objectives: The aim of this study was to Clinically detect the immediate effect of root instrumentation with curettes and ultrasonic scalers on Clinical Attachment level. Material and Methods: Twelve subjects with moderate chronic periodontitis, presenting probing depths of 3.5–6.5 mm on anterior teeth, upper and/or lower, were selected. Teeth were randomly assigned to one of the following groups: US group – scaled with an ultrasonic scaler; and CC group – scaled and planed with 5–6 Gracey curettes. The selected teeth were probed with a computerized electronic probe, guided by an occlusal stent and subjected to scaling and root planing. Immediately following instrumentation, teeth were probed again. The difference between relative Attachment level (RAL) immediately before and after instrumentation was considered trauma from instrumentation. Results: Intra-group analysis revealed statistically significant differences between RAL immediately before and after instrumentation in both groups (0.77±0.51 for US group; and 0.73±0.41 for CC group, p
Iana T Parente - One of the best experts on this subject based on the ideXlab platform.
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gingivitis increased probing depth Clinical Attachment Loss and tooth Loss among patients with end stage chronic kidney disease a case control study
Journal of Public Health, 2018Co-Authors: Iana T Parente, Zaira R Lima, Luzia Herminia Teixeira, Mario Roberto Pontes Lisboa, Iracema Matos Melo, Paulo Roberto Santos, Paula GoesAbstract:To perform a comprehensive analysis of the association between periodontal status and end-stage chronic kidney disease (ESCKD). Forty-five ESCKD and 26 healthy patients were Clinically evaluated. The visible plaque index (VPI), gingival bleeding index (GBI) and community periodontal index were obtained from all patients. In addition, the association among gingivitis, increased probing depth, Clinical Attachment Loss and edentulism with ESCKD was statistically assessed (chi-square test, p < 0.05). An additional Student’s t-test (p < 0.05) was performed to evaluate the differences in VPI and GBI between both groups of patients. ESCKD was strongly associated with gingivitis (p = 0.002, OR = 8.76, 95% CI = 1.84-41.71), increased probing depth (p < 0.001, OR = 17.44, 95% CI = 4.14-72.33), Clinical Attachment Loss (p < 0.001, OR = 5.59, 95% CI = 3.00-10.41) and edentulism (p = 0.013, OR = 1.95, 95% CI = 1.14-3.35). Moreover, patients with ESCKD had increased VPI and GBI (p < 0.05) compared to healthy individuals. Within the limits of this study, it was concluded that ESCKD patients showed greater plaque accumulation and a higher risk of presenting periodontal diseases compared to healthy subjects.
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Gingivitis, increased probing depth, Clinical Attachment Loss and tooth Loss among patients with end-stage chronic kidney disease: a case-control study
Journal of Public Health, 2017Co-Authors: Iana T Parente, Zaira R Lima, Luzia Herminia Teixeira, Mario Roberto Pontes Lisboa, Iracema Matos Melo, Paulo Roberto Santos, Paula GoesAbstract:To perform a comprehensive analysis of the association between periodontal status and end-stage chronic kidney disease (ESCKD). Forty-five ESCKD and 26 healthy patients were Clinically evaluated. The visible plaque index (VPI), gingival bleeding index (GBI) and community periodontal index were obtained from all patients. In addition, the association among gingivitis, increased probing depth, Clinical Attachment Loss and edentulism with ESCKD was statistically assessed (chi-square test, p
John T Grbic - One of the best experts on this subject based on the ideXlab platform.
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risk indicators for future Clinical Attachment Loss in adult periodontitis tooth and site variables
Journal of Periodontology, 1992Co-Authors: John T Grbic, Ira B LamsterAbstract:In an earlier report, we examined the relationship of patient-derived Clinical and epidemiological variables to the risk for future Clinical Attachment Loss (CAL) in chronic adult Periodontitis. We determined that the extent of the patient's existing periodontal disease as measured by mean Attachment Loss (MAL) and the patient's age were the most important patient-derived risk indicators for CAL among those factors evaluated. In this study, we examined the tooth and site variables that were associated with CAL. Seventyfive patients with chronic adult Periodontitis were followed for 6 months. Clinical data at baseline, including Attachment level and probing depth, were obtained from six sites per tooth. The hazard rate for CAL at all sites was 2.0%, and 4.1% of teeth displayed at least one site with CAL. Mandibular and maxillary molars and maxillary premolars displayed the highest incidence of CAL (6.1%, 5.6%, 5.5%, respectively), while maxillary anterior teeth (1.8%) and mandibular premolar teeth (2.1%) d...
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risk indicators for future Clinical Attachment Loss in adult periodontitis patient variables
Journal of Periodontology, 1991Co-Authors: John T Grbic, Ira B Lamster, Romanita Celenti, James B FineAbstract:We studied patient-derived variables to identify individuals at risk for future Clinical Attachment Loss (CAL). Seventy-five patients with chronic adult periodontitis were followed for 6 months and Clinical and epidemiological parameters collected at baseline were related to CAL. Clinical parameters were obtained from 6 sites per tooth and wholemouth averages were calculated. Epidemiologic parameters were obtained by questionnaire and interview. After the baseline examination, patients were treated with root planing and scaling. Thirty-one patients (41.3%) demonstrated ≥ 1 site with CAL of ≥ 2.5 mm, while 16 patients (21.3%) demonstrated CAL at ≥ 2 sites. Epidemiological factors such as gender, health status, marital status, education, and occupation were not associated with CAL. In contrast, baseline mean Attachment level, age, baseline mean probing depth, baseline mean recession, percentage of sites exhibiting bleeding on probing, and the number of missing teeth were related to CAL. Using logistic model...