Periodontal Disease: Diagnosis and Management

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Pathology and Molecular Diagnostics".

Deadline for manuscript submissions: 28 February 2025 | Viewed by 3377

Special Issue Editor

Special Issue Information

Dear Colleagues,

Periodontitis is an inflammatory disease of bacterial aetiology, leading to the destruction of the anatomical structures supporting the teeth, bone loss, and, eventually, to tooth loss. It is one of the main causes of tooth loss in industrialized countries. Analogously, peri-implantitis is an irreversible inflammatory disease, affecting both soft and hard peri-implant tissue compartments, with consequent loss of osseointegration.

Periodontal bacteria present in the oral cavity can enter the bloodstream and influence systemic diseases such as muscle diseases, intestinal inflammation, metabolic disorders, cancer, nervous system diseases such as Alzheimer's disease, systemic endocrine diseases such as diabetes, immune system diseases such as rheumatoid arthritis, and atherosclerosis.

Therefore, correct management of periodontitis is very important, and it requires adequate knowledge of the pathogenesis, primary aetiology, risk factors, and treatment protocols.

The diagnosis of periodontal disease should be clear and simple so that everyone can identify it, and in this regard, various protocols have been proposed. The current diagnosis is based on the recent classification of 2017.

The principal management is based on the removal of parodontogenic bacteria, and modern treatments have been proposed.

Different approaches have been proposed, and in this Special Issue, we would like to illustrate all the latest news in the field of periodontal treatment.

Dr. Francesco D’Ambrosio
Guest Editor

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Keywords

  • periodontal disease
  • periodontitis
  • management
  • diagnosis
  • biomarker
  • periodontology

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Published Papers (2 papers)

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Editorial

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4 pages, 191 KiB  
Editorial
Periodontal and Peri-Implant Diagnosis: Current Evidence and Future Directions
by Francesco D’Ambrosio
Diagnostics 2024, 14(3), 256; https://doi.org/10.3390/diagnostics14030256 - 25 Jan 2024
Cited by 2 | Viewed by 1524
Abstract
Dentistry and periodontology in particular are constantly evolving in terms of both diagnostic and therapeutic tools [...] Full article
(This article belongs to the Special Issue Periodontal Disease: Diagnosis and Management)

Research

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0 pages, 981 KiB  
Article
Insights into the Relationship between Periodontitis and Systemic Sclerosis Based on the New Periodontitis Classification (2018): A Cross-Sectional Study
by Andreea Ciurea, Alina Stanomir, Petra Șurlin, Iulia Cristina Micu, Cristina Pamfil, Daniel Corneliu Leucuța, Simona Rednic, Giulio Rasperini, Andrada Soancă, Adrian Bogdan Țigu, Alexandra Roman, Andrei Picoș and Ada Gabriela Delean
Diagnostics 2024, 14(5), 540; https://doi.org/10.3390/diagnostics14050540 - 4 Mar 2024
Cited by 2 | Viewed by 1129
Abstract
(1) Background: This study aimed to assess the periodontitis burden in systemic sclerosis patients and the possible association between them, and the degree to which some potential risk factors and two potential diagnostic biomarkers may account for this association. (2) Methods: This cross-sectional [...] Read more.
(1) Background: This study aimed to assess the periodontitis burden in systemic sclerosis patients and the possible association between them, and the degree to which some potential risk factors and two potential diagnostic biomarkers may account for this association. (2) Methods: This cross-sectional study included a test group (systemic sclerosis patients) and a control group (non-systemic sclerosis patients). Both groups benefited from medical, periodontal examination and saliva sampling to determine the salivary flow rate and two inflammatory biomarkers (calprotectin, psoriasin). A systemic sclerosis severity scale was established. (3) Results: In the studied groups, comparable periodontitis rates of 88.68% and 85.85%, respectively, were identified. There were no significant differences in the severity of periodontitis among different systemic sclerosis severity, or in the positivity for anti-centromere and anti-SCL70 antibodies. Musculoskeletal lesions were significantly more common in stage III/IV periodontitis (n = 33, 86.84%) than in those in stage I/II (n = 1, 100%, and n = 3, 37.5%, respectively) (p = 0.007). Comparable levels of the inflammatory mediators were displayed by the two groups. There were no significant differences in calprotectin and psoriasin levels between diffuse and limited forms of systemic sclerosis. (4) Conclusions: Within the limitations of the current study, no associations between systemic sclerosis and periodontitis, or between their risk factors, could be proven. Full article
(This article belongs to the Special Issue Periodontal Disease: Diagnosis and Management)
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