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Periodontitis Treatments and Oral Health

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Oral Health".

Deadline for manuscript submissions: closed (30 November 2023) | Viewed by 10527

Special Issue Editor


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Guest Editor
Basic Studies Department, School of Dentistry, Universidad de Antioquia UdeA, Medellín 050010, Colombia
Interests: dentistry; periodontology; clinical trials; systematic reviews

Special Issue Information

Dear Colleagues,

Periodontitis is a relevant public health concern globally. In 2019, there were 1.1 billion cases of severe periodontitis worldwide. The ecological plaque hypothesis proposes that periodontal disease onset is initiated by an imbalance in the proportion of periodontitis-associated bacteria inside the microbial flora, reflecting a condition of dysbiosis in the subgingival microenvironment. Subsequently, improving the early diagnosis of and treatment for periodontitis could help to constrain the systemic impairment that periodontitis can exert.

The treatment of periodontitis involves non-surgical mechanical removal of bacterial biofilm related to inflammation of all supragingival and subgingival surfaces, in addition to regular hygiene performed by the patient, complemented by a professional. For many decades, efforts have been made to improve the efficacy of mechanical treatment by introducing different adjuncts such as the use of antimicrobials at different dosages and routes of administration. Nevertheless, the structural complexity of dental biofilm provides a refuge for many pathogenic bacteria, making delivery to individual microorganisms challenging. Because of this, alternative methods have been explored. These approaches incorporate antimicrobial photodynamic therapy and laser. Moreover, probiotics have appeared as another likely possibility to treat periodontal diseases. Papers focusing on these themes are invited for this Special Issue, specifically those joining a high academic standard coupled with applied attention to offering results with the best available evidence

Prof. Dr. Carlos Martín Ardila
Guest Editor

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Keywords

  • periodontitis treatment
  • mechanical therapy
  • adjunctive antimicrobials
  • photodynamic therapy
  • probiotics

Published Papers (4 papers)

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Research

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10 pages, 423 KiB  
Article
Relationship between Diet Quality and Periodontal Disease in South Korean Adults Aged ≥40 Years
by Mi-Ra Lee
Int. J. Environ. Res. Public Health 2023, 20(6), 5039; https://doi.org/10.3390/ijerph20065039 - 13 Mar 2023
Cited by 1 | Viewed by 1407
Abstract
The purpose of this study was to investigate the relationship between diet quality and periodontal disease, in adults aged ≥40 years, using data from the 7th (2016–2018) Korea National Health and Nutrition Survey (KNHANES), representing South Koreans. The subjects of this study were [...] Read more.
The purpose of this study was to investigate the relationship between diet quality and periodontal disease, in adults aged ≥40 years, using data from the 7th (2016–2018) Korea National Health and Nutrition Survey (KNHANES), representing South Koreans. The subjects of this study were 7935 people aged ≥40 years, who responded to the items in the Korea Healthy Eating Index (KHEI) and underwent periodontal examination. Complex sample univariate and multivariate logistic regression analyses were conducted, to analyze the relationship between the diet quality and periodontal disease. The group with a low diet quality for energy intake balance, showed a higher risk of periodontal disease than the group with a high diet quality for energy intake balance, and it was confirmed that the diet quality in adults aged ≥40 years was related to periodontal disease. Therefore, regular diet evaluations, and the counseling of gingivitis and periodontitis patients by dental experts, will have a positive effect on the restoration and improvement of periodontal health in adults. Full article
(This article belongs to the Special Issue Periodontitis Treatments and Oral Health)
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13 pages, 6778 KiB  
Article
Preliminary Assessment of In Vivo Raman Spectroscopy Technique for Bone Quality Evaluation of Augmented Maxillary Sinus Floor
by Eduard Gatin, Pal Nagy, Stefan Marian Iordache, Ana-Maria Iordache, Catalin Romeo Luculescu and Valeriy Grygorovskyy
Int. J. Environ. Res. Public Health 2023, 20(6), 4789; https://doi.org/10.3390/ijerph20064789 - 08 Mar 2023
Cited by 2 | Viewed by 1185
Abstract
(1) Background: In oral surgery, bone regeneration is achieved through various types of bone grafts or bone substitutes and its success is usually analyzed by micro-computed tomography and histomorphometry. The aim of this study was to evaluate the usefulness of Raman spectroscopy as [...] Read more.
(1) Background: In oral surgery, bone regeneration is achieved through various types of bone grafts or bone substitutes and its success is usually analyzed by micro-computed tomography and histomorphometry. The aim of this study was to evaluate the usefulness of Raman spectroscopy as an alternative to other techniques for bone quality evaluation during a standard oral surgery procedure. (2) Methods: The preliminary evaluation of bone augmentation during maxillary sinus floor elevation oral surgery was performed by Raman spectroscopy for several (five) patients during and after the surgery and the results were compared with postoperative data from histomorphometry, EDX and SEM analysis. (3) Results: After analyzing all the results for the bone samples according to the four methods (Raman, EDX, SEM and Histology) that were used in our study, the obtained result of the investigation provided a good augmentation process for three of the patients and partly successful augmentation process for two of the patients. The primary evaluation using Raman spectroscopy (in vivo and ex vivo investigation) was confirmed by histological results, thus having a first step for validation of Raman as a new method of imaging for dentistry. (4) Conclusions: Our results show that Raman spectroscopy could provide fast and reliable insight on bone condition during augmentation of the maxillary sinus floor. We emphasize the advantages and drawbacks of the proposed techniques as its accuracy could increase by performing larger size clinical trials. Using the Raman mapping, the method can serve as an alternative to histology. Full article
(This article belongs to the Special Issue Periodontitis Treatments and Oral Health)
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Review

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31 pages, 4375 KiB  
Review
Antibiotics in Dentistry: A Narrative Review of the Evidence beyond the Myth
by Maria Contaldo, Francesco D’Ambrosio, Giuseppe A. Ferraro, Dario Di Stasio, Maria Pia Di Palo, Rosario Serpico and Michele Simeone
Int. J. Environ. Res. Public Health 2023, 20(11), 6025; https://doi.org/10.3390/ijerph20116025 - 01 Jun 2023
Cited by 2 | Viewed by 3820
Abstract
Antibiotics have undoubtedly revolutionized medicine and the health and survival of patients with life-threatening infections, being nonetheless free from potential adverse effects, and the risk of intestinal dysbiosis, antimicrobial resistance, and the resulting consequences for the patient’s health and the public purse. The [...] Read more.
Antibiotics have undoubtedly revolutionized medicine and the health and survival of patients with life-threatening infections, being nonetheless free from potential adverse effects, and the risk of intestinal dysbiosis, antimicrobial resistance, and the resulting consequences for the patient’s health and the public purse. The present study narratively reviewed the epidemiological data on worldwide antibiotic consumption and administration in dental practice, patients’ adherence to prescriptions, the antimicrobial resistance phenomenon in dentistry, and the evidence supporting and recommending appropriate antibiotic use in dental care. Eligible systematic reviews and original studies in humans published in the English language from January 2000 to 26 January 2023 were considered. A total of 78 studies, 47 on the epidemiology of antibiotic use and prescription in dentistry, 6 on antibiotic therapy in dentistry, 12 on antibiotic prophylaxis in dentistry, 0 on adherence of dental patients to antibiotic prescription, and 13 on antimicrobial resistance in dentistry, were presently considered. Retrieved evidence revealed that antibiotics are frequently overused and misused in dental practice, dental patients frequently do not adhere to prescriptions, and antimicrobial resistance in dentistry is a still rising phenomenon also secondary to improper oral antiseptics use. The present findings highlighted the need to establish more evidence-based and accurate antibiotic prescriptions to sensitize dentists and dental patients to minimize and rationalize the use of antibiotics only when it is indicated and necessary, improve patients’ adherence, and enhance knowledge and awareness of the antimicrobial resistance in dentistry. Full article
(This article belongs to the Special Issue Periodontitis Treatments and Oral Health)
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10 pages, 613 KiB  
Review
Clinical Efficacy of Treatment of Endodontic-Periodontal Lesions: A Systematic Scoping Review of Experimental Studies
by Carlos M. Ardila and Annie Marcela Vivares-Builes
Int. J. Environ. Res. Public Health 2022, 19(20), 13649; https://doi.org/10.3390/ijerph192013649 - 21 Oct 2022
Cited by 2 | Viewed by 3529
Abstract
Background: In this review, we evaluated the clinical efficacy of interventions used for the treatment of endo-perio lesions (EPL). Methods: A systematic scoping review of clinical trials was developed. Results: Seven clinical trials were studied. In at least one study group of six [...] Read more.
Background: In this review, we evaluated the clinical efficacy of interventions used for the treatment of endo-perio lesions (EPL). Methods: A systematic scoping review of clinical trials was developed. Results: Seven clinical trials were studied. In at least one study group of six of the seven evaluated trials, endodontic and periodontal treatments were performed simultaneously. All trials showed improvement in probing depth in the studied groups; nevertheless, the experimental groups of five studies demonstrated a statistically significant reduction in this parameter. An increase in clinical attachment level was also reported (p < 0.05). Most trials reported an increase in the filling of the bone defect following therapy (p < 0.05). Mechanical periodontal therapy implemented simultaneously with endodontic therapy demonstrated efficacy in the treatment of concurrent EPL without communication. Endodontic treatment and immediate periodontal surgery did not affect the result of the management of combined EPL with apical communication. The use of diode laser, the management of platelet-rich fibrin (PRF) and titanium-prepared PRF, and the implementation of bone grafts plus endodontic treatment with mineral-trioxide or gutta-percha seems to be an adequate strategy in patients with EPL. Conclusions: The treatment of EPL using simultaneous endodontic and periodontal therapies seems to be an acceptable treatment alternative. Full article
(This article belongs to the Special Issue Periodontitis Treatments and Oral Health)
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