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Articles 121 - 150 of 163

Full-Text Articles in Dental Hygiene

Commentary: Phytocannabinoids As Therapeutic Agents To Combat Chronic Gingival Disease., Nick Narek Ohanian May 2020

Commentary: Phytocannabinoids As Therapeutic Agents To Combat Chronic Gingival Disease., Nick Narek Ohanian

Pacific Journal of Health

The therapeutic potential of cannabis has been harnessed for thousands of years yet the United States Food and Drug Administration (FDA) has still not approved cannabis as a safe or effective drug. The FDA has, however, approved the manufacturing of pharmaceutical drugs, which contain a “synthetic version of a substance that is present in the marijuana” and other compounds that mimic its action. A search of the US National Library of Medicine and National Institute of Health for keywords “CBD” and “Periodontitis” together yields only 2 publications. Although the current State and Federal regulations on the use of cannabis for …


Health-Related Anxiety In The Management Of Oral Soreness In An Hivseropositive Patient, Masita Mandasari, Zulvia Oktanida Syarif, Febrina Rahmayanti Apr 2020

Health-Related Anxiety In The Management Of Oral Soreness In An Hivseropositive Patient, Masita Mandasari, Zulvia Oktanida Syarif, Febrina Rahmayanti

Journal of Dentistry Indonesia

The number of people living with HIV (PLHIV) has been increasing since the first known case in the early 1980s. However, PLHIV can also experience comorbidities, such as health anxiety. In the oral cavity, anxiety is often associated with the etiology of parafunctional habits. Anxiety can be measured using self-administered instruments, such as the Hospital Anxiety and Depression Scale (HADS) and Short-Health Anxiety Inventory (SHAI), which is specifically used in the medical setting. Objectives: We are describing a case of HIV positive patient with health anxiety who presented to the oral medicine clinic in our hospital with a complaint of …


Differential Diagnosis And Histopathological Analysis Of Localized Gingival Overgrowths: Study Of 218 Cases From Northeast Thailand, Lordjie Marr Morilla, Ajiravudh Subarnbhesaj, Poramaporn Klanrit Apr 2020

Differential Diagnosis And Histopathological Analysis Of Localized Gingival Overgrowths: Study Of 218 Cases From Northeast Thailand, Lordjie Marr Morilla, Ajiravudh Subarnbhesaj, Poramaporn Klanrit

Journal of Dentistry Indonesia

Localized gingival overgrowths (LGOs) are relatively common clinical findings. These lesions can be associated with chronic irritation, infections, or they can represent benign or malignant tumors that can either be primary or metastatic. The etiology of these lesions is multifactorial, but the most prevalent cause is reactive hyperplasia and inflammation induced by dental plaque. Objective: This study presents the prevalence of LGOs in Northeast Thailand and identifies the most common LGOs in the region. Methods: A series of 218 LGO cases was studied. Results: Pyogenic granuloma (PG), gingival squamous cell carcinoma (GSCC), and peripheral ossifying fibroma (POF) were the three …


Evaluation Of Clinical Single Dental Implants Made Between 2013 And 2017, Zozan Erdoğmuş Apr 2020

Evaluation Of Clinical Single Dental Implants Made Between 2013 And 2017, Zozan Erdoğmuş

Journal of Dentistry Indonesia

Objective: This retrospective study aimed to determine the profile of patients who underwent single tooth implants between 2013 and 1017 and to evaluate long-term follow-up and success. Methods: The results of 79 patients who underwent single dental intra-bone dental implantation in Diyarbakır Oral and Dental Health Hospital between 2013 and 2017 were evaluated separately in terms of gender, age, implanted area and number, systemic diseases affecting implant health, and missing implants. Results: In this study, single tooth implants were evaluated in 79 patients with a mean age of 39.55 years in men and 30.44 years in women. …


Tobacco Cessation In A Dental School Setting, Kerri T. Simpson Jan 2020

Tobacco Cessation In A Dental School Setting, Kerri T. Simpson

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction

Tobacco use remains the single largest preventable cause of death in the United States. Currently, the prevalence of tobacco use is 20.7% in adults (≥18 years old) and 31.2% among high school students. According to various studies, over 60% of Americans want to quit tobacco, but it takes a person several attempts to quit before they are successful. There is limited data in the literature that discusses the effectiveness of tobacco cessation programs in US dental schools. Therefore, information on the effectiveness of a tobacco cessation program in a dental school setting could benefit this state and the problem …


Persistent Endodontics Pathogens Biofilm Inhibited By Lactobacillus Reuteri Indonesian Strain, Armelia Sari Widyarman, Njoo Kiky Elysia Lazaroni Dec 2019

Persistent Endodontics Pathogens Biofilm Inhibited By Lactobacillus Reuteri Indonesian Strain, Armelia Sari Widyarman, Njoo Kiky Elysia Lazaroni

Journal of Dentistry Indonesia

Lactobacillus reuteri is known as probiotics that effective to improve oral health. Objective: To analyze the effect of L. reuteri Indonesian strain, towards Enterococcus faecalis and Candida albicans biofilm growth. Methods: This study was conducted using biofilm assay. Each E. faecalis ATCC-29212 and C. albicans ATCC-10231 were cultured in Brain Heart Infusion Broth, distributed into 96 well-microplate and incubated for 24h, 37°C, anaerobic condition for E. faecalis and aerobic condition for C. albicans. L. reuteri LC382415 (Indonesian strain) was cultured in deMann Rogosa Shar pe Broth and diluted into different concentrations (108,106, and 104 …


Orthodontic Camouflage Treatment Of A High-Angle Severe Skeletal Class Ii Discrepancy, Deryana Marshadhianti, Miesje Karmiati Purwanegara Dec 2019

Orthodontic Camouflage Treatment Of A High-Angle Severe Skeletal Class Ii Discrepancy, Deryana Marshadhianti, Miesje Karmiati Purwanegara

Journal of Dentistry Indonesia

Proper orthodontic treatment in adult patients with severe skeletal Class II discrepancy can be challenging. Recently, miniscrew implants have been used as a strategy to treat skeletal Class II patients. Objective: This report illustrates a skeletal Class II malocclusion management combining straight wire technique and miniscrew implant anchorage. Case report: The patient was a 21-years- old Indonesian female with Class II skeletal discrepancy, a retrognathic mandible, a high mandibular plane angle, and a mouth breathing habit due to a history of allergic rhinitis. Anchorage control is important in the sagittal and vertical directions. Miniscrew implants were placed in the …


Antimicrobial Efficacy Of Myrmecodia Pendens Extract And Fraction Combination Against Enterococcus Faecalis Atcc 29212, Faisal Kuswandani, Mieke H. Satari, Ani M. Maskoen Dec 2019

Antimicrobial Efficacy Of Myrmecodia Pendens Extract And Fraction Combination Against Enterococcus Faecalis Atcc 29212, Faisal Kuswandani, Mieke H. Satari, Ani M. Maskoen

Journal of Dentistry Indonesia

Enterococcus faecalis can withstand harsh environmental conditions in the root canal and cause a secondary infection. Myrmecodia pendens is an herbal medicine rich in polyphenol compounds that have antibacterial, antioxidant, and anticancer properties. Objectives: To analyze the effects of M. pendens fraction combination on the sensitivity of E. faecalis. Methods: The minimum inhibitory concentration (MIC) was determined using a serial microdilution method, and the minimum bactericidal concentration (MBC) was determined by adding the test sample to sterile Mueler Hinton agar medium. Results: The MIC of combination 1 (hexane-ethyl acetate, HE) was 0.049 mg/mL, whereas those of combinations 2 (hexane-water, HA) …


Part I: Complete Dentures And Diabetes Correlation, Ibeth Erazo Jul 2019

Part I: Complete Dentures And Diabetes Correlation, Ibeth Erazo

Publications and Research

Diabetes is one of the most frequent pathologies that dentists encounter, due to its high prevalence worldwide. The aim of this study is to present the correlation between diabetes and complete denture wearers, intending to emphasize the importance of proper control and denture adaptation to oral environment for this type of patient. Within the sphere of the dental office, one of the main complications to consider in this type of patient is periodontal disease, which is their most frequent complication. Other important oral manifestations considered in the research are fungal infections, xerostomia, and burning mouth syndrome. It is common for …


Aloe Vera: A Multipurpose Healer And Bacterial Eradicator, Mary X. Tran, Leira N. Jimenez, Linda K. Blackburn Jan 2018

Aloe Vera: A Multipurpose Healer And Bacterial Eradicator, Mary X. Tran, Leira N. Jimenez, Linda K. Blackburn

Dental Hygiene Student Scholarship

The Aloe vera plant is a succulent known for its rich content in vitamins and minerals, thus gaining popularity over the years in healthcare products. With advancements in alternative medicine, it has been recently found useful in dentistry due to properties such as anti-inflammatory, antioxidant and antimicrobial actions that contribute to wound healing. The purpose of this study was to examine and discover how Aloe vera can be used as an alternative therapy in the dental field. The PubMed, Google Scholar and Dentistry & Oral Sciences (DOSS) databases were utilized to find current scientific evidence on the effects of Aloe …


The Relationship Between Obesity And Periodontal Disease, Jean Conover Oct 2017

The Relationship Between Obesity And Periodontal Disease, Jean Conover

Dental Hygiene Master's Papers and Projects

Obesity has been targeted as the sixth most significant risk factor worldwide that is known to contribute to both oral and other associated systemic diseases.2 According to the Centers for Disease Control and Prevention (CDC), the prevalence of obesity among adults in the U.S. is 40% and 18.5% in youth with prevalence higher among middle aged adults (42.8%) than younger adults (35.7%).3 As of 2016, nearly two billion people worldwide were either overweight or obese.1 Research indicates accumulated excessive fat from being overweight or obese contributes to serious health impairments.4 World-wide obesity is associated with increased …


A Study Of The Relationship Between Job Related Stress And Temporomandibular Disorders In Accountants Working In Jakarta, Cindy Maura Saputra, Laura Susanti Himawan, Ira Tanti Dec 2016

A Study Of The Relationship Between Job Related Stress And Temporomandibular Disorders In Accountants Working In Jakarta, Cindy Maura Saputra, Laura Susanti Himawan, Ira Tanti

Journal of Dentistry Indonesia

Stress is a known risk factor for Temporomandibular Disorders (TMD), however there are few studies of TMD in people who work in high stress jobs. Accounting is a profession known for its high levels of stress and expectation. Objective: The aim of this study is to investigate the relationship between the intensity and frequency of job related stress and the occurrence of TMD in accountants in Jakarta. Methods: A cross-sectional study, with ethics approval from the Ethical Committee of the Faculty of Dentistry, University Indonesia, was performed on 116 accountants aged 21 to 50, living in Jakarta. Subjects were asked …


Correlation Of Periodontal Pathogens In Concurrent Endodontic-Periodontal Diseases, Amela Lačević, Federico Foschi, Lejla Pojskić, Naris Pojskić, Kasim Bajrović, Jacques Izard Aug 2015

Correlation Of Periodontal Pathogens In Concurrent Endodontic-Periodontal Diseases, Amela Lačević, Federico Foschi, Lejla Pojskić, Naris Pojskić, Kasim Bajrović, Jacques Izard

Department of Food Science and Technology: Faculty Publications

Objectives: This study investigated the correlation between Tannerella forsythia, Porphyromonas gingivalis, Fusobacterium nucleatum, and Aggregatibacter actinomycetemcomitans at dual sites in concurrent endodonticperiodontal diseases.

Material and methods: Samples were collected from endodontium and periodontium in cases of concurrent endodontic-periodontal diseases from thirty participants. The sensitivity and specificity of SYBR Green real-time PCR was used to identify the targeted species. Absolute number of targeted genome copies in tested samples were extrapolated from respective calibration curve.

Results: No statistical difference was found in the number of detected endodontic-periodontal pathogens between the endodontium and periodontium. The Pearson test …


Periodontal Disease And Adverse Pregnancy Outcomes: Treatment Recommendations For The Pregnant Patient, Tabitha Price Jan 2010

Periodontal Disease And Adverse Pregnancy Outcomes: Treatment Recommendations For The Pregnant Patient, Tabitha Price

ETSU Faculty Works

No abstract provided.


Effects Of 5 Different Finger Rest Positions On Arm Muscle Activity During Scaling By Dental Hygiene Students, Mary E. Cosaboom-Fitzsimons, Susan Lynn Tolle, Michele L. Darby, Martha L. Walker Jul 2008

Effects Of 5 Different Finger Rest Positions On Arm Muscle Activity During Scaling By Dental Hygiene Students, Mary E. Cosaboom-Fitzsimons, Susan Lynn Tolle, Michele L. Darby, Martha L. Walker

Dental Hygiene Faculty Publications

Purpose. This study was conducted to determine the effects of 5 different finger rest positions: opposite arch, standard intraoral, basic extraoral, cross arch, and finger on finger on the muscle activity of 4 forearm muscles (extensor carpi radialis longus, flexor carpi ulnaris, biceps brachii, and pronator teres) during a simulated periodontal scaling experience.

Methods. A convenience sample of 32 consenting senior dental hygiene students who met inclusion criteria participated. Using a 4 x 5 counter-balanced research design, each participant used a Gracey 11/12 curet to scale one cc of artificial calculus from first permanent molar typodont teeth (#3,14,19,30). Five different …


Sulcular Sulfide Monitoring: An Indicator Of Early Dental Plaque-Induced Gingival Disease, Aleksandra Pavolotskaya, Gayle Mccombs, Michele Darby, Kenneth Marinak, Naik N. Dayanand Jan 2006

Sulcular Sulfide Monitoring: An Indicator Of Early Dental Plaque-Induced Gingival Disease, Aleksandra Pavolotskaya, Gayle Mccombs, Michele Darby, Kenneth Marinak, Naik N. Dayanand

Dental Hygiene Faculty Publications

Purpose. The purpose of this study was to evaluate the relationship between volatile sulfur compounds (VSC) and gingival health status and to determine if volatile sulfur compounds can detect early dental plaque-induced gingival disease. Methods. A split-mouth design with randomly selected quadrants of the mandibular arch enabled 39 participants to serve as their own controls. At baseline and at three subsequent appointments (days 7, 14, and 21) gingival inflammation (GI), bleeding on probing (BOP), and sulfide levels (SUL) were measured using the Gingival Index and the Diamond Probe/Perio 2000 System. For three weeks, participants refrained from brushing and flossing one …


The Comparative Effects Of 0.12% Chlorhexidine And An Herbal Oral Rinse On Dental Plaque-Induced Gingivitis, Elizabeth N. Southern Oct 2003

The Comparative Effects Of 0.12% Chlorhexidine And An Herbal Oral Rinse On Dental Plaque-Induced Gingivitis, Elizabeth N. Southern

Dental Hygiene Theses & Dissertations

The purpose of this study was to determine the effects of 0.12% chlorhexidine rinse (CID{) and herbal rinse (HBR) to placebo, on gingival health status over time. Methods: 63 subjects (57% male, 43% female, mean age 25 years, sd=7.67) were randomly assigned to one of three treatment groups; CHX, HBR, or placebo. Subjects rinsed twice daily (AM and PM) with ½ ounce of allocated rinse, after brushing and flossing, for three months. Subjects were given the same type of soft bristle toothbrush and whitening toothpaste. Participants were advised to refrain from use of any other oral rinse for the duration …


Sulphur By-Product: A Potential Indicator Of Early Dental Plaque-Induced Gingival Disease Activity: A Pilot Study, Hui Zhou Jul 2001

Sulphur By-Product: A Potential Indicator Of Early Dental Plaque-Induced Gingival Disease Activity: A Pilot Study, Hui Zhou

Dental Hygiene Theses & Dissertations

The purpose of this study was to determine the relationship between volatile sulfide compounds and gingival health status, and to identify if volatile sulfide compounds can detect early dental plaque-induced gingival disease, using an experimental gingivitis model. The sample consisted of 12 subjects between 19 and 28 years, with a healthy gingival status. A split-mouth design utilizing only the mandibular arch was used. A baseline full-mouth periodontal probing status was measured. After baseline data collection and for two weeks, subjects refrained from brushing and flossing one randomly selected half of the mandibular arch. At baseline and six subsequent appointments, gingival …


The Oral Health Status Of Individuals On Renal Dialysis, Kimberley Naugle Oct 1996

The Oral Health Status Of Individuals On Renal Dialysis, Kimberley Naugle

Dental Hygiene Theses & Dissertations

The purpose of this investigation was to perform oral assessments on individuals undergoing renal dialysis in Hampton Roads health care facilities to determine their oral health status. A purposive sample was identified via the Sentara Health System in Hampton Roads, from which individuals on renal dialysis who agreed to participate in the study were selected.

Three subgroups of the population were studied: those who have been on renal dialysis for less than a year, individuals on renal dialysis for one to three years and those on renal dialysis for longer than three years.

The Periodontal Disease Index by Ramfjord (1967) …


Effectiveness Of Dna Probe Technology In Distinguishing Among Gingival Health, Mild-Moderate Periodontitis, And Severe Periodontitis In Human Oral Sites, Juliana J. Kim Apr 1995

Effectiveness Of Dna Probe Technology In Distinguishing Among Gingival Health, Mild-Moderate Periodontitis, And Severe Periodontitis In Human Oral Sites, Juliana J. Kim

Dental Hygiene Theses & Dissertations

The purpose of this investigation was to determine if there is a difference in the type of microorganisms found in oral sites classified as gingival health, mild-moderate periodontitis, or severe periodontitis as measured by the DMDx* Test. A purposive sample of one hundred oral sites was selected from adult patients. Subjects were excluded from the study based on: the presence of any systemic disorders, communicable diseases, diabetic conditions, blood dyscrasias, congenital heart disease, rheumatic heart disease, pregnancy, history of periodontal surgery, prosthetic joint replacement, hypertensive heart disease, or any medications that might alter the gingival tissues (e.g. antibiotics, hormonal therapy, …


Short-Term Effects Of The PoliswabR On Supramarginal Bacterial Plaque Removal And Gingival Health In A Spinal Cord Unit Population, Beth Elaine Mckinney Jul 1991

Short-Term Effects Of The PoliswabR On Supramarginal Bacterial Plaque Removal And Gingival Health In A Spinal Cord Unit Population, Beth Elaine Mckinney

Dental Hygiene Theses & Dissertations

The purpose of this investigation was to determine the short-term efficacy of a mechanical device (PoliswabR) on supramarginal bacterial plaque removal and gingival health. The sample consisted of 15 residents in a spinal cord unit at the Hampton Veterans' Affairs Medical Center. A single blind, split-mouth, pretest-posttest design was used in the study with each subject serving as his own control. Over a two week period, each participant had his teeth cleaned once daily by a dental hygienist using a PoliswabR containing sodium bicarbonate and dentifrice on one side of the mouth and a toothbrush without dentifrice …


Effects Of Oral Hygiene Measures On Clinical And Microbiological Parameters Of Periodontal Disease, Bruno Loos Aug 1987

Effects Of Oral Hygiene Measures On Clinical And Microbiological Parameters Of Periodontal Disease, Bruno Loos

Loma Linda University Electronic Theses, Dissertations & Projects

The effects of a 12-week period of oral hygiene alone on gingival conditions and subgingival microflora in 15 patients with severe periodontitis were investigated. In addition, subgingival microsamples were compared during this oral hygiene phase with those obtained 1 week after debridement. Clinical measurements and subgingival samples from selected sites were taken at week 0 (baseline), week 6, and week 12. Microbial samples were also taken at week 13, that is, one week following debridement. At week 0 the patients were instructed in supragingival plaque control and at week 6 the hygiene regimen was supplemented with the subgingival use of …


Effectiveness Of A Hydrogen Peroxide, Sodium Chloride, Sodium Bicarbonate Dentifrice Upon Microbiota Associated With Periodontitis, Jill M. Modi Jul 1986

Effectiveness Of A Hydrogen Peroxide, Sodium Chloride, Sodium Bicarbonate Dentifrice Upon Microbiota Associated With Periodontitis, Jill M. Modi

Dental Hygiene Theses & Dissertations

The purpose of this study was to investigate the effectiveness of a hydrogen peroxide, sodium chloride, sodium bicarbonate dentifrice upon quantitative changes in the sulcular microbial species Bacteroides melaninogenicus and in the gingival condition and plaque accumulation associated with periodontitis. Fifteen subjects from the Hampton Veteran's Administration Medical Center w e r e selected according to a standard criteria. Split mouth experimental design was used. One arch of each patient was assigned randomly to periodontal instrumentation. Half the mouth then was assigned randomly an experimental or a control dentifrice to be utilized once daily. culture analysis, the Gingival Index and …


Clinical Effectiveness Of ListerineR And ViadentR Mouthrinses On Bacterial Plaque And Gingivitis, Debra Pizzola Powell Apr 1986

Clinical Effectiveness Of ListerineR And ViadentR Mouthrinses On Bacterial Plaque And Gingivitis, Debra Pizzola Powell

Dental Hygiene Theses & Dissertations

The purpose of this investigation was to determine the effects of two commercial mouth rinses, ListerineR and ViadentR, on bacterial plaque and gingivitis. over a sixweek period, 24 adults, ages 18-41, were examined for the amount of bacterial plaque and level of gingivitis using Silness and toe's Plaque Index (PLI) and Gingival Index (GI). At the beginning of each two week period, subjects were examined for the amount of plaque and level of gingivitis and given a different mouthrinse: appointment one--viadentR (mouthrinse A), appointment two--placebo mouthrinse (mouthrinse B), and appointment three--ListerineR (mouthrinse C). Additionally, subjects …


Clinical Effectiveness Of Hydrogen Peroxide-Sodium Bicarbonate Paste On Human Periodontitis Treated With And Without Scaling And Root Planing, Sylvia M. Lyne Apr 1985

Clinical Effectiveness Of Hydrogen Peroxide-Sodium Bicarbonate Paste On Human Periodontitis Treated With And Without Scaling And Root Planing, Sylvia M. Lyne

Dental Hygiene Theses & Dissertations

The purpose of this investigation was to determine the main and interaction effects of two oral hygiene regimens and periodontal instrumentation on the periodontal health status of subjects between the ages of 18 and 70 over a two-month period. The sample consisted of 16 subjects with moderate periodontitis. A split-mouth design was used; subjects brushed with fluoridated toothpaste on one side of the mouth and brushed with a hydrogen peroxide-sodium bicarbonate paste on the contralateral side. For each treatment, scaling and root planing were randomly assigned to one arch. At two-week intervals, the periodontal health status was measured using the …


Use Of Disclosing Tablets And Signs Of Gingival Bleeding For Improving The Oral Health And Oral Hygiene Status Of Adult Dental Clients, Susan Elaine Thompson Oct 1980

Use Of Disclosing Tablets And Signs Of Gingival Bleeding For Improving The Oral Health And Oral Hygiene Status Of Adult Dental Clients, Susan Elaine Thompson

Dental Hygiene Theses & Dissertations

The purpose of this investigation was to compare two methods for improving the oral health and oral hygiene status of adult dental clients. Fifty subjects were selected and randomly assigned to two groups. Over a 75-day period, Group A used disclosing tablets on a daily basis to reveal dental plaque deposits to control dental disease; Group Bused signs of gingival bleeding on a daily basis to control dental disease. Clients attended four appointments for oral evaluation. The oral health and oral hygiene status of the adult dental clients were measured at each appointment using the Gingival Bleeding Index and the …


Remove The Plaque! (1978), American Dental Association Jan 1978

Remove The Plaque! (1978), American Dental Association

Patient Dental Health Education Materials 1929-1981

No abstract provided.


Between You And Me… Is Your Smile (1977), American Dental Association Jan 1977

Between You And Me… Is Your Smile (1977), American Dental Association

Patient Dental Health Education Materials 1929-1981

No abstract provided.


Caring (1977), American Dental Association, Academy Of Dentistry For The Handicapped Jan 1977

Caring (1977), American Dental Association, Academy Of Dentistry For The Handicapped

Patient Dental Health Education Materials 1929-1981

[Sensitive content: please see comments section]


Gingival Condition In Areas Of Minimal And Appreciable Widths Of Keratinized Gingiva, Myles C. Miyasato Jun 1976

Gingival Condition In Areas Of Minimal And Appreciable Widths Of Keratinized Gingiva, Myles C. Miyasato

Loma Linda University Electronic Theses, Dissertations & Projects

This investigation evaluated the gingival condition of areas with minimal (less than or equal to 1.0 millimeter) and appreciable (greater than or equal to 2.0 millimeters) widths of keratinized gingiva.

Sixteen dental, dental hygiene, and dental assisting students and dental faculty who had contralateral or unilateral areas of minimal and appreciable widths of keratinized gingiva on the mid-buccal surface of mandibular bicuspids were examined. Gingival exudate, plaque, gingival inflammation based on color change and/or swelling and bleeding on probing were evaluated. The results showed that all areas examined were plaque free. Three of 32 areas showed clinical gingival inflammation and …