Periodontics and Periodontology Commons^™

Bridging Oral And Systemic Health: Exploring Pathogenesis, Biomarkers, And Diagnostic Innovations In Periodontal Disease, Max Foroughi, Mahmoud Torabinejad, Nikola Angelov, David M Ojcius, Keykavous Parang, Marcus Ravnan, Jerika Lam

Faculty, Staff and Student Publications

Purpose: This narrative review explores the multifaceted links between periodontal diseases (gingivitis and periodontitis) and systemic health conditions, including cardiovascular disease, diabetes, adverse pregnancy outcomes, Alzheimer's disease, cancers, rheumatoid arthritis, and respiratory infections. It aims to synthesize evidence on how local oral infections exert systemic effects and evaluate the potential of diagnostic technologies to monitor these interactions.

Methods: This narrative review synthesizes current scientific literature on periodontal disease pathogenesis, focusing on key pathogens (e.g., Porphyromonas gingivalis, Fusobacterium nucleatum) and their roles in driving local and systemic inflammation via virulence factors and microbial dysbiosis. It examines biomarker-based diagnostic approaches (e.g., IL-1β, …

Prevalence Of Peri-Implantitis And Assessment Of Oral Health-Related Quality Of Life Among Patients With Dental Implants At Hospital Universiti Sains Malaysia, Esther Li-Ching Ang, Zurairah Berahim, Normastura Abd Rahman, Akram Hassan, Siti Lailatul Akmar Zainuddin

Journal of Dentistry Indonesia

Patient-reported outcomes about peri-implantitis are lacking among the Asian population, impacting decision-making in dental implant therapy. Objectives: This study aimed to assess the prevalence of peri-implantitis among Malaysian adults, and its impact on oral health-related quality of life (OHRQoL). Methods: Randomly selected 105 participants (adults aged 18 and above) having 265 implants were examined and diagnosed as with or without peri-implantitis (PI). Clinical examinations, including peri-implant probing depth, bleeding, and suppuration on probing with radiographic bone loss, were used to determine peri-implant status. OHRQoL of all participants were recorded using the short version of the Malaysian Oral Health Impact Profile …

Evaluation Of Dentistry Students' Perceptions And Attitudes Towards Artificial Intelligence In Kazakhstan, Yasin Yasa, Kubeisin Altynbekov, Nazgul Onaibekova

Journal of Dentistry Indonesia

Objective: Artificial intelligence’s (AI) potential to analyze medical data and improve patient outcomes is driving its rapid integration into healthcare systems. This study addresses the knowledge gap regarding Kazakhstani dental students’ attitudes toward AI in dentistry. Methods: A survey with 213 participants assessed dental students’ views on AI in dentistry at two Kazakhstani universities. A self-administered questionnaire (22 items) via Google Forms was used to gather data on demographics, baseline knowledge (information sources, understanding of AI principles, and familiarity with dental AI applications), and attitudes/perceptions. Frequency analyses and chi-square tests (p < 0.05) explored the responses. Results: The survey included 213 dental students (mean …

Synthesis And Partial Characterization Of Chitosan Phosphorylation From Marine Cuttlefish Sepia Aculeata (Orbingy, 1848) And Its Antimicrobial Potentials Against Oral Pathogens, Yathin Reddy Putta, Annathai Pitchai, Pasiyappazham Ramasamy

Journal of Dentistry Indonesia

Objectives: This study investigated the synthesis and partial characterization of phosphorylated chitosan extracted from the cuttlebone of Sepia aculeata (Orbingy, 1848) and evaluated its antimicrobial potential against oral pathogens. Methods: The synthesis of phosphorylated chitosan from Sepia aculeata cuttlebone involved several steps: cleaning, deproteinization, demineralization to extract chitin, deacetylation to produce chitosan, and phosphorylation to introduce phosphate groups. Phosphorylation enhances the properties of chitosan, making it a promising candidate for oral health applications. Phosphorylated chitosan was purified and characterized using Fourier Transform Infrared Spectroscopy (FTIR), X-ray diffraction (XRD), and Scanning Electron Microscopy (SEM) to confirm structural changes. This process enhances …

Microstructural And Elemental Characterization Of Hydrated Carbonated Hydroxyapatite As Pulp Capping Agent: An In Vitro Study, S.Swathi Priyadharshini, Chinnasamy Ragavendran, J. Ramana Ramya, Anand Sherwood

Journal of Dentistry Indonesia

Understanding the microstructural and elemental composition of pulp capping materials is crucial for predicting their biocompatibility and effectiveness in promoting pulp healing. Objectives: This study aimed to characterize the microstructural and elemental properties of carbonated hydroxyapatite as a dental pulp-capping material. Methods: Carbonated hydroxyapatite was synthesized using the precipitation method. MTA and Apacal ART were obtained from commercial sources. The materials were prepared into disk-shaped specimens, hydrated in deionized water at 37°C for 14 days, and analyzed using scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDX). Results: SEM images revealed that MTA exhibited smooth, plate-like crystalline structures surrounded by …

Does Periodontal Treatment During Pregnancy Reduce The Incidence Of Preterm Birth Rates?: A Meta-Analysis Of Randomized Controlled Trials, Ashraf Elzer, Raga A. Elzahaf, Hameda Asrafel, Khalid Sassi, Mohamed Jedeh

Journal of Dentistry Indonesia

Objective: To find out if scaling and root planing for periodontal disease during pregnancy lowers the incidence of preterm births. Methods: This is a meta-analysis study design; searches were conducted in the PubMed database and on Google Scholar between January 2000 and December 2023. Only randomized controlled trials (RCTs) were considered. The studies will be examined to determine the relationship between non-surgical periodontal treatment and preterm birth rates among pregnant women. Results: Only 14 trials were included out of 194 articles identified. The overall result indicated a statistically significant reduction in preterm birth rate when we use the random …

Evaluation Of The Adjunctive Effect Of Photodynamic Therapy For The Treatment Of Residual Periodontal Pockets: A Systematic Review, Shankargouda Patil, Charles Miller, Ryan Moffat, Kade Janes, Brooklyn Janes, Peter M. Loomer, Frank W. Licari

Journal of Patient-Centered Research and Reviews

Purpose: Adjunctive use of photodynamic therapy in combination with scaling and root planing for periodontal maintenance offers an alternative to antibiotic therapy, potentially mitigating the risk of antibiotic resistance and its genotoxic or mutagenic effects. This systematic review analyzed studies, as of January 2023, that included the effects of a single application of photodynamic therapy in residual periodontal pockets with the probing depth and clinical attachment level as the primary and secondary outcomes, respectively.

Methods: PubMed, Scopus, and Web of Science databases, as well as the US National Institutes of Health and WHO Clinical Trials Registry, were searched for eligible …

Enhancing Periodontal Therapy With Non-Invasive Adjunctive Techniques A Comparative Literature Review, Stockton Stohl, Kamran H. Awan

Annual Research Symposium

No abstract provided.

The Oral-Gut Microbiome Axis: Implications For Systemic And Oral Health, Sana Shariff, Manas Mandal

Annual Research Symposium

The bidirectional relationship between the oral and gut microbiomes has gained attention for its role in systemic and oral diseases. Dysbiosis, or microbial imbalance, disrupts these ecosystems, leading to inflammatory conditions. This research investigates the connection between these microbiomes, focusing on microbial translocation, disease correlation, and targeted interventions such as probiotics or dietary modifications to restore microbial homeostasis and reduce disease incidence.

Effect Of Multiple Application Of Chlorhexidine Chips In Peri-Implantitis Treatment: A Systematic Review, Kirollos Semary, Kade Janes, Shilpa Bhandi, Shankargouda Patil, Frank Licari

Annual Research Symposium

No abstract provided.

Periodontitis Linked With Urinary Tract Infections- Coincidence Or Causality?, Ali Shariff, Shankargouda Patil, Shilpa Bhandi, Frank Licari

Annual Research Symposium

Urinary tract infection is a cumulative term used to describe an infection of any part of the urinary system. Periodontitis is a chronic inflammatory condition of the tooth-supporting structures. The literature points towards an inter-relationship between periodontitis and other systemic diseases such as metabolic syndrome, diabetes mellitus, coronary heart diseases, etc. Several studies indicate a pathophysiologic inter-relationship between periodontitis and urinary tract infections. Considering the inflammatory nature of periodontitis and urinary tract infections, a common link of causality may be present between the two diseases. P. gingivalis, a key periodontal pathogen, is a significant agent in disseminating infection …

Impact Of Drug Addiction On Oral Health: Unveiling The Link Between Substance Abuse, Rahi [email protected], Kamran Awan

Annual Research Symposium

No abstract provided.

Treatment Approaches For Immediate Implant Placement In Infected Site, Urwa Asad, Zainab Qazalbash, Jazmine Gill, Shilpa Bhandi, Frank Licari, Shankargouda Patil

Annual Research Symposium

No abstract provided.

Alterations Of Tnf-Α And Il-8 Levels In Gingival Crevicular Fluid Among Different Types Of Smoking Following Phase I Periodontal Therapy In Periodontitis Patients, Nouran Abdelmaged Dr., Nivine Ibrahim Ragy Professor, Zienab Farid Dr.

Future Dental Journal

Aim: The purpose of the current research was to evaluate the impacts of different smoking types on GCF levels of TNF-α & IL-8 after phase I periodontal therapy. The study compared between traditional cigarettes and heated tobacco products (HTPs) in contrast to non-smokers following non-surgical treatment of moderate periodontitis patients. Subjects & methods: Forty-five patients with moderate generalized chronic periodontitis had been enrolled in this research. They had been divided into 3 equal groups and received non-surgical periodontal treatment. Samples of gingival crevicular fluid had been collected from periodontal pockets at baseline & after six months. The collected …

Impact Of Coronavirus Disease 2019 On Dental Match Residency Applicant Statistics In The United States Of America: A Cross Sectional Analysis, Vinayak M. Joshi, Eswar Kandaswamy, Sivaraman Prakasam, Veerasathpurush Allareddy, Andrew G. Chapple

School of Dentistry Faculty Publications

Background: The purpose of this paper is to do a cross-sectional analysis to evaluate the impact of the Coronavirus Disease 2019 pandemic on Dental Match Residency statistics from the year 2019–2023. Methods: The Dental Match Residency statistics available from the Dental Match website were analyzed from years 2019–2023 to evaluate the impact of pre-pandemic (2019–2020), pandemic (2021, 2022) and post-pandemic year trends (2023). Important trends were evaluated and summarized using graphs, descriptive statistics, and two sample tests for proportions (chi-square test) comparing different pairs of years. Results: Total Match participants increased in 2021 followed by a drop in 2022, and …

Introducing Flowable Resin Composite As A Novel Palatal Dressing After Free Gingival Graft Harvesting: A Randomized Clinical Trial, Dalia Ghalwash, Mohamed Temraz, Ahmed Elbarbary, Eman Khalil, Nesma Shemais

Dentistry

Objectives This study aimed to evaluate the effectiveness of using a flowable resin composite compared to periodontal pack in reducing postoperative morbidity after free gingival graft (FGG) harvesting. Materials and methods In this randomized controlled clinical trial, 34 patients requiring FGG were allocated into two equal groups. The intervention group received a flowable resin composite dressing over the palatal wound, while the control group received Coe-Pak. Postoperative pain was assessed using a Visual Analogue Scale (VAS) and mean analgesic consumption over 14 days. Secondary outcomes included wound size and color match of the healing site assessed at weeks 1, 2, …

Patient-Related And Tooth-Related Factors As Predictors For Tooth Loss In Periodontitis Patients: A Systematic Review, Cleane Daraze, Carole Chakar, Abdelrahman Kassir, Charbel Anka, Jean-Marie Megarbane

International Arab Journal of Dentistry

Introduction: The treatment of periodontitis aims to prevent further disease progression, to minimize symptoms and perception of the disease, possibly to restore lost tissues and to support patients in maintaining a healthy periodontium. Management of chronic periodontal disease requires a combination of therapeutic modalities and a lifelong commitment to periodontal self-care.

Objectives: The aim of this study is to evaluate predictors for tooth loss in patients previously diagnosed with periodontitis. This systematic review covers studies of over 10 years of follow up.

Methods: Electronic literature search was conducted on 19/02/2024 by one author across several databases, including …

Dental Management Of A Talon Cusp On A Permanent Incisor In Traumatic Occlusion, Bret Lesavoy Dmd, Richard Yoon D.D.S.

The New York State Dental Journal

The purpose of this paper is to report the case of an 8-year-old female with occlusal interferences involving the permanent maxillary right central incisor (PMRCI) due to a Type 1 dens evaginatus, also known as a talon cusp (TC), causing displacement of the affected tooth. Clinical concerns related to TCs include occlusal interferences and increased risk for dental injury, displacement of the affected tooth, caries, tongue irritation and esthetic concerns. The TC in this report was reduced periodically over two months. Following each reduction, 5% topical sodium fluoride varnish was applied as a desensitizing agent. Upon completion and removal of …

Multiple Implant Placements With Simultaneous Soft Tissue Augmentation Using A Volume-Stable Collagen Matrix Compared To Autogenous Connective Tissue Graft: A Clinical And Histological Pilot Study, Jamil Boulos, Abdel-Rahman Kassir, Gabriel Menassa, Nada Naaman

International Arab Journal of Dentistry

Introduction: The use of soft tissue grafts has been a key component in periodontal and implant surgeries for the past five decades, aiming to increase the width of keratinized tissue and soft tissue volume.

Objectives: This study evaluates the efficacy of a three-dimensional volume-stable collagen matrix (VCMX) compared to subepithelial connective tissue grafts (SCTG) in increasing soft tissue thickness and volume during multiple implant placements.

Methods: A randomized controlled clinical trial was conducted with four patients and eight implants. Patients were allocated to the SCTG or VCMX group, with soft tissue augmentation performed simultaneously with implant placement. …

The Impact Of Smoking Cessation On Clinical Outcomes Of Stage I/Stage Ii, Grade A/Grade B Periodontitis Patients In Periodontal Maintenance Phase: A 2-Year Longitudinal Study, Santosh R Patil, Shikhar Daniel, Aysha Jebin A

International Arab Journal of Dentistry

Objectives: The objective of this study is to investigate the influence of smoking cessation interventions on periodontal outcomes in individuals who have successfully abstained from smoking for a minimum of six months following non-surgical periodontal therapy.

Methods: A total of 122 participants, based on inclusion & exclusion criteria, were divided into a smoking cessation group (n=61) and a control group (n=61). Demographic characteristics, smoking history, and baseline oral health parameters were assessed in these patients. Over a 2-year follow-up period, changes in probing depth and alveolar bone loss were measured, statistically analysis were performed using SPSS software.

Results …

Subgingival Microbiomes Of Healthy And Periodontitis Subjects, Tareq Abdulrasoul

Theses and Dissertations

Background: Periodontitis is a common chronic inflammatory disease triggered by the dysbiosis of the subgingival microbiome. 16s rRNA sequencing has been used to profile the subgingival plaque samples in healthy and periodontitis subjects. Here, we have collected subgingival plaque samples from subjects and analyzed the microbiome profile from 16s rRNA sequencing. We hypothesized that periodontitis patients will have a different subgingival microbiome profile than that of healthy subjects.

Methods: Subgingival plaque samples were collected from periodontitis and healthy subjects who were indicated for periodontal surgeries (osseous resective and regenerative surgery for periodontitis patients or crown lengthening for healthy …

Diversity And Characteristics Of The Oral Microbiome Associated With Self-Reported Ancestral/Ethnic Groups, Qingguo Wang, Bing-Yan Wang, She'neka Williams, Hua Xie

Faculty, Staff and Student Publications

Periodontitis disproportionately affects genetic ancestral/ethnic groups. To characterize the oral microbiome from different genetic ancestral/ethnic groups, we collected 161 dental plaque samples from self-identified African Americans (AAs), Caucasian Americans (CAs), and Hispanic Americans (HAs) with clinical gingival health or biofilm-induced gingivitis on an intact periodontium. DNA was extracted from these samples, and then DNA libraries were prepared and sequenced using an Illumina NovaSeq high-throughput sequencer. We found significant differences in the diversity and abundance of microbial taxa among dental plaque samples of the AA, CA, and HA groups. We also identified unique microbial species in a self-reported ancestral/ethnic group. Moreover, …

Histomorphometric Assessment Of Vibrational Forces On The Extended Midpalatal Suture, Aylin Pasaoglu Bozkurt, Özge Özdal Zincir, Asli Emincik

Journal of Dentistry Indonesia

Objective: This study determined the effects of vibrational forces on bone formation in the retention period of an expanded mid-palatal, histomorphometric suture in a rat model. Methods: Twenty-four 7–8- to 8-week-old male Wistar rats weighing 190.25 ± 15.35 g were separated into groups: only expansion (G1), expansion and 30 Hz vibration application (G2), and expansion and 111 Hz vibration application (G3). After 5 days of expansion, there were 12 days of retention. All animals were sacrificed, and their premaxilla were dissected. A histological examination evaluated the number of osteoblasts, osteoclasts, and capillaries, the amount of mineralized area, and …

A Case Series Of Successful Root Amputations And Hemisection: Retaining Compromised Teeth With Perio-Endodontic Lesion, Mohd Nazrin Isa, Nurul Ain Ramlan, Afzan Adilah Ayoub, Muhammad Hilmi Zainal Ariffin

Journal of Dentistry Indonesia

Case report: This case report presents three successful approaches for preserving a tooth through root amputation or hemisection. Patients were referred to the Periodontic Department due to mobility of teeth and swelling of the upper left first molar, upper right first molar and lower right first molar with considerably good oral hygiene. Patients were diagnosed with generalized severe periodontitis associated with perio-endodontic lesions. Therefore, non-surgical root canal treatment (NSRCT) was carried out prior to periodontal treatment, followed by surgical root resection (RR) of the distobuccal (DB) root of the upper left first molar, root resection of the distobuccal (DB) root …

Impact Of Diabetes Mellitus On Oral Health And Oral Health-Related Quality Of Life In Older Adults In A Malaysian Healthcare Facility, Nur Aisyah Muntadar, Nur Camelia Azlyn Kamarol Adlee, Eleena Mohd Yusof

Journal of Dentistry Indonesia

Objective: To investigate the association between oral health status and oral health-related quality of life (OHRQoL) in older adults with diabetes mellitus (DM). Methods: A cross-sectional study involving participants aged 60 and above from a Malaysian healthcare facility utilized structured interviews using the Geriatric Oral Health Assessment Index (GOHAI) questionnaire. Intraoral assessments, including BPE, DMFT index, evaluation of edentulism and assessment of restoration/denture type/quality, were conducted. Statistical analysis included independent sample t-test, one-way ANOVA, nonparametric, and correlation coefficient tests. Results: Among 69 participants (36 with DM, 33 without), with a mean age of 65.97 years, no significant …

Knowledge, Attitude, Oral Hygiene Practice And Self-Perception On Periodontal Health Among Older Adult Population In Malaysia, Annabel Shanta Edwin Thomas, Haslina Taib, Zurairah Berahim, Siti Lailatul Akmar Zainuddin, Munirah Mohd Adnan

Journal of Dentistry Indonesia

Objective: This study aimed to assess the knowledge, attitude, oral hygiene practice, and self-perception of periodontal health among the older adult population in Malaysia and its association with demographic factors. Methods: An online questionnaire assessing their knowledge, attitude, oral hygiene practices, and self-perception of periodontal disease was distributed to adults aged 50 years and above. Results: 397 respondents participated. The mean knowledge score was 1.36 (SD 0.92), significantly associated with gender, ethnicity, education, and occupation. About 63% of respondents know that poor oral hygiene is related to general health and is significantly associated with ethnicity (p = …

The Anti-Inflammatory Diet Prescription For Optimal Oral Health, Liz Pearson Rd

Metro Denver Dental Society Articulator Magazine

This article explores the impact of an anti-inflammatory diet on periodontal health, highlighting research that supports its role in reducing inflammation and preventing periodontal disease. It emphasizes the benefits of diets such as the Mediterranean and Nordic diets, which can improve oral health outcomes, reduce tooth loss, and complement traditional dental treatments.

Advances In Understanding Vitamin D Deficiency As A Risk Factor In Periodontal Disease Management, Marina Cristina Giurgiu, George Alexandru Denis Popescu, Stana Paunica, Dragos Nicolae Ciongaru, Brandusa Florina Mocanu, Ana Maria Alexandra Stanescu, Anca Silvia Dumitriu

Journal of Mind and Medical Sciences

This study investigates the relationship between periodontal disease and vitamin D deficiency by correlating clinical periodontal parameters with serum levels of vitamin D; (2) Methods: Data from the literature and the periodontal status of two patients diagnosed with both periodontal disease and vitamin D deficiency were evaluated. Clinical parameters were measured, including plaque index, bleeding on probing, and bone resorption (%). Serum levels of vitamin D were also analyzed. Additionally, the patients underwent initial periodontal treatment to improve the periodontal status; (3) Results: Both patients exhibited advanced periodontal disease with elevated clinical parameters and significant bone resorption. Serum levels of …

Periodontal Health In A Large Cohort Of Ugandans Living With Hiv: A Cross-Sectional Study, William Buwembo, Adriane Kamulegeya, Dunstan Kalanzi, Priscilla Naava Namuyonga, Proscovia Nakasujja, David P. Katete, F. Collins Semitala, Catherine Mwesigwa-Lutalo, Samuel Kalungi, Jennifer E. Cameron, Ian G. Munabi

School of Medicine Faculty Publications

Background: The impact of periodontitis on large populations of people living with HIV (PLHIV) in resource-constrained settings remains largely un-investigated. This study aims to address this knowledge gap by providing a comprehensive description of the periodontal health status among a sizable cohort of Ugandans living with HIV. Methods: This was a cross-sectional study with 4,449 participants who were over 18-years old with data captured on their reported age, gender, tobacco use, length of time on HAART and alcohol use. Periodontal health was assessed using the WHO periodontal probe and the modified CPI data entry form. Descriptive statistics were reported using …

The Importance Of Probes In Assessing Periodontal Health, Khrystyna Vyprynyuk, Catherine Monchik

Publications and Research

No abstract provided.