Online ISSN: 2515-8260

Keywords : Gingiva


A Prospective Study to Evaluate the Clinical and Radiological Assessment of Immediate and Delayed Single Tooth Implant Placement Till 18 Months Follow-Up

Rajendra Yadav, Pradeep Kumar, Akanksha Katewa, Pankaj Chauhan

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 2315-2323

Background: The implant can be placed either immediately after the tooth extraction (Immediate) or 15 days after the tooth extraction (Delayed immediate). The purpose of this study is to evaluate the width of keratinized gingiva, thickness of peri-implant mucosa, height of interproximal papilla, probing depth, soft tissue condition and bone loss around the single tooth implants. These parameters were compared clinically and radiologically between immediate and delayed single tooth implant techniques.
Material & Methods: A randomized, prospective clinical trial was conducted to evaluate the clinical and radiological parameters of immediate and delayed single tooth implant placement at department of periodontis at Rajasthan Dental College & Hospital, Jaipur, Rajasthan. 20 (ten females, ten males) patients of both sexes with an age limit of 20-40 years were selected for the study. The single tooth implant sites were randomly selected in either the upper or lower jaw, irrespective of whether it was an anterior or posterior region. The selected patients were categorized into two groups based on immediate and delayed implant placement protocols. Assessment of soft tissues at the implant site was performed after crown cementation at baseline, 9 & 18 month by single examiner. At the follow up visits, the following parameters were assessed, width of keratinized gingiva, thickness of peri-implant mucosa, height of interproximal papilla, probing depth, soft tissue condition and bone loss around the single tooth implants.
Results: In percentage, the Width of keratinized gingiva(loss), thickness of peri-implant mucosa(gain), papilla index (gain) and Peri-implant bone loss(loss) in immediate group showed 5.7% reduction, 24.17% gain, 10.90% gain &  13.43% loss respectively and in delayedgroupitwas8.57%, 25.88% gain, 10.76% gain & 15.60 % loss respectively at18th months.The percentage of probing depth reduction in mesially, distally, buccally, and lingually at 9 months & 18 months in immediate & delayed implant was statistical non-significant.
Conclusion: We concluded that self-threaded internal hex, titanium implants placed according to a delayed or immediate technique can be used successfully over a period of 12months. High successful rates were achieved without severe peri-implant complications

GINGIVAL BLEEDING – AN INSIGHT

Dr. S. DOMINIC; Dr. JAYASRIKRUPAA, MDS; Dr. ARAVINDHA BABU, MDS; Dr. KMK MASTHAN, MDS

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 3, Pages 1761-1770

Bleeding gingiva can be a sign that the patient is at risk for gingival disease. It may be due to serious medical conditions such as leukaemia and bleeding and platelet disorders. The main cause of the gingival bleeding is the build-up of plaque at the gum line. This article explains deeply about the etiological agents, risk factors, microscopic features associated with gingival bleeding and care for oral health.

EFFECT OF SMOKING ON GINGIVAL HEALTH - A REVIEW

Reishy V; Gifrina Jayaraj; Gayatri Devi R

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 1346-1352

Smoking is recognised as a risk factor for human health. It is related to many problems like respiratory problems, cardiovascular disease, cancer, etc. Smoking is associated with incidence of gingivitis, periodontitis, epithelial malignancy in the oral cavity. It increases the number and depth of periodontal patients. Loss of tissue strength caused due to harmful compounds like tobacco, increase gingival recession and changes to the oral cavity. Prevalence of moderate and severe diseases are higher in smokers than non-smokers. Smoking affects both gingival epithelium and connective tissue. Density of blood vessels is decreased in smokers. Effect of smoking on vascular status is caused by nicotine compounds. This review was done based on the articles obtained from various platforms like PubMed, PubMed central and Google Scholar. They were collected with a restriction in time basis from 2000-2020. The inclusion criteria were original research papers. In vitro, studied among various conditions and articles that contain pros and cons. Exclusion criteria came into account for review articles, retracted articles and articles of other languages. All the articles are selected based on the effect of smoking on gingival health. Thus, smoking results in various oral health problems like incidence of gingivitis, periodontitis, epithelial malignancy in the oral cavity. It affects gingival recession and changes to the oral mucosa. This review article gives knowledge about the correlation between smoking and health of gingival treatment with various dental problems.

Association Of Dental Plaque And Periodontal Diseases Among Outpatients - A Record Based Study

Chris Noel Timothy; L. Leelavathi; Suresh V

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 3037-3109

Aim:The aim of this study was to associate plaque and periodontal diseases among outpatients. Materials and methods:This was a comparative, descriptive study, where all the data of the patients who reported to the dental clinics in saveetha dental college, SIMATS, Chennai, India, was obtained from the department of public health dentistry. Patient records of plaque index score and periodontal index scores between June 2019 and March 2020. were reviewed and analysed from April - June, 2020. Data was collected and tabulated. The collected data was further analyzed, recorded in microsoft excel software and was subjected to statistical analysis using IBM SPSS statistics analyzer.Results:
The total sample size of the current study was 158 cases. The most common age group that was observed was 36 to 50 years with 43.7 %. A male predilection was seen with males making up 63.9 % of the study population. Most commonly seen periodontal index score interpretation was established destructive periodontal disease with 51.9 %. Most prevalent plaque score interpretation was a fair plaque score with 55.1 % of the population. It was also observed that a fair plaque score was more commonly present in established destructive periodontal disease in 59.7 % of the cases. In this study we observed that there was a significant relation between the plaque and periodontal index scores among outpatients. [p value < 0.05 ] [ p = 0.008] obtained through chi square test.
Conclusion:Within the limitations of the current study, we observed that fair plaque score was found to be more common prevalent among participants with established periodontal disease and this association was not statistically significant.