Risk factors for periodontitis & peri‐implantitis

Periodontology 2000, Journal Year: 2022, Volume and Issue: 90(1), P. 9 - 12

Published: Aug. 1, 2022

Abstract Risk is part of all health professions and generally indicates the chance getting some form illness. For dental practitioners this includes periodontitis or peri‐implantitis, focus issue. Many risk factors are involved in development disease most likely interact overlap. Most patients will probably have multiple factors, which be same for both peri‐implantitis. The recent classification periodontal recognises importance contemporary practice requires that clinicians aware manage them. Broadly speaking can patient, environment practitioner related. Patient would include socio‐economic status, smoking, substance use disorders, diabetes, diet dietary supplements, mental old age, poor home care understanding need good medications. Environmental modification host response through gene function an emerging factor. Lastly, practitioner‐related implant dentistry now known to affect risk. These digital technology, but patient related such location body’s reaction itself add developing disease. This edition Periodontology provides uptodate review many these their impact summarising current knowledge.

Language: Английский

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Mental health and periodontal and peri‐implant diseases

Periodontology 2000, Journal Year: 2022, Volume and Issue: 90(1), P. 106 - 124

Published: Aug. 1, 2022

Abstract Mental health disorders, particularly depression and anxiety, affect a significant number of the global population. Several pathophysiological pathways for these disorders have been identified, including hypothalamic‐pituitary‐adrenal axis, autonomic nervous system, immune system. In addition, life events, environmental factors, lifestyle onset, progression, recurrence mental disorders. These may all overlap with periodontal and/or peri‐implant disease. are associated more severe disease and, in some cases, poorer healing outcomes to nonsurgical therapy. They can result behavior modification, such as poor oral hygiene practices, tobacco smoking, alcohol abuse, which also risk factors therefore, contributory effect. Stress has immunomodulatory effects regulating cell numbers function, well proinflammatory cytokine production. markers cortisol catecholamines modulate bacterial growth expression virulence factors. accompanied by low‐grade chronic inflammation that be involved their relationship vice versa. Although gut microbiome interacting central system (gut‐brain axis) is thought play role illness, less understood about microbiome. The evidence on implant lacking, but mainly through behaviourial changes. Through lack compliance withoral maintenance visits, affected. Increased smoking outcomes. Selective serotonin reuptake inhibitors linked higher failure. an anabolic effect bone, reducing turnover, could account increased loss.

Language: Английский

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Microbial dysbiosis in periodontitis and peri-implantitis: pathogenesis, immune responses, and therapeutic

Frontiers in Cellular and Infection Microbiology, Journal Year: 2025, Volume and Issue: 15

Published: Feb. 11, 2025

The oral microbiome comprises over 700 distinct species, forming complex biofilms essential for maintaining and systemic health. When the microbial homeostasis in periodontium is disrupted, pathogens within biofilm can cause periodontitis peri-implantitis, inducing host immune responses. Understanding role of communities mechanisms health disease crucial developing improved preventive, diagnostic therapeutic strategies. However, many questions remain about how changes bacterial populations contribute to development progression these conditions. An electronic manual literature search was conducted using PubMed, Excerpta Medica, Frontiers Reports Wiley Online Library databases relevant articles. Data from publications were extracted overall findings summarized a narrative manner. variations responses peri-implantitis are explored. Dysbiosis subgingival microbiome—characterized by an increase pathogenic bacteria such as Porphyromonas gingivalis , Tannerella forsythia Aggregatibacter actinomycetemcomitans —plays pivotal initiation periodontitis. As alterations include higher abundance opportunistic reduced diversity around implants. Moreover, dysbiosis potentially influencing through immune-mediated pathways. Regional immunity involving neutrophils, T helper cells-17, immune-related cytokines periodontal responding imbalances. Additionally, impact non-mechanical treatments—such probiotics laser therapy—on discussed, demonstrating their potential managing dysbiosis. These underscore that central factor peri-implantitis. Maintaining balance preventing diseases, interventions targeting could enhance treatment outcomes. Strategies focusing on controlling bacteria, modulating responses, promoting tissue regeneration key restoring stability. Further research needed clarify underlying transition peri-implant mucositis optimize prevention approaches, considering interactions between immunity.

Language: Английский

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Impact of local predisposing/precipitating factors and systemic drivers on peri‐implant diseases

Clinical Implant Dentistry and Related Research, Journal Year: 2022, Volume and Issue: 25(4), P. 640 - 660

Published: Dec. 19, 2022

Abstract Background Strong evidence suggests the infectious nature of peri‐implant diseases occurring in susceptible hosts. Epidemiological reports, though, indicate that peri‐implantitis is a site‐specific entity. Hence, significance local factors may predispose/precipitate plaque accumulation and impact systemic drivers alter immune response are relevant prevention management disorders. Purpose The purpose present review to shed light on diseases, making special emphasis associations with peri‐implantitis. Methods biologic plausibility supporting aiming at providing concluding remark were explored recent scientific literature for predisposing/precipitating related diseases. Results Local predisposing such as soft tissue characteristics, implant position prosthetic design proved being strongly associated occurrence Hard however, failed demonstrate having direct association Robust data points toward strong link between residual sub‐mucosal cement while limited floss Systemic drivers/habits hyperglycemia smoking showed negative However, there insufficient claim any metabolic syndrome, atherosclerotic cardiovascular disease, obesity Conclusion increase risk Therefore, comprehensive anamnesis patients, educational/motivational programs exhaustive prosthetically‐driven treatment planning must be fostered reducing rate biological complications dentistry.

Language: Английский

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Mental Health and Oral Health in a Nationally Representative Cohort

Journal of Dental Research, Journal Year: 2023, Volume and Issue: 102(9), P. 1007 - 1014

Published: May 29, 2023

Evidence connects mental illness to other adverse health conditions, including oral health. However, longitudinal associations between and remain understudied. We aimed examine health–oral prospectively in a nationally representative US cohort. Data were from the Population Assessment of Tobacco Health (PATH) Study. The Global Appraisal Individual Needs–Short Screener measured 3 types symptoms: internalizing, externalizing, substance use problems. Six self-reported conditions related periodontal disease evaluated: self-rated health, bleeding gums, loose teeth, tooth extraction, gum disease, bone loss around teeth. Cross-sectional analysis within PATH Study wave 4 (2016 2018, n = 30,746) compared survey-weighted prevalence 6 outcomes according severity Prospectively, assessed 2 y later (wave 5, 2018 2019) (baseline) problems ( 26,168). Survey-weighted logistic regression models controlled for confounders (age, sex, tobacco use, etc.) with imputation missing values. All greater among participants severe internalizing Multiple also associated externalizing or Longitudinally attenuated, but multiple meaningful magnitude persisted, most For example, adjusted odds ratio was 1.27 (95% CI, 1.08 1.50) gums 1.37 1.12 1.68) extraction when we versus none/low Providers should expect higher levels patients symptoms. Independent problems, symptoms (related depression and/or anxiety) are plausible risk factors future disease. Better integration coordination treatment prevention recommended.

Language: Английский

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Salivary cortisol, dehydroepiandrosterone, and chromogranin A levels in patients with gingivitis and periodontitis and a novel biomarker for psychological stress

Frontiers in Endocrinology, Journal Year: 2023, Volume and Issue: 14

Published: April 11, 2023

Introduction This study aimed to investigate the neuroendocrine responses based on cortisol, dehydroepiandrosterone (DHEA), cortisol/DHEA ratio, and chromogranin A levels, which reflect activity of hypothalamic-pituitary-adrenal axis, according presence or absence psychological stress in patients with gingivitis periodontitis compared that healthy controls. Methods In total, 117 (60 women, mean age: 36.29 ± 19.03 years) participated this case-control study, comprising 32 controls, 49 gingivitis, 36 periodontitis. We investigated salivary characteristics, analyzed stress-related biomarkers DHEA, stimulated saliva. Results Salivary cortisol levels increased severity periodontal disease; their were highest group significantly higher following descending order: periodontitis, control groups (all values p < 0.001). Additionally, DHEA ratio than those multivariate logistic regression analysis revealed factors predicting above-average (odds [OR] = 256.829; 0.001), women (OR 6.365; 0.004), 6.036; 0.007); ratios 11.436; 3.977; 0.003), 2.890; 0.026). Thus, significant strong predictors ratios. group, (r 0.381, 0.007) 0.479, 0.001) correlated stress. 0.412, 0.013) lowered buffer capacities -0.334, 0.047) Conclusion Periodontitis is a multifactorial disease resulting inflammatory tissue destruction, differs from state. Differences markers disease. The could be classified levels. Above-average are

Language: Английский

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Periodontal Health and Its Relationship with Psychological Stress: A Cross-Sectional Study

Journal of Clinical Medicine, Journal Year: 2024, Volume and Issue: 13(10), P. 2942 - 2942

Published: May 16, 2024

Background: Studies suggest that chronic psychological stress can lead to oral health deterioration, alter the immune response, and possibly contribute increased inflammation, which impact physiological healing of periodontal tissues. This cross-sectional study seeks assess improve clinical understanding regarding relationship between perceived stress, mindfulness, health. Methods: A total 203 people were analyzed from December 2022 June 2023. The Periodontal Screening Recording (PSR) score Gingival Bleeding Index (GBI), Plaque Control Record (PCR) every patient registered. Subsequently, participants completed Sheldon Cohen Perceived Stress Scale (PSS) Mindfulness Awareness Attention (MAAS) questionnaires. collected data underwent statistical analysis, encompassing evaluation correlations dependencies. Applying Welch’s t-test MAAS variable indicating presence or absence periodontitis, a noteworthy p-value 0.004265 was obtained. Results: underscores significant distinction in scores patients affected by periodontitis those unaffected condition. Additionally, Pearson computed for GBI PCR MAAS. resulting p-values 2.2–16, 3.925–8, 2.468–8, respectively, indicate statistically correlation each instance. Conclusions: These findings valuable insights into interconnectedness these variables, emphasizing significance their associations context. Despite limitations, this tissue Clinical trials are necessary incorporate assessment patient’s status as new tool management

Language: Английский

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Dental Implant Placement in Medically Compromised Patients: A Literature Review

Cureus, Journal Year: 2024, Volume and Issue: unknown

Published: Feb. 14, 2024

As a discipline of dentistry, oral implantology deals with the diagnosis, design, insertion, restoration, and/or management alloplastic or autogenous structures for purpose regaining contour, function, aesthetics, and speech in partially completely edentulous patient. The present review aims to provide currently available knowledge about impact certain systemic disorders usage some medications on survival rate dental implant therapy highlight importance patient under these conditions. Diabetes, osteoporosis, cardiovascular diseases, intake can increase risk failure implant. Even though there are relatively few medical contraindications treatment, conditions may complications.

Language: Английский

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Relationship between human oral microbiome dysbiosis and neuropsychiatric diseases: An updated overview

Behavioural Brain Research, Journal Year: 2024, Volume and Issue: 471, P. 115111 - 115111

Published: June 12, 2024

Language: Английский

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The association between plain water intake and periodontitis in the population aged over 45: a cross-sectional study based on NHANES 2009–2014

BMC Oral Health, Journal Year: 2024, Volume and Issue: 24(1)

Published: Jan. 5, 2024

Abstract Background Numerous studies have demonstrated the impact of beverage consumption on overall health and oral health. Specifically, high sugar-sweetened beverages coffee has been associated with an increased risk metabolic disorders periodontitis. Conversely, intake plain water linked to various benefits, including weight management reduced energy intake. However, no previous explored potential association between Objectives Our objective was investigate relationship periodontitis in a middle-aged elderly population. Methods The present cross-sectional study conducted among participants aged ≥ 45 2009–2014 National Health Nutrition Examination Surveys. Multivariable regression analysis, subgroup analysis smooth fitting tests were explore independent Results A total 5,882 enrolled,62.02% Periodontitis patients lower multivariable showed that decreased quartiles (Q4 OR = 0.78; 95%CI 0.62–0.96) after fully adjustment. Subgroup interaction gender, age, smoking, diabetes, hypertension or BMI does not significantly interact association. relation significant males 0.64; 0.47–0.86) but females 0.97;95% CI 0.71–1.31). In smoothed curve fits stratified by for male displayed as U-shape, optimal at 1200 ml/day. For drinking less than ml/day, 24% each increase 500 ml (OR 0.76, 0.66–0.87, p < 0.001). Conclusions Together, results is negatively US middle Further are needed mechanism unites this Attention should be given adequate when considering dietary suggestions population developing periodontitis, especially men.

Language: Английский

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