Advances in Clinical Periodontology

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Dentistry and Oral Health".

Deadline for manuscript submissions: closed (10 June 2024) | Viewed by 4679

Special Issue Editors


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Guest Editor
Department of Orthodontics and Dentofacial Orthopedics, Faculty of Dental Medicine, University of Medicine and Pharmacy “Iuliu Haţieganu”, 400349 Cluj-Napoca, Romania
Interests: orthodontics; growth and development; ortho-perio; dentistry

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Guest Editor
Department of Oral and Maxillofacial Surgery and Implantology, Iuliu Hațieganu University of Medicine and Pharmacy, 400029 Cluj-Napoca, Romania
Interests: CBCT; computed tomography; digital radiography; head and neck radiology; dentistry

Special Issue Information

Dear Colleagues,

Periodontitis is a public health problem whose high prevalence contributes to the global burden of chronic non-communicable diseases. There is a growing recognition in the periodontal community of the impact of periodontal disease, and its treatment, on the quality of life and general well-being of patient. Periodontitis is a bacterial-associated and host-mediated multifactorial inflammatory disease. Although the overall phenotype of chronic periodontitis may be similar across patients, the underlying cause of the disease varies from person to person. Traditional periodontal treatment fails primarily when local inflammation caused by bacterial invasion is met with an uncontrolled host immune response. Novel responses to periodontitis will require an understanding of individual molecular pathogenesis and the development of target-oriented therapeutic drugs.

There is also an increasing number of adult patients with sequelae of periodontal diseases seeking orthodontic treatment to improve their occlusion and quality of life. Orthodontic treatment of periodontal patients with a multidisciplinary approach is increasingly frequent and should be planned individually, considering bone losses suffered by each patient. Respecting some limitations, it is possible to improve the level of bone insertion, smile aesthetics and masticatory function, to facilitate oral hygiene through the orthodontic treatment of adult patients with little bone support. It is also important to highlight that there are unique aspects in the orthodontic retention in these cases.

This Special Issue will be dedicated to new perspectives and technologies in the diagnosis, treatment and multidisciplinary combined approach of periodontal-affected patients.

Dr. Dana Gabriela Festila
Prof. Dr. Mihaela Hedesiu
Guest Editors

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Keywords

  • periodontites
  • periodontal regeneration
  • periodontal grafts
  • orthodontic treatment
  • treatment stability
  • treatment technologies

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Published Papers (3 papers)

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Research

12 pages, 2920 KiB  
Article
The Impact of Orthodontic Extrusion on Keratinized Gingiva
by Ivan Arsić, Nemanja Marinković, Tina Pajević, Jovan Marković, Miroslav Dragović, Zorana Stamenković, Neda Stefanović and Nenad Nedeljković
Medicina 2024, 60(7), 1157; https://doi.org/10.3390/medicina60071157 - 17 Jul 2024
Cited by 1 | Viewed by 818
Abstract
Background and Objectives: The key factor that enables osteoblastic activity and the formation of new bone, as well as gingiva, during orthodontic tooth extrusion (OE) is the periodontal ligament. The reaction of periodontal tissues associated with changes in the gingiva is a [...] Read more.
Background and Objectives: The key factor that enables osteoblastic activity and the formation of new bone, as well as gingiva, during orthodontic tooth extrusion (OE) is the periodontal ligament. The reaction of periodontal tissues associated with changes in the gingiva is a part of orthodontic tooth displacement. The aim of this study was to examine the effect of OE on the width of the zone of the keratinized and attached gingiva, the position of the mucogingival junction, and the height of the interdental papillae in the region where the OE was performed as well as in the adjacent region. Materials and Methods: This research included 28 adult patients (both orthodontically treated and untreated). The treated group included 15 patients, in whom orthodontic extrusion of the upper or lower frontal teeth was indicated and performed. The untreated group included 13 patients, with no previous or undergoing orthodontic treatment. Patients with periodontal disease and periodontal pockets in the frontal region and patients allergic to iodine were excluded from the study. Gingivomorphometric measurements were performed on two occasions in three groups of teeth (24 extruded and 30 agonist teeth in the treated patients; 66 teeth in the untreated patients). Statistical analysis of the obtained data was performed using the software package SPSS version 26.0. Results: Orthodontic extrusion induced changes in the position of the mucogingival line and an increase in the width of the keratinized gingiva. There were no statistically significant effects on the depth of the gingival sulcus, the attached gingiva width, or the height of the interdental papillae. Conclusions: Orthodontic tooth extrusion has an effect on the periodontium in the observed region. Vertical orthodontic force, directed towards the coronal plane, affects the surrounding soft oral tissues. Full article
(This article belongs to the Special Issue Advances in Clinical Periodontology)
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16 pages, 2695 KiB  
Article
Healing of Periodontal Suprabony Defects following Treatment with Open Flap Debridement with or without Hyaluronic Acid (HA) Application
by Octavia Carolina Vela, Marius Boariu, Darian Rusu, Vincenzo Iorio-Siciliano, Luca Ramaglia, Simina Boia, Viorelia Radulescu, Ioana Ilyes and Stefan-Ioan Stratul
Medicina 2024, 60(5), 829; https://doi.org/10.3390/medicina60050829 - 17 May 2024
Cited by 1 | Viewed by 1639
Abstract
Background and Objectives: This randomized, double-arm, multicentric clinical trial aims to compare the clinical outcomes following the treatment of suprabony periodontal defects using open flap debridement (OFD) with or without the application of hyaluronic acid (HA). Materials and Methods: Sixty systemically healthy patients [...] Read more.
Background and Objectives: This randomized, double-arm, multicentric clinical trial aims to compare the clinical outcomes following the treatment of suprabony periodontal defects using open flap debridement (OFD) with or without the application of hyaluronic acid (HA). Materials and Methods: Sixty systemically healthy patients with at least two teeth presenting suprabony periodontal defects were randomly assigned with a 1:1 allocation ratio using computer-generated tables into a test (OFD + HA) or control group (OFD). The main outcome variable was clinical attachment level (CAL). The secondary outcome variables were changes in mean probing pocket depth (PPD), gingival recession (GR), full-mouth plaque score (FMPS), and full-mouth bleeding score (FMBS). All clinical measurements were carried out at baseline and 12 months. Results: Sixty patients, thirty in each group, were available for statistical analysis. The mean CAL gain was statistically significantly different (p < 0.001) in the test group compared with the control group (3.06 ± 1.13 mm vs. 1.44 ± 1.07 mm). PPD reduction of test group measurements (3.28 ± 1.14 mm) versus the control group measurements (2.61 ± 1.22 mm) were statistically significant (p = 0.032). GR changes were statistically significant only in the test group 0.74 ± 1.03 mm (p < 0.001). FMBS and FMPS revealed a statistically significant improvement mostly in the test group. Conclusions: Suprabony periodontal defects could benefit from the additional application of HA in conjunction with OFD in terms of improvement of the clinical parameters compared with OFD alone. Full article
(This article belongs to the Special Issue Advances in Clinical Periodontology)
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21 pages, 9099 KiB  
Article
Laser Therapy Effects on Periodontal Status: A Randomized Study Using Gaussian Network Analysis and Structural Equation Modeling Approach
by Codruta Elena Ciurescu, Lorena Dima, Vlad Alexandru Ciurescu, Gratiela Georgiana Noja, Alin Viorel Istodor, Marius Alexandru Moga, Lavinia Cosmina Ardelean, Laura-Cristina Rusu and Marius Traian Leretter
Medicina 2024, 60(3), 437; https://doi.org/10.3390/medicina60030437 - 6 Mar 2024
Viewed by 1692
Abstract
Background and Objectives: This paper aims to assess the role of laser therapy in periodontitis through an innovative approach involving computational prediction and advanced modeling performed through network analysis (Gaussian graphical models—GGMs) and structural equations (SEM). Materials and Methods: Forty patients, exhibiting periodontal [...] Read more.
Background and Objectives: This paper aims to assess the role of laser therapy in periodontitis through an innovative approach involving computational prediction and advanced modeling performed through network analysis (Gaussian graphical models—GGMs) and structural equations (SEM). Materials and Methods: Forty patients, exhibiting periodontal pockets with a minimum depth of 5 mm, were randomly divided into two groups: a control group and a laser group. Four specific indicators were measured for each tooth, namely periodontal pocket depth (PPD), clinical attachment level (CAL), bleeding on probing (BOP), and plaque index (PI), and the mean of six measured values was recorded at five time markers (baseline, 6 months, 1 year, 2 years, and 4 years). The assessment algorithm included enrollment, measurements, and differential non-surgical periodontal treatment, according to the group allocation. Scaling, root planing, and chlorhexidine 1% were conducted for the control group, and scaling, root planing and erbium, chromium:yttrium-scandium-gallium-garnet (Er,CR:YSGG) laser therapy were conducted for the laser group. Results: The main results highlight that the addition of laser treatment to scaling and root planing led to notable clinical improvements, decreasing the PPD values, reducing the BOP scores, and increasing the CAL. Conclusions: Notable relationships between the specific indicators considered were highlighted by both the GGMs and by SEM, thus confirming their suitability as proxies for the success of periodontal treatment. Full article
(This article belongs to the Special Issue Advances in Clinical Periodontology)
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