Tooth loss in patients under periodontal maintenance in a private practice : a retrospective study

The aim of the present study was to evaluate the incidence and causes of tooth loss in periodontal subjects from a private practice in Brazil. Two trained examiners extracted data from the records of subjects who sought periodontal treatment from 1980 to 2013. Only records of patients who completed the non-surgical periodontal treatment and had at least one visit for maintenance were included. Data were analyzed by chi-square test, Student’s t-test, Kaplan-Meier survival curve and Cox regression. A total of 3,319 records were reviewed and 737 records included (58.6% women, mean age of 46.6±13.0 years at the beginning of the treatment). Maintenance period ranged from 1 to 33 years (7.4±6 years). During this period, 202 individuals (27.4%) lost 360 teeth, 47.5% of losses within the first five years (n=171). Non-compliers lost more teeth than compliers (p<0.001), respectively 211 and 149 teeth. Regarding reasons of tooth loss, 84 individuals lost 38% of the teeth from periodontal disease progression (n=137). Survival analysis showed that most patients lost only one tooth from periodontal disease, and differences in the survival rates between compliers and non-compliers were observed following the second tooth loss. Approximately one-third of tooth losses was related to periodontal disease progression, and there was stability in time of the proportion of losses from disease progression and other reasons. Therefore, it is possible to conclude that compliant patients in a private practice lose fewer teeth than do non-compliers. Among compliers, periodontal disease progression was not the main cause of tooth loss

Anatomia foliar de espécies de Myrtaceae : contribuições à taxonomia e filogenia

Trabalhos taxonômicos e filogenéticos têm utilizado informações anatômicas e para contribuir com estes estudos examinaram-se cortes paradérmicos e transversais da porção mediana foliar de Campomanesia adamantium (Camb.) O. Berg, Myrcia cordiifolia DC., M. decrescens O. Berg e M. torta D.C. Os caracteres anatômicos foram comparados com os de outras espécies descritas na literatura. São características comuns às quatro espécies examinadas: epiderme uniestratificada, tricomas unicelulares, folhas hipoestomáticas, estômatos paracíticos, cavidades secretoras em ambas as faces, mesofilo dorsiventral e nervura mediana com feixes bicolaterais. Destacam-se os seguintes caracteres úteis para a taxonomia da família: formato das células comuns da epiderme, tricomas dibraquiados ou não, camadas celulares incolores subepidérmicas e formato da nervura mediana. O formato e número das células teto das glândulas foliares têm utilidade taxonômica. O exame de 144 exsicatas evidenciou que a glabrescência é um fenômeno comum. A queda dos tricomas pode ser devido à sua base estreita e à ausência de célula pedal nos mesmos. Analisaram-se os caracteres à luz de estudos filogenéticos recentes e do ponto de vista ecológico, destacando a hipótese relacionada às células e pidérmicas com possível função de célula de transferência. As características anatômicas forneceram dados para análises comparativas mais amplas entre os táxons de Myrtaceae e possibilitaram a construção de um cladograma, onde espécies de Leptospermum e Eucalyptus ocuparam posição basal, em consonância com filogenias relatadas na literatura. _______________________________________________________________________________ ABSTRACTTaxonomical and phylogenetical studies have used anatomical information. In order to contribute to these studies, paradermal and cross sections of the median leaf blade portion of Campomanesia adamantium (Camb.) O. Berg, Myrcia cordiifolia DC., M. decrescens O. Berg and M. torta D.C. were examined. The anatomical characters were compared to the other species described in the literature. Some characteristics were irrespective of the four examined species: unistratified epidermis, unicellular trichomes, hypostomatic leaves, paracytic stomata, oil glands on both sides, dorsiventral mesophyll and bicollateral bundles on the midrib. The following characters appear to be taxonomically useful in the family: epidermal common cell format, presence of dibrachiate trichomes, presence of colorless subepidermal cell layers and midrib shape. The morphology and number of overlying cells associated with the glands have taxonomic utility. The 144 exsicates examination showed that the glabrescence is a widespread phenomenon in the Myrtaceae. The trichome fall can be due to its narrow base and to the foot cell absence. The characters were analyzed in the light of recent phylogenetic studies, highlighting the hypothesis related to the presence of epidermal cells with possible transfer cell function. The anatomical features provided data for wider comparative analysis amongst Myrtaceae taxa and ensured the construction of a cladogram, where Leptospermum and Eucalyptus species occupied the basal position, in line with reported phylogenies

Efficacy of a triclosan formula in controlling early subgingival biofilm formation: a randomized trial

The aim of this study was to determine the efficacy of rinses with slurries of a dentifrice containing triclosan (TCS), as compared with rinses with slurries from a control dentifrice, in controlling early subgingival biofilm formation. A double-blind, randomized and cross-over clinical trial was designed, and 26 dental students were included. In the first period, participants were randomized to rinse with a TCS slurry or a control slurry, in a 12 h interval, and to refrain from mechanical cleaning. A Plaque Free Zone Index was assessed at 24 h, 48 h, 72 h and 96 h. After a washout period of 10 days, the second experimental period was conducted, following the same protocol as the first period, except that the slurry groups were switched. Use of the TCS slurry resulted in a significantly higher percentage of plaque-free surfaces, both at 24 h and at 72 h (p < 0.01). In the of 48-72 h interval, the triclosan slurry showed a lower percentage of sites converted to a score of 2 (38.1% for the test versus 40% for the control product, p = 0.015). In conclusion, rinsing with slurries of dentifrice containing TCS retards the down growth of bacterial biofilms from the supra- to the subgingival environment.The aim of this study was to determine the efficacy of rinses with slurries of a dentifrice containing triclosan (TCS), as compared with rinses with slurries from a control dentifrice, in controlling early subgingival biofilm formation. A double-blind, randomized and cross-over clinical trial was designed, and 26 dental students were included. In the first period, participants were randomized to rinse with a TCS slurry or a control slurry, in a 12 h interval, and to refrain from mechanical cleaning. A Plaque Free Zone Index was assessed at 24 h, 48 h, 72 h and 96 h. After a washout period of 10 days, the second experimental period was conducted, following the same protocol as the first period, except that the slurry groups were switched. Use of the TCS slurry resulted in a significantly higher percentage of plaque-free surfaces, both at 24 h and at 72 h (p < 0.01). In the of 48-72 h interval, the triclosan slurry showed a lower percentage of sites converted to a score of 2 (38.1% for the test versus 40% for the control product, p = 0.015). In conclusion, rinsing with slurries of dentifrice containing TCS retards the down growth of bacterial biofilms from the supra- to the subgingival environment.The aim of this study was to determine the efficacy of rinses with slurries of a dentifrice containing triclosan (TCS), as compared with rinses with slurries from a control dentifrice, in controlling early subgingival biofilm formation. A double-blind, randomized and cross-over clinical trial was designed, and 26 dental students were included. In the first period, participants were randomized to rinse with a TCS slurry or a control slurry, in a 12 h interval, and to refrain from mechanical cleaning. A Plaque Free Zone Index was assessed at 24 h, 48 h, 72 h and 96 h. After a washout period of 10 days, the second experimental period was conducted, following the same protocol as the first period, except that the slurry groups were switched. Use of the TCS slurry resulted in a significantly higher percentage of plaque-free surfaces, both at 24 h and at 72 h (p < 0.01). In the of 48-72 h interval, the triclosan slurry showed a lower percentage of sites converted to a score of 2 (38.1% for the test versus 40% for the control product, p = 0.015). In conclusion, rinsing with slurries of dentifrice containing TCS retards the down growth of bacterial biofilms from the supra- to the subgingival environment.The aim of this study was to determine the efficacy of rinses with slurries of a dentifrice containing triclosan (TCS), as compared with rinses with slurries from a control dentifrice, in controlling early subgingival biofilm formation. A double-blind, randomized and cross-over clinical trial was designed, and 26 dental students were included. In the first period, participants were randomized to rinse with a TCS slurry or a control slurry, in a 12 h interval, and to refrain from mechanical cleaning. A Plaque Free Zone Index was assessed at 24 h, 48 h, 72 h and 96 h. After a washout period of 10 days, the second experimental period was conducted, following the same protocol as the first period, except that the slurry groups were switched. Use of the TCS slurry resulted in a significantly higher percentage of plaque-free surfaces, both at 24 h and at 72 h (p < 0.01). In the of 48-72 h interval, the triclosan slurry showed a lower percentage of sites converted to a score of 2 (38.1% for the test versus 40% for the control product, p = 0.015). In conclusion, rinsing with slurries of dentifrice containing TCS retards the down growth of bacterial biofilms from the supra- to the subgingival environment

New tendencies in non-surgical periodontal therapy

The aim of this review was to update the evidence of new approaches to non-surgical therapy (NSPT) in the treatment of periodontitis. Preclinical and clinical studies addressing the benefits of adjunctive antimicrobial photodynamic therapy, probiotics, prebiotics/synbiotics, statins, pro-resolving mediators, omega-6 and -3, ozone, and epigenetic therapy were scrutinized and discussed. Currently, the outcomes of these nine new approaches, when compared with subgingival debridement alone, did not demonstrate a significant added clinical benefit. However, some of these new alternative interventions may have the potential to improve the outcomes of NSPT alone. Future evidence based on randomized controlled clinical trials would help clinicians and patients in the selection of different adjunctive therapies

INFLUENCE OF VAPORIZATION AND IMPREGNATION OF SILVER NANOPARTICLES ON THE DRYING RATE OF Eucalyptus pellita F. MUELL.

The aim of this study was to evaluate the effect of vaporization and impregnation of silver nanoparticles on the Eucalyptus pellita wood properties. For that, samples of three radial regions of the wood from three trees were vaporized for 12 and 24 hours and later on, they were immersed in solution of silver nanoparticles with and without application of vacuum (750 mm.Hg). Anatomical, physical and chemical analyzes of the wood were carried out in order to evaluate the effect of the treatments. The drying rate of the wood was determined in moisture bands before and after the fiber saturation point. Generally, the treatments did not modify the anatomical characteristics, permeability, and wood density in the three radial regions; however, the vaporization for 24h reduced the total extractive content in the wood. These results contributed in obtaining gains in the drying rate before and after the fiber saturation point. The effect of impregnation of nanoparticles with vacuum preceded by two periods of vaporization resulted in higher drying rates and the time of 24h stood out, resulting in the best averages among all treatments. The impregnation of nanoparticles had positive effects on the drying rate

Impact of smoking on gingival inflammation in representative samples of three South American cities

The aim of this study was to investigate the impact of smoking on gingival inflammation in a representative sample of 1,650 adults from Santiago (Chile), Porto Alegre (Brazil), and Tucumán (Argentina). A questionnaire was administered to participants to gather demographic and behavioral characteristics, including smoking habits. The participants were clinically examined to obtain gingival index (GI), gingival bleeding index (GBI), visible plaque index (VPI), and calculus presence values. Gingival inflammation was defined as a mean GI > 0.5. Heavy smokers presented significantly lower levels of gingival inflammation, as reflected by both GI and GBI, than both light and moderate smokers, despite their having increased amounts of plaque and calculus. Being 50 years old or older [odds ratio (OR), 1.93], a VPI ≥ 30% (OR, 28.1), and self-reported diabetes (OR, 2.79) were positively associated with detection of gingival inflammation. In conclusion, the occurrence of clinically detectable gingival inflammation was lower in heavy smokers than light and moderate smokers. Older age, diabetes, and visible plaque emerged as risk indicators of gingivitis. Plaque and gingival indices are significantly associated regardless of the smoking status