Natural progression of periodontal disease determined by a computerized analysis system

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Periodontal status in a group of Lithuanians with untreated periodontitis

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Apresentando alguns aspectos históricos do desenvolvimento da lógica clássica, ciência das idéias e dos processos da mente

Lógica é a ciência que tem por objeto determinar, entre as operações intelectuais orientadas para o conhecimento da verdade, as que são válidas e as que não são. Estuda os processos e as condições de verdade de todo e qualquer raciocínio. O conhecimento só é científico quando, além de universal, é metódico e sistemático, ou seja, lógico. Assim, a lógica se entende como método, ou caminho que as ciências trilham para determinar e conhecer seu objeto, e como característica geral do conhecimento científico

Variations in crevicular fluid elastase levels in periodontitis patients on long‐term maintenance

Granulocyte elastase was determined in the gingival crevicular fluid (GCF) of 18 periodontitis patients. They initially had similar severity of disease but had responded differently to 5-yr maintenance, 13 responders and 5 non-responders. A total of 102 sites were investigated and categorized as: i) consistently healthy, ii) healthy after treatment, iii) gingivitis, and iv) periodontitis, according to clinical criteria. GCF elastase activity was determined with a granulocyte-specific substrate. The sites from non-responders had consistently higher elastase levels than the corresponding category of sites from responders, despite similar gingival inflammation and periodontal destruction, with the exception of consistently healthy sites. Within the non-responders, the periodontitis sites had higher elastase levels than the gingivitis sites commensurate with probing depth, while no difference existed between gingivitis sites and sites healthy after treatment, despite a difference in probing depth. In contrast, in the responders similar elastase levels were found at the periodontitis sites and gingivitis sites despite difference in probing depth, while both diseased sites had higher elastase levels than the sites healthy after treatment, commensurate with probing depth. This study suggests that increased granulocyte-specific elastase levels in GCF may serve as a diagnostic marker for refractory periodontitis patients.link_to_subscribed_fulltex

Current employment characteristics and career intentions of Lithuanian dentists

BACKGROUND: The present survey explored the current employment profile and future career intentions of Lithuanian general dentists and specialists. METHODS: A census sampling method was employed with data collected by means of a structured questionnaire that inquired about demographics, different employment-related aspects (practice type and location, working hours, perceived lack of patients, etc.), and future career intentions (intent to emigrate, to change profession, or the timing of retirement). The final response rate was 67.6% corresponding to 2,008 respondents. RESULTS: The majority of all dentists work full or part-time in the private dental sector, more than one third of them owns a private practice or rents a dental chair. A minority of dentists works in the public dental sector. According to the survey, 26.6% of general dentists and 39.2% of dental specialists works overtime (>40 hours per week; P <0.001) and practice in multiple clinics (1.4 ± 0.6 and 2.0 ± 1.2, respectively; P <0.001). One third of general dentists (31.3%) and dental specialists (31.4%) stated to have a low number of patients (P >0.05). The majority (68.9% of general dentists and 65.9% of dental specialists) plans to work after the retirement age (P >0.05). Emigration as an option for their professional career is being considered by 10.8% of general dentists and 8.3% of dental specialists (P >0.05). Working either full or part-time in private practices (OR = 4.3) and younger age (≤35 years; OR = 2.2) are the two strongest predictors for a perceived insufficient number of patients. CONCLUSIONS: One third of dentists in Lithuania work long hours and lack patients. Many dentists practice in multiple locations and plan to retire after the official retirement age. Some dentists and dental specialists plan to emigrate. The perceived shortcomings within the dental care system and workforce planning of dentists need to be addressed