Browsing by Subject "Periodontal disease"

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    Connective tissue grafts with nonincised papillae surgical approach for periodontal reconstruction in noncontained defects
    (Quintessence Publishing Co Inc, 2019-10-28) Moreno Rodríguez, José Antonio; Ortiz Ruiz, Antonio José; Pardo Zamora, Guillermo; Pecci Lloret, Miguel; Caffesse, Raúl G.; Dermatología, Estomatología, Radiología y Medicina Física
    This case report presents the preliminary results of combining a modification of the nonincised papillae surgical approach (NIPSA), attempting to improve outcomes in the treatment of teeth with advanced periodontal support loss. The modification added a connective tissue graft (CTG) in the buccal aspect of these unfavorable cases caused by deep buccal bone dehiscence, soft tissue deficiencies, or tooth malposition (especially when positioned outside the bony contour). Deep, intrabony, noncontained defects affecting the maxillary incisors were treated in four patients. At the 1-year follow-up, all cases showed an improvement in the marginal soft tissue with considerable reductions in periodontal pocket depth and gains in clinical attachment. NIPSA plus CTG seem to improve clinical outcomes in deep, noncontained intrabony defects.
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    Measurement of atherosclerosis markers in patients with periodontitis: a case-control study
    (Wiley, 2012-06-01) López Jornet, Pia; Berná Mestre, Juan de Dios; Camacho Alonso, Fabio; Fernández Millán, Sofía; Reus Pintado, Manuel; Berná Serna, Juan De Dios; Dermatología, Estomatología, Radiología y Medicina Física
    It is suggested that periodontitis enhances the process of vascular inflammation leading to atherosclerosis. The present study explores the effect of periodontitis in relation to the clinical and ultrasound markers of carotid atherosclerosis. Sixty systemically healthy patients >45 years of age (30 with chronic periodontitis and 30 without periodontitis) were studied in a university dental school. Traditional cardiovascular risk factors for atherosclerosis were evaluated. Carotid intima-media thickness (IMT) was assessed by ultrasound. The internal carotid IMT was 0.77 and 0.81 mm in the periodontal disease and control groups, respectively, with no statistically significant differences between the two groups (P = 0.538). There were significant differences in the presence of carotid atheroma plaques and the severity of periodontitis (P = 0.003). In the logistic regression analysis, significant differences in terms of age and periodontitis were recorded in relation to the presence of atheroma plaques in the carotid intima. The severity of periodontitis was seen to in-fluence the presence of carotid atheroma plaques.