• Title, Summary, Keyword: Periodontal disease

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A new classification of periodontal and peri-implant disease (치주질환 및 임플란트 주위 질환의 새 분류)

  • Shin, Hyun-Seung
    • The journal of the Korean dental association
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    • v.57 no.12
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    • pp.758-767
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    • 2019
  • The classification of periodontal disease in 1999 has been widely used for determining a diagnosis, establishing a treatment plan, and evaluating the prognosis of the patient with periodontal disease. However, scientific evidence from many studies indicates the need for a new classification system for periodontal and peri-implant disease. Summary at 2017 world workshop as follows: 1) Periodontal health and peri-implant health was defined; 2) Chronic periodontitis and aggressive periodontitis were unified as periodontitis; 3) Periodontitis was further classified by staging and grading to reflect disease severity and management complexity, rate of disease progression, respectively; 4) Periodontal disease as manifestation of systemic disease is based on the International Statistical Classification of Diseases and Related Health Problems-10 (ICD-10) code; 5) Periodontal biotype and biologic width was replaced to periodontal phenotype and supracrestal tissue attachment, respectively; 6) The excessive occlusal force was replaced by a traumatic occlusal force; 7) ≥3 mm of radiographic bone loss, ≥6 mm of pocket probing depth and bleeding on probing indicates peri-implantitis in the absence of radiograph at final prosthesis delivery.

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Relevance of Periodontal Disease According to Presence of Cognitive Stress, Sleeping Hours, and Subjective Oral-Health Status of Adults (스트레스, 수면시간 및 주관적 구강건강 상태가 치주질환에 미치는 영향)

  • Kim, Ye-Hwang;Lee, Jung-Hwa
    • The Korean Journal of Health Service Management
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    • v.11 no.4
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    • pp.169-178
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    • 2017
  • Objectives : In this study, we investigated the correlation of mental-and oral-health status with periodontal disease. Ultimately, we sought to make a positive contribution to the promotion of periodontal health and the prevention of periodontal disease. Methods : This study was analyzed using the data of KNHANES 2013-2015. The participants of this study were between 20 and 64 years old. The final selection was 1,512 adults. Results : Participants with a sleeping time of less than 6 hours and those who recognized stress showed higher periodontal disease. Number of decaying teeth, oral-health status, toothaches, and chewing problems were associated significantly with periodontal disease. To investigate the effects of general characteristics and mental and oral-health status on periodontal disease, a logistic regression analysis was conducted. Sex, age, education level, smoking status, oral-health status, and chewing problems were variables that affected periodontal disease. Conclusions : This study showed that mental-and oral-health status is closely related to periodontal disease. Therefore, it is expected that this will be used as basic data to effectively improve periodontal disease in adults.

Periodontal Disease and Health Related Quality of Life (HRQoL) in Pregnant Women (임신여성의 치주질환과 건강 관련 삶의 질)

  • Park, Hae-jin;Lee, Haejung;Cho, Soohyun
    • Korean Journal of Women Health Nursing
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    • v.22 no.4
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    • pp.191-201
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    • 2016
  • Purpose: The purpose of this study was to identify relationships of periodontal disease and health related quality of life (HRQoL) in pregnant women. Methods: The participants in this study were 129 pregnant women. Data were collected using questionnaires of characteristics of the participants and subjective perception of periodontal disease and a dentist's assessment of periodontal disease. Data were analyzed using descriptive statistics, correlation, and hierarchical multiple regression. Results: The physical QoL showed significant negative correlation with subjective perception of periodontal disease (r=-.21, p=.013). Mental QoL had significant negative correlations with subjective perception of periodontal disease (r=-.32, p<.001) and objective periodontal disease (r=-.34, p<.001). Hierarchical multiple regression analyses revealed that pregnant women who had a history of abortion and had higher subjective perception of periodontal disease tended to report lower levels of physical QoL. Pregnant women whose age are between 30-34 years and higher subjective perception and objective periodontal disease tended to report lower mental QoL. Conclusion: To improve HRQoL of pregnant women, nurses should pay attention on the status of periodontal disease. Careful assessment of oral healthy behaviors and proper intervention for oral health of pregnant women are needed to enhance HRQoL of pregnant women.

The relationship of obesity and periodontal disease by age (연령에 따른 비만과 치주질환과의 관련성)

  • Lee, Youn-Kyoung;Park, Jeong-Ran
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.6
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    • pp.1015-1021
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    • 2013
  • Objectives : The purpose of the study is to find the association between obesity and periodontal disease by age in adults. Methods : The subjects were 5,728 adults in the first year of the Fifth National Health and Nutrition Examination Survey in 2010. The questionnaire included oral examinations, periodontal disease, and body mass index screenings. Chi-square test was performed to confirm the periodontal disease. Results : The impact of obesity and waist circumference on body mass index (BMI) showed high risk of periodontal diseases. The risk of periodontal disease according to BMI by age was closely related to obesity ranged form 35 to 59 yeard old. The increased waist circumference and those who were in 35 to 59 and over 60 years old had a significant association with the periodontal disease risk. Conclusions : Obesity and periodontal disease are closely related factors. Those aged from 35 to 59 are the high risk groups of potential obesity and periodontal disease. It is very important to control well-balanced nutrition and physical activity that can prevent the progression of periodontal disease.

Relationship between maternal periodontal disease and Apgar score of newborns

  • Shirmohammadi, Adileh;Abdollahifard, Sedigeh;Chitsazi, Mohammad-Taghi;Behlooli, Sepideh
    • Journal of Periodontal and Implant Science
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    • v.42 no.6
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    • pp.212-216
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    • 2012
  • Purpose: The aim of this study was to evaluate the relationship between maternal periodontal disease and the health status of newborns using Apgar scores. Methods: One hundred pregnant women with periodontal disease were included in the case series and 100 pregnant women without periodontal disease were placed in the control group, respectively. The periodontal parameters of bleeding on probing (BOP), clinical attachment loss (CAL), probing depth (PD), birth weight, and Apgar scores were recorded in both groups. T-tests and Pearson's correlation coefficient were used to determine the birth weight odds ratio to analyze the relationship between the periodontal parameters of BOP, CAL, and PD on the one hand and an Apgar score of less than 7. An unpaired Student's t-test was used to analyze differences in means between the case and control groups using SPSS ver. 13. Results: The means of the ages, periodontal pocket depths, attachment loss, areas with BOP, Apgar score in the first 5 minutes and infant birth weight exhibited statistically significant differences between the case and control groups. The ratio of an Apgar score of <7 to periodontal disease was 3.14; the ratio of low birth weight risk in mothers with periodontal disease to that in mothers without periodontal disease was 2.74. Pearson's correlation coefficient revealed a significant correlation between the infant birth weight and BOP, CAL, and PD of the mother. In addition, there was a significant correlation between the Apgar score and BOP, CAL, and PD and also between the Apgar score and infant birth weight. Conclusions: The results of this study showed a significant relationship between periodontal disease and infant birth weight; in addition, there was a significant relationship between the periodontal indexes of BOP, CAL, and PD on the one hand and the Apgar score on the other.

Blood Chemistry in Periodontal Disease (치주질환시의 혈생화학적연구)

  • Han, K.H.
    • The Journal of Korean Academy of Prosthodontics
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    • v.9 no.1
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    • pp.59-62
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    • 1969
  • The causes of periodontal disease have been descried as malocclusion, trauma from occlusion, local irritants and poor oral hygien. The systemic factor has also been considered as a etiologic factor of periodontal disease. On the other aspect systemic condition could be affected by periodontal disease. For the study of relationships between periodontal disease and systemic condition, twenty patients with periodontal disease and twenty persons with no periodontal involvement were evaluated for inorganic elements and organic materials in the blood. The results of the blood analysis of the two groups were as follows. : Phosphorus and alkline-phoshatase in the group with periodontal disease showed slightly increased phenomenon compared to the control group, and on the other hand calcium and calcium-phosphorus ratio decreased phenomenon. But there is no any significant alteration in the content of each element between the two groups.

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Chronic suppuraive osteomyelitis of the mandible caused by periodontal disease;a case report (치주질환으로 인해 유발된 하악의 만성 화농성 골수염의 치험 일례)

  • Lim, Yo-Han;Pyo, Sung-Woon;Han, Eun-Young
    • Journal of Periodontal and Implant Science
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    • v.32 no.4
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    • pp.745-752
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    • 2002
  • Osteomyelitis is an exhaustive disease whose main feature is an inflammation of inner part of bone, bone marrow. In oral and maxillofacial area, we have maxillary and mandibular osteomyelitis and the latter is dominant because of its impaired blood supply. The main cause of osteomyelitis is a bacterial infection and the ways of infections are by periapical odontogenic infection, fracture, post-operative complication, and periodontal disease. The predominant etiologic factor is periapical odontogenic infection mostly caused by advanced dental caries. It is generally believed that periodontal disease could be a cause of osteomyelitis. But periodontal disease is usually confined to the alveolar bone area and not extends to the underlying bone marrow. Accordingly periodontal infection per se rarely cause produce oseomyelitis. Even though osteomyeltis could be occurred by periodontal disease, its virulence of infection is milder than periapical odontogenic infection. So it usually provokes sclerosing or hyperplastic osteomyelitis rather than suppurative type. We had a case of suppurative osteomyelitis caused by periodontal disease and treated it with periodontal and oral and maxillofacial surgical method.

Association between periodontal disease and coronary heart disease (치주질환과 관상동맥질환의 관련성에 대한 임상적 연구)

  • Lee, Jun-Ho;Chung, Hyun-Ju;Kim, Ju-Han
    • Journal of Periodontal and Implant Science
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    • v.35 no.1
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    • pp.111-121
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    • 2005
  • Coronary heart disease is the leading cause of mortality in adult population. Whereas the association between periodontal disease and coronary heart disease (CHD) are controversial, recent studies reported the association between periodontal disease and acute myocardial infarction or prognosis of CHD. This study was aimed to investigate the relationship between periodontal disease and angiographically defined CHD, and acute myocardial infarction, and the prognosis of treated CHD. Patients under the age of 60 who had undergone the diagnostic coronary angiography were enrolled in this study, Subjects were classified as positive CHD (+CHD, n=37) with coronary artery stenosis more than 50% in at least one of major epicardial arteries, and negative CHD (-CHD, n=20) without stenosis. After recording the number of missing teeth, periodontal disease status was measured by means of plaque index (PI), gingival index (GI), bleeding on probing (BOP), probing depth (PD), and clinical attachment level (CAL), Positive CHD subjects were classified into acute myocardial infarction group (AMI), and non-AMI with angina pectoris and old myocardial infarction. Six months postoperatively, positive CHD subjects were followed and had undergone the coronary angiography again. Even though there was no significant difference in the periodontal parameters and status between positive CHD and negative CHD, some periodontal parameters, such as mean probing depth and proportion of sites with probing depth greater than 4mm or 6mm were significantly different between AMI and Non-AMI(p<0.05). There was no significant difference in the periodontal parameters according to in angiographically follow-up status. These results indicate that periodontal disease may be associated with the occurrence of acute myocardial infarction.

Association between Diabetes and Chewing Problems and Periodontal Disease in Korean Adults (한국 성인의 당뇨병 및 씹기 문제와 치주질환의 관련성)

  • Hwang, Hong-Gu;Lee, Jong-Hwa
    • The Journal of Korean Academy of Dental Technology
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    • v.41 no.4
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    • pp.327-335
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    • 2019
  • Purpose: The purpose of this study was to investigate the relationship between periodontal disease, diabetes and chewing problems in Korean adults over the age of 19 using the 6th National Health Nutrition Survey. Methods: Data from the 6th National Health and Nutrition Survey (Ministry of Health & Welfare, 2013; 2014; 2015) were used. In this study, 17,101 adults aged 19 and older were included in the study to determine the relationship between diabetes and chewing problems in Korean adults. Results: Diabetes and chewing problems have been associated with periodontal disease. Diabetes was 0.719 times lower(p<0.001) in periodontal disease than in the case of diabetes. Chewing problem was 1.360 times(p<0.001) periodontal disease prevalence compared to 'not at all uncomfortable'. It was found that the prevalence of periodontal disease was 2.139 times(p<0.001) compared to 'not at all uncomfortable'. It was found that the prevalence of periodontal disease was 2.296 times higher(p<0.001) compared to 'not at all uncomfortable'. It was found that the prevalence of periodontal disease was 2.119 times higher(p<0.001) compared to 'not at all uncomfortable'. Conclusion: Diabetes and chewing problems were found to be related to periodontal disease, and as reported in previous studies, diabetes and chewing problems related to oral disease need to be prevented and treated with regular checkups. In addition, based on the research results, it can be used as basic data for the health business plan that can maintain and manage health.