RESUMEN
The purpose of this research was to assess the correlation between glycemic control and clinical periodontal characteristics in type 2 diabetics with generalized chronic periodontitis. A total of 182 patients with type 2 diabetes mellitus and generalized chronic periodontitis were included in our study. The clinical examination included full-mouth plaque accumulation, bleeding on probing (BoP), probing depth (PD), presence of suppuration (SUP), clinical attachment level (CAL) and number of remaining teeth. Blood analyses were conducted for glycated hemoglobin (HbA1c) and fasting plasma glucose (FPG). The correlation between the extent of periodontitis, defined as the percentage of PD and CAL sites ≥5 mm, and glycemic control was also analyzed. In addition, clinical parameters were compared between two (<7 and ≥7%) glycemic subsets. The frequency of uncontrolled diabetic subjects (HbA1c ≥7%) was higher than that of the well-controlled subjects (HbA1c <7%), 57.15 vs. 42.85%. Among the clinical parameters evaluated, mean full-mouth plaque accumulation was significantly higher among patients without glucose control (74.2±25.2 vs. 62.5±28.7%, P<0.01), as well as mean PD (3.78±0.9 vs. 3.42±0.8 mm, P<0.01) and mean CAL (4.5±1.2 vs. 4.1±1.2 mm, P=0.02). The sites with PD ≥5 mm were statistically more prevalent among patients with HbA1c ≥7% compared with patients with HbA1c <7% (27.8±6.2 vs. 23.4±5.8%, P<0.01). The mean number of remaining teeth was statistically significantly lower in patients with HbA1c ≥7% compared with patients with HbA1c <7% (18.5±3.2 vs. 20.4±4.1, P<0.01). In conclusion, the severity and extension of generalized chronic periodontitis was higher in type 2 diabetes mellitus patients with poor glucose control compared with those with good glucose control.
RESUMEN
This case of a female patient, 14 yr old with association of the two anomalies, which we came across with in 2014, is rarely met in the specialty practice. The impacted canines are part of the group of dental anomalies of position, while the agenesis is part of the group of dental number anomalies. The orthodontic treatment in the two arches has to be differentiated, the therapeutic objectives being, also different in the two arches.
RESUMEN
PURPOSE: The aim of this paper is to assess the histopathological changes and the condition of oxidative stress in the saliva of the patients with periodontal disease. MATERIALS AND METHODS: We have carried out our research on two groups of patients with periodontitis (a group of 16 patients with stage I periodontitis and a group of 16 patients with stage II periodontitis), who we have compared, using samples of saliva and serum, to a group of 15 volunteers without any dental restorations. To dose MDA, we used thiobarbituric acid method and for determination of ceruloplasmin the Ravin's method. For histopathological examination, the periodontal fragments were immediately underwent for fixation in 10% neutral formalin solution and then, they were included in paraffin using the conventional histological technique. RESULTS: The group of patients with stage II periodontitis presented lower values of salivary MDA compared to the group of patients with stage I periodontitis. Patients with stage I periodontitis presented a significantly increased concentration of MDA in the serum compared to the control group, but considerably lower concentrations compared to patients with stage II periodontitis. The values of serum ceruloplasmin do not present statistically important changes in patients with stage I periodontitis compared to those suffering from stage II periodontitis and to those from the group control. CONCLUSIONS: MDA is not a product of blood filtration as the concentration of MDA in the bloodstream is bigger than in the saliva. Tissue changes and biochemical aspects are strongly connected. Removing dental plaque can prevent oral infections.