Pages 39 – 53
Randomized Controlled, Clinical Blinded Study to Evaluate the Main Cause of Periodontal Disease, the Predominant Presence of Bacteria in Percentage and the Total Bacterial Load Before and After Non-Surgical Therapy
Authors
Giuseppe Grech1*
Affiliations
1
Aprilia LT, II level Master of Periodontology Faculty of Medicine and Dentistry, Sapienza University of Rome, 12/2014
Abstract
Goals: Evaluate the root cause of periodontal disease, the predominance of bacteria and the total bacterial load before and after.
Materials and Methods: Microbiological Tests: it consists in taking the crevicular fluid colonized by bacteria and containing epithelial cells of the person being examined, using a sterile paper cone with a diameter of 60/80 in the periodontal or peri-implant pocket for at least 30
seconds (so that it is soaked in liquid crevicular possibly without blood); it is placed inside the test tube; the procedure is repeated to obtain from a minimum of two to a maximum of four paper cones. The test was performed on 420 patients aged 30-60 years, 236 women, 184 men, 4-11mm pockets moderate-severe chronic periodontitis, for a total of 498 samples, in 78 patients a second sampling was carried out after treatment.
Results: The study highlighted that the main cause of periodontal disease are parafunctions (Bruxism, clenching, bad habits, atypical swallowing, mouth breathing), dental misalignment, pre-contacts and incongruous prosthetic products. Therefore, as "direct and triggering" local etiological factors and no longer "indirect and predisposing" as has always been claimed. In the background by bacteria.
Keywords:
Periodontal disease, inflammation, plaque, tartar, bacteria, microbiological analysis, parafunctions.
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