{"title":"Collagen matrix versus free gingival graft for augmentation of keratinized tissue in mandibular anterior teeth: A comparative clinical study.","authors":"Arthi Alagappan, Jananni Muthu, Saravanakumar Ravindran, Pratebha Balu, Narayane Ramkumar, Sushma Arulanandan","doi":"10.4103/jisp.jisp_119_24","DOIUrl":"https://doi.org/10.4103/jisp.jisp_119_24","url":null,"abstract":"<p><strong>Background: </strong>Insufficient width of keratinized gingiva (WKG) leads to clinical attachment loss (CAL) and eventually periodontal destruction. Free gingival graft (FGG) is the gold standard to increase WKG but requires a second surgical site and poor esthetics outcomes. Hence, alternatives like collagen matrix (CM) have been developed.</p><p><strong>Aim: </strong>The present study aims to evaluate the efficacy of CM versus FGG in augmenting WKG in the lower anterior.</p><p><strong>Materials and methods: </strong>Twenty patients with inadequate WKG were enrolled and allocated into two groups. Group I participants received augmentation of WKG using CM and Group II participants with FGG. Clinical parameters such as probing pocket depth, CAL, WKG, and gingival thickness were recorded at baseline, 3<sup>rd</sup> month, and 6<sup>th</sup> month. Plaque score was recorded at baseline and 6<sup>th</sup> month and wound healing index was recorded at 14<sup>th</sup> and 21<sup>st</sup> days. The parameters within the group and between the groups were compared using repeated measures of analysis of variance and independent <i>t</i>-test.</p><p><strong>Results: </strong>The mean WKG of Group I and Group II in 6<sup>th</sup> month after augmentation was 3.88 ± 0.3 mm and 5.21 ± 1.0 mm, respectively, and the difference was statistically significant (<i>P</i> = 0.001). The mean wound healing index for Group I and Group II measured on 21<sup>st</sup> day was 5.00 ± 0.1 and 2.50 ± 0.5, respectively, and the difference in the wound healing index was statistically significant (<i>P</i> = 0.001).</p><p><strong>Conclusion: </strong>Both CM and FGG are suitable for increasing the WKG. FGG aided in a marginally greater increase in WKG than CM and healing was better with CM as compared to FGG.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 6","pages":"685-690"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043215/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Renganath Murugan Jeyasree, Thamil Selvan Muthuraj, Alex Mathews Muruppel, Jacob Raja, Johnson Raja James, Joephin Soundar
{"title":"Subcrestal incision: An alternative flap design for dental implant placement - A randomized controlled split-mouth design clinical trial.","authors":"Renganath Murugan Jeyasree, Thamil Selvan Muthuraj, Alex Mathews Muruppel, Jacob Raja, Johnson Raja James, Joephin Soundar","doi":"10.4103/jisp.jisp_55_24","DOIUrl":"https://doi.org/10.4103/jisp.jisp_55_24","url":null,"abstract":"<p><strong>Objective: </strong>This randomized controlled trial aimed at comparing a novel incision design with a conventional mid-crestal incision design for implant placement to achieve complete closure of the surgical site.</p><p><strong>Background: </strong>Proper flap margin approximation is pivotal for surgical wound healing in patients undergoing dental implant treatment with or without bone augmentation.</p><p><strong>Materials and methods: </strong>A clinical study was conducted at the department of implantology with a total number of 30 patients. Patients with bilateral edentulous sites for whom dental implant placement was planned were included in the study. Mid-crestal incision design on one side and subcrestal incision design on other side were performed. Healing was evaluated at 1- and 4-week intervals postoperatively using an early wound healing score (EHS). The pain perception from the patient was also noted after 1 week on the day of suture removal using Visual Analogue Scale (VAS) values ranging from 0 to 10.</p><p><strong>Results: </strong>Wound healing in the subcrestal incision design sites were showing higher EHS at 1-week and 4-week intervals, which was statistically significant when compared to the sites with mid-crestal incision design. VAS values were also showing higher pain perception toward mid-crestal incision design over subcrestal incision design.</p><p><strong>Conclusion: </strong>With the limitations of the present study, it can be concluded that subcrestal incision design stands as a promising flap design over mid-crestal incision design for dental implant placement.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 6","pages":"657-663"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043218/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144012535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ultrawide implants for immediate molar extraction socket versus standard diameter fixtures in healed alveolar ridges of missing molars, one-year postloading evaluation: A randomized controlled trial.","authors":"Farhan Durrani, Ekta Kumari, Anju Gautam, Sakshi Agarwal, Rashika Mularisekar, Shraddha Shilpi","doi":"10.4103/jisp.jisp_168_24","DOIUrl":"https://doi.org/10.4103/jisp.jisp_168_24","url":null,"abstract":"<p><strong>Background: </strong>This randomized split-mouth study aimed to evaluate the feasibility of ultrawide immediate implants in fresh extraction sockets of nonrestorable molars. The comparison was made with standard-diameter implants placed in healed ridges of missing molars. After 1 year of functional loading, both groups were assessed for crestal bone changes, implant stability, and soft-tissue remodeling. The null hypothesis proposed that immediate molar socket replacement with ultrawide implants would demonstrate superior outcomes compared to standard-diameter implants.</p><p><strong>Materials and methods: </strong>Thirteen patients were recruited for this split-mouth study, each presenting with a hopeless molar in one quadrant and a partially edentulous ridge with a missing molar in the contralateral quadrant. The compromised molars were atraumatically extracted without flap reflection, followed by immediate placement of ultrawide diameter implants. In the opposing quadrant, missing molar sites were rehabilitated with standard-diameter implants. Crestal bone remodeling, implant stability, and soft-tissue maturation were evaluated 1-year postloading. Radiographic assessments and Osstell device measurements were performed at implant placement, 3 months postrestoration, and 1 year after prosthetic function.</p><p><strong>Results: </strong>The findings suggest that immediate flapless molar extraction helps preserve vascular integrity, and ultrawide diameter implants may serve as a viable treatment modality for molar replacement. The wider implant surface effectively dissipated occlusal forces, and bone dimensions were well maintained in terms of both width and length. Soft-tissue maturation, including attached gingiva thickness, was favorable after 1 year of prosthetic function. Healed partially edentulous ridges restored with standard-diameter implants also demonstrated stable functional outcomes at the 1-year follow-up. However, a notable limitation of this approach was the inadequate bone volume to accommodate the width of the missing molar crown, leading to occlusal and maintenance challenges. In addition, incomplete papillary fill around implant-supported restorations was observed due to reduced bony dimensions.</p><p><strong>Conclusion: </strong>The comparison between the two groups did not yield statistically significant differences, likely due to the limited sample size. Split-mouth studies involving patients with both hopeless and missing molars within the same arch are relatively uncommon. Nevertheless, immediate molar replacement using ultrawide diameter implants may offer a promising alternative to the delayed placement of standard-diameter implants for molar rehabilitation.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 6","pages":"621-631"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sidra Raza, K B Menaka, Shahanaz Shaik, Neelamma A Shetti
{"title":"Efficacy of microsurgery in comparison to macrosurgery for the treatment of localized gingival recession using coronally advanced flap: A systematic review and meta-analysis.","authors":"Sidra Raza, K B Menaka, Shahanaz Shaik, Neelamma A Shetti","doi":"10.4103/jisp.jisp_277_24","DOIUrl":"https://doi.org/10.4103/jisp.jisp_277_24","url":null,"abstract":"<p><strong>Background: </strong>The standard approach to treating gingival recession (GR) has traditionally been macrosurgery. However, the adoption of microsurgical techniques has significantly benefited periodontal plastic surgery due to their high precision and minimal invasiveness.</p><p><strong>Objectives: </strong>To assess the effectiveness of microsurgery versus macrosurgery in the treatment of isolated GR using a coronally advanced flap (CAF).</p><p><strong>Materials and methods: </strong>A systematic literature search was conducted across four databases; PubMed, Google Scholar, ProQuest, and Cochrane, along with a hand search of relevant scientific journals. The focused question was whether the microsurgical technique more effective than the conventional scalpel technique in achieving better clinical outcomes for treating isolated GR with a CAF. The primary outcome was recession depth (RD) and the secondary outcomes included recession width, clinical attachment level and width of keratinized tissue. Statistical analysis was performed using Stata 16.</p><p><strong>Results: </strong>A meta-analysis of the eight included studies revealed statistically significant results in terms of overall mean RD at baseline and endpoint which was 2.43 mm and 0.63 mm, respectively, favoring the microsurgical group. The microsurgical technique demonstrated greater effectiveness than the conventional scalpel technique in achieving improved clinical outcomes when treating isolated GR with a CAF.</p><p><strong>Conclusion: </strong>The microsurgical approach for root coverage achieved superior clinical outcomes with a CAF compared to the conventional macrosurgical method due to its precision and minimal encroachment at the operative site.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 6","pages":"606-613"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043217/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abhay P Kolte, Rajashri Abhay Kolte, Amruta S Verma, Prachi R Rathi, Dhanashree Ghoderao
{"title":"Association between anxiety and sleep quality in periodontally healthy, gingivitis, and periodontitis patients: A cross-sectional study.","authors":"Abhay P Kolte, Rajashri Abhay Kolte, Amruta S Verma, Prachi R Rathi, Dhanashree Ghoderao","doi":"10.4103/jisp.jisp_16_24","DOIUrl":"https://doi.org/10.4103/jisp.jisp_16_24","url":null,"abstract":"<p><strong>Background: </strong>There may be a significant link between periodontitis and psychological problems such as anxiety and sleep deprivation because of their complex character. Therefore, this study was conducted to evaluate the association between anxiety, quality of sleep in periodontally healthy, gingivitis, and periodontitis subjects.</p><p><strong>Materials and methods: </strong>A total of 120 subjects were divided into three groups. Group I: 40 subjects with healthy periodontium; Group II: 40 subjects with gingivitis; Group III: 40 subjects with Stage III or Stage IV periodontitis. Clinically, parameters such as gingival index, plaque index, probing depth, and clinical attachment levels were measured. Zung Self-Rating Anxiety Scale and sleep quality scale (SQS) were used to record anxiety and sleep quality scores, respectively.</p><p><strong>Results: </strong>The anxiety scores obtained in this trial were in the ascending orders with values of 36.02 ± 7.89, 48.15 ± 2.72, and 71.00 ± 0.98 for Group I, Group II, and Group III, respectively, indicating an increasing severity of anxiety levels. On sleep quality assessment, the score for Groups I, II, and III were 17.02 ± 6.26, 24.17 ± 7.53, and 42.12 ± 6.99, respectively, suggestive of disturbances in sleep quality. When compared between the groups, anxiety and sleep quality were found to be associated in an incremental manner from Group I to Group II and from Group II to Group III.</p><p><strong>Conclusion: </strong>There was a positive link between the severity of periodontal disease, anxiety levels, and sleep quality.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 6","pages":"680-684"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043219/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of the serum levels of endothelin-1 and lipid profile in chronic periodontitis patients, before and after periodontal therapy.","authors":"Vanathy Desingu, Saranyan Ravi, Manovijay Balagangadharan, Sayeeganesh Nagarajan, Priya Kesavan, Kurinchichelvan Ramalingam","doi":"10.4103/jisp.jisp_41_24","DOIUrl":"https://doi.org/10.4103/jisp.jisp_41_24","url":null,"abstract":"<p><strong>Aim: </strong>To evaluate the serum level of endothelin-1 (ET-1) and lipid profile in chronic periodontitis patients before and after periodontal therapy.</p><p><strong>Materials and methods: </strong>Sixty systemically healthy patients were divided into two groups, each with 30 patients. Group A with 30 healthy individuals and Group B with 30 chronic periodontitis patients. Group B was further divided into Group B1 and Group B2. Group B1 consisted of 15 patients with clinical attachment loss (CAL) of 1-2 mm treated by nonsurgical periodontal therapy. Group B2 of 15 patients with CAL of 3-4 mm, treated by periodontal flap surgery. Blood samples were collected before and 3 months following periodontal treatment to determine the serum level of ET-1 and lipid profile.</p><p><strong>Results: </strong>There was a statistically significant difference in ET-1 and lipid profile levels before and after periodontal treatment in both Groups B1and B2. However, the difference was more significant in Group B2 than Group B1 (<i>P</i> < 0.001).</p><p><strong>Conclusion: </strong>Serum ET-1 and lipid profile could be a potential biomarker for periodontal and cardiovascular diseases. Periodontal therapy could reduce the risk of cardiovascular disease by reducing ET-1 and lipid profile postoperatively.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 6","pages":"651-656"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12043216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995327","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pierre Braz, Karolina Skarlet Silva Viana, Milena Mageski Ferreira Silveira, Rafael Paschoal Esteves Lima
{"title":"Resective and regenerative periodontal therapy for maxillary Class II furcation defect: A case report with 24-month follow-up.","authors":"Pierre Braz, Karolina Skarlet Silva Viana, Milena Mageski Ferreira Silveira, Rafael Paschoal Esteves Lima","doi":"10.4103/jisp.jisp_535_23","DOIUrl":"10.4103/jisp.jisp_535_23","url":null,"abstract":"<p><p>Periodontal treatment of teeth with furcation defects is challenging due to the complex anatomy of the area. Resective techniques, such as root resection, may be effective in managing teeth with this defect if appropriately indicated and can lead to satisfactory survival rates associated with a favorable prognosis. This report describes the treatment of a Class II furcation defect in an upper molar using root resection combined with regenerative procedures. The regenerative procedure involved the use of a lyophilized bone graft combined with the use of a collagen membrane and a connective tissue graft. The 24-month follow-up demonstrated the success of the therapy, with a gain in clinical attachment level, a reduction in probing pocket depth, and a tomographic image showing the formation of new lamina dura. A healthy and stable periodontium can be achieved through the correct application of more conservative techniques aimed at preserving the dental element.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 5","pages":"581-586"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anjhana Asok, Rahul Bhandary, Mamatha Shekar Shetty, Amitha Ramesh, Geethu Venugopalan, S Sai Sreeja
{"title":"Comparative evaluation of serum heat shock protein 60 in chronic periodontitis patients with and without coronary heart disease - A case-control study.","authors":"Anjhana Asok, Rahul Bhandary, Mamatha Shekar Shetty, Amitha Ramesh, Geethu Venugopalan, S Sai Sreeja","doi":"10.4103/jisp.jisp_309_23","DOIUrl":"10.4103/jisp.jisp_309_23","url":null,"abstract":"<p><strong>Background: </strong>Heat shock proteins (HSPs) are a group of stress proteins that participate in physiological processes such as cellular folding, assembly, translocation of polypeptides across membranes, and protein repair after cell damage. HSP60 has been implicated in the pathogenesis of both chronic periodontitis (CP) and coronary heart disease (CHD).</p><p><strong>Aim: </strong>The aim was to assess the possible link between CP and CHD by estimating and comparing the serum HSP60 levels in patients with CP with and without CHD.</p><p><strong>Settings and design: </strong>Ninety patients in the age group of 30-60 years were involved in this study. The patients were categorized as CP (control group) and CP with CHD (case group).</p><p><strong>Materials and methods: </strong>Gingival index (GI) and periodontal parameters such as probing pocket depth and clinical attachment levels were documented. Enzyme-linked immunosorbent assay was used to determine the HSP60 levels in serum samples obtained from the patients.</p><p><strong>Statistical analysis: </strong>Results were statistically analyzed using the SPSS version 16.0 software to estimate the mean and standard deviation using independent <i>t</i>-test and Mann-Whitney <i>U</i>-test.</p><p><strong>Results: </strong>The findings of the research indicated that patients with CP with CHD exhibited elevated serum HSP60 levels compared to CP without CHD (<i>P</i> < 0.05). In addition, a statistically significant rise in GI was noted in the case group. However, the periodontal measurements did not reveal any significant differences.</p><p><strong>Conclusion: </strong>As a result, HSP60 levels were observed to be elevated in the case group compared to the control group. Consequently, there is a connection between periodontal disease and CHD that contributes to the overall inflammatory burden.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 5","pages":"557-562"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparative evaluation of the relative efficacy of autogenous tooth graft and demineralized freeze-dried bone allograft in the treatment of periodontal infrabony defects - A 6-month clinico-radiographic and biochemical study.","authors":"Anamika Singh, Vikram Blaggana, Preeti Upadhyay, Pragya Tripathi, Anshu Blaggana","doi":"10.4103/jisp.jisp_43_24","DOIUrl":"10.4103/jisp.jisp_43_24","url":null,"abstract":"<p><strong>Context: </strong>Demineralized freeze-dried bone allograft (DFDBA) is a commonly used biomaterial in periodontal regeneration, while autogenous tooth graft (ATG) is a newer, nearly ideal biomaterial. In the literature, <i>in vivo</i> studies on ATG for managing periodontal infrabony defects are rare.</p><p><strong>Aims: </strong>The aim of this study was to comparatively evaluate the efficacy of DFDBA and ATG in the management of periodontal infrabony defects clinically, radiologically, and biochemically.</p><p><strong>Settings and design: </strong>In this randomized controlled clinical trial, 30 sites were selected based on the study criteria and randomly assigned to Group A (DFDBA) and Group B (ATG) by toss of a coin.</p><p><strong>Materials and methods: </strong>Selected patients were evaluated 3-4 weeks after phase I therapy. Both the groups underwent open flap debridement: Group A sites were grafted with DFDBA and Group B with ATG. Clinico-radiological evaluation was performed at baseline, 3 months, and 6 months for pocket probing depth (PPD), clinical attachment level (CAL), and linear defect depth (LDD). Biochemical assessment was done using enzyme-linked immunosorbent assay for gingival crevicular fluid-alkaline phosphatase (GCF-ALP) at baseline and at 6 months.</p><p><strong>Statistical analysis: </strong>Data obtained were subjected to parametric tests of significance (paired and unpaired <i>t</i>-test).</p><p><strong>Results: </strong>In intragroup comparison, highly significant differences (<i>P</i> < 0.01) were observed in PPD reduction, CAL gain, LDD reduction, and GCF-ALP levels statistically from baseline to 6 months in both the groups. However, Group B showed greater PPD reduction, CAL gain, and LDD reduction as compared to Group A (3.667 > 2.933, 2.600 > 2.000, and 2.400 > 1.533 mm, respectively). Biochemically, Group B demonstrated higher GCF-ALP levels than Group A.</p><p><strong>Conclusions: </strong>Within the limitations of the present study, highly significant changes were noticed in all the parameters statistically in both the groups, with ATG showing higher bone fill and ongoing bone healing at 6 months postoperatively in the management of periodontal infrabony defects.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 5","pages":"537-543"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Stage IV, grade B periodontitis in a patient with coinfection with the human immunodeficiency virus, hepatitis C, and oral candidiasis.","authors":"Thaissa Cavalcante Vieira Bitu, Raphaela Canuto Silva, Lucas Muniz Pinto Bandeira, Diana Araújo Cunha, Paulo Goberlanio Barros Silva, Átila Vinícius Vitor Nobre","doi":"10.4103/jisp.jisp_301_24","DOIUrl":"10.4103/jisp.jisp_301_24","url":null,"abstract":"<p><p>Opportunistic infections are common in patients infected with human immunodeficiency virus (HIV) in acquired immunodeficiency syndrome. This case report demonstrates a clinical case of an individual with periodontitis, HIV/hepatitis C coinfection, and candidiasis, using different drugs and under irregular antiretroviral therapy. The combination of several local and systemic conditions highlights the importance of the case and the need for health professionals to know the management of these combined pathologies in the context of HIV infection. We can conclude that it is extremely important for dentists to be aware of periodontal diseases in HIV-infected patients, due to the pathogenic mechanisms associated with these pathologies.</p>","PeriodicalId":15890,"journal":{"name":"Journal of Indian Society of Periodontology","volume":"28 5","pages":"587-590"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}