C. Guastamacchia , R. Caputo , V. Cortesi Ardizzone
{"title":"PROcedura di COmunicazione in Prevenzione per la motivazione del paziente","authors":"C. Guastamacchia , R. Caputo , V. Cortesi Ardizzone","doi":"10.1016/j.pad.2012.02.002","DOIUrl":"10.1016/j.pad.2012.02.002","url":null,"abstract":"<div><h3>Objectives</h3><p>To suggest a communication method that makes the patient recall effective, and present the Preventive Communication Procedure (<em>PROcedura di COmunicazione in Prevenzione</em>, PROCOP) adopted by the authors.</p></div><div><h3>Materials and methods</h3><p>The fundamental elements to optimise patient recall are: when to make the recall appointment; who is to make the recall appointment; how the recall appointment is managed. The two documents used to contact patients are presented, aimed at increasing their level of permanent motivation: the PROCOP presentation letter and the form-questionnaire, to be filled in and brought along to the recall appointment.</p></div><div><h3>Results and conclusions</h3><p>The proposed programme is based on two key concepts: patients must become collaborators-allies fully involved in the prevention process, which not only regards their mouth, but their entire lifestyle; the patient must accept the dental surgery to have responsibility to maintain what we suggest can be called <em>motivating external memory</em>.</p></div>","PeriodicalId":77593,"journal":{"name":"Prevenzione & assistenza dentale","volume":"38 2","pages":"Pages 31-32, 34, 36-37"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.pad.2012.02.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55099583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ricerca di batteri implicati nella malattia parodontale mediante esame colturale e RT-PCR","authors":"M. Gatti , M.S. Rini , F. Scandurra","doi":"10.1016/j.pad.2011.12.003","DOIUrl":"10.1016/j.pad.2011.12.003","url":null,"abstract":"<div><h3>Objective</h3><p>Comparison between culture and methodical investigation of commercial real-time polymerase chain reaction (RT-PCR) for the detection of most bacterial species implicated in periodontal disease.</p></div><div><h3>Materials and methods</h3><p>The study evaluated the microbiological profile of 64 patients with chronic periodontitis. For each patient double samples of subgingival plaque in five sites for more than one dental element were collected using sterile paper points and transferred to a transport medium for the bacterial culture and without a transport medium for RT-PCR.</p></div><div><h3>Results</h3><p>The bacterial culture versus RT-PCR identified the same percentage of <em>P. intermedia</em> (68.75%), <em>F. nucleatum</em> (87.5%), and <em>T. forsythensis</em> (50%), and a lower percentage of <em>P. gingivalis</em> (56.2% vs 68.75%) and <em>A. actinomycetemcomitans</em> (6.25% vs 31.25%). <em>T. denticola</em> (87.5%) was sought out only by RT-PCR. In particular, <em>P. intermedia</em> (72.7%), <em>P. gingivalis</em> (77.7%), and <em>T. forsythensis</em> (37.5%) showed resistance to amoxicillin and in a lower percentage <em>P. intermedia</em> (40.9%), <em>P. gingivalis</em> (38.8%) and <em>T. forsythensis</em> (37.5%) to metronidazole. Fifty percent of <em>F. nucleatum</em> strains showed resistance to clindamycin and 44.4% of <em>P. gingivalis</em> strains showed resistance to ciprofloxacin.</p></div><div><h3>Conclusions</h3><p>Our data indicate that RT-PCR was more sensitive and specific than colture examination. Also, it has proven particularly useful in detecting pathogenic species implicated in periodontal disease that cannot be cultivated or are not easily discernible in culture, such as <em>T. denticola</em>. On the other hand, only culture investigation can detect multiple bacterial species simultaneously, highlight the unexpected species and above all allow the evaluation of the antibiotic-resistance. Thanks to these features, this method is still considered the gold standard in the diagnosis and monitoring of periodontal disease.</p></div>","PeriodicalId":77593,"journal":{"name":"Prevenzione & assistenza dentale","volume":"38 1","pages":"Pages 14-20"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.pad.2011.12.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55099318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Maspero , C. Esposito , G. Galbiati , G. Caceffo , L. Giannini
{"title":"Alterazioni del cavo orale e strategie preventodontiche in menopausa","authors":"C. Maspero , C. Esposito , G. Galbiati , G. Caceffo , L. Giannini","doi":"10.1016/j.pad.2011.12.004","DOIUrl":"10.1016/j.pad.2011.12.004","url":null,"abstract":"<div><h3>Objectives</h3><p>The aim of this work is to evaluate the effects of menopause on oral health, the most frequent problems and prevention strategies feasible in this particular category of patients.</p></div><div><h3>Materials and methods</h3><p>A survey was conducted in the electronic database of Medline, using specific inclusion and exclusion criteria, and the following keywords “oral health and menopause”. Some interesting texts for this research were selected among the found articles. Some articles published in not indexed journals were added and some considerations were drawn from related texts.</p></div><div><h3>Results and conclusions</h3><p>The menopause is a time of great hormonal changes and periodontal tissue is particularly sensitive to it. Some clinical features showed up most frequently in this group of patients: desquamative gingivitis, stomatopirosis, xerostomy, gingivitis and periodontal diseases in general. A strict prevention of all forms of periodontal disease should be implemented to minimize the risk of teeth loss or the onset of infectious and inflammatory issues against gums and oral mucosa.</p></div>","PeriodicalId":77593,"journal":{"name":"Prevenzione & assistenza dentale","volume":"38 1","pages":"Pages 21-26"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.pad.2011.12.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55099358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R. Farina, L. Minenna, G. Franceschetti, M.E. Guarnelli, L. Trombelli
{"title":"Il metodo UniFe per la valutazione del rischio parodontale","authors":"R. Farina, L. Minenna, G. Franceschetti, M.E. Guarnelli, L. Trombelli","doi":"10.1016/j.pad.2011.12.001","DOIUrl":"10.1016/j.pad.2011.12.001","url":null,"abstract":"<div><h3>Objectives</h3><p>Periodontitis progression varies widely among individuals, either with or without treatment. Not all risk determinants for periodontitis are relevant for diagnosing the disease. The purpose of the present report is to present two cases, which show how a simplified method for periodontal risk assessment (UniFe), developed by the Research Centre for the Study of Periodontal and Peri-implant Diseases, University of Ferrara, can identify differences in periodontal risk among individuals with similar severity of periodontitis.</p></div><div><h3>Materials and methods</h3><p>The UniFe method is described in detail, and its use is illustrated for calculating periodontal risk in two patients with similarly severe periodontitis.</p></div><div><h3>Results</h3><p>Periodontal risk assessment with the UniFe method revealed different risk levels in the two patients. The UniFe method revealed that the worse prognosis in one of the patients was due to exposure to environmental risk factors (i.e., smoking) and a higher prevalence of gingival bleeding.</p></div><div><h3>Conclusions</h3><p>Preliminary data suggest that the UniFe method is a simple and reliable tool for periodontal risk assessment and that it can identify differences in periodontal risk among individuals with similar severity of periodontitis.</p></div>","PeriodicalId":77593,"journal":{"name":"Prevenzione & assistenza dentale","volume":"38 1","pages":"Pages 5-13"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.pad.2011.12.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55099227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Tieghi, M. Gangale, L. Levrini, M. Boldi, M. Rossini
{"title":"La motivazione attraverso la Theory of Planned Behaviour (TPB): valutazione dell’adesione alle istruzioni di igiene orale nei pazienti adulti parodontopatici","authors":"G. Tieghi, M. Gangale, L. Levrini, M. Boldi, M. Rossini","doi":"10.1016/j.pad.2011.07.001","DOIUrl":"10.1016/j.pad.2011.07.001","url":null,"abstract":"<div><h3>Objectives</h3><p>To evaluate the efficacy of motivational intervention in improving short- and long-term compliance with instructions for maintaining oral hygiene.</p></div><div><h3>Materials and methods</h3><p>The study included 20 adult patients (mean age 45 years) with periodontal disease (Periodontal Screening and Recording [PSR] scores 3/4). All received instructions for maintaining oral hygiene, with (n<!--> <!-->=<!--> <!-->10) or without (n<!--> <!-->=<!--> <!-->10) motivational interventions. Patients were interviewed at 1 and 4 months to assess compliance and self-perception.</p></div><div><h3>Results</h3><p>The follow-up revealed decreased gingival bleeding and improved oral hygiene indexes, but there were no changes in pocket depth or attachment loss after 4 months. There was an improvement in patients’ self-perception and perception of their oral hygiene, but it decreased over time.</p></div><div><h3>Discussion</h3><p>As showed in previous reports, motivational intervention is not effective in increasing long-term compliance with oral hygiene protocols, but it is very important for increasing short-term compliance.</p></div><div><h3>Conclusions</h3><p>The study shows that motivational interventions are effective if they are done regularly at short intervals of time. It would be interesting to assess clinical results and compliance with an experimental protocol that includes nonsurgical periodontal therapy.</p></div>","PeriodicalId":77593,"journal":{"name":"Prevenzione & assistenza dentale","volume":"37 4","pages":"Pages 117-122"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.pad.2011.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55099056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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