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Biomedical subjects

S Renvert

Publications and source records attributed to S Renvert.

49 records · Page 3Linked to original sources
PubMed1990

5-year follow up of periodontal intraosseous defects treated by root planing or flap surgery.

Intraosseous, periodontal defects in 12 subjects initially treated by root planing alone (21 defects) or by flap surgery (21 defects) were monitored during a 5-year postoperative interval. Maintenance therapy during this interval was limited to reinforcement of oral hygiene and tooth polishing every 6 months. No subgingival instrumentation was performed at the defect sites. Longitudinal clinical measurements demonstrated that surgically-treated lesions responded with somewhat more reduction of probing depth and more gain of probing bone level than root-planed lesions. Mean gains of probing attachment level were similar for the 2 treatments. Some relapse of the clinical conditions could be observed towards the end of the 5-year observation interval compared to the results at year 1 and year 2. However, the majority of defects subjected to either treatment showed 60-month recordings of probing attachment and probing bone levels equal to or slightly improved compared to those at baseline. Counts from cultures of subgingival, microbial samples were obtained at 42, 48 and 60 months. No significant difference between the 2 therapies was observed for the investigated groups of micro-organisms.

Adult↗
PubMed1990

Reproducibility of microbiological samples from periodontal pockets.

Duplicate microbiological samples, were taken 1 week apart using the paper point technique from a total of 112 untreated periodontal pockets greater than 6 mm deep in 16 adult periodontal patients. Duplicate samples were also obtained from these sites 6 months following a therapy of oral hygiene instruction and supra- and subgingival debridement. The reproducibility of the total viable counts and the reproducibility of the proportions of various groups or species of microorganisms were studied from these duplicate samples. The results demonstrated an acceptable degree of reproducibility for the recovery of Actinobacillus actinomycetemcomitans and Bacteroides gingivalis. For the total viable counts and for the other investigated bacterial groups, including Bacteroides intermedius, unacceptable levels of reproducibility were observed.

Actinobacillus↗
PubMed1990

Biochemical and serological characterization of Bacteroides intermedius strains isolated from the deep periodontal pocket.

Fifty-one fluorescence-positive black-pigmented Bacteroides strains obtained from 51 patients with deep periodontal pockets (greater than 6 mm) were identified and characterized. Fifty of these strains were presumptively identified as Bacteroides intermedius according to the indole reaction. This was confirmed by further biochemical characterization. The 50 strains from diseased sites were then compared with 16 B. intermedius strains isolated from periodontally healthy individuals with no signs of destructive periodontal disease. Tests for antimicrobial susceptibility showed similar patterns for all 50 pocket-derived strains, except for one beta-lactamase-positive strain that was resistant to penicillin G and ampicillin. Forty-seven strains were tested for binding of three monoclonal antibodies defining three distinct serogroups of B. intermedius. Thirty-one strains belonged to serogroup I, three to serogroup II and thirteen to serogroup III. In comparison to the strains from the shallow periodontal pockets, serogroup I was significantly overrepresented in the patient group with periodontal disease. We conclude that saccharolytic black-pigmented Bacteroides species from deep periodontal pockets constituted, with very rare exceptions, a biochemically homogeneous but antigenically heterogeneous group of B. intermedius and that serogroup I is predominantly found in deep periodontal lesions.

Bacteroides↗
PubMed1985

Healing after treatment of periodontal intraosseous defects. V. Effect of root planing versus flap surgery.

The present study compared surgical therapy to root planing alone in the treatment of periodontal intraosseous defects. 25 defects in 14 patients were subjected to root planing only and another 25 defects in the same patients were surgically exposed and citric acid treated. The healing response was evaluated 6 months after treatment. The mean gain of probing attachment level was 0.8 mm in the root-planed defects as compared to 1.3 mm for the surgically exposed and acid-treated defects. The probing bone level improved an average of 0.2 mm for the root-planed areas as compared to 0.6 mm for the acid-treated defects. The mean preoperative probing pocket depths of 6.7 mm and 6.8 mm for the 2 groups were reduced to 5.2 mm and 4.1 mm, respectively. The differences in these parameters were statistically significant between the 2 groups. However, both groups demonstrated limited regeneration.

Adult↗
PubMed1985

Healing after treatment of periodontal intraosseous defects. III. Effect of osseous grafting and citric acid conditioning.

The present study was performed to determine whether the healing of periodontal intraosseous defects could be improved through the combined use of citric acid conditioning of the root surfaces and grafting of autogenous intraoral cancellous bone. 28 proximal defects in 19 patients were treated surgically including acid conditioning of the root surfaces. Another 25 defects in these patients were treated with acid conditioning combined with osseous grafts using the maxillary tuberosity areas as donor sites. Both therapies, e.g., citric acid conditioning alone and acid conditioning combined with osseous grafting resulted in approximately 1 mm gains of probing attachment and probing bone levels. Within the parameters of this study, osseous grafting did not enhance the effect of citric acid conditioning alone. Limited improvement of the treated defects of the present study was obtained in spite of the use of supplementary regenerative techniques.

Adult↗
PubMed1985

Healing after treatment of periodontal intraosseous defects. IV. Effect of a non-resective versus a partially resective approach.

2 regenerative surgical approaches using citric acid conditioning, were compared in the treatment of deep intraosseous periodontal defects. The first approach was non-resective in that no osseous tissue was removed. The second, a partially resective approach, involved reduction of the osseous defect depth by removal of some supporting bone. 16 patients and a total of 26 defects, with probing pocket depth greater than or equal to 7 mm, were included in the study. The depths of the corresponding osseous defect, as revealed during surgery were greater than or equal to 5 mm. The results demonstrated mean gains in probing attachment level of 0.7 mm for the partially resected group and 1.1 mm for the non-resected group. Corresponding gains in probing bone levels were recorded in the defect sites for each group. Probing pocket depth was reduced from 7.5 mm to 4.0 mm in the partially resected group and from 7.9 mm to 5.3 mm in the non-resected group. Both procedures caused loss of attachment and bony support from adjacent tooth surfaces involved by the surgical procedure. Slightly more loss of attachment and bone was experienced by the partially resected group (range 1.2-1.5 mm) than by the non-resective group (range 0.1-0.9 mm).

Adult↗
PubMed1985

Healing after treatment of periodontal intraosseous defects. VI. Factors influencing the healing response.

84 periodontal intraosseous defects treated with mucoperiosteal replaced flap surgery and citric acid root conditioning were used to study the relationships between various defect characteristics and the healing response as expressed by change of probing attachment level, change of probing bone level and residual probing depth. More gains in probing attachment and probing bone levels were observed in deep defects than in shallower lesions. Other defect characteristics showed weak or no correlations to defect fill. The findings of this study seem to indicate that the outcome of treatment of intraosseous defects may be difficult to predict based upon evaluation of defect characteristics.

Adult↗
PubMed1985

Significance of probing force for evaluation of healing following periodontal therapy.

The present report compares pre- and postoperative probing pocket depths and probing attachment levels in deep pockets treated non-surgically as well as surgically using probing forces at 0.25 N, 0.50 N and 0.75 N. The results demonstrated that the recorded mean pre- and postoperative probing depths were deeper with increasing probing force. In deep preoperative pockets, the difference amounted to as much as 2.0 mm comparing measurements at 0.25 N and 0.75 N. The use of 0.25 N for evaluation of therapy showed less mean pocket reduction and probing attachment gain than the use of 0.50 N or 0.75 N. Selection of a higher probing force before therapy (i.e. 0.75 N) and a lower force after therapy (i.e. 0.25 N) resulted in increased values for pocket reduction and probing attachment gain compared to use of the same probing force for both pre- and postoperative recordings. The findings emphasize the significance of using a known and standardized probing force for evaluation of results following periodontal therapy.

Dental Scaling↗
PubMed1981

Healing after treatment of periodontal intraosseous defects. I. Comparative study of clinical methods.

Four clinical methods to evaluate healing after reconstructive therapy of intraosseous periodontal defects were compared: 1. probing attachment level, 2. probing bone level, 3. entry/re-entry bone height measurements, 4. radiographic bone height determinations. Thirteen patients with a total of 33 defects volunteered for the study. It was found that the depth of the lesions recorded by the various methods showed differences which seem to relate to the varying nature of the methods. On the average, the periodontal probe penetrated 0.8 mm deeper during probing for bone level than during probing for attachment level and another 0.3 mm deeper after denudation of the lesions during entry/re-entry. The average gain of periodontal support following treatment was approximately 1.4 mm as recorded by probing attachment level, probing bone level and entry/re-entry bone height determinations, respectively. A high degree of correlation was found between all three probing methods when the changes following therapy for the individual sites were compared (r = 0.85, 0.75 and 0.81, respectively). Radiographic bone height showed lower degrees of correlation with all three probing parameters (r = 0.45, 0.46 and 0.47, respectively).

Adult↗
PubMed1981

Healing after treatment of periodontal intraosseous defects. II. Effect of citric acid conditioning of the root surface.

Citric acid conditioning of the root surface as a supplement to replaced flap surgery of intraosseous periodontal defects was evaluated. Thirteen patients and a total of 45 proximal defects with residual probing pocket depth greater than or equal to 6 mm after initial preparation were used. The effect of treatment was studied in matched subsamples of the total material including one acid-treated and one nonacid-treated defect from each subject. The results demonstrated that an average gain of probing attachment level amounting to 2.l0 mm was obtained following acid treatment as compared to 1.1-1.2 mm for the nonacid-treated controls. Corresponding figures for gain or probing bone level were 1.2-1.3 mm for acid treatment and 0.8-0.9 mm for controls. The clinical significance of these findings was discussed.

Adult↗
PubMedDate not supplied

Effect of a triclosan-containing toothpaste supplemented with 10% xylitol on mutans streptococci in saliva and dental plaque. A 6-month clinical study.

The aim of the present investigation was to evaluate the effect of the combination of triclosan and xylitol in toothpaste on mutans streptococci (MS) in saliva and dental plaque. 155 individuals with >10(5) MS/ml saliva were included in a 6-month double-blind clinical study. They were divided into three groups (n = 51-52) balanced according to their MS counts at baseline. Each group used one of the following types of dentifrice: (1) Colgate Total with the addition of 10% xylitol (Total-Xylitol), (2) Colgate Total and (3) Colgate Total without triclosan and without xylitol. Whole saliva and pooled plaque samples were obtained after 2, 4 and 6 months. When comparing the MS counts within the groups for saliva and plaque samples, Total-Xylitol showed significant reduction at all three sampling occasions (p < 0.001). Mean reduction at the 6-month sample for saliva was 0.81/ml and for plaque 0.89 per sample (log values). ANOVA revealed significant differences between Total-Xylitol and the two other products at 6 months for MS in saliva and dental plaque. The conclusion from this 6- month study is that the addition of 10% xylitol to a triclosan-containing dentifrice reduces the number of MS in saliva and dental plaque.

Adult↗