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ABSTRACT
Background: The aim of this study was to estimate the role of smoking as a risk factor on the gingival status of the diabetic and non-diabetic patient as measured by both gingival fluid flow (G.F.F) and gingival fluid pH (G.F.pH) and clinical parameters (plaque index and gingival index).
Material and method: All the patients were smokers with mean age of 45 years. Thirty-two sites were selected from each group. Clinical examination including PL.I and GI were evaluated for each patient, G.F.F and G.F.pH were evaluated to in the selected sites.
Results: The PL.I, G.I, G.F.F and G.F.pH for smoker diabetic patients were slightly higher than smoker non-diabetic patients, but no statistical difference was found.
Conclusion: There was a positive relationship between the clinical parameters and G.F.F and G.F.pH in both diabetic and non diabetic patient. It was also found that smokers are high risk group for periodontitis.
Key words: Gingival status, gingival fluid, diabetes. (J Bagh Coll Dentistry 2006; 18(1) 63-65)
ABSTRACT
Background: Epidemiological studies have demonstrated a direct correlation between severity of the inflammatory periodontal diseases and plaque mass. Some investigations have corralled the histologic parameters with the clinical manifestation of inflammation such as gingival index and gingival exudate flow rate scores. The aim of this study was to correlate between the histological parameters, the gingival clinical status and gingival exudate flow rate (GEFR) and dental plaque.
Materials and methods: Seven dental students precipitated in this study. Experimental gingivitis was induced. GI, PlI and GEFR were scored at day 0, 7, 14, 21 and 28. Buccal biopsy excised on day 0, 7, 14, 21 and 28, stained and inflammatory cells were counted.
Results: The results of the cohort study demonstrated an increase in all clinical indices during development of the experimental gingivitis and these tend to decrease following the reinstitution of oral hygiene. This study also showed a strong correlation between the clinical and histological parameters.
Conclusion: Microbial plaque initiates inflammatory destructive response in the gingiva. This can be reduced by maintenance of good oral hygiene.
Key words: Gingivitis; oral hygiene; gingival status; inflammatory cells. (J Bagh Coll Dentistry 2006; 18(1) 58-62)
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