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Clinical effect of chlorhexidine mouthwashes on patients undergoing orthodontic treatment

Author: Leka'a M. Ibrahem
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2006 Volume: 18 Issue: 1 Pages: 66-68
Publisher: Baghdad University جامعة بغداد

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Abstract

ABSTRACT
Background: This study compared the short-term clinical effect of 0.12% chlorhexidine digluconate as an adjunct to regular oral hygiene practices.
Material and method: This study done on 26 adolescent (ages 11 to 15 years) undergoing orthodontic treatment. Thirteen subjects were experimental (CHX) and other 13 were control (C) groups. Baselines values were recorded 10 days after prophylaxis which include plaque index PL.I, gingival index G.I gingival fluid flow (G.F.F.) and discoloration index (D.I). Both groups (CHX and C) received soft tooth brushes with instruction to brush twice daily as well as CHX mouth rise twice daily with 15ml for 60 seconds for experimental groups .Reevaluation were performed 1, 2, 3 months after baseline except for the D.I which was only assessed at 3 months.
Result: no difference between groups was seen at baseline for any of the parameters. The changes of PL.I, G.I. G.F.F. at 1, 2, 3 month were statistically significant in the case of experimental groups, as the changes in the months. The D.I shows high scores in the experimental group as compared to control group but they were not statistically significant.
Conclusion: The data shows that the use of CHX in addition to regular oral hygiene habits was effective in reducing plaque and gingivitis in adolescent undergoing orthodontic treatment.
Key words: Chlorhexidine, mouthwash, orthodontics. (J Bagh Coll Dentistry 2006; 18(1) 66-68)

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Article
Gingival status and gingival fluid flow in diabetic and non-diabetic patients

Authors: Hazim M Ibrahem --- Leka'a M. Ibrahem
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2006 Volume: 18 Issue: 1 Pages: 63-65
Publisher: Baghdad University جامعة بغداد

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Abstract

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)

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Article
Effect of oral hygiene measures on gingival status clinical and histopathological study

Authors: Nidhal A. A --- Hazim M. Ibrahem --- Leka'a M. Ibrahem
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2006 Volume: 18 Issue: 1 Pages: 58-62
Publisher: Baghdad University جامعة بغداد

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Abstract

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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