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The effect of cigarette smoking on salivary IgA and periodontal disease

Author: Omar Husham Ali عمر هشام علي
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2015 Volume: 27 Issue: 3 Pages: 116-119
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Chronic periodontitis is an inflammatory disease of tissues supporting the teeth. Salivary compositionshave been most intensely studied as a potential marker for periodontal disease. In this study, analysis of salivaprovides a simple and non-invasive method of evaluating the role of salivary IgA (s-IgA) levels in periodontal diseaseby detecting the level of (s-IgA) in patients with chronic periodontitis smokers and non smokers patients and correlatethe mean (s-IgA) levels with clinical periodontal parameters Plaque index (PLI) gingival index (GI), probing pocketdepth (PPD) and clinical attachment level (CAL).Materials and Methods: The study samples consists of (15) patients with chronic periodontitis who were non smokers(Group I) and (15) patients with chronic periodontitis who were smokers (Group II) of both gender with an ageranged (35-45) years were the periodontal parameters used in this study (PLI, GI, PPD and CAL), unstimulated salivarysample were collected from all subjects and the levels of salivary IgA (s-IgA) in each sample were analyzed for eachgroup by using enzyme-linked immunosorbent assay (ELISA) technique. A statistical analysis was done by using excel2013.Results: There was a significant difference with high mean level in the clinical periodontal parameters in smokersgroup compared to non smokers with chronic periodontitis (PLI, PPD and CAL) except GI which showed nosignificant difference between the same groups. The biochemical finding showed significant difference with lowmean level for (s-IgA) in smokers group compared to non smokers.Conclusion: The findings in this study showed that the concentrations of salivary IgA might be used as an indicator forperiodontal disease progression in smokers with chronic periodontitis as a resultant to the effect of smoking whichlowering the concentration of the salivary IgA and subsequent reducing of the host’s defense lead to increase in theprogression of periodontal disease


Article
The benefit of Ramfjord teeth to represent the full-mouth clinical attachment level in epidemiological study

Authors: Omar Husham Ali عمر هشام علي --- Hadeel Mazin هديل مازن
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2014 Volume: 26 Issue: 2 Pages: 122-124
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Since the periodontal disease Index of Ramfjord (Ramfjord index) can potentially shorten theexamination time by almost half, many studies evaluated Ramfjord teeth in predicting full-mouth periodontal statusof an adult population. The aim of this study was to evaluate the benefit of Ramfjord teeth in predicting the fullmouthclinical attachment level of an adult population in patients attending the college of dentistry- BaghdadUniversity.Materials and methods: The study participants were 100 patients with age range from 30-60 years old whichrepresent group zero. The patients were divided into three main groups according to the age of the patients. Group Iand group II each of them composed of 30 patients while group III composed of 40 patients. In the first time clinicalattachment level (CAL) was measured from the full mouth (FM) and then from the Ramfjord teeth (RT) (teethnumber: 16, 21, 24, 36, 41, 44) in all groups. Clinical attachment level (CAL) was measured in millimeters usingperiodontal probe.Results: The difference in the mean clinical attachment level measured from the full mouth (FM) and Ramfjord teeth(RT) by using paired t - test was non significant in all the groups. Also in all groups the correlation coefficient as well asbeta coefficient was high.Conclusion: The high agreement between Ramfjord teeth and full mouth CAL confirm the epidemiological validity ofRamfjord teeth to represent the full mouth

مؤشر رامفورد لامراضاللثة یمكن ان یقلل وقت الفحصالى النصف تقریبا، لذا الكثیر من الدراسات قیمت اسنان رامفورد في توقع الحالة الصحیة للثة لكامل الفم في السكان البالغین.ھدف ھذه الدراسة كان لتقییم اسنان رامفورد في توقع مستوى الانسجة الرابطة لكامل الفم لدى السكان البالغیین من المرضى الذین یراجعون كلیة طب الاسنان- جامعة بغداد.60 سنة ویمثلون مجموعة الصفر. تم تقسیم المشاركین في ھذه الدراسة الى ثلاث مجموعات رئیسیة وفقا للعمر. - المشاركین في ھذه الدراسة كانوا مائة مریض، تتراوح اعمارھم من 30المجموعة الاولى والثانیة تتكون كل منھما من 30 مشارك بینما المجموعة الرابعة تتكون من 40 مشارك.اسنان رامفورد: 16،21،24،36،41،44 ) في كل ) (RF) ومن ثم قیاس مستوى الانسجة الرابطة لاسنان رامفورد (FM) تم اولا قیاس مستوى الانسجة الرابطة لجمیع الاسنان في الفمالمجموعات. تم قیاس مستوى الانسجة الرابطة باستخدام مسبار اللثة.كان غیر مھم في كل المجموعات، قیاسات معامل t باختبار (RF) ومستوى الانسجة الرابطة لاسنان رامفورد (FM) الفرق بین معدل مستوى الانسجة الرابطة المقاس لكامل الفمالارتباط ومعامل بیتا في كل المجموعات كانت عالیة.الموافقة العالیة بین مستوى الانسجة الرابطة لاسنان رامفورد ولكامل الفم یؤكد صحة استخدام اسنان رامفورد لتمثیل كامل الفم في الدراسات الوبائیة


Article
Detection of salivary flow rate and minerals in smokers and non smokers with chronic periodontitis (Clinical and Biochemical study)

Authors: Basima Gh. Ali باسمة علي --- Omar Husham Ali عمر هشام علي
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2012 Volume: 24 Issue: 1 Pages: 68-71
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Chronic periodontitis is an inflammatory disease that affects the supporting tissues of the teeth and it’s acommon chronic adult condition. Smoking is considering a major risk factor for development and progression ofperiodontal disease, and it has an effect to the salivary minerals which cooperate with plaque and calculusinitiation, maturation, and metabolism with periodontal disease formation. The purpose of this study was to evaluatethe effect of smoking on the salivary minerals in subjects with chronic periodontitis compared to healthy subjects bybiochemical analysis of these minerals. .Materials and methods: The study group included 75 males–25 males smokers with chronic periodontitis (G1), 25males non-smokers with chronic periodontitis (G2) and 25 males non smokers with healthy periodontium (G3). All withan age rang 30-40 years. Clinical measurements include (PLI, BOP, PPD, CAL) were determined for each toothexcept third molar. Unstimulated whole saliva was collected. PH and salivary flow rate (SFR) were obtained and thelevels of five elements–sodium, potassium, calcium, magnesium, and phosphate in each specimen were analyzed.Results: A highly significant difference in PLI in (G1) group than in (G3) group and a non significant in (G1) group than(G2) group. A highly significant relation of gingival bleeding on probing in (G2) group in compared to (G1) groupwith very clearly marked decrease in the total sites that bleed in smokers than non-smokers. Significant differences inPPD and CAL were found between (G1) group and (G2) group. The results of this study for salivary minerals showedthat there were high significant differences between (G1) group and (G2) group for Ca+2, Na+1 and K+1 ions andbetween (G1) group and (G3) group for Ca+2, Na+1, K+1 and Po4-3 ions while significant differences were found in (G1)group compared with the other groups for Mg+2 ion. Salivary flow rate was significantly higher in (G1) groupcompared with the other groups. A significant increase in PH level in (G1) group compared to (G3). In (G1) group,there was a significant positive correlation between the mean level of Ca+2 and PLI. There was also a significantnegative correlation between the mean level of Po4-3 and CAL.Conclusions: The researcher could conclude that monitoring for changes in salivary composition might be a usefultool to detect the effect of smoking on periodontal health status.


Article
Evaluation of serum levels Superoxide dismutase in women with polycystic ovarian syndrome and gingivitis

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Abstract

Background: Polycystic ovary syndrome (PCOS) is the most common endocrine abnormality in women, there is an increasing evidence for an oxidative stress in PCOS that induce genomic and mitochondrial deoxyribonucleic acid damage that leads directly to reduced fertility. The objectives of this study are to assess and compare the periodontal health status by measuring clinical periodontal parameters (PLI, GI and BOP)as well as serum levels of superoxide dismutase at gingivitis ,gingivitis with PCOS and healthy periodontium groups, then correlate between clinical and biochemical parameters.Materials and Methods: 60 females with an age range between (25-40) years old had been tested and divided into3 groups ,the control group consists of (20) females with healthy periodontium, group of (20) females with gingivitis and group of (20) females with gingivitis and PCOS. After completion of clinical periodontal parameters recording (PLI, GI& BOP), blood samples were collected and biochemical analysis of serum samples were carried out by using [Super oxide dismutase Assay kit] to evaluate serum super oxide dismutase levels.Results: The highest mean values of PLI,GI and BOP score1 were found in gingivitis+PCOS group. Highly significant difference was revealed among the groups regarding mean values of Superoxide dismutase with the highest mean value at gingivitis+ PCOS followed by gingivitis groups. Non-significant correlation were demonstrated between clinical and biochemical parameters except the significant moderate positive correlation of BOP at gingivitis+PCOS group.Conclusion: It could be certified that severity of gingivitis may increase in patients with PCOS. The concentration of serum SOD increased with the severity of gingival inflammation as well as the presence of PCOS. Serum SOD may be useful biochemical marker for early detection of periodontal disease and PCOS

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