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Martins de Araújo Carneiro V, Roquete MP, Seabra Gomes AM, Marinho MU, Simino de Melo G, Kasabji F, An TL, Nascimento de Sousa D, Meireles Rodrigues JM, Stefani CM, Guimarães MDCM, Rodrigues Ribeiro AC, Soares Andrade CA. Effects of polymethyl methacrylate-based bone cement graft for treating excessive gingival display and its dimensional facial changes: 12-Month clinical study. J Oral Biol Craniofac Res 2024; 14:326-334. [PMID: 38660054 PMCID: PMC11039310 DOI: 10.1016/j.jobcr.2024.04.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2023] [Revised: 04/03/2024] [Accepted: 04/13/2024] [Indexed: 04/26/2024] Open
Abstract
Objective to present a 12-month follow-up with photographic and tomographic analyses of the effect of polymethyl methacrylate-based bone cement graft (PMMA) in gingival exposure (GE) in patients with excessive gingival display (EGD). Methods Twelve patients with EGD were included. The PMMA was surgically placed. A frontal and lateral photograph protocol was performed at baseline (T0), 3 (T3), 6 (T6), and 12 months (T12) post-operatively. Soft tissue cone-beam computed tomography (ST-CBCT) was performed at T0 and T12. Measures included GE, length of the lip vermilion (LLV), lip shape (LS), nose width (NW), filter width (FW), nasolabial angle (NAS) while smiling, and nasolabial angle at rest (NAR). The height, thickness, and volume of the cement graft were also measured in the ST-CBCT. The comparisons were performed by Kruskal-Wallis test at 5 % of significance (p < 0.05). Results The height, thickness, and volume of the PMMA were respectively 12.84 ± 1.59 mm, 3.83 ± 0.53, and 1532.02 ± 532.52 mm3. PMMA significantly decreased GE from 8.33 ± 1.25 mm (T0) to 6.60 ± 0.93 mm (T12) (p < 0.01). NAR was 98.34 ± 9.28° at T0 and increased to 105.13 ± 7.33° at T12; however, the angle value was not statistically different (p = 0.08). LLV, LS, NW, FW, and NAS did not exhibit statistical differences between the baseline and follow-up periods. Conclusions PMMA significantly decreased GE in a 12-month follow-up without influencing adjacent soft tissue anatomical structures.
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Affiliation(s)
- Valéria Martins de Araújo Carneiro
- Faculdade de Ciências da Saúde, Departamento de Odontologia, Universidade de Brasília - Campus Universitário Darcy Ribeiro, Asa Norte, Brasília, DF, 70910-900, Brazil
| | - Mayra Pereira Roquete
- Faculdade de Ciências da Saúde, Departamento de Odontologia, Universidade de Brasília - Campus Universitário Darcy Ribeiro, Asa Norte, Brasília, DF, 70910-900, Brazil
| | - Andressa Meireles Seabra Gomes
- Faculdade de Ciências da Saúde, Departamento de Odontologia, Universidade de Brasília - Campus Universitário Darcy Ribeiro, Asa Norte, Brasília, DF, 70910-900, Brazil
| | - Mônica Umpierre Marinho
- Faculdade de Ciências da Saúde, Departamento de Odontologia, Universidade de Brasília - Campus Universitário Darcy Ribeiro, Asa Norte, Brasília, DF, 70910-900, Brazil
| | - Gabriel Simino de Melo
- Faculdade de Medicina e Odontologia, Departamento de Periodontia, Faculdade São Leopoldo Mandic, Rua Dr. José Rocha Junqueira 13, Campinas, SP, 13045-755, Brazil
| | - Feras Kasabji
- Faculty of Medicine, Department of Public Health and Epidemiology, University of Debrecen, Kassai Út 26, Debrecen, Hajdú-Bihar, H-4028, Hungary
| | - Tien-Li An
- Faculdade de Ciências da Saúde, Departamento de Odontologia, Universidade de Brasília - Campus Universitário Darcy Ribeiro, Asa Norte, Brasília, DF, 70910-900, Brazil
| | - Dircilei Nascimento de Sousa
- Faculdade de Ciências da Saúde, Departamento de Odontologia, Universidade de Brasília - Campus Universitário Darcy Ribeiro, Asa Norte, Brasília, DF, 70910-900, Brazil
| | - João Marcelo Meireles Rodrigues
- Faculdade de Ciências da Saúde, Departamento de Odontologia, Universidade de Brasília - Campus Universitário Darcy Ribeiro, Asa Norte, Brasília, DF, 70910-900, Brazil
| | - Cristine Miron Stefani
- Faculdade de Ciências da Saúde, Departamento de Odontologia, Universidade de Brasília - Campus Universitário Darcy Ribeiro, Asa Norte, Brasília, DF, 70910-900, Brazil
| | - Maria do Carmo Machado Guimarães
- Faculdade de Ciências da Saúde, Departamento de Odontologia, Universidade de Brasília - Campus Universitário Darcy Ribeiro, Asa Norte, Brasília, DF, 70910-900, Brazil
| | - Ana Clara Rodrigues Ribeiro
- Departamento de Odontologia, Universidade Católica de Brasília – Campus Taguatinga Sul, Taguatinga, Brasília, DF, 71966-700, Brazil
| | - Carlos Alexandre Soares Andrade
- Faculty of Medicine, Department of Public Health and Epidemiology, University of Debrecen, Kassai Út 26, Debrecen, Hajdú-Bihar, H-4028, Hungary
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Carneiro VMDA, Gomes AMS, Marinho MU, de Melo GS, Kasabji F, An TL, Stefani CM, Guimarães MDCM, Andrade CAS. Dental and periodontal dimensions stability after esthetic clinical crown lengthening surgery: a 12-month clinical study. Clin Oral Investig 2024; 28:76. [PMID: 38180519 PMCID: PMC10769982 DOI: 10.1007/s00784-023-05458-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Accepted: 12/18/2023] [Indexed: 01/06/2024]
Abstract
OBJECTIVES To evaluate the stability of periodontal tissues 3 (T3), 6 (T6), and 12 (T12) months after esthetic crown lengthening (ACL) and the possible correlations between changes in those structures. MATERIALS AND METHODS Twenty individuals were evaluated through clinical assessment, photography, and tomography. Measurements included gingival margin (GM), clinical crown length (CCL), interdental papilla height (PH) and width (PW), gingival thickness (GT), bone thickness (BT), probing depth (PD), distance between alveolar crest and GM, distance between alveolar crest and cementoenamel junction. Nonparametric and correlation statistics were performed (p < 0.05). RESULTS CCL at T0 was 7.42 ± 0.70 mm and increased to 9.48 ± 0.49 mm immediately after ACL, but it decreased to 8.93 ± 0.65 mm at T12. PD decreased 0.60 mm from T0 to T6, and it increased 0.39 mm from T6 to T12. BT decreased 0.20 mm, while GT increased 0.29 mm from T0 to T12. Both PW and PH showed enlargement in T12. A positive moderate correlation was found between CCL/T0 and CCL/T12, GT/T0 and AC-GM/T12, BT/T0 and GT/T12. A few negative moderate correlations were PD/T0 and CCL/T12, PD/T0 and PH/T0, PD/T0 and BT/T12. CONCLUSIONS ACL procedure was effective. Although some rebound occurred, that was not clinically important. PD tended to reestablish its original length, partially due to a migration of GM during the healing period. Besides, a thickening of supracrestal soft tissues was observed. CLINICAL RELEVANCE The present study centers on the factors influencing the stability of periodontal tissues after esthetic crown lengthening, underscoring the procedure's influence on esthetics and biology and the need for careful treatment planning.
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Affiliation(s)
- Valéria Martins de Araújo Carneiro
- Faculdade de Ciências da Saúde, Departamento de Odontologia, Universidade de Brasília, Campus Universitário Darcy Ribeiro, Asa Norte, Brasília-DF, 70910-900, Brazil
| | - Andressa Meireles Seabra Gomes
- Faculdade de Ciências da Saúde, Departamento de Odontologia, Universidade de Brasília, Campus Universitário Darcy Ribeiro, Asa Norte, Brasília-DF, 70910-900, Brazil
| | - Mônica Umpierre Marinho
- Faculdade de Ciências da Saúde, Departamento de Odontologia, Universidade de Brasília, Campus Universitário Darcy Ribeiro, Asa Norte, Brasília-DF, 70910-900, Brazil
| | - Gabriel Simino de Melo
- Faculdade de Medicina e Odontologia, Departamento de Periodontia, Faculdade São Leopoldo Mandic, Rua Dr. José Rocha Junqueira 13, Campinas-SP, 13045-755, Brazil
| | - Feras Kasabji
- Faculty of Medicine, Department of Public Health and Epidemiology, University of Debrecen, Kassai Út 26, 4028, Debrecen, Hajdú-Bihar, Hungary
| | - Tien-Li An
- Faculdade de Ciências da Saúde, Departamento de Odontologia, Universidade de Brasília, Campus Universitário Darcy Ribeiro, Asa Norte, Brasília-DF, 70910-900, Brazil
| | - Cristine Miron Stefani
- Faculdade de Ciências da Saúde, Departamento de Odontologia, Universidade de Brasília, Campus Universitário Darcy Ribeiro, Asa Norte, Brasília-DF, 70910-900, Brazil
| | - Maria do Carmo Machado Guimarães
- Faculdade de Ciências da Saúde, Departamento de Odontologia, Universidade de Brasília, Campus Universitário Darcy Ribeiro, Asa Norte, Brasília-DF, 70910-900, Brazil
| | - Carlos Alexandre Soares Andrade
- Faculty of Medicine, Department of Public Health and Epidemiology, University of Debrecen, Kassai Út 26, 4028, Debrecen, Hajdú-Bihar, Hungary.
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Mattos MCDO, Chagas LGADA, Stefani CM, Damé-Teixeira N, Grisi DC, Salles LP, Oliveira LAD, Carneiro VMDA, Guimarães MDCM. Expression of inflammatory mediators in periodontitis and T2D patients: a systematic review and meta-analysis. Braz Oral Res 2022; 36:e098. [PMID: 35830142 DOI: 10.1590/1807-3107bor-2022.vol36.0098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Accepted: 04/19/2022] [Indexed: 11/22/2022] Open
Abstract
The high concentration of glucose in the blood in Type 2 diabetes (T2D) may be related to either insulin resistance or insulin deficiency. Moreover, the literature points to periodontitis as the main oral disease caused by glycemia imbalance. The quantification of inflammatory markers in blood or saliva samples of T2D patients may represent a valuable tool in revealing how well an individual's immune system can respond to injuries and periodontal treatment. In addition, an evaluation of the cytokine expression is extremely relevant to help understand the connection between periodontitis and T2D. This systematic review and meta-analysis aimed to evaluate the expression of inflammatory markers in T2D patients with periodontitis, compared with non-diabetic patients with periodontitis. A total of 3,894 studies were retrieved after a systematic literature search, 15 of which were included in the systematic review, and 4 of these 15, in the meta-analysis. The results did not indicate any statistical difference between the groups regarding TNF-α and IL-6 markers. T2D patients with periodontitis had increased levels of IL-10, compared with non-diabetic individuals with periodontitis (p = 0.003). On the other hand, the IL-4 concentration in non-diabetic individuals with periodontitis was high, compared with the T2D group (p< 0.001). Several studies did not include quantitative results and were excluded from the meta-analysis. The high IL-10 expression and low IL-4 expression in the T2D group suggest an association between the level of these markers and the impairment of the immune response in T2D patients with periodontitis.
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Affiliation(s)
| | | | - Cristine Miron Stefani
- Universidade de Brasília - UNB, School of Health Sciences, Department of Dentistry, Brasília, DF, Brazil
| | - Nailê Damé-Teixeira
- Universidade de Brasília - UNB, School of Health Sciences, Department of Dentistry, Brasília, DF, Brazil
| | - Daniela Correa Grisi
- Universidade de Brasília - UNB, School of Health Sciences, Department of Dentistry, Brasília, DF, Brazil
| | - Loise Pedrosa Salles
- Universidade de Brasília - UNB, School of Health Sciences, Department of Dentistry, Brasília, DF, Brazil
| | - Laudimar Alves de Oliveira
- Universidade de Brasília - UNB, School of Health Sciences, Department of Dentistry, Brasília, DF, Brazil
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Leite ACE, Carneiro VMDA, Guimarães MDCM. Effects of periodontal therapy on C-reactive protein and HDL in serum of subjects with periodontitis. Braz J Cardiovasc Surg 2014; 29:69-77. [PMID: 24896165 PMCID: PMC4389485 DOI: 10.5935/1678-9741.20140013] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2013] [Accepted: 01/06/2014] [Indexed: 01/25/2023] Open
Abstract
Objective To investigate the effects of nonsurgical periodontal therapy on levels of
high-sensitivity C-reactive protein in the sera and its association with body mass
index and high density lipoprotein in subjects with severe periodontitis. Methods Sera from 28 subjects (mean age: 34.36±6.24; 32% men) with severe periodontitis
and 27 healthy controls (mean age: 33.18±6.42; 33% men) were collected prior to
periodontal therapy. Blood samples were obtained from 23 subjects who completed
therapy (9-12 months). Oral and systemic parameters such as the number of blood
cells, glucose examination, lipid profile, and high-sensitivity C-reactive protein
levels accessed by high-sensitivity immunonephelometry assay, were included. Results Before therapy, in the periodontitis group, the ratio of subjects with
high-sensitivity C-reactive protein <0.3 mg/dL was statistically lower than in
the control group (P<0.0216). After therapy, the ratio of
subjects with high-sensitivity C-reactive protein <0.3 mg/dL was significantly
higher (65.22%) (P<0.0339). The mean value for body mass index
was statistically lower in subjects with high-sensitivity C-reactive protein
<0.3 mg/dL (24.63±4.19), compared with those with high-sensitivity C-reactive
protein >0.3 mg/dL (28.91±6.03) (P<0.0411). High density
lipoprotein presented a mean value statistically higher after therapy
(P<0.0027). Conclusion In systemically healthy subjects with periodontitis, periodontal therapy was
associated with decreased levels of circulating high-sensitivity C-reactive
protein and increase of high density lipoprotein in serum. The clinical trial was
registered at http://www.clinicaltrials.gov.br/, No. RBR-24T799.
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Affiliation(s)
- Anne Carolina Eleutério Leite
- Correspondence address: Anne Carolina Eleutério Leite, Brasília
Shopping Torre Norte - Sala 825 - Asa Norte, Brasília, DF, Brazil - Zip code:
70715-000, E-mail:
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