Pub Date : 2012-06-01DOI: 10.1016/j.pad.2012.02.002
C. Guastamacchia , R. Caputo , V. Cortesi Ardizzone
Objectives
To suggest a communication method that makes the patient recall effective, and present the Preventive Communication Procedure (PROcedura di COmunicazione in Prevenzione, PROCOP) adopted by the authors.
Materials and methods
The fundamental elements to optimise patient recall are: when to make the recall appointment; who is to make the recall appointment; how the recall appointment is managed. The two documents used to contact patients are presented, aimed at increasing their level of permanent motivation: the PROCOP presentation letter and the form-questionnaire, to be filled in and brought along to the recall appointment.
Results and conclusions
The proposed programme is based on two key concepts: patients must become collaborators-allies fully involved in the prevention process, which not only regards their mouth, but their entire lifestyle; the patient must accept the dental surgery to have responsibility to maintain what we suggest can be called motivating external memory.
目的提出一种有效的沟通方法，并介绍作者采用的预防性沟通程序(procura di COmunicazione in preventzione, PROCOP)。材料与方法优化患者召回的基本要素是:何时预约召回;由谁指定召回日期;如何管理召回预约。提供了用于联系患者的两份文件，旨在提高他们的永久动机水平:PROCOP介绍信和表格问卷，填写并带到召回预约。结果和结论拟议的方案基于两个关键概念:患者必须成为合作者-盟友，充分参与预防过程，这不仅涉及他们的口腔，而且涉及他们的整个生活方式;患者必须接受牙科手术，有责任维持我们所说的激励外部记忆。
{"title":"PROcedura di COmunicazione in Prevenzione per la motivazione del paziente","authors":"C. Guastamacchia , R. Caputo , V. Cortesi Ardizzone","doi":"10.1016/j.pad.2012.02.002","DOIUrl":"10.1016/j.pad.2012.02.002","url":null,"abstract":"<div><h3>Objectives</h3><p>To suggest a communication method that makes the patient recall effective, and present the Preventive Communication Procedure (<em>PROcedura di COmunicazione in Prevenzione</em>, PROCOP) adopted by the authors.</p></div><div><h3>Materials and methods</h3><p>The fundamental elements to optimise patient recall are: when to make the recall appointment; who is to make the recall appointment; how the recall appointment is managed. The two documents used to contact patients are presented, aimed at increasing their level of permanent motivation: the PROCOP presentation letter and the form-questionnaire, to be filled in and brought along to the recall appointment.</p></div><div><h3>Results and conclusions</h3><p>The proposed programme is based on two key concepts: patients must become collaborators-allies fully involved in the prevention process, which not only regards their mouth, but their entire lifestyle; the patient must accept the dental surgery to have responsibility to maintain what we suggest can be called <em>motivating external memory</em>.</p></div>","PeriodicalId":77593,"journal":{"name":"Prevenzione & assistenza dentale","volume":"38 2","pages":"Pages 31-32, 34, 36-37"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.pad.2012.02.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55099583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-03-01DOI: 10.1016/j.pad.2011.12.003
M. Gatti , M.S. Rini , F. Scandurra
Objective
Comparison between culture and methodical investigation of commercial real-time polymerase chain reaction (RT-PCR) for the detection of most bacterial species implicated in periodontal disease.
Materials and methods
The study evaluated the microbiological profile of 64 patients with chronic periodontitis. For each patient double samples of subgingival plaque in five sites for more than one dental element were collected using sterile paper points and transferred to a transport medium for the bacterial culture and without a transport medium for RT-PCR.
Results
The bacterial culture versus RT-PCR identified the same percentage of P. intermedia (68.75%), F. nucleatum (87.5%), and T. forsythensis (50%), and a lower percentage of P. gingivalis (56.2% vs 68.75%) and A. actinomycetemcomitans (6.25% vs 31.25%). T. denticola (87.5%) was sought out only by RT-PCR. In particular, P. intermedia (72.7%), P. gingivalis (77.7%), and T. forsythensis (37.5%) showed resistance to amoxicillin and in a lower percentage P. intermedia (40.9%), P. gingivalis (38.8%) and T. forsythensis (37.5%) to metronidazole. Fifty percent of F. nucleatum strains showed resistance to clindamycin and 44.4% of P. gingivalis strains showed resistance to ciprofloxacin.
Conclusions
Our data indicate that RT-PCR was more sensitive and specific than colture examination. Also, it has proven particularly useful in detecting pathogenic species implicated in periodontal disease that cannot be cultivated or are not easily discernible in culture, such as T. denticola. On the other hand, only culture investigation can detect multiple bacterial species simultaneously, highlight the unexpected species and above all allow the evaluation of the antibiotic-resistance. Thanks to these features, this method is still considered the gold standard in the diagnosis and monitoring of periodontal disease.
{"title":"Ricerca di batteri implicati nella malattia parodontale mediante esame colturale e RT-PCR","authors":"M. Gatti , M.S. Rini , F. Scandurra","doi":"10.1016/j.pad.2011.12.003","DOIUrl":"10.1016/j.pad.2011.12.003","url":null,"abstract":"<div><h3>Objective</h3><p>Comparison between culture and methodical investigation of commercial real-time polymerase chain reaction (RT-PCR) for the detection of most bacterial species implicated in periodontal disease.</p></div><div><h3>Materials and methods</h3><p>The study evaluated the microbiological profile of 64 patients with chronic periodontitis. For each patient double samples of subgingival plaque in five sites for more than one dental element were collected using sterile paper points and transferred to a transport medium for the bacterial culture and without a transport medium for RT-PCR.</p></div><div><h3>Results</h3><p>The bacterial culture versus RT-PCR identified the same percentage of <em>P. intermedia</em> (68.75%), <em>F. nucleatum</em> (87.5%), and <em>T. forsythensis</em> (50%), and a lower percentage of <em>P. gingivalis</em> (56.2% vs 68.75%) and <em>A. actinomycetemcomitans</em> (6.25% vs 31.25%). <em>T. denticola</em> (87.5%) was sought out only by RT-PCR. In particular, <em>P. intermedia</em> (72.7%), <em>P. gingivalis</em> (77.7%), and <em>T. forsythensis</em> (37.5%) showed resistance to amoxicillin and in a lower percentage <em>P. intermedia</em> (40.9%), <em>P. gingivalis</em> (38.8%) and <em>T. forsythensis</em> (37.5%) to metronidazole. Fifty percent of <em>F. nucleatum</em> strains showed resistance to clindamycin and 44.4% of <em>P. gingivalis</em> strains showed resistance to ciprofloxacin.</p></div><div><h3>Conclusions</h3><p>Our data indicate that RT-PCR was more sensitive and specific than colture examination. Also, it has proven particularly useful in detecting pathogenic species implicated in periodontal disease that cannot be cultivated or are not easily discernible in culture, such as <em>T. denticola</em>. On the other hand, only culture investigation can detect multiple bacterial species simultaneously, highlight the unexpected species and above all allow the evaluation of the antibiotic-resistance. Thanks to these features, this method is still considered the gold standard in the diagnosis and monitoring of periodontal disease.</p></div>","PeriodicalId":77593,"journal":{"name":"Prevenzione & assistenza dentale","volume":"38 1","pages":"Pages 14-20"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.pad.2011.12.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55099318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-03-01DOI: 10.1016/j.pad.2011.12.004
C. Maspero , C. Esposito , G. Galbiati , G. Caceffo , L. Giannini
Objectives
The aim of this work is to evaluate the effects of menopause on oral health, the most frequent problems and prevention strategies feasible in this particular category of patients.
Materials and methods
A survey was conducted in the electronic database of Medline, using specific inclusion and exclusion criteria, and the following keywords “oral health and menopause”. Some interesting texts for this research were selected among the found articles. Some articles published in not indexed journals were added and some considerations were drawn from related texts.
Results and conclusions
The menopause is a time of great hormonal changes and periodontal tissue is particularly sensitive to it. Some clinical features showed up most frequently in this group of patients: desquamative gingivitis, stomatopirosis, xerostomy, gingivitis and periodontal diseases in general. A strict prevention of all forms of periodontal disease should be implemented to minimize the risk of teeth loss or the onset of infectious and inflammatory issues against gums and oral mucosa.
{"title":"Alterazioni del cavo orale e strategie preventodontiche in menopausa","authors":"C. Maspero , C. Esposito , G. Galbiati , G. Caceffo , L. Giannini","doi":"10.1016/j.pad.2011.12.004","DOIUrl":"10.1016/j.pad.2011.12.004","url":null,"abstract":"<div><h3>Objectives</h3><p>The aim of this work is to evaluate the effects of menopause on oral health, the most frequent problems and prevention strategies feasible in this particular category of patients.</p></div><div><h3>Materials and methods</h3><p>A survey was conducted in the electronic database of Medline, using specific inclusion and exclusion criteria, and the following keywords “oral health and menopause”. Some interesting texts for this research were selected among the found articles. Some articles published in not indexed journals were added and some considerations were drawn from related texts.</p></div><div><h3>Results and conclusions</h3><p>The menopause is a time of great hormonal changes and periodontal tissue is particularly sensitive to it. Some clinical features showed up most frequently in this group of patients: desquamative gingivitis, stomatopirosis, xerostomy, gingivitis and periodontal diseases in general. A strict prevention of all forms of periodontal disease should be implemented to minimize the risk of teeth loss or the onset of infectious and inflammatory issues against gums and oral mucosa.</p></div>","PeriodicalId":77593,"journal":{"name":"Prevenzione & assistenza dentale","volume":"38 1","pages":"Pages 21-26"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.pad.2011.12.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55099358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2012-03-01DOI: 10.1016/j.pad.2011.12.001
R. Farina, L. Minenna, G. Franceschetti, M.E. Guarnelli, L. Trombelli
Objectives
Periodontitis progression varies widely among individuals, either with or without treatment. Not all risk determinants for periodontitis are relevant for diagnosing the disease. The purpose of the present report is to present two cases, which show how a simplified method for periodontal risk assessment (UniFe), developed by the Research Centre for the Study of Periodontal and Peri-implant Diseases, University of Ferrara, can identify differences in periodontal risk among individuals with similar severity of periodontitis.
Materials and methods
The UniFe method is described in detail, and its use is illustrated for calculating periodontal risk in two patients with similarly severe periodontitis.
Results
Periodontal risk assessment with the UniFe method revealed different risk levels in the two patients. The UniFe method revealed that the worse prognosis in one of the patients was due to exposure to environmental risk factors (i.e., smoking) and a higher prevalence of gingival bleeding.
Conclusions
Preliminary data suggest that the UniFe method is a simple and reliable tool for periodontal risk assessment and that it can identify differences in periodontal risk among individuals with similar severity of periodontitis.
{"title":"Il metodo UniFe per la valutazione del rischio parodontale","authors":"R. Farina, L. Minenna, G. Franceschetti, M.E. Guarnelli, L. Trombelli","doi":"10.1016/j.pad.2011.12.001","DOIUrl":"10.1016/j.pad.2011.12.001","url":null,"abstract":"<div><h3>Objectives</h3><p>Periodontitis progression varies widely among individuals, either with or without treatment. Not all risk determinants for periodontitis are relevant for diagnosing the disease. The purpose of the present report is to present two cases, which show how a simplified method for periodontal risk assessment (UniFe), developed by the Research Centre for the Study of Periodontal and Peri-implant Diseases, University of Ferrara, can identify differences in periodontal risk among individuals with similar severity of periodontitis.</p></div><div><h3>Materials and methods</h3><p>The UniFe method is described in detail, and its use is illustrated for calculating periodontal risk in two patients with similarly severe periodontitis.</p></div><div><h3>Results</h3><p>Periodontal risk assessment with the UniFe method revealed different risk levels in the two patients. The UniFe method revealed that the worse prognosis in one of the patients was due to exposure to environmental risk factors (i.e., smoking) and a higher prevalence of gingival bleeding.</p></div><div><h3>Conclusions</h3><p>Preliminary data suggest that the UniFe method is a simple and reliable tool for periodontal risk assessment and that it can identify differences in periodontal risk among individuals with similar severity of periodontitis.</p></div>","PeriodicalId":77593,"journal":{"name":"Prevenzione & assistenza dentale","volume":"38 1","pages":"Pages 5-13"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.pad.2011.12.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55099227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2011-12-01DOI: 10.1016/j.pad.2011.07.001
G. Tieghi, M. Gangale, L. Levrini, M. Boldi, M. Rossini
Objectives
To evaluate the efficacy of motivational intervention in improving short- and long-term compliance with instructions for maintaining oral hygiene.
Materials and methods
The study included 20 adult patients (mean age 45 years) with periodontal disease (Periodontal Screening and Recording [PSR] scores 3/4). All received instructions for maintaining oral hygiene, with (n = 10) or without (n = 10) motivational interventions. Patients were interviewed at 1 and 4 months to assess compliance and self-perception.
Results
The follow-up revealed decreased gingival bleeding and improved oral hygiene indexes, but there were no changes in pocket depth or attachment loss after 4 months. There was an improvement in patients’ self-perception and perception of their oral hygiene, but it decreased over time.
Discussion
As showed in previous reports, motivational intervention is not effective in increasing long-term compliance with oral hygiene protocols, but it is very important for increasing short-term compliance.
Conclusions
The study shows that motivational interventions are effective if they are done regularly at short intervals of time. It would be interesting to assess clinical results and compliance with an experimental protocol that includes nonsurgical periodontal therapy.
{"title":"La motivazione attraverso la Theory of Planned Behaviour (TPB): valutazione dell’adesione alle istruzioni di igiene orale nei pazienti adulti parodontopatici","authors":"G. Tieghi, M. Gangale, L. Levrini, M. Boldi, M. Rossini","doi":"10.1016/j.pad.2011.07.001","DOIUrl":"10.1016/j.pad.2011.07.001","url":null,"abstract":"<div><h3>Objectives</h3><p>To evaluate the efficacy of motivational intervention in improving short- and long-term compliance with instructions for maintaining oral hygiene.</p></div><div><h3>Materials and methods</h3><p>The study included 20 adult patients (mean age 45 years) with periodontal disease (Periodontal Screening and Recording [PSR] scores 3/4). All received instructions for maintaining oral hygiene, with (n<!--> <!-->=<!--> <!-->10) or without (n<!--> <!-->=<!--> <!-->10) motivational interventions. Patients were interviewed at 1 and 4 months to assess compliance and self-perception.</p></div><div><h3>Results</h3><p>The follow-up revealed decreased gingival bleeding and improved oral hygiene indexes, but there were no changes in pocket depth or attachment loss after 4 months. There was an improvement in patients’ self-perception and perception of their oral hygiene, but it decreased over time.</p></div><div><h3>Discussion</h3><p>As showed in previous reports, motivational intervention is not effective in increasing long-term compliance with oral hygiene protocols, but it is very important for increasing short-term compliance.</p></div><div><h3>Conclusions</h3><p>The study shows that motivational interventions are effective if they are done regularly at short intervals of time. It would be interesting to assess clinical results and compliance with an experimental protocol that includes nonsurgical periodontal therapy.</p></div>","PeriodicalId":77593,"journal":{"name":"Prevenzione & assistenza dentale","volume":"37 4","pages":"Pages 117-122"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.pad.2011.07.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55099056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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