Periodontitis Stage III–IV, Grade C and Correlated Factors: A Histomorphometric Study

Autor: Elisa Borsani, Magda Mensi, Eleonora Scotti, Gianluca Garzetti, Veronica Cappa, Stefano Calza, Barbara Buffoli, Lia Rimondini
Rok vydání: 2019
Předmět:
Zdroj: Biomedicines
Volume 7
Issue 2
Biomedicines, Vol 7, Iss 2, p 43 (2019)
ISSN: 2227-9059
DOI: 10.3390/biomedicines7020043
Popis: Background: Periodontitis is a disease that leads to serious functional and esthetic dysfunctions. Periodontitis exists in different forms, and its etiology is related to multiple component causes. Two key processes involved in the evolution of this pathology are angiogenesis and inflammatory infiltrate. The aim of this study was to understand if important factors such as smoking, gender, age, plaque, pus, and probing pocket depth could influence the histomorphological pattern of generalized stage III&ndash
IV, grade C periodontitis (GPIII&ndash
IVC), which is a particular form of periodontitis. Methods: Eighteen subjects with GPIII&ndash
IVC were enrolled in this study. The percentage of inflammatory cells and the vascular area were measured and evaluated in relation to each periodontal disease-associated factor. Results: Females showed a significant increase in the percentage of inflammatory cells compared to males (6.29% vs. 2.28%, p-value = 0.020) and it was higher in non-smokers than in smokers (4.56% vs. 3.14%, p-value = 0.048). Young patients showed a significant increase in vascular area percentage compared to older patients (0.60% vs. 0.46%, p-value = 0.0006) and this percentage was also higher in non-smokers compared to smokers (0.41% vs. 0.55%, p-value = 0.0008). The vascular area was also more than halved in subjects with residual plaque on tooth surfaces (0.74% vs. 0.36%, p-value = 0.0005). Conclusions: These results suggested that even if these factors are commonly related to the worsening of periodontal status, some of them (pus and periodontal probing depth (PPD)) do not affect the inflammatory and vascular patterns.
Databáze: OpenAIRE