Periodontal Diseases Clinical Trial
Official title:
Periodontal Status and Dental Behavior of Heart Trasplant Recipients and Healthy Controls
Forty heart transplant recipients and forty age and sex mathced systemically healthy patients were included. Periodontal examination was performed and a questionnaire was applied to record demographic data, systemic health and dental behavior data.
Patients who had heart transplantion surgery at between 2003 to 2017 were screened during
routine outpatient visits. The patients who have history of periodontal treatment within the
previous year, history of antibiotic use during the preceding 6 months, clinically non-stable
patients were excluded . 40 cardiac transplant patiets who met these criteria included into
this study. Each member of the transplant group was mathched with a patient in the
systemically healthy control group by age and gender and smoking status. 40 systemically
healthy subjects with no history of periodontal treatment within the previous year and no
history of antibiotic use during the preceding 6 months were recruited.
Medical Data Hospital records were reviewed and data were collected using a standardised form
that included demographic information (age, gender) and medical information such as smoking
history, presence of systemic disease, post transplant time, medication regimen/dosages.
Assesment of Oral Hygeine Behaviour Patients were also asked to complete a standardised
anamnestic questionnaire. Questions were about their personal oral hygeine behaviour
(toothbrush, dental floss etc.), whether their dental visit was routine or
complaint-oriented. For the transplant group one more question about whether a dental check
up or comprehensive dental treatment had occured before transplantation was added.
Clinical Examination In both groups, periodontal examination was performed by one calibrated
periodontist at the Deperatment of Periodontology, Başkent University. All subjects recieved
a comprehensive periodontal examination including plaque index (PI); gingival index (GI);
gingival recession (GR); bleeding on probing (BOP); Probing depth (PD); clinical attachment
level (CAL).
According to the clinical and radiographic evaluation the patients were categorized due to
their periodontal status. The patients were diagnosed with periodontally healthy, gingivitis
or periodontitis. Patients were diagnosed with periodontally healthy if they have <10%
bleeding sites with probing depths ≤3 mm; whereas patients who have >10% bleeding sites with
probing depths ≤3 mm were diagnosed with gingivitis. Patients who had probing depths ≥ 4 mm,
interproximal, CAL of ≥2 mm or ≥3 mm at ≥2 non-adjacent teeth .9,25,26
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