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Chronic gingivitis: the prevalence of periodontopathogens and therapy efficiency

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Abstract

The purpose of this study was to determine the level of gingival inflammation and the prevalence of periodontopathogenic microorganisms in adolescents with chronic gingivitis, as well as to compare the effectiveness of two approaches in gingivitis treatment-basic therapy alone and basic therapy + adjunctive low-level laser therapy (LLLT). After periodontal evaluation, the content of gingival pockets of 140 adolescents with gingivitis was analyzed by multiplex PCR for the presence of P. gingivalis, A. actinomycetemcomitans, T. forsythensis and P. intermedia. Subsequent to bacteria detection, the examinees were divided into two groups with homogenous clinical and microbiological characteristics. Group A was subjected to basic gingivitis therapy, and group B underwent basic therapy along with adjunctive LLLT. A statistically significant difference between the values of plaque-index (PI) and sulcus bleeding index (SBI) before and after therapy was confirmed in both groups (p < 0.001), though more pronounced in group B. Following therapy, the incidence of periodontopathogenic microorganisms decreased considerably. The best result was obtained in P. gingivalis eradication by combined therapy (p = 0.003). The presence of periodontopathogens in adolescents with gingivitis should be regarded as a sign for dentists to foster more effective oral health programs. LLLT appears to be beneficial as adjuvant to basic therapy.

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Acknowledgment

This work has been supported by the grant No. 175075 of the Serbian Ministry of Science.

Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Children and Preventive Dentistry, Dental Clinic, Medical Faculty Nis, University of Nis, Bul dr Zorana Djindjica 52, 18000, Nis, Serbia

    M. Igic, M. Apostolovic & L. Kostadinovic

  2. Department of Oral Medicine and Periodontology, Dental Clinic, Medical Faculty Nis, University of Nis, Bul dr Zorana Djindjica 52, 18000, Nis, Serbia

    L. Kesic

  3. Clinic of Periodontology and Oral Medicine, School of Dentistry, University of Belgrade, Dr. Subotica 8, 11000, Belgrade, Serbia

    V. Lekovic

  4. Institute of Pathological Anatomy, Medical Faculty Nis, University of Nis, Bul dr Zorana Djindjica 52, 18000, Nis, Serbia

    D. Mihailovic

  5. Department of Human Genetics, School of Dentistry, University of Belgrade, Dr. Subotica 8, 11000, Belgrade, Serbia

    J. Milasin

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  1. M. Igic
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  2. L. Kesic
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  3. V. Lekovic
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  4. M. Apostolovic
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  5. D. Mihailovic
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  6. L. Kostadinovic
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  7. J. Milasin
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Correspondence to M. Igic.

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Igic, M., Kesic, L., Lekovic, V. et al. Chronic gingivitis: the prevalence of periodontopathogens and therapy efficiency. Eur J Clin Microbiol Infect Dis 31, 1911–1915 (2012). https://doi.org/10.1007/s10096-011-1520-7

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  • DOI: https://doi.org/10.1007/s10096-011-1520-7

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