Biomedical subjects

István Gorzó

Publications and source records attributed to István Gorzó.

12 recordsLinked to original sources

PubMed2006

Possible association between mother's periodontal status and preterm delivery.

BACKGROUND: A case-control study was undertaken to detect whether initial chronic localized periodontitis could be a risk factor for preterm birth (PB) and foetal growth restriction. METHODS: A PB case was defined if a patient had a threatening premature event during pregnancy pre-term premature rupture of membranes, or spontaneous pre-term delivery, before the 37th week of pregnancy, and/or the weight of the newborn was <2500 g. Into the PB (case) group, 77 women were allocated, while 84 were included in the control group, all of whom had delivery after the 37th gestational week and with a newborn weighing >or=2500 g. RESULTS: A significant association was found between PB and initial chronic localized periodontitis, the criteria being bleeding at >or=50% of the examined teeth and having at least at one site at >or=4 mm probing depth (p=0.0001). The adjusted odds ratio for initial chronic localized periodontitis was 3.32, 95% CI: 1.64-6.69. The average weight of newborns of mothers with periodontitis was significantly less than that of the women without periodontitis (p=0.002). CONCLUSIONS: The results support the hypothesis that initial chronic localized periodontitis of pregnant women could lead to PB, and birth-weight reduction.

Adolescent↗

PubMed2005

Distribution of anaerobic bacteria among pregnant periodontitis patients who experience preterm delivery.

The preterm delivery of low-birth-weight (PLBW) infants remains a significant public health issue and a leading cause of neonatal death and of long-term neurodevelopmental disturbances and health problems. Epidemiological and immunological studies have suggested that periodontal disease may be an independent risk factor for PLBW. The incidence of periodontal disease during pregnancy has been found to be associated with a significantly lower birth weight for gestational age after adjustment for race, parity and baby gender. The present case-control study, carried out to examine the distribution of anaerobes in pregnant women with periodontitis who experienced preterm delivery, provides microbial evidence that maternal periodontal disease and the presence of key pathogens are significant contributors to the obstetric risk of preterm delivery.

Adolescent↗

PubMed2005

[Caries and periodontal state of pregnant women. Part I. Caries status].

A misconception exists in the society regarding the caries frequency during pregnancy. The condition of the teeth of the child can be influenced by the state of the teeth and the oral hygiene habits of the mother. An examination was conducted among young women soon after delivery in Szeged/Hungary. The number of the examined patients was 161, with the average age of 27.6 years. The DMFT (Decayed, Missing, Filled Teeth) index was 12.45, while the DMFS (Decayed, Missing, Filled Surfaces) index was 26.07 in the examined population. The DMFT index significantly correlated with age, number of pregnancies, plaque index, probing pocket depth and bleeding on probing, while the DMFT index was not dependent on education level, profession and place of residency. There was no significant correlation between the number of previous pregnancy and the incidence of caries.

Adolescent↗

PubMed2005

[Caries and periodontal state of pregnant women. Part II. Periodontal state].

A great number of clinical studies focused on the periodontal health of the pregnant women in the last decades, since an association has been presumed between the pregnant women's periodontal disease and the adverse pregnancy outcome. Altogether 161 healthy women were examined soon after delivery in Szeged/Hungary. The periodontal status of the patients was recorded by the Silness-Löe Plaque index (0.67), frequency of calculus (21.07%), mean probing pocket depth (1.67 mm) and the frequency of bleeding on probing (37.8%). A significant correlation was found between the state of the periodontium and the educational level and the pregnant women's profession. The periodontal state of women with higher education and the intellectuals was much better, than of the less educated patients and the manual workers.

Adult↗

PubMed2005

[Effect of occlusal therapy with FRC splint on periodontal parameters in maintenance phase].

The purpose of this study was to evaluate the changes of the periodontal parameters of mobile, but splinted teeth with intracoronal fiber reinforced composite and compare to non-mobile teeth in maintenance phase. We splinted 73 teeth (29 non-mobile, 44 mobile) in 18 cases. The periodontal parameters - probing depth, gingival index (Loe-Silness, 1964), plaque index (Silness-Loe, 1965) - were monitored clinically immediately, 1 year and 2 years after complete periodontal treatment. There were scored 69 treated teeth after 1 year and 37 treated teeth after 2 years. Statistical comparisons were performed using Wilcoxon test for two related parameters and Mann-Whitney U test for two independent parameters in the software package SPSS 11.0 for Windows (SPSS, Chicago, IL, USA). There was not mobility recorded at splinted teeth neither after treatment immediately nor at recall visits. The periodontal parameters demonstrated no significant changes of probing depth (-0,08 +/- 0,41, 0,05 +/- 0,51) and gingival index (-0,32 +/- 0,79, -0,32 +/- 0,75) 1 and 2 years after complete therapy. There was significant decrease in plaque index (-0,77 +/- 0,43, -0,36 +/- 0,55) measured at recall visits. No significant differences were detected between the mobile and the non-mobile groups in all parameters. No significant correlation between changes of gingival index and plaque index was determined. The intracoronal FRC splint do not obstruct the individual and professional oral hygiene. The stabilize of mobile teeth allow the same healing like a non-mobile teeth.

Adult↗

PubMed2004

A possible association between preterm birth and early periodontitis. A pilot study.

UNLABELLED: According to many studies, generalised periodontitis can be a risk factor for preterm birth (PB). A case-control study was carried out to examine if early localised periodontitis could be a risk factor for adverse pregnancy outcome. MATERIAL AND METHODS: Postpartum women without any systemic disease were included into the study. Similar numbers of patients belonged to the case (41) and to the control (44) groups. A PB case was defined if a patient had a threatening premature labour during pregnancy, preterm premature rupture of membranes, or spontaneous preterm labour, and/or the weight of the newborn was < or = 2499 g. Control women had delivery after the 37th gestational week and the newborn's weight was > or = 2500 g. Known risk factors like smoking, alcohol, drug consumption, socio-economic status and the periodontal status were recorded. RESULTS: A significant association was found between PB and early localised periodontitis of the patient with the following criterion having bleeding at > or = 50% of the examined sites (6 at each tooth) and having at least at one site > or = 4 mm probing depth (p = 0.001). The odds ratio was 5.46 at the 95% confidence interval. The average weight of the newborns in the periodontitis group was less than in the control group, the difference is significant (p = 0.047). CONCLUSION: The results indicate that early localised periodontitis of the patient during pregnancy can be regarded as an important risk factor for PB.

Adolescent↗

PubMed2004

[Periodontal abscess: etiology, diagnosis and treatment].

The periodontal abscess is an acute destructive process in the periodontium resulting in localized collections of pus communicating with the oral cavity through the gingival sulcus or other periodontal sites and not arising from the tooth pulp. The prevalence of periodontal abscess is relatively high and it affects the prognosis of the tooth. Periodontal abscesses can develop on the base of persisting periodontitis but can also occur in the absence of periodontitis. The cause of the development of periodontal abscess originating from chronic periodontitis is the marginal closure of a periodontal pocket, or the pocket lumen might be too tight to drain the increased suppuration due to changes in the composition of subgingival microflora, alteration of bacterial virulence or host defenses. Diagnosis of a periodontal abscess is based on medical and dental history as well as oral examination (pocket depth, swelling, suppuration, mobility, sensibility of the tooth). The most prevalent group of bacteria: P. gingivalis, P. intermedia, B. forsythus, F. nucleatum and P. micros. Previous studies have suggested that the complete therapy of the periodontitis patients with acute periodontal abscess has to do in two stages: the first stage is the management of acute lesions, then the second stage is the appropriate comprehensive treatment of the original and/or residual lesions. The management of acute lesions includes establishing drainage via pocket lumen, subgingival scaling and root planing, curettage of the lining pocket epithelia and seriously inflamed connective tissue, compressing pocket wall to underlying tooth and periodontal support, and maintaining tissue contact. Some authors recommend the incision or to establish drainage and irrigation, or a flap surgery, or even extraction of hopeless teeth. We recommend the use of systemic antibiotics as a preventive measure of systemic disease or in case of systemic symptoms.

Acute Disease↗

PubMed2003

[Dental focal infection. Literature review].

The author gives an account of the history of the dental foci from the ancient times up to the present day, together with the change of the concept of dental foci and their modern interpretation. The article points out the shift in the assessment of the importance of focal infection. It gives a detailed account of the focal infection of dental origin, as well as the consequence of such inflammation. Mentions the phenomenon of tropism and its role in the development of secondary diseases. The article is based upon an excessive literature.

Focal Infection, Dental↗

PubMed2003

[Current splinting methods in dentistry. I].

Even in the ancient age there was an ambition to fix loose teeth. From the 1950s almost the same materials were used for splinting like today. A real breakthrough happened with the introduction of the etching method and the development of better composites as well as fiber-reinforced materials. In this paper the authors give a review of literature and their experience about the fiber-reinforced composites (FRC). Properties and use of the fiber-reinforced composites are presented, and suggestions are given how to apply the different materials for splinting, orthodontic retentive treatment, fixing traumatised mobile teeth, or temporary and long-distance provisional and permanent prostheses.

Acrylic Resins↗

PubMed2003

[Direct application of fiber-reinforced composites in splinting in a case of periodontitis. II].

Attachment loss through advanced periodontitis results in tooth mobility, and then loss of teeth. To prevent progression it is needed to eliminate any exciting agent and correct functional disorders in consequence of disease. Regeneration of periodontium is impossible and mastication is difficult because of tooth mobility. Long-term maintenance of mobile teeth is doubtful. We have to prevent the extraction of these teeth to stabilise them by a splint made of material that is inexpensive, reparable, provides sufficient support for the artificial tooth. Fiber-Reinforced Composite (FRC) fulfills the above requirements. In their case-reports the authors demonstrate the practical application of splinting with FRC materials. In these cases the FRC splints are not only periodontal splints but they act as orthodontic retainers or supports for an artificial tooth.

Adult↗

PubMed2003

[Replacement of a missing tooth with transplantation. Case report].

The replantation and transplantation are wide-spread therapies applied in case of tooth avulsion. It is also possible for such a tooth not to get back into the original socket, and it would be replaced to another tooth alveoli. In this presented case we transplanted a wisdom tooth to the place of the first lower molar immediately after extraction. The same time, by this case we discussed the therapeutical principles and possible prognosis too.

Adult↗

PubMed2002

[Periodontal disease as a potential risk factor for preterm birth and low birth weight (Literature review)].

In Hungary the number of low birth-weight new-born babies is about 8200 in a year, while the frequency of for preterm birth is 8.2%. The infant mortality among the low birth-weight babies is higher, than among the normal weight babies. Every efforts are used to decrease the number of preterm births. Researches have been carried out since decades on finding its possible risk factors. A possible risk factor for low birth-weight babies may be the chronic periodontal infection. The publication provides a review of recently published evidences of the potential association between periodontal infection and preterm low birth-weight.

Adult↗