Schoonbeeg, M. (Margriet) (2011) Necrotiserende Parodontale Aandoeningen : Een Literatuuronderzoek naar de Klinische Kenmerken en Predisponerende Factoren. thesis, Dentistry.
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Abstract
Background: Necrotizing periodontal disease (NPD) includes necrotizing ulcerative gingivitis (NUG) and necrotizing ulcerative periodontitis (NUP). These are forms of acute periodontal infection, characterized by pain or discomfort and infection of the periodontium and related structures. For the last thirthy years little research has been done into NPD and there has been little attention for NPD in the Dutch scientific journals for dentists and dental hygienists. NPD is no longer the order of the day in general dental practice, but it does still exist in The Netherlands. There are no recent figures on the prevalence in The Netherlands. It is known that the prevalence of NPD in industrialized countries has been decreasing since thirty years. Just because NPD is not regularly seen in the Dutch dental practice and because not diagnosing or misdiagnosing NPD has major consequences for oral health, it is important that dentists and dental hygienists recognize NPD and are informed of the predisposing factors for NPD. In this study the clinical characteristics of NPD and the predisposing factors for NPD are examined Objective: The purpose of this study is to draw the attention of (future) dentists and dental hygienists once again to the clinical characteristics of NPD and the predisposing factors for NPD, and therewith to NPD in general. Moreover it is of great importance to point out to dentist and dental hygienist the underlying problem with NPD, being either psychological or physical. Methods: In order to meet the research request of this study, a literature study has been done. Several databases and searchterms have been used to find articles, relevant to this study. The results have been assessed in three stages: based on title, abstract and the full content. The remaining studies should meet the requirements. Results: Literature describes various clinical characteristics of NPD: bleeding, pain, necrosis and ulceration, pseudomembrane formation, foetor ex ore, lymphadenopathy, elevated body temperature/fever, abnormal sensation in the teeth and bad taste in the mouth. In literature the following predisposing factors for NPD have been found: bad oral hygiene, smoking, stress, malnutrition, systemic disease, viral infections and altered immune functions. There are no primary clinical studies on NUP. NUP has the same clinical characteristics as NUG, but these are extended with infection of the periodontal ligament and alveolar bone, leading to attachment loss and bone loss. Conclusions and Discussion: There is little up to date literature on the clinical characteristics of NPD and the predisposing factors for NPD. Bleeding, pain and necrosis and ulceration are the three symptoms in literature generally accepted as the primary clinical feautures of NPD. Foetor ex ore and pseudomembrane formation are the symptoms that subsequently occur most consistent with NPD and are therefore considered to be the secondary clinical features of NPD. Predisposing factors for NPD are poor oral hygiene, smoking, stress, malnutrition, systemic disease and viral infections. The predisposing factors lead to a weakening of local and/ or systemic defense mechanisms by which a massive invasion of spirochetes and rodshaped bacteria in the gingival tissues can occur, resulting in a rapid intense inflammatory
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Winkelhoff, Prof. dr. A.J. van verbonden aan het and Centrum voor Tandheelkunde en mondzorgkunde and en het Universitair Medisch Centrum Groningen |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:43 |
| Last Modified: | 25 Jun 2020 10:43 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/414 |
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