OBJECTIVES: The purpose of this study was to evaluate the effect of regular oral health care using Watanabe's tooth brushing method on aggressive periodontitis. METHODS: A 14-year-old female visited our clinic with the chief complaint of gingival swelling and teeth mobility in 2008. The present illness on the day of visit was gingivitis with swelling and redness on marginal gingiva, root exposure due to the attachment loss and gingival recession and the degree 3 mobility of #26, 36, 46 with no systemic disease and familial tendency. The panoramic radiograph showed the severe vertical and horizontal alveolar bone loss in the first molars. For the treatment, preventive care including tooth brushing instruction and professional tooth brushing using Watanabe's method and periodontal treatment using scaling and root planing, plaque control and antibiotics prescription were performed from the July, 2008 to September, 2012. RESULTS: The patient could maintain all of her teeth without extraction except for one molar during the treatment period and symptoms of gingivitis decreased all over the oral region. But dental plaque level was not decreased. CONCLUSIONS: The regular oral health care with professional toothbrushing by Watanabe's method was effective in relieving the gingival inflammation of patients with aggressive periodontitis.
Aggressive Periodontitis ; Alveolar Bone Loss ; Anti-Bacterial Agents ; Dental Plaque ; Female ; Gingiva ; Gingival Recession ; Gingivitis ; Humans ; Inflammation ; Molar ; Oral Health ; Prescriptions ; Root Planing ; Tooth ; Toothbrushing

BACKGROUND/AIMS: In clinical practice, among the technique to detected Helicobacter pylori (H. pylori) infection, IgG serological test is noninvasive, safe, quick, widely available, and inexpensive. We studied that whether the titers of anti-H. pylori IgG antibody were correlated with endoscopic finding, and the degree of microscopic gastric damage and H. pylori density in dyspeptic patients. METHODS: Gastric biopsy specimens were obtained in 109 patients with H. pylori infection undergoing upper gastric endoscopy. The titers of serum IgG antibodies to H. pylori were measured by enzyme immunoassay. Macroscopic gastric damages and histologic grades were scored by the Sydney system. RESULTS: Endoscopic findings showed no significant association with H. pylori antibody titers (p=0.111). There was significant correlation between H. pylori antibody titers and lymphocyte infiltration (p=0.002), neutrophil infiltration (p=0.002), H. pylori density (p=0.0001), respectively. There was no significant correlation between H. pylori antibody titers and atropy (p=0.142), intestinal metaplasia (p=0.368), respectively. CONCLUSIONS: H. pylori antibody titer has significant association with the H. pylori density, neutrophil and lymphocyte infiltration. The serological test using EIA method is a useful in detecting H. pylori infection and it may be used as a predictor for the H. pylori density and degree of inflammation.
Antibodies ; Biopsy ; Endoscopy ; Helicobacter pylori* ; Helicobacter* ; Humans ; Immunoenzyme Techniques ; Immunoglobulin G ; Inflammation ; Lymphocytes ; Metaplasia ; Neutrophil Infiltration ; Neutrophils ; Serologic Tests