Periodontal health Lang, Niklaus P.; Bartold, P. Mark
Journal of clinical periodontology,
June 2018, 2018-06-00, 20180601, Letnik:
45, Številka:
S20
Journal Article
Recenzirano
Odprti dostop
Objectives
To date there is a paucity of documentation regarding definitions of periodontal health. This review considers the histological and clinical determinants of periodontal health for both ...intact and reduced periodontium and seeks to propose appropriate definitions according to treatment outcomes.
Importance
Defining periodontal health is can serve as a vital common reference point for assessing disease and determining meaningful treatment outcomes.
Findings
The multifactorial nature of periodontitis is accepted, and it is recognized that restoration of periodontal health will be defined by an individual's response to treatment, taking into account allostatic conditions.
Conclusions
It is proposed that there are 4 levels of periodontal health, depending on the state of the periodontium (structurally and clinically sound or reduced) and the relative treatment outcomes: (1) pristine periodontal health, with a structurally sound and uninflamed periodontium; (2) well‐maintained clinical periodontal health, with a structurally and clinically sound (intact) periodontium; (3) periodontal disease stability, with a reduced periodontium, and (4) periodontal disease remission/control, with a reduced periodontium.
Periodontal health Lang, Niklaus P.; Bartold, P. Mark
Journal of periodontology (1970),
June 2018, 2018-Jun, 2018-06-00, 20180601, Letnik:
89, Številka:
S1
Journal Article
Recenzirano
Odprti dostop
Objectives
To date there is a paucity of documentation regarding definitions of periodontal health. This review considers the histological and clinical determinants of periodontal health for both ...intact and reduced periodontium and seeks to propose appropriate definitions according to treatment outcomes.
Importance
Defining periodontal health is can serve as a vital common reference point for assessing disease and determining meaningful treatment outcomes.
Findings
The multifactorial nature of periodontitis is accepted, and it is recognized that restoration of periodontal health will be defined by an individual's response to treatment, taking into account allostatic conditions.
Conclusions
It is proposed that there are 4 levels of periodontal health, depending on the state of the periodontium (structurally and clinically sound or reduced) and the relative treatment outcomes: (1) pristine periodontal health, with a structurally sound and uninflamed periodontium; (2) well‐maintained clinical periodontal health, with a structurally and clinically sound (intact) periodontium; (3) periodontal disease stability, with a reduced periodontium, and (4) periodontal disease remission/control, with a reduced periodontium.
Dental calculus represents the first fossilized record of bacterial communities as a testimony of evolutionary biology. The development of dental calculus is a dynamic process that starts with a ...nonmineralized biofilm which eventually calcifies. Nonmineralized dental biofilm entraps particles from the oral cavity, including large amounts of oral bacteria, human proteins, viruses and food remnants, and preserves their DNA. The process of mineralization involves metabolic activities of the bacterial colonies and strengthens the attachment of nonmineralized biofilms to the tooth surface. From a clinical point of view, dental calculus always harbors a living, nonmineralized biofilm, jeopardizing the integrity of the dento‐gingival or implanto‐mucosal unit. This narrative review presents a brief historical overview of dental calculus formation and its clinical relevance in modern periodontal practice.
Interest in electrical energy storage systems is increasing as the opportunities for their application become more compelling in an industry with a back-drop of ageing assets, increasing distributed ...generation and a desire to transform networks into Smart Grids. A field trial of an energy storage system designed and built by ABB is taking place on a section of 11
kV distribution network operated by EDF Energy Networks in Great Britain. This paper reports on the findings from simulation software developed at Durham University that evaluates the benefits brought by operating an energy storage system in response to multiple events on multiple networks. The tool manages the allocation of a finite energy resource to achieve the most beneficial shared operation across two adjacent areas of distribution network. Simulations account for the key energy storage system parameters of capacity and power rating. Results for events requiring voltage control and power flow management show how the choice of operating strategy influences the benefits achieved. The wider implications of these results are discussed to provide an assessment of the role of electrical energy storage systems in future Smart Grids.
Objective
To investigate the sequential events of osseointegration in various model situations.
Material and methods
A series of eight recent sequential studies on the early phases of ...osseointegration performed in various species analyzing new bone apposition and parent bone resorption at the implant surfaces have been studied. One human, six dog and one rabbit studies were analyzed for old and new bone percentages, assessed at least at 4 periods of the early osseointegration. Data on new and old parent bone in contact with the implant surfaces were collected. The interception point of the two proportions of new and old bone was calculated in terms of osseointegration (y; %) and period of the interceptions (x; days).
Results
It has been shown that the interception point of old and new bone proportions was strongly influenced by the choice of the model adopted (human, dog, rabbit), by the density of the surrounding bone (cortical, spongy, trabecular) and by the implant geometry. Implant surface configuration, time of implantation and load influenced the interception point to a lesser degree. The fastest rate of osseointegration was observed in the rabbit model followed by the dog model. The slowest osseointegration rate was seen in humans. Osseointegration was documented best in spongiosa bone when compared to cortical bone. The moderately rough surfaces gave rise to faster osseointegration than did the turned implant surfaces.
Conclusions
The interception points may provide information on efficacy of early osseointegration. The slope of the line (m) is related to the efficacy of bone appositions.
We present new measurements of the cosmic cold molecular gas evolution out to redshift 6 based on systematic mining of the Atacama Large Millimeter/submillimeter Array (ALMA) public archive in the ...COSMOS deep field (A3COSMOS). Our A3COSMOS data set contains ∼700 galaxies (0.3 z 6) with high-confidence ALMA detections in the (sub)millimeter continuum and multiwavelength spectral energy distributions. Multiple gas mass calibration methods are compared, and biases in band conversions (from observed ALMA wavelength to rest-frame Rayleigh-Jeans tail continuum) have been tested. Combining our A3COSMOS sample with ∼1000 CO-observed galaxies at 0 z 4 (75% at z < 0.1), we parameterize galaxies' molecular gas depletion time ( ) and molecular gas to stellar mass ratio ( ) each as a function of the stellar mass ( ), offset from the star-forming main sequence ( ) and cosmic age (or redshift). Our proposed functional form provides a statistically better fit to current data (than functional forms in the literature) and implies a "downsizing" effect (i.e., more-massive galaxies evolve earlier than less-massive ones) and "mass quenching" (gas consumption slows down with cosmic time for massive galaxies but speeds up for low-mass ones). Adopting galaxy stellar mass functions and applying our function for gas mass calculation, we for the first time infer the cosmic cold molecular gas density evolution out to redshift 6 and find agreement with CO blind surveys as well as semianalytic modeling. These together provide a coherent picture of cold molecular gas, star formation rate, and stellar mass evolution in galaxies across cosmic time.
This paper presents Integrated Information Theory (IIT) 4.0. IIT aims to account for the properties of experience in physical (operational) terms. It identifies the essential properties of experience ...(axioms), infers the necessary and sufficient properties that its substrate must satisfy (postulates), and expresses them in mathematical terms. In principle, the postulates can be applied to any system of units in a state to determine whether it is conscious, to what degree, and in what way. IIT offers a parsimonious explanation of empirical evidence, makes testable predictions concerning both the presence and the quality of experience, and permits inferences and extrapolations. IIT 4.0 incorporates several developments of the past ten years, including a more accurate formulation of the axioms as postulates and mathematical expressions, the introduction of a unique measure of intrinsic information that is consistent with the postulates, and an explicit assessment of causal relations. By fully unfolding a system’s irreducible cause–effect power, the distinctions and relations specified by a substrate can account for the quality of experience.
Abstract
We derive 2D dust attenuation maps at ∼1 kpc resolution from the UV continuum for 10 galaxies on the
z
∼ 2 star-forming main sequence (SFMS). Comparison with IR data shows that 9 out of 10 ...galaxies do not require further obscuration in addition to the UV-based correction, though our sample does not include the most heavily obscured, massive galaxies. The individual rest-frame
V
-band dust attenuation (
A
V
) radial profiles scatter around an average profile that gently decreases from ∼1.8 mag in the center down to ∼0.6 mag at ∼3–4 half-mass radii. We use these maps to correct UV- and H
α
-based star formation rates (SFRs), which agree with each other. At masses
, the dust-corrected specific SFR (sSFR) profiles are on average radially constant at a mass-doubling timescale of ∼300 Myr, pointing at a synchronous growth of bulge and disk components. At masses
, the sSFR profiles are typically centrally suppressed by a factor of ∼10 relative to the galaxy outskirts. With total central obscuration disfavored, this indicates that at least a fraction of massive
z
∼ 2 SFMS galaxies have started their inside-out star formation quenching that will move them to the quenched sequence. In combination with other observations, galaxies above and below the ridge of the SFMS relation have, respectively, centrally enhanced and centrally suppressed sSFRs relative to their outskirts, supporting a picture where bulges are built owing to gas “compaction” that leads to a high central SFR as galaxies move toward the upper envelope of the SFMS.
Periodontal health is defined by absence of clinically detectable inflammation. There is a biological level of immune surveillance that is consistent with clinical gingival health and homeostasis. ...Clinical gingival health may be found in a periodontium that is intact, i.e. without clinical attachment loss or bone loss, and on a reduced periodontium in either a non‐periodontitis patient (e.g. in patients with some form of gingival recession or following crown lengthening surgery) or in a patient with a history of periodontitis who is currently periodontally stable. Clinical gingival health can be restored following treatment of gingivitis and periodontitis. However, the treated and stable periodontitis patient with current gingival health remains at increased risk of recurrent periodontitis, and accordingly, must be closely monitored.
Two broad categories of gingival diseases include non‐dental plaque biofilm–induced gingival diseases and dental plaque‐induced gingivitis. Non‐dental plaque biofilm‐induced gingival diseases include a variety of conditions that are not caused by plaque and usually do not resolve following plaque removal. Such lesions may be manifestations of a systemic condition or may be localized to the oral cavity. Dental plaque‐induced gingivitis has a variety of clinical signs and symptoms, and both local predisposing factors and systemic modifying factors can affect its extent, severity, and progression. Dental plaque‐induced gingivitis may arise on an intact periodontium or on a reduced periodontium in either a non‐periodontitis patient or in a currently stable “periodontitis patient” i.e. successfully treated, in whom clinical inflammation has been eliminated (or substantially reduced). A periodontitis patient with gingival inflammation remains a periodontitis patient (Figure 1), and comprehensive risk assessment and management are imperative to ensure early prevention and/or treatment of recurrent/progressive periodontitis.
Precision dental medicine defines a patient‐centered approach to care, and therefore, creates differences in the way in which a “case” of gingival health or gingivitis is defined for clinical practice as opposed to epidemiologically in population prevalence surveys. Thus, case definitions of gingival health and gingivitis are presented for both purposes. While gingival health and gingivitis have many clinical features, case definitions are primarily predicated on presence or absence of bleeding on probing. Here we classify gingival health and gingival diseases/conditions, along with a summary table of diagnostic features for defining health and gingivitis in various clinical situations.
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