The objective of this study is to evaluate the correlation between dietary patterns, levels of physical activity (PA), and the occurrence of periodontal disease. Many lifestyles have been connected to periodontal disease, but little is known about diet and PA intake. This study included 185 people—62 healthy, 61 gingivitis, and 62 periodontitis. PA, Mediterranean diet score (MDS), and carbohydrate consumption frequency were gathered together with demographics. Clinical and radiographic evaluations calculated decayed, missing, and filled teeth (DMFT) index scores. PA, MDS, carbohydrate consumption, and periodontitis were evaluated. Periodontitis patients had higher DMFT scores, poorer periodontal features, and less daily tooth brushing. More PA overall, more PA in free time, and less sedentary behavior reduced periodontitis rates. Sedentary behavior increased periodontal disease risk in adjusted univariate regression models (OR = 0.235; p = 0.021). Of the study participants, 35 (18.9%) had high MDS. No correlation was established between Mediterranean diet (MD) and periodontitis. Periodontitis and MD, DMFT, and carbohydrate consumption do not seem to be substantially correlated. According to our research, a higher risk of periodontal disease was linked to more sedentary activity. To clarify the extent of the relationship between PA and periodontal disease, more prospective longitudinal research and approaches are required. Clinical Relevance: The periodontal status of individuals can be influenced by their lifestyle.

This study aimed to compare the short-term clinical and radiographic outcomes of the Entire Papilla Preservation (EPP) technique versus Open Flap Debridement (OFD) in the treatment of isolated intrabony periodontal defects, with both approaches performed using bovine-derived xenograft and a leukocyte- and platelet-rich fibrin (L-PRF) membrane. This retrospective study included 28 patients diagnosed with Stage 3 Grade B periodontitis, who underwent either EPP (n = 14) or OFD (n = 14) using bovine-derived xenograft and L-PRF following initial non-surgical periodontal therapy. Clinical parameters—including clinical attachment level (CAL) and probing depth (PD)—were recorded as primary outcomes at baseline and 6 months postoperatively. Early wound healing index (EHI), and patient-reported pain using a visual analogue scale (VAS) were considered secondary outcomes and were assessed within the first postoperative week. Standardized periapical radiographs were used to evaluate defect resolution. Statistical analysis was performed using Student’s t-test, paired sample t-test, and chi-square test, with the significance level set at p < 0.05. Both groups showed significant CAL gain postoperatively. The EPP group demonstrated a higher mean CAL gain (4.64 ± 1.10 mm) compared to the OFD group (3.43 ± 1.32 mm). A statistically significant difference in the distribution of CAL gain categories between the groups was observed (p = 0.006). PD reduction was observed in both groups with no significant difference (p = 0.62). REC increased significantly in the OFD group (p < 0.05), whereas changes in the EPP group were not statistically significant (p > 0.05). EPP resulted in significantly lower postoperative VAS scores and higher EHI scores (p < 0.001), indicating better patient comfort and faster early healing. The EPP technique resulted in greater CAL gain and reduced postoperative discomfort than OFD when both were performed with bovine-derived xenograft and L-PRF. These findings suggest that EPP may serve as a minimally invasive and effective alternative for managing isolated intrabony defects, particularly when preservation of the interdental papilla is desired. The EPP technique, designed to preserve the interdental papilla and support primary closure, may be considered a minimally invasive alternative to OFD in suitable cases of isolated intrabony defects. Trial registration is also available at ClinicalTrials.gov. Clinical Trials-ID: NCT06687785 Registration Date: 07.11.2024

Birth order, sibship size, breastfeeding, daycare attendance, and delivery method are known to influence the development of gut microbiota and the immune system, affecting the risk of many infectious diseases. This study aims to explore the impact of these factors, along with socioeconomic background and familial factors, on gingivitis and oral hygiene practices in early adulthood among the Turkish population. Patients were diagnosed using periodontal clinical and radiographic assessments, adhering to the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. The study included 18-year-old individuals diagnosed with either generalized gingivitis or clinical gingival health. Data collected included sociodemographic factors, birth order, sibship size, delivery methods, breastfeeding duration, daycare attendance, and oral hygiene behaviors. Binary logistic regression was employed to analyze the associations between these factors and the presence of generalized gingivitis. A total of 178 individuals were evaluated, including 124 with generalized gingivitis and 54 with clinical gingival health. Daycare attendance was significantly associated with gingival health. Among those with gingival health, 55.6% had attended daycare, whereas only 29% of participants with generalized gingivitis had attended daycare. Conversely, 71% of those with generalized gingivitis did not attend daycare, compared to 44.4% in the gingival health group (p = 0.001). Univariate logistic regression identified a significant association between daycare attendance and a reduced risk of generalized gingivitis (Odds Ratio [OR] = 0.327, p = 0.001). Later birth order was associated with a reduced risk of gingivitis (OR = 0.470, p = 0.037). Sibship size, delivery methods, and breastfeeding duration showed no clear associations with gingivitis (p > 0.05). The findings indicate a potential association between oral health status in adulthood and early childhood exposures, such as daycare attendance and birth order. Further research is necessary to confirm these associations and elucidate the mechanisms involved, even though these factors may contribute to gingival health in early adulthood. These insights may enhance our understanding of how early-life exposures relate to oral health outcomes and suggest that considering such factors could be beneficial in future oral health management strategies. Trial registration is also available at clinicaltrail.gov. Clinical Trials-ID: NCT06240247. Registration Date: 22.01.2024.

Aim: Oral health-related quality of life (OHRQoL) refers to the impact of social, psychological, and functional factors, as well as problems in the oral-facial region, on individuals’ well-being. This observational study aimed to evaluate the relationship between self-reported symptoms and OHRQoL and the periodontal status of patients presenting for periodontal treatment. Methodology: The study comprised 170 individuals recruited from the Department of Periodontology at Necmettin Erbakan University. Participants were divided into three groups based on their periodontal status: periodontally healthy (65 individuals), gingivitis (51 individuals), and periodontitis (54 individuals). Various clinical periodontal parameters, such as the plaque index (PI), gingival index (GI), bleeding on probing (BoP), tooth mobility, and clinical attachment loss (CAL), were assessed alongside self-reported periodontal symptoms. Additionally, participants completed the Oral Health Impact Profile-14 (OHIP-14) questionnaire. Results: Both the periodontitis and gingivitis groups exhibited similar outcomes concerning gingival redness and gingival bleeding during brushing. However, a significantly higher number of affirmative responses for other symptoms were recorded in the periodontitis group (p<0.05). Additionally, the periodontitis group had the highest total OHIP-14 scores and subscale scores, while the periodontally healthy group exhibited the lowest scores (p<0.05). Conclusion: This study demonstrates a significant relationship between OHRQoL, patients' self-reported symptoms, and periodontitis. How to cite this article: Taştan Eroğlu Z, Yıldız K, Uçan Yarkaç F, Özkan Şen D, Babayiğit O. Assessment of self-reported symptoms and oral health-related quality of life in patients requiring periodontal treatment. Int Dent Res. 2024;14(S1):36-44. https://doi.org/10.5577/indentres.554