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Predictive, preventive, personalised, participatory periodontology and implantology: the “ 5Ps ” to approach the future

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In order to reconsider guidelines in dentistry, it is required to introduce new concepts of personalised patient diagnosis and treatment plan... We intend to propose five diagnostic levels (High tech diagnostic tools, Genetic susceptibility, Bacterial Infection, Host-response factors and tissues breakdown derived products) to be evaluated with the intention to obtain a clear picture of the vulnerability of the single individual for periodontitis in order to organise patients stratification in different categories of risk... Five diagnostic levels are here proposed (High tech diagnostic tools, Genetic susceptibility, Bacterial Infection, Host-response factors and tissues breakdown derived products), in order to evaluate the vulnerability of the single individual for periodontitis to organise patients stratification in different categories of risk... The use of LOCs devices for periodontal inspection will allow patients to be screened for periodontal diseases in settings other than the periodontist practice, such as at a general practitioners, general dentists or dental hygienists... The use of LOCs devices for periodontal inspection will involve less education than current diagnostic procedures and allow patients to be screened for periodontal disease in settings other than the periodontist practice, such as at a general practitioners, general dentists or dental hygienists... All these benefits make the Lab-on-a-chip technology ideal for Predictive, Preventive, Personalised and Partecipatory Periodontology. “The 5Ps” represent the future of our profession... A long distance has to be covered to reach the above targets but the pathway has already been clearly outlined: it is “Time for new guidelines in advanced healthcare” in dentistry too. 5Ps flow-chart... Five levels characterise a futuristic approach for periodontal diagnosis... The first level is represented by high tech diagnostic tools such as lab-on-chip (LOC) and cone beam computed tomography (CBCT)... In the next future LOC will be able to give us genetic, microbiological and host derived information in real time... Co-factors (e.g. diabetes, osteoporosis etc.) will be detected by the use of dedicated high-tech chair side diagnostic tools... Moreover, a detailed bone tissue morphology is revealed by low radiation digital computed tomography which offers a digital volume composed of three dimensional voxels that can then be manipulated with specialised software... The second level will provide useful information about genetic susceptibility of the single patient, while the third level will give us the presence of causative bacterial factors in dental plaque.

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Predictive, preventive, personalised, participatory periodontology and implantology: the “ 5Ps ” to approach the future
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4125852&req=5

View Article: PubMed Central - HTML

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

In order to reconsider guidelines in dentistry, it is required to introduce new concepts of personalised patient diagnosis and treatment plan... We intend to propose five diagnostic levels (High tech diagnostic tools, Genetic susceptibility, Bacterial Infection, Host-response factors and tissues breakdown derived products) to be evaluated with the intention to obtain a clear picture of the vulnerability of the single individual for periodontitis in order to organise patients stratification in different categories of risk... Five diagnostic levels are here proposed (High tech diagnostic tools, Genetic susceptibility, Bacterial Infection, Host-response factors and tissues breakdown derived products), in order to evaluate the vulnerability of the single individual for periodontitis to organise patients stratification in different categories of risk... The use of LOCs devices for periodontal inspection will allow patients to be screened for periodontal diseases in settings other than the periodontist practice, such as at a general practitioners, general dentists or dental hygienists... The use of LOCs devices for periodontal inspection will involve less education than current diagnostic procedures and allow patients to be screened for periodontal disease in settings other than the periodontist practice, such as at a general practitioners, general dentists or dental hygienists... All these benefits make the Lab-on-a-chip technology ideal for Predictive, Preventive, Personalised and Partecipatory Periodontology. “The 5Ps” represent the future of our profession... A long distance has to be covered to reach the above targets but the pathway has already been clearly outlined: it is “Time for new guidelines in advanced healthcare” in dentistry too. 5Ps flow-chart... Five levels characterise a futuristic approach for periodontal diagnosis... The first level is represented by high tech diagnostic tools such as lab-on-chip (LOC) and cone beam computed tomography (CBCT)... In the next future LOC will be able to give us genetic, microbiological and host derived information in real time... Co-factors (e.g. diabetes, osteoporosis etc.) will be detected by the use of dedicated high-tech chair side diagnostic tools... Moreover, a detailed bone tissue morphology is revealed by low radiation digital computed tomography which offers a digital volume composed of three dimensional voxels that can then be manipulated with specialised software... The second level will provide useful information about genetic susceptibility of the single patient, while the third level will give us the presence of causative bacterial factors in dental plaque.

No MeSH data available.