Results: 350

For: periodontal disease

Chlorhexidine reduces plaque and inflammation but causes staining – new ADA-EBD critical summary

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The latest ADA-EBD critical summary looks at a  2012 systematic review by Van Strydonck et al which looked at the effectiveness of Chlorhexidine (CHX) mouthrinse against plaque growth, gingival inflammation as well as the degree of staining.  We have blogged about this review earlier (Dental Elf – 21st Sept 2012) As this new  appraisal highlights, [read the full story…]

Review shows that triclosan copolymer toothpaste reduced plaque, gingivitis and caries

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Triclosan  is a polychloro phenoxy phenol that has antibacterial and anti-fungal properties.  It has been used since the 1970 in a range of products including soaps, deodorants, mouthwashes and toothpastes.  The aim of this Cochrane review was to assess the effects of triclosan/copolymer  containing fluoride toothpastes (TCT), compared with fluoride toothpastes, for the long-term control [read the full story…]

Insufficient evidence to determine the effects of routine scale and polish treatments

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An update of the Cochrane review on routine scale and polish is now available.  Scaling and polishing is provided by dentists or hygienists at regular intervals. It is often a regular component of ‘a dental checkup’ whether or not a patient is at risk of developing periodontal disease. The objectives were:- to determine the beneficial [read the full story…]

Lack of evidence for the effectiveness of reconstructive procedures for treating peri-implantitis

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As the number of dental implants being placed increases it seems inevitable that the numbers affected by peri-implantitis will also increase.   Peri-implantitis is inflammation of the peri-implant tissues accompanied with changes in the level of crestal bone and with the presence of bleeding on probing and/or suppuration, with or without concomitant deepening of peri-implant pockets. [read the full story…]

Patients’ views of routine scale and polish over estimate any clinical benefits

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Patients attending for their regular dental check up (usually 6-monthly) are likely to have a ‘scale and polish (oral prophylaxis) as part of that visit.  However, a Cochrane review last updated in 2007 did not find evidence of sufficient quality to reach conclusions as to the benefits or harms or routine scaling and polishing. A [read the full story…]

Study suggests that text reminders may improve oral hygiene compliance during orthodontic treatment

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Compliance with oral hygiene measures during orthodontic treatment is important in order to prevent white spot lesions (WSL) developing.  The aim of this study was to determine if there is a relationship between reminding patients of the importance of oral hygiene via weekly text message reminders sent to their parents/guardians and demonstrated oral hygiene compliance. [read the full story…]

Review suggests that brushing with a chlorhexidine-containing dentifrice may help control plaque and gingivitis

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Regular and effective removal plaque is considered to be an efective method of controlling and preventing gingivitis. Toothbrushing with dentifrice is a key method and antiplaque agents (eg chlorhexidine, triclosan/copolymer) have been introduced with the aim of increasing effectiveness.   The aim of this review was to see if chlorhexidine (CHX) dentifrice /gel was more effective [read the full story…]

Some evidence of improvement in metabolic control in diabetics, after treating periodontal disease

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Many have suggested a two-way relationship between periodontitis and  diabetes mellitus. Poor glycaemic control is associated with an increase risk of periodontal disease and in 2010 a Cochrane review  (Simpson et al) estimated a 0.4% reduction of HbA1c associated with periodontal treatment.  At that time Simpson et al noted that there were only a small [read the full story…]

Little good evidence available on whether periodontal disease has an impact on quality of life

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Periodontal disease is very common and is an important cause of tooth loss. While the impact of other oral conditions on quality of life the impact from periodontal disease has received less attention.  Oral health-related quality of life (OHRQoL) is a subjective construct that is multidimensional with a number of domains. There is also no [read the full story…]

Trail suggests that straight interdental brushes may be more effective than angled brushes

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The effective removal of plaque is important for the prevention of both caries and periodontal disease. Interdental cleaning aids are frequently recommended in addition to toothbrushing to improve plaque removal.  The aim of this study was to investigate interproximal plaque removal with an angled interdental brush as compared to a straight interdental brush. Adults aged [read the full story…]