Periodontitis is common, but aggressive periodontitis (AgP) is thought to progress faster than chronic periodontitis (CP). Reviews suggest that tooth loss as a result of periodontitis is in the order of 1.5-9.8%. The aim of this current review was to investigate tooth loss and disease progression in aggressive periodontitis cases. The Medline and Embase databases [read the full story…]
The Scottish Dental Clinical Effectiveness Programme (SDCEP) had just made available its new draft guidance on the prevention and treatment of periodontal disease. The Scope of the guidance is to assist and support primary care dental teams in providing appropriate care for patients both at risk of and with periodontal diseases. The guidance aims to [read the full story…]
Periodontitis results in damage to the bone and connective tissues supporting the teeth. The use of barrier membranes aims to assist regeneration of periodontal tissues in order to overcome some of the limitations of conventional treatment. The aim of this review was to assess the outcomes of guided tissue regeneration (GTR) using an absorbable collagen [read the full story…]
Good oral health can be achieved and maintained by compliance with preventive and curative measures and effective self-care. However, adherence to positive behaviours such as toothbrushing, interdental cleaning, smoking cessation and good dietary habits can be variable. Traditional approaches of patient education revolve around disseminating information and normative advice. Increasingly the use of motivational interviewing [read the full story…]
A recent review conducted by the same group as this new review (see Dental Elf 9th July 2012) suggested that the use of sugar free chewing gum used as an adjunct to toothbrushing provided a small but significant reduction in plaque scores. The aim of this review was to assess the clinical effects of medicated, [read the full story…]
Periodontitis is a common problem with severe periodontitis being ranked as the 6th most prevalent condition in the 2010 Global Burden of Disease study (Marcenes et al 2013). The aim of this study by Thomson et al was to describe changes in the occurrence of periodontal attachment loss (AL) , and to evaluate risk factors [read the full story…]
This ADA-EBD critical summary looks at a systematic review from the same group that conducted the review that we highlighted yesterday (Sgolastra et al 2012). This time the question was whether the use of amoxicillin/metronidazole (AMX/MET) as an adjunct to scaling and root planning (SRP) was more effective than SRP alone in the treatment of [read the full story…]
This ADA-EBD critical summary looks at systematic review by Sgolastra et al from 2012 that addressed the question of whether the use of amoxicillin/metronidazole (AMX/MET) as an adjunct to scaling and root planning (SRP) was more effective than SRP alone in the treatment of chronic periodontitis. The appraisers considered that searching an analysis of the [read the full story…]
This latest critical summary from the ADA-EBD Center for Evidence-Based Dentistry looks at a review by Patel et al 2011 which addresses the question of whether smokers have poorer bone regeneration than non-smokers after periodontal treatment. The appraiser considered this to be a well-conducted systematic review and meta-analysis that included 10 articles with 458 participants [read the full story…]
Limited information on the effects of smoking cessation on clinical outcomes following periodontal therapy Smoking is a known risk factor for periodontal disease. The aim of this study was to conduct an individual patient data meta-analysis to assess the effect of smoking cessation (SC) on clinical outcomes following the non-surgical periodontal treatment in patients with [read the full story…]
