The aim of this review was to evaluate the clinical adjunctive effect of antimicrobial photodynamic therapy (aPDT) to scaling and root planing (SRP) when compared with SRP alone or in combination with placebo in the treatment of chronic periodontitis (CP) patients. A search in the Medline, Cochrane Controlled Clinical Trial Register, Cochrane Database of Systematic [read the full story…]
Periodontal disease is common as is pregnancy and preterm labour is a complication in 10-15% of all pregnancies. It is therefore not unsurprising that an association between periodontal disease and pre-term labour has been noted in a number of studies. The aim of this latest review was quantify the relationship between periodontal disease, preterm birth [read the full story…]
Hormonal changes during pregnancy are considered to affect the response of the gingival tissues, with studies suggesting that 36% – 100% of pregnant women suffer pregnancy gingivitis. The aim of this review was to assess the effect of pregnancy on systemically healthy women in terms of gingival inflammation. The Medline and Embase databases were searched [read the full story…]
Two new critical summaries are now available from the ADA-EBD website. First is a summary of a 2012 systematic review by Zandbergen et al that looked the systemic administration of amoxicillin and metronidazole as an adjunct to scaling and root planning (Dental Elf 25th May 2012). The review notes that there was no comparison in [read the full story…]
A number of new critical summaries have been made available on the ADE-EBD website of the past few weeks. The first is an appraisal of a 2010 review by Martínez-Maestre et al. that looked at the association between dental bone loss and systemic osteoporosis. The reviewer highlighted that this was a weak review of observational [read the full story…]
Scaling and root planning (SRP) is the main therapeutic approach to treating periodontitis. The adjunctive use of local antimicrobials has demonstrated some improvement in outcomes. The aim of this review was to assess the effect on clinical outcomes of local antimicrobials as adjuncts to SRP, compared to SRP alone or plus placebo, in chronic periodontitis [read the full story…]
The main aim of this study was to evaluate the effects of the adjunctive use of metronidazole (MTZ) or MTZ + amoxicillin (AMX) in the treatment of generalized chronic periodontitis (ChP). Participants with untreated generalized ChP were randomised to receive either scaling and root planning (SRP) only (n= 40); SRP with MTZ, 400 mg/3 times [read the full story…]
The relationship between trauma from occlusion and periodontal disease has long been a area of discussion. Occlusal adjustment has been conducted routinely by some as part of procedures to control periodontal disease. The aim of this review was to assess whether there any evidence that occlusal adjustment as part of periodontal therapy provides additional benefit [read the full story…]
An increasingly elderly population have benefited from improvements in oral health care resulting in the retention of an increasing number of natural teeth. This brings the challenge of maintaining these teeth and their replacements in good disease free condition. However, studies indicate that oral health in this group is often poor. The aim of this [read the full story…]
There is much interest in the use of the motivational interview, a directive patient centered style of counselling in dentistry to promote behaviour change. This trial looked at a single session of motivational interviewing (MI) on self-performed periodontal infection control. Patients with chronic periodontitis referred to a specialist clinic in Gothenburg, Sweden. Patients randomised to [read the full story…]
