Chlorhexidine (CHX) has been used as a mouthwash for many years. The aim of this review was to assess, the effectiveness of Chlorhexidine (CHX) mouthrinse against plaque growth, gingival inflammation as well as the degree of staining. Three databases were searched Medline, Embase and the Cochrane Central Register of Controlled Trials (Central), reference lists of [read the full story…]
There are three new Cochrane review protocols on the September issue of the Cochrane Library. Chi CC, Wang SH, Peters MC, Kanjirath PP, Delamere FM, Wojnarowska F. Interventions for prevention of herpes simplex labialis (cold sores on the lips). Cochrane Database of Systematic Reviews 2012, Issue 9. Art. No.: CD010095. DOI: 10.1002/14651858.CD010095. The main aim [read the full story…]
This critical summary of a review published by Lulic et al in 2007 has just been published under the auspicies of the American Dental Association Center for Evidence-Based Dentistry. For 80 years Ante’ law has influenced standard textbooks of prosthodontics. It stated:- the total periodontal membrane area of the abutment teeth must equal or exceed [read the full story…]
Chewing gum is a activity enjoyed my consumers (particularly teenagers) around the world and is a now multi-billion dollar industry. Historically gums were flavoured with sugar but increasingly sugar substitutes are used, the most common of these being the polyols, sorbitol and xylitol. Chewing stimulates salivary flow and using gum has been recommended when it [read the full story…]
This cost effectiveness study is based on a data from a randomised controlled trial published by Jönsson et al (2010), that trial compared an individually tailored oral health educational programme (ITOHEP) on periodontal health with a standard oral health educational programme. and found, ITOHEP intervention in combination with scaling is preferable to the standard programme [read the full story…]
Dental implants are now widely used to replace missing teeth and periodontal disease is an important cause of tooth loss. As implants themselves can suffer from peri-implantitis it is therefore of interest to as to whether patients with a history of periodontitis are of higher risk of implant failure. This critical appraisal of a 2010 [read the full story…]
In 2010 Berchier et al reviewed the efficacy of two different concentrations of chlorhexidine mouthrinse ( 0.2 & 0.12% ). A critical appraisal of this review is now available on the American Dental Associations Evidence-based Dentistry website. The commentator notes that a comprehensive search strategy was used although restricted to the English language. Eight studies [read the full story…]
Systemic and locally delivered antibiotics have been used as an adjunct to scaling and root planing (SRP) for the treatment of periodontal disease for many years. The aim of this review was to systematically evaluate the data concerning the effect of the concomitant administration of amoxicillin and metronidazole adjunctive to SRP in otherwise healthy adults. [read the full story…]
The aim of this study was to evaluate the efficacy of a slow release doxycycline gel (SRD) administered as an adjunct to non-surgical therapy in subjects with recurrent or persistent periodontitis but acceptable oral hygiene during supportive periodontal care. What did they do Patients suffering from persistent or recurrent moderate to severe periodontitis and undergoing [read the full story…]
Traditionally the response of periodontal disease to treatment has most commonly been measured using the surrogate markers of; bleeding on probing (BOP); pocket probing depth (PPD) and clinical attachment loss (CAL). This review aims to review whether a patient orientation measure (POEM) such as quality of life can measure the effect of treatment. What did [read the full story…]
