Results: 350

For: periodontal disease

No association between periodontal disease and pre-eclampsia found

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Periodontal disease has been linked with a number of general health conditions and we recently covered the review which noted that the evidence does not support an association between periodontal disease and atherosclerotic vascular disease.  This multicentre case control study is the latest published study to look at the link between periodontal disease and pre-eclampsia. [read the full story…]

Evidence for the anti-plaque and anti-gingivitis effects of chlorhexidine

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The antiseptic agent Chlorhexidine (CHX) has been widely use to control plaque and gingivitis. The aim of this review  was to evaluate, the efficacy of a CHX mouthrinse against plaque growth, gingival inflammation and stain formation in gingivitis patients. What did they do The Medline-PubMed, Embase and the Cochrane Central Register of Controlled Trials databases [read the full story…]

Gum disease does not cause heart disease

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Links between gum and heart disease have been noted for over 100 years, but  in recent years there has been a surge of interest in this topic as evidenced by the increasing numbers of papers published since the late 1990s. A selection of some of the reviews published since 2000 is listed below.  The aim [read the full story…]

Oral swabbing with chlorhexidine reduced risk of ventilator-associated pneumonia

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Ventilator-associated pneumonia (VAP) can be life threatening and its link with good mouth care is a topic we have covered before on Dental Elf (18th April 2012 and  28th Nov 2011). The aim of this study was to evaluate whether oral swabbing with 0.2% chlorhexidine gluconate (CHX) decreases the risk of ventilator-associated pneumonia (VAP) in [read the full story…]

Periodontal treatment may improve metabolic control in diabetic patients.

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There have been a number of studies including a recent Cochrane review which have looked at the impact of periodontal treatment on glycaemic control in diabetics. The aim of this study was to investigate the effects of nonsurgical periodontal therapy on metabolic control in Type 2 diabetes mellitus (DM2) Forty patients with DM2 and chronic [read the full story…]

Combination therapies performed better than single ones for treating periodontal bony defects, but additional benefits were small

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A range of regenerative treatments have been used for the  treatment of periodontal infrabony defects. Guided tissue regeneration (GTR) and enamel matrix derivatives (EMD) are two popular treatment and they have both been used in combination with other treatment.   This network meta-analysis was conducted to assess the potential effects of the various combinations. Unlike a [read the full story…]

Better outcomes with metronidazole and amoxicillin as an adjunct to full mouth disinfection for patients with aggressive periodontitis

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About 1 in 1000 susceptible patients suffers from aggressive periodontitis. Sufferers have more rapid  gingival attachment loss with some losing more that half their bony support by 35. This can be localised  to a small number of teeth or more generalised.  The aim of this study was to evaluate the adjunctive clinical and microbiological effects [read the full story…]

Some evidence to support adjunctive amoxicillin and metronidazole for treatment of chronic periodontitis

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Chronic periodontitis affects between 5-20% of the population. Scaling and root planing (SRP) is one of the most effective methods of treatment. The aim of this review was to assess whether  the adjunct of amoxicillin and metronidazole (AMX/MET) to SRP increased its effectiveness compared to SRP alone. The authors searched eight databases and hand-searched a [read the full story…]

People who brush and floss regularly have less gum bleeding compared to toothbrushing alone

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The daily use of dental floss in addition to toothbrushing is frequently recommended for the prevention of caries and periodontal diseases. The aim of this Cochrane review was to assess the effects of flossing in addition to toothbrushing, as compared with toothbrushing alone, in the management of periodontal diseases and dental caries in adults. A [read the full story…]

Patient factors that affect successful dental implant placement

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The use of dental implants is expanding rapidly.  Treatment planning for their placement involves the assessment of patient-related risk factors prior to formulation of a treatment plan. The aim of this review was to assess relevant literature and provide evidence-based information on the successful surgical placement of dental implants The authors conducted a search of [read the full story…]