Chlorhexidine mouthrinse: Reduced plaque and gingivitis when used as adjunct to mechanical oral hygiene procedures

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51 studies were included in this Cochrane review of chlorhexidine mouthwash as an adjunct to mechanical oral hygiene measures. The review provides high quality evidence for a large reduction in the build-up of plaque at 4 to 6 weeks or 6 months. There is also high quality evidence of a moderate reduction in gingivitis in patients with mild gingivitis which may not be clinically important.

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Psychological interventions to improve oral health

This meta-analysis claims to be the first evaluating mindfulness-based interventions in primary care.

This review of psychological interventions to improve oral health identified 9 RCTs reported in 11 papers. A small statistically significant improvement in plaque index was noted but the quality of the available evidence is low. More higher quality studies are needed.

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Toothbrushing, plaque removal and gingivitis

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The aim of this review was to appraise and summarise systematic reviews of the efficacy and safety of available homecare toothbrush regimens for mechanical plaque removal on plaque and gingivitis in adults. Ten systematic reviews were included confirming that toothbrushing is effective in reducing levels of dental plaque.

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Which interdental cleaning aids for managing gingivitis?

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A number of reviews have been conducted of interdental cleaning aids. This meta-review brings together 6 reviews and finds only evidence of low quality for interdental brushes, floss, woodsticks and oral irrigators.

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Gingivitis: anti-inflammatory agents may be beneficial suggests review

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A new review of anti-inflammatory agents for the management of gingivitis identified 14 studies. While the various anti-inflammatory agents showed benefit, the majority of the studies were at high risk of bias, so the results should be treated with caution.

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Review found little short-term differences in gingival condition between triclosan-containing and stannous fluoride toothpastes

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While there have been reductions in caries prevalence in many countries ,levels  of gingivitis remain high. Toothpastes aid tooth cleaning and provide a useful delivery agent for plaque control agents. The aim of this review was to compare the effectiveness of stannous fluoride (SnF) toothpastes with triclosan-containing (Tcs) toothpastes in improving gingival inflammation and plaque [read the full story…]

Powered toothbrushes reduced plaque and gingivitis more than manual toothbrushes

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Tooth decay and gum disease are two of the commonest, but preventable diseases known to man. Regular and effective toothbrushing play an important role in the prevention of these diseases. Powered toothbrushes (PTBs) have been available since the 1960s and the question of whether they are better than manual toothbrushes (MTBs) has been with us [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…]

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…]

Cochrane Protocols July 2013

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Two new protocols for Cochrane reviews have appeared on this latest release of the Cochrane Library. The first is Fleming PS, Pandis N, Johal A, El-Angbawi A, Fedorowicz Z. Adjunctive surgical procedures for accelerating tooth movement in patients undergoing orthodontic treatment (Protocol). Cochrane Database of Systematic Reviews 2013, Issue 6. Art. No.: CD010572. DOI: 10.1002/14651858.CD010572. [read the full story…]