Periodontal health: no additional benefit from 6 monthly Scale and Polish

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This large multicentre, cluster randomised controlled compared the clinical effectiveness and cost-effectiveness of theory-based, personalised oral hygiene advice or scale and polish’ with routine care in improving periodontal health in dentate adults attending general dental practice.

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Periodontal treatment and prevention in Down syndrome patients

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Only 9 small studies were identified for this review of the prevention and treatment of periodontal disease in patients with Down’s syndrome. More high quality studies are needed to help inform clinical practice

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Low quality evidence that periodontal treatment improves glycaemic control in diabetics

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This update of a 2010 Cochrane review found low quality evidence that periodontal treatment involving scaling and root planing does improve glycaemic control in people with diabetes, with a mean percentage reduction in HbA1c of 0.29% at 3-4 months, but there is insufficient evidence to demonstrate that this is maintained after 4 months.

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Guideline: Nonsurgical treatment of chronic periodontitis

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This new systematic review from the ADA includes 72 RCTs on nonsurgical treatment approaches for chronic periodontitis. The systematic review provides the basis for a new clinical practice guideline.

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Professional plaque removal more effective with oral hygiene instruction

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This is an update to a review first published 10 years ago. Only 3 new studies could be added. These provide some additional evidence that there is little value in providing professional plaque removal without oral hygiene instruction.

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Periodontal treatment using air polishing had good patient perception

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This review focused on patients perception of air polishing for periodontal treatment. Nine studies involving 291 patients were identified suggesting that polishing with powders consisting of glycine seems to be associated with less discomfort during non-surgical periodontal therapy, that is supra- and subgingival air polishing.

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Dentine hypersensitivity following periodontal treatment reduced by use of desensitising paste

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In this small trial the use of either an 8% arginine desensitising paste or prophy paste reduced dentine hypersensitivity after scaling but the arginine base paste was significantly better than the standard prophy paste.

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Insufficient evidence to determine the effects of routine scale and polish treatments

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An update of the Cochrane review on routine scale and polish is now available.  Scaling and polishing is provided by dentists or hygienists at regular intervals. It is often a regular component of ‘a dental checkup’ whether or not a patient is at risk of developing periodontal disease. The objectives were:- to determine the beneficial [read the full story…]

Patients’ views of routine scale and polish over estimate any clinical benefits

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Patients attending for their regular dental check up (usually 6-monthly) are likely to have a ‘scale and polish (oral prophylaxis) as part of that visit.  However, a Cochrane review last updated in 2007 did not find evidence of sufficient quality to reach conclusions as to the benefits or harms or routine scaling and polishing. A [read the full story…]

Flossing, scaling and bugs in the blood

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Some of the evidence used to in the formulation of the NICE guidance on antibiotic prophylaxis for invasive dental procedures that we discussed yesterday was the recognition that everyday oral activities cause bacteraemia (Dental Elf  10th May 2011). This new cross-sectional study by Zhang et al looked the bacteraemia caused by flossing compared with scaling [read the full story…]