Results: 23

For: periodontal disease AND randomised controlled trial

Trail suggests that straight interdental brushes may be more effective than angled brushes

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The effective removal of plaque is important for the prevention of both caries and periodontal disease. Interdental cleaning aids are frequently recommended in addition to toothbrushing to improve plaque removal.  The aim of this study was to investigate interproximal plaque removal with an angled interdental brush as compared to a straight interdental brush. Adults aged [read the full story…]

Trail shows improved outcomes with metronidazole alone or with amoxicillin as adjuncts to non-surgical treatment of chronic periodontitis

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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…]

Professional oral hygiene interventions and follow-up support provided short term improvement in oral health for in older adults

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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…]

Limited benefit of slow release doxycycline gel as an adjunct to non-surgical periodontal maintenance treatment

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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…]

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…]

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…]

Motivational interviewing showed greater short-term improvement in plaque control

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Good oral hygiene is important for the prevention and treatment of periodontal disease. The aim of the study was to assess whether a motivational interview addressing the five dimensions of Leventhal’s theory performed better than conventional basic instruction on improving compliance with plaque control among patients with periodontitis. Patients were randomised to receive either a [read the full story…]

Motivational interview is a promising approach for improving plaque control in patients with periodontal disease

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The aim of this study was to assess whether an original motivational interview addressing the five dimensions of Leventhal’s self-regulation theory performed better than conventional basic instruction to improve compliance with plaque control among patients with periodontitis. Participants were randomly allocated to either an experimental group (motivational interview in addition  to standard treatment programme) or [read the full story…]

Adaptive devices and orofacial exercise improve gingival health in adults with systemic sclerosis

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Medical treatment of systemic sclerosis (SSc), and its complications involves the use of immunosuppressants and calcium channel blockers which are known to increase the risk of developing gingival hyperplasia . In addition defective vascularity and alterations of the  microcirculation of the gingival tissues may lead to gingival inflammation. Sicca symptoms (including dry mouth) are also [read the full story…]