The latest ADA-EBD critical summary looks at a 2012 systematic review by Van Strydonck et al which looked at the effectiveness of Chlorhexidine (CHX) mouthrinse against plaque growth, gingival inflammation as well as the degree of staining. We have blogged about this review earlier (Dental Elf – 21st Sept 2012) As this new appraisal highlights, [read the full story…]
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…]
We have previously looked at a review and a number of studies addressing the issue of oral hygiene and ventilator-associated pneumonia (VAP) and (Dental Elf May 20th 2013). A new Cochrane review has just been published which aimed to assess the effects of oral hygiene care (OHC) on the incidence of VAP in critically ill [read the full story…]
A recent review conducted by the same group as this new review (see Dental Elf 9th July 2012) suggested that the use of sugar free chewing gum used as an adjunct to toothbrushing provided a small but significant reduction in plaque scores. The aim of this review was to assess the clinical effects of medicated, [read the full story…]
As bacteraemia occurs during toothbrushing (Dental Elf 5th Oct 2011) it is to be anticipated during more invasive activities such as flossing, scaling (Dental Elf 9th Jan 2013) and dental extractions. The main aim of this study was to directly compare and determine the effect of a pre- procedure rinse of 0.12% chlorhexidine on the [read the full story…]
Teeth are extracted every day in dental surgeries throughout the world because of tooth decay and periodontal (gum) disease. Alveolar osteitis (dry socket) is a complication that can follow an extraction with estimates of its incidence ranging from <1-37.5%. Typically a blood clot is absent in the socket and the patients have pain in and [read the full story…]
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…]
Earlier this week (11th Sept ) we reported on a trial that compared the use of two different irrigant solutions during root canal treatment (RoCT). Now a review that aims to assess the effects of irrigants used in the non-surgical of mature permanent teeth has been published on the Cochrane Library. The usual sound Cochrane [read the full story…]
Clean, shape and fill is a well-known mantra for root canal treatment (RoCT) and the use of irrigating solutions is an important element of the process. The aim of this study was to compare the degree of postoperative pain after single-visit RoCT when using two separate irrigation solutions. Patients with a diagnosis of chronic apical [read the full story…]
Early childhood caries (ECC) remains a challenge for many communities. Chlorhexidine (CHX) is a common oral antiseptic with effective bactericidal activity against mutans streptococci (MS) and early colonisation of the oral cavity by MS has been identified as a risk factor for ECC. The aim of this study was to test whether the daily application [read the full story…]
