How clean is your toothbrush?

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The aim of this review was to evaluate the cumulative state of knowledge related to toothbrush contamination, its possible role in disease transmission, and in preparation for a research study related to toothbrush contamination in critically ill adults. The Pub Med, CINAHL, Cochrane Library, National Guidelines Clearinghouse, Web of Science, and Google Scholar databases were [read the full story…]

Oral health care and aspiration pneumonia in frail older people

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A number of previous studies have highlighted the risk of poor oral health as a potential risk factor for aspirational pneumonia in frail older people. The aim of this review was to review the literature on oral health care interventions in frail older people and the effect on the incidence of aspiration pneumonia. The authors [read the full story…]

Mouth care and ventilator-associated pneumonia

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For critically  ill patients  receiving mechanical ventilation, ventilator-associated pneumonia (VAP) is a life threatening condition. Incidence rates varies and mortality rates can be as high as 50% . The aim of this study was to evaluate the effects brushing teeth twice daily with purified water on VAP rates and oral health or hygiene in postneurosurgical, [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…]

Bacteraemia due to everyday oral activities

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The aim of this review was to investigate the robustness of the observations on the influence of oral hygiene, gingival and periodontal status on the development of bacteraemia from everyday oral activities (B-EOA), analysing its prevalence, duration, magnitude and bacterial diversity. The authors searched MEDLINE-PubMed, the Cochrane Library and Embase for studies on B-EOA. They [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…]

No clinical justification for replacing conventional toothbrushes with more expensive models

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The aim of this single-blind cross-over study was to compare the performance of three different toothbrush models in the control of dental biofilm and maintaining a healthy gingival condition. The sample was randomly divided into three groups (A, B and C), each of which used one of the three toothbrushes tested. The brushes had bristles [read the full story…]

Powered toothbrushes have no adverse effects on teeth and gums

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Powered toothbrushes have been shown to reduce plaque and gingivitis more than manual brushing (Robinson et al).  This systematic review looked at the the relative soft and/or hard tissue safety outcomes with the use of oscillating-rotating toothbrushes compared to manual toothbrushes. Medline, the Cochrane Central Register of Controlled Trials (Central), and the Embase, were searched [read the full story…]