Cost effectiveness of surgery versus root planing in patients with chronic periodontitis

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Both surgical and non-surgical approaches can be used for the treatment of chronic periodontitis. The traditional approach being improving plaque control and non- surgical scaling and root planing (SRP) followed by surgical re-treatment where indicated. The main aim of this study was to compare immediate surgery with SRP in the treatment of advanced periodontal disease [read the full story…]

The use of motivational interviewing to improve oral health has potential but needs more research

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The use of motivational interviewing is increasing in dentistry and the recent SIGN guideline (Dental Elf  18th March 2014)  recommended that  oral health promotion interventions should be based on recognised health behaviour theory and models such as motivational interviewing. The aim of this review was to analyze the effectiveness of motivational interviewing in changing oral [read the full story…]

Access flap surgery treatment for intrabony defects may result in improved clinical outcomes – ADA-EBD critical summary

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The latest critical summary from the ADA-EBD Center considers a 2012 systematic review from Graziani et al.  The aim of the review was to assess the effectiveness of conservative periodontal surgery (CS) for the treatment of periodontitis-related intrabony defects.   Conservative periodontal surgery was defined as procedures that involved debridement of intrabony defects and root surfaces [read the full story…]

Limited evidence for surgical treatments for peri-implantitis

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It has been reported that implantitis affects between 2-47% of implants and with the number of implants being placed rising years on year more patients are likely to be affected.  The aim of this review was to assess the effectiveness of different interventions for the treatment of peri-implantitis. Searches were conducted in Medline, PubMed, Embase [read the full story…]

Periodontitis is a risk factor for dental implant loss and peri-implantitis

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Dental implants are increasingly common and a key factor in their long-term success is maintaining the health of the tissues that support them. The aim of this review was to assess the scientific evidence regarding the risks of implant loss, implant bone loss, and peri-implantitis incidence in subjects with a history of periodontal disease (PD), [read the full story…]

Only low quality evidence available for effectiveness of interdental toothbrushes

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Good oral hygiene to ensure the effective removal of dental plaque is key to maintaining good oral health.  While toothbrushing is the most commonly used method, dental floss and interdental brushes are both widely available and recommended adjuncts to toothbrushing.  A 2011 Cochrane review by Sambunjak et al assessed the evidence for dental floss (Dental [read the full story…]

Periodontal treatment improved several biomarkers of atherosclerotic disease

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In recent years that has been increasing interest in the associations between periodontal disease and a range of systematic diseases.  Towards the end of last year a joint workshop organized by the European Federation of Periodontology (EFP) and the American Academy of Periodontology (AAP) took place in Spain.  The full papers from that meeting are [read the full story…]

Chronic periodontitis is associated with a characteristic bacterial profile of saliva

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Periodontal disease is common and here in the UK 10-15% of adults have chronic periodontal disease.  It is a multifactorial disease and subgingival bacteria play an important role in the pathogenesis of the disease. The aim of this study was to see if chronic periodontitis is associated with a characteristic bacterial saliva profile, and if [read the full story…]

Chlorhexidine reduces plaque and inflammation but causes staining – new ADA-EBD critical summary

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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…]

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…]