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…]

Lack of evidence for the effectiveness of reconstructive procedures for treating peri-implantitis

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As the number of dental implants being placed increases it seems inevitable that the numbers affected by peri-implantitis will also increase.   Peri-implantitis is inflammation of the peri-implant tissues accompanied with changes in the level of crestal bone and with the presence of bleeding on probing and/or suppuration, with or without concomitant deepening of peri-implant pockets. [read the full story…]

Review suggests that brushing with a chlorhexidine-containing dentifrice may help control plaque and gingivitis

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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…]

Some evidence of improvement in metabolic control in diabetics, after treating periodontal disease

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Many have suggested a two-way relationship between periodontitis and  diabetes mellitus. Poor glycaemic control is associated with an increase risk of periodontal disease and in 2010 a Cochrane review  (Simpson et al) estimated a 0.4% reduction of HbA1c associated with periodontal treatment.  At that time Simpson et al noted that there were only a small [read the full story…]

Little good evidence available on whether periodontal disease has an impact on quality of life

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Periodontal disease is very common and is an important cause of tooth loss. While the impact of other oral conditions on quality of life the impact from periodontal disease has received less attention.  Oral health-related quality of life (OHRQoL) is a subjective construct that is multidimensional with a number of domains. There is also no [read the full story…]

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…]

What is the rate of disease progression in aggressive periodontitis?

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Periodontitis is common, but aggressive periodontitis (AgP) is thought to progress faster than chronic periodontitis (CP). Reviews suggest that tooth loss as a result of periodontitis is in the order of 1.5-9.8%. The aim of this current review was to investigate tooth loss and disease progression in aggressive periodontitis cases. The Medline and Embase databases [read the full story…]

In the Newspapers

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In recent weeks an number of dental stories have seen a lot of reporting in the mainstream press.   The Daily Mirror reporting on a potential link between gum disease and dementia with  “Brushing you teeth reduces your risk of dementia”  ; while the BBC reported on  a study reporting the growth of tooth-like structures from [read the full story…]

Draft guidance on the prevention and treatment of periodontal disease

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The Scottish Dental Clinical Effectiveness Programme (SDCEP) had just made available its new draft guidance on the  prevention and treatment of periodontal disease. The Scope of the guidance is to assist and support primary care dental teams in providing appropriate care for patients both at risk of and with periodontal diseases. The guidance aims to [read the full story…]

Review suggests that of guided tissue regeneration with absorbable collagen membranes may improve clinical outcomes for periodontal patients

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Periodontitis results in damage to the bone and connective tissues supporting the teeth. The use of barrier membranes aims to assist regeneration of periodontal tissues in order to overcome some of the limitations of conventional treatment.  The aim of this review was to assess the outcomes of guided tissue regeneration (GTR) using an absorbable collagen [read the full story…]