Good oral health can be achieved and maintained by compliance with preventive and curative measures and effective self-care. However, adherence to positive behaviours such as toothbrushing, interdental cleaning, smoking cessation and good dietary habits can be variable. Traditional approaches of patient education revolve around disseminating information and normative advice. Increasingly the use of motivational interviewing [read the full story…]
Periodontitis is a common problem with severe periodontitis being ranked as the 6th most prevalent condition in the 2010 Global Burden of Disease study (Marcenes et al 2013). The aim of this study by Thomson et al was to describe changes in the occurrence of periodontal attachment loss (AL) , and to evaluate risk factors [read the full story…]
This ADA-EBD critical summary looks at a systematic review from the same group that conducted the review that we highlighted yesterday (Sgolastra et al 2012). This time the question was whether the use of amoxicillin/metronidazole (AMX/MET) as an adjunct to scaling and root planning (SRP) was more effective than SRP alone in the treatment of [read the full story…]
This ADA-EBD critical summary looks at systematic review by Sgolastra et al from 2012 that addressed the question of whether the use of amoxicillin/metronidazole (AMX/MET) as an adjunct to scaling and root planning (SRP) was more effective than SRP alone in the treatment of chronic periodontitis. The appraisers considered that searching an analysis of the [read the full story…]
This latest critical summary from the ADA-EBD Center for Evidence-Based Dentistry looks at a review by Patel et al 2011 which addresses the question of whether smokers have poorer bone regeneration than non-smokers after periodontal treatment. The appraiser considered this to be a well-conducted systematic review and meta-analysis that included 10 articles with 458 participants [read the full story…]
Limited information on the effects of smoking cessation on clinical outcomes following periodontal therapy Smoking is a known risk factor for periodontal disease. The aim of this study was to conduct an individual patient data meta-analysis to assess the effect of smoking cessation (SC) on clinical outcomes following the non-surgical periodontal treatment in patients with [read the full story…]
The aim of this review was to evaluate the clinical adjunctive effect of antimicrobial photodynamic therapy (aPDT) to scaling and root planing (SRP) when compared with SRP alone or in combination with placebo in the treatment of chronic periodontitis (CP) patients. A search in the Medline, Cochrane Controlled Clinical Trial Register, Cochrane Database of Systematic [read the full story…]
Periodontal disease is common as is pregnancy and preterm labour is a complication in 10-15% of all pregnancies. It is therefore not unsurprising that an association between periodontal disease and pre-term labour has been noted in a number of studies. The aim of this latest review was quantify the relationship between periodontal disease, preterm birth [read the full story…]
Hormonal changes during pregnancy are considered to affect the response of the gingival tissues, with studies suggesting that 36% – 100% of pregnant women suffer pregnancy gingivitis. The aim of this review was to assess the effect of pregnancy on systemically healthy women in terms of gingival inflammation. The Medline and Embase databases were searched [read the full story…]
Two new critical summaries are now available from the ADA-EBD website. First is a summary of a 2012 systematic review by Zandbergen et al that looked the systemic administration of amoxicillin and metronidazole as an adjunct to scaling and root planning (Dental Elf 25th May 2012). The review notes that there was no comparison in [read the full story…]
