This cost effectiveness study is based on a data from a randomised controlled trial published by Jönsson et al (2010), that trial compared an individually tailored oral health educational programme (ITOHEP) on periodontal health with a standard oral health educational programme. and found, ITOHEP intervention in combination with scaling is preferable to the standard programme [read the full story…]
Dental implants are now widely used to replace missing teeth and periodontal disease is an important cause of tooth loss. As implants themselves can suffer from peri-implantitis it is therefore of interest to as to whether patients with a history of periodontitis are of higher risk of implant failure. This critical appraisal of a 2010 [read the full story…]
In 2010 Berchier et al reviewed the efficacy of two different concentrations of chlorhexidine mouthrinse ( 0.2 & 0.12% ). A critical appraisal of this review is now available on the American Dental Associations Evidence-based Dentistry website. The commentator notes that a comprehensive search strategy was used although restricted to the English language. Eight studies [read the full story…]
Systemic and locally delivered antibiotics have been used as an adjunct to scaling and root planing (SRP) for the treatment of periodontal disease for many years. The aim of this review was to systematically evaluate the data concerning the effect of the concomitant administration of amoxicillin and metronidazole adjunctive to SRP in otherwise healthy adults. [read the full story…]
The aim of this study was to evaluate the efficacy of a slow release doxycycline gel (SRD) administered as an adjunct to non-surgical therapy in subjects with recurrent or persistent periodontitis but acceptable oral hygiene during supportive periodontal care. What did they do Patients suffering from persistent or recurrent moderate to severe periodontitis and undergoing [read the full story…]
Traditionally the response of periodontal disease to treatment has most commonly been measured using the surrogate markers of; bleeding on probing (BOP); pocket probing depth (PPD) and clinical attachment loss (CAL). This review aims to review whether a patient orientation measure (POEM) such as quality of life can measure the effect of treatment. What did [read the full story…]
Periodontal disease has been linked with a number of general health conditions and we recently covered the review which noted that the evidence does not support an association between periodontal disease and atherosclerotic vascular disease. This multicentre case control study is the latest published study to look at the link between periodontal disease and pre-eclampsia. [read the full story…]
The antiseptic agent Chlorhexidine (CHX) has been widely use to control plaque and gingivitis. The aim of this review was to evaluate, the efficacy of a CHX mouthrinse against plaque growth, gingival inflammation and stain formation in gingivitis patients. What did they do The Medline-PubMed, Embase and the Cochrane Central Register of Controlled Trials databases [read the full story…]
Links between gum and heart disease have been noted for over 100 years, but in recent years there has been a surge of interest in this topic as evidenced by the increasing numbers of papers published since the late 1990s. A selection of some of the reviews published since 2000 is listed below. The aim [read the full story…]
Ventilator-associated pneumonia (VAP) can be life threatening and its link with good mouth care is a topic we have covered before on Dental Elf (18th April 2012 and 28th Nov 2011). The aim of this study was to evaluate whether oral swabbing with 0.2% chlorhexidine gluconate (CHX) decreases the risk of ventilator-associated pneumonia (VAP) in [read the full story…]
