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Periodontal Bleeding

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1. Supportive periodontal therapy (SPT) for maintaining the dentition in adults treated for periodontitis. (PubMed)

'; however, studies evaluated signs of inflammation and potential periodontal disease progression, including bleeding on probing (BoP), clinical attachment level (CAL) and probing pocket depth (PPD).There was no evidence of a difference between SPT delivered by a specialist versus a general practitioner for BoP or PPD at 12 months (very low-quality evidence). This study did not measure CAL or adverse events.Due to heterogeneous outcome reporting, it was not possible to combine data from the two studies (...) Supportive periodontal therapy (SPT) for maintaining the dentition in adults treated for periodontitis. Periodontitis is a bacterially-induced, chronic inflammatory disease that destroys the connective tissues and bone that support teeth. Active periodontal treatment aims to reduce the inflammatory response, primarily through eradication of bacterial deposits. Following completion of treatment and arrest of inflammation, supportive periodontal therapy (SPT) is employed to reduce the probability

2018 Cochrane

2. The Use of Oral Probiotics in Adjunct to Non-surgical Periodontal Treatment Is More Effective in Treating Chronic Periodontitis Than Non-surgical Periodontal Treatment Alone

/ Year Patient Group Study type (level of evidence) #1) Martin-Cabezas/ 2016 130 patients/4 studies (100 patients/3 studies for meta-analysis) having chronic periodontitis without systemic diseases Meta-Analysis Key results With the use of oral probiotics in adjunct to NSPT, meta-analysis showed there was a statistically significant difference in clinical attachment level (CAL) gain (-0.42 mm; 95% CI −0.68, −0.16; p = .002), reduction of bleeding on probing (BOP) (-14.66; 95% CI −24.49, −4.83; p (...) The Use of Oral Probiotics in Adjunct to Non-surgical Periodontal Treatment Is More Effective in Treating Chronic Periodontitis Than Non-surgical Periodontal Treatment Alone UTCAT3096, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title The Use of Oral Probiotics in Adjunct to Non-surgical Periodontal Treatment Is More Effective in Treating Chronic Periodontitis Than Non-surgical Periodontal Treatment Alone Clinical

2016 UTHSCSA Dental School CAT Library

3. Antimicrobial Laser Therapy Is an Effective Adjunct to Non-Surgical Periodontal Therapy (NSPT) When Treating Aggressive Periodontitis As Compared to NSPT Alone

Antimicrobial Laser Therapy Is an Effective Adjunct to Non-Surgical Periodontal Therapy (NSPT) When Treating Aggressive Periodontitis As Compared to NSPT Alone UTCAT3168, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Antimicrobial Laser Therapy Is an Effective Adjunct to Non-Surgical Periodontal Therapy (NSPT) When Treating Aggressive Periodontitis As Compared to NSPT Alone Clinical Question In patients (...) with aggressive periodontal disease, does the adjunctive use of dental lasers with non-surgical periodontal therapy (NSPT) produce a significant effect in tissue healing and pocket depth reduction as compared to traditional NSPT alone? Clinical Bottom Line The adjunctive use of dental lasers in non-surgical periodontal therapy is more effective when treating aggressive periodontitis than NSPT alone. This is supported by a systematic review performed in 2015, which included many randomized control trials

2017 UTHSCSA Dental School CAT Library

4. [Bleeding control of periodontal mechanical therapy for patients taking aspirin]. (PubMed)

[Bleeding control of periodontal mechanical therapy for patients taking aspirin]. To investigate the feasibility of periodontal mechanical therapy for chronic periodontitis and coronary heart disease patients with low dose of aspirin.Sixty nine chronic periodontitis patients with coronary heart disease were randomly selected as the experimental group (medication group, group A), the control group (withdrawal group, group B) including 20 chronic periodontitis patients with coronary artery (...) disease, stopping the drug for one week and another control group with 50 chronic periodontitis patients (group C). The three groups were examined with pocket probing, and received supragingival scaling, subgingival scaling, and root planning. Local bleeding after operation was observed. In 30 minutes after periodontal mechanical treatment, there was still a need to take some hemostatic measures (containing the oxidized cellulose putting in the periodontal pocket, gauze oppressing, and suturing

2017 Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences

5. Partial-mouth periodontal examination protocols for the determination of the prevalence and extent of gingival bleeding in adolescents. (PubMed)

Partial-mouth periodontal examination protocols for the determination of the prevalence and extent of gingival bleeding in adolescents. To compare the performance of partial-mouth periodontal examination (PMPE) protocols with different cut-off points to the full-mouth examination (FME) in the assessment of the prevalence and extent of gingival bleeding in adolescents.A cross-sectional study was conducted involving 12-year-old adolescents. Following a systematic two-stage cluster sampling (...) ) and Community Periodontal Index (0.95) protocols. The assessment of three sites [mesiobuccal (MB), buccal (B) and distolingual (DL)] in two diagonal quadrants and the random half-mouth protocol had higher sensitivity and lower specificity than the same protocols with distobuccal (DB) sites. However, the use of DB sites led to better specificity and improved the balance between sensitivity and specificity, except for the two-diagonal quadrant (1-3) protocol. The ≥1 cut-off point led to the most discrepant

2017 Community Dentistry and Oral Epidemiology

6. A controlled clinical study of periodontal health in anticoagulated patients: Assessment of bleeding on probing (PubMed)

A controlled clinical study of periodontal health in anticoagulated patients: Assessment of bleeding on probing According to the Spanish Society of Cardiology, 700,000 patients receive oral anticoagulants, and in these cases bleeding on probing (BOP) could be altered. However, no studies have analyzed the periodontal status of these patients and the effects anticoagulants may have upon BOP. A study was made of the possible relationship between plaque index, probing depth, INR (International (...) bleeding was carried out, and the main periodontal parameters were recorded.Probing depth was the parameter with the strongest correlation to BOP (p<0.001), followed by the plaque index (p<0.002). In contrast, no relationship was observed between acenocoumarol dose or INR and BOP. Mean BOP was greater in the control group than in the anticoagulated group (p<0.001). Oral hygiene habits and attitude towards bleeding differed significantly between groups.We have found no explanation why BOP was greater

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2017 Journal of clinical and experimental dentistry

7. Evaluation of the Intra- and Post- Operative Bleeding After Periodontal Debridement in Direct Anticoagulant Patients

Evaluation of the Intra- and Post- Operative Bleeding After Periodontal Debridement in Direct Anticoagulant Patients Evaluation of the Intra- and Post- Operative Bleeding After Periodontal Debridement in Direct Anticoagulant Patients - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number (...) of saved studies (100). Please remove one or more studies before adding more. Evaluation of the Intra- and Post- Operative Bleeding After Periodontal Debridement in Direct Anticoagulant Patients (NOADB_db) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details

2017 Clinical Trials

8. Home use of interdental cleaning devices, in addition to toothbrushing, for preventing and controlling periodontal diseases and dental caries. (PubMed)

comparison was rubber/elastomeric cleaning sticks versus interdental brushes (3 trials).No trials assessed interproximal caries, and most did not assess periodontitis. Gingivitis was measured by indices (most commonly, Löe-Silness, 0 to 3 scale) and by proportion of bleeding sites. Plaque was measured by indices, most often Quigley-Hein (0 to 5).comparisons against toothbrushing aloneLow-certainty evidence suggested that flossing, in addition to toothbrushing, may reduce gingivitis (measured by gingival (...) Home use of interdental cleaning devices, in addition to toothbrushing, for preventing and controlling periodontal diseases and dental caries. Dental caries (tooth decay) and periodontal diseases (gingivitis and periodontitis) affect the majority of people worldwide, and treatment costs place a significant burden on health services. Decay and gum disease can cause pain, eating and speaking difficulties, low self-esteem, and even tooth loss and the need for surgery. As dental plaque

2019 Cochrane

9. WITHDRAWN: Interdental brushing for the prevention and control of periodontal diseases and dental caries in adults. (PubMed)

WITHDRAWN: Interdental brushing for the prevention and control of periodontal diseases and dental caries in adults. Effective oral hygiene is a crucial factor in maintaining good oral health, which is associated with overall health and health-related quality of life. Dental floss has been used for many years in conjunction with toothbrushing for removing dental plaque in between teeth, however, interdental brushes have been developed which many people find easier to use than floss, providing (...) there is sufficient space between the teeth.To evaluate the effects of interdental brushing in addition to toothbrushing, as compared with toothbrushing alone or toothbrushing and flossing for the prevention and control of periodontal diseases, dental plaque and dental caries.We searched the following electronic databases: the Cochrane Oral Health Group's Trials Register (to 7 March 2013), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2013, Issue 2), MEDLINE via OVID (1946

2019 Cochrane

10. Basic Periodontal Examination (BPE)

Basic Periodontal Examination (BPE) Scoring Codes Pockets 5.5mm (Black band disappears, indicating a pocket of 6mm or more) Furcation involvement 0 2 4 1 3 * Basic Periodontal Examination (BPE) Careful assessment of the periodontal tissues is an essential component of patient management. The BPE is a simple and rapid screening tool that is used to indicate the level of further examination needed and provide basic guidance on treatment needed. These BPE guidelines are not prescriptive (...) but represent a minimum standard of care for initial periodontal assessment. BPE should be used for screening only and should not be used for diagnosis. The clinician should use their skill, knowledge and judgment when interpreting BPE scores, taking into account factors that may be unique to each patient. Deviation from these guidelines may be appropriate in individual cases, for example where there is a lack of patient engagement. General guidance on the implications of BPE scores is indicated

2019 British Society of Periodontology

11. Antifibrinolytic therapy for preventing oral bleeding in patients with haemophilia or Von Willebrand disease undergoing minor oral surgery or dental extractions. (PubMed)

, such as the severity of the haemophilia, both local and systemic patient factors (such as periodontal inflammation, vasculopathy or platelet dysfunction) and intervention-related factors (such as the type and number of teeth extracted or the dimension of the wound surface). Similar to local haemostatic measures and suturing, antifibrinolytic therapy is a cheap, safe and potentially effective treatment to prevent bleeding complications in individuals with bleeding disorders undergoing oral or dental procedures (...) Antifibrinolytic therapy for preventing oral bleeding in patients with haemophilia or Von Willebrand disease undergoing minor oral surgery or dental extractions. Minor oral surgery or dental extractions (oral or dental procedures) are widely performed and can be complicated by hazardous oral bleeding, especially in people with an inherited bleeding disorder such as haemophilia or Von Willebrand disease (VWD). The amount and severity of singular bleedings depend on disease-related factors

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2019 Cochrane

12. Periodontitis- supportive periodontal treatment

, patients had to have completed active periodontal therapy at least six months prior to randomisation and be enrolled in an SPT programme. Primary outcomes included, tooth loss, bleeding on probing (BoP), clinical attachment level (CAL) and adverse events. Standard Cochrane data abstraction and analysis approaches were followed. Results 4 RCTs involving a total of 307 patients were included. 1 study was considered to be at low risk of bias, 1 at high risk and 2 of unclear risk. 3 studies compared (...) Periodontitis- supportive periodontal treatment Periodontitis- supportive periodontal treatment - National Elf Service Search National Elf Service Search National Elf Service » » » » Periodontitis- supportive periodontal treatment Jan 8 2018 Posted by Periodontitis is common although a lack of consensus regarding its precise definition, severity and classification means that estimates of population prevalence are wide.Periodontal treatment is usually involved initial management of active

2018 The Dental Elf

13. Acute periodontal lesions (periodontal abscesses and necrotizing periodontal diseases) and endo-periodontal lesions. (PubMed)

an objective classification system.Although PA, NPD, and EPL occur with relatively low frequency, these lesions are of clinical relevance, because they require immediate management and might severely compromise the prognosis of the tooth.In general, the evidence available to define these three conditions was considered limited. PA and EPL are normally associated with deep periodontal pockets, bleeding on probing, suppuration, and almost invariably, with pain. EPL are also associated with endodontic (...) pathology. NPDs have three typical features: pain, bleeding, and ulceration of the gingival interdental papilla. The available data suggested that the prognosis of PA and EPL are worse in periodontitis than in nonperiodontitis patients. Lesions associated with root damage, such as fractures and perforations, had the worst prognosis. NPD progression, extent and severity mainly depended on host-related factors predisposing to these diseases.PA should be classified according to the etiological factors

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2018 Journal of Clinical Periodontology

14. Cross-sectional associations of impaired glucose metabolism measures with bleeding on probing and periodontitis. (PubMed)

Cross-sectional associations of impaired glucose metabolism measures with bleeding on probing and periodontitis. This study assessed the associations of pre-diabetes and insulin resistance with bleeding on probing (BOP) and periodontitis among adults.We included 1191 Hispanic adults aged 40-65 years, free of diabetes, enrolled in San Juan Overweight Adults Longitudinal Study. Pre-diabetes was defined as impaired fasting glucose (IFG), impaired glucose tolerance (IGT), or impaired glycated (...) haemoglobin. Impaired one-hour plasma glucose (1hPG) was defined as levels >155 mg/dl. Insulin resistance was defined using the study population-specific 75th percentile (HOMA-IR ≥ 3.13). High BOP was defined as percentage of teeth with bleeding ≥30%. Periodontitis was defined according to the CDC/AAP definition.After multivariable adjustment for age, gender, education, smoking status, alcohol consumption, physical activity, obesity, HDL-C, and plaque index, pre-diabetes with and without 1hPG, IFG

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2016 Journal of Clinical Periodontology

15. Periodontal pocketing and gingival bleeding in relation to nordic diet - results from a population-based survey. (PubMed)

Periodontal pocketing and gingival bleeding in relation to nordic diet - results from a population-based survey. To examine whether a Nordic diet measured by the Baltic Sea Diet Score (BSDS) and the Recommended Finnish Diet Score (RFDS) is associated with periodontal condition.The study population consisted of non-smoking, non-diabetic and non-rheumatoid individuals in the Health 2000 Survey in Finland. Analyses were made in two age groups (30-49 years (n = 1210) and 50-79 years (n = 977 (...) )) and subsequently in two oral hygiene groups (good oral hygiene and poor oral hygiene). The number of sextants with gingival bleeding and the number of teeth with deepened periodontal pockets were used as outcome variables. Dietary data were collected by a validated food frequency questionnaire.Both the BSDS and the RFDS were weakly, although statistically significantly associated with less gingival bleeding in the younger age group (p = 0.019, p < 0.001). In the older age group, the RFDS or the BSDS associated

2016 Journal of Clinical Periodontology

16. Periodontal Bleeding

Periodontal Bleeding Periodontal Bleeding Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Periodontal Bleeding Periodontal Bleeding (...) Aka: Periodontal Bleeding , Oral Bleeding , Gingival Hemorrhage , Gingival Bleeding , Bleeding Gums II. Causes ( ) See Mellitus , or hemorrhagic bullae (esp. ) with s and Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Periodontal Bleeding." Click on the image (or right click) to open the source website in a new browser window. Related Studies (from Trip Database) Ontology: Gingival Hemorrhage (C0017565) Definition (MSH

2018 FP Notebook

17. Hyaluronic acid as an adjunct to periodontal treatment

. worldcat.org). Randomised controlled trials (RCTs) on the use of HA as an adjunctive to surgical and non-surgical periodontal treatment published in English were considered. For surgical studies there was a minimum requirement of 6-months follow-up and 3 months for non-surgical treatment. Two reviewers independently selected studies extracted data and assessed risk of boas using the Cochrane tool. Meta-analyses were conducted for pocket depth (PD), clinical attachment level (CAL) and bleeding on probing (...) Hyaluronic acid as an adjunct to periodontal treatment Hyaluronic acid as an adjunct to periodontal treatment - National Elf Service Search National Elf Service Search National Elf Service » » » » Hyaluronic acid as an adjunct to periodontal treatment Oct 16 2019 Posted by Hyaluronic acid is naturally present in the body the highest concentrations being found in the eyes and joints. It is also present in many tissues including the periodontium. It is considered to be a good material for wound

2019 The Dental Elf

18. [A clinical evaluation of periodontal treatment effect using periodontal endoscope for patients with periodontitis: a split-mouth controlled study]. (PubMed)

with (test group) or without (control group) periodontal endoscope. Changes of such clinical parameters as plaque index (PLI), bleeding index (BI), probing depth (PD) and attachment loss (AL) before and after treatments as well as the difference between test and control groups were examined and compared. Results: Both groups showed significant reductions in PD, BI and AL values at 6 weeks and 3 months after treatment (P <0.001). Only in the test group, for sites with PD≥6 mm at baseline, PD value ([4.0 (...) [A clinical evaluation of periodontal treatment effect using periodontal endoscope for patients with periodontitis: a split-mouth controlled study]. Objective: To compare the clinical effects of periodontal treatment using periodontal endoscope with that of conventional treatment method for patients with periodontitis. Methods: Eleven periodontal patients with moderate to advanced periodontal destruction were recruited and treated with scaling and root planing in a split-mouth design randomly

2018 Zhonghua kou qiang yi xue za zhi = Zhonghua kouqiang yixue zazhi = Chinese journal of stomatology

19. Effect of immediate periodontal surgical treatment on periodontal healing in combined endodontic–periodontal lesions with communication—A randomized clinical trial (PubMed)

lesions with apical communication.Forty patients were randomly allocated to two treatment protocols. Group 1(immediate periodontal surgery): OFD was performed at 21 days of initiation of ET and SRP, and Group 2(delayed periodontal surgery): OFD was performed after 3 months of initiation of ET and SRP. The primary parameters included probing pocket depth (PPD), relative attachment level (RAL) and bleeding on probing (BOP) and tooth mobility (TM).Significantly more reduction in PPD, TM and gain in RAL (...) Effect of immediate periodontal surgical treatment on periodontal healing in combined endodontic–periodontal lesions with communication—A randomized clinical trial Management of combined endodontic-periodontal lesions needs more clinical investigations. The aim of this prospective randomized clinical trial was to evaluate the effect oftime interval between the non-surgical endodontic treatment (ET) and open flap debridement (OFD) on periodontal healing in combined endodontic periodontal

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2018 Journal of oral biology and craniofacial research

20. The effects of melatonin supplementation in adjunct with non-surgical periodontal therapy on periodontal status, serum melatonin and inflammatory markers in type 2 diabetes mellitus patients with chronic periodontitis: a double-blind, placebo-controlled t (PubMed)

The effects of melatonin supplementation in adjunct with non-surgical periodontal therapy on periodontal status, serum melatonin and inflammatory markers in type 2 diabetes mellitus patients with chronic periodontitis: a double-blind, placebo-controlled t Diabetes mellitus (DM) and periodontitis are two common chronic diseases with bidirectional relationship. Oxidative stress plays a key role in the pathogenesis of these two diseases. The aim of this study was to investigate the effects (...) of melatonin supplementation in adjunct with non-surgical periodontal therapy on periodontal status, serum melatonin and inflammatory markers in type 2 DM patients with chronic periodontitis (CP).In this double-blind clinical trial study, 50 type 2 DM patients with CP were randomly allocated to the intervention and control groups. The intervention and control groups received either 6 mg melatonin or placebo (2 tablets) once a day. Serum levels of melatonin, tumor necrosis factor-alpha (TNF-α), interleukin

2018 Inflammopharmacology

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