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Periodontal Bleeding

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3561. Oral health promotion reduces plaque and gingival bleeding in the short term. Full Text available with Trip Pro

Oral health promotion reduces plaque and gingival bleeding in the short term. Cochrane Database of Systematic Reviews, Database of Abstracts of Reviews of Effects, Health Technology Assessment Database, UK National Health Service Economic Evaluation Database, Cochrane Central Register of Controlled Trials and Medline. There were no date limits or language restriction.Systematic reviews and controlled trials (randomised or quasi-randomised) assessing reductions in dental plaque levels (...) and/or gingival bleeding (gingivitis) and comparing health education/health promotion interventions that did not involve clinical professional input or the use of pharmacological interventions, such as antiplaque agents were included. Studies involving only special groups, such as orthodontic or medically compromised patients or assessing only denture plaque, were excluded.A range of data were extracted from systematic reviews and trials, quality assessment was undertaken, and a qualitative overview

2005 Evidence Based Dentistry

3562. Norplant and Irregular Bleeding/Spotting

ID Numbers: NIH 1 R01 HD43175-01 First Posted: July 15, 2003 Last Update Posted: June 24, 2005 Last Verified: May 2003 Keywords provided by Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD): Norplant Periodontal disease Endometrial bleeding Progestin-induced endometrial bleeding Additional relevant MeSH terms: Layout table for MeSH terms Hemorrhage Periodontal Diseases Pathologic Processes Mouth Diseases Stomatognathic Diseases Doxycycline Levonorgestrel Anti (...) the occurrence of uterine bleeding and spotting in women who use Norplant. This study will evaluate the effects of doxycycline on uterine bleeding/spotting in women using Norplant. Condition or disease Intervention/treatment Phase Endometrial Bleeding Periodontal Disease Drug: doxycycline Phase 4 Detailed Description: A high percentage of women using progestin-only contraception experience breakthrough bleeding (BTB) and spotting that causes impaired lifestyle and results in decreased compliance

2003 Clinical Trials

3563. Medium- and long-term effectiveness of a counterrotational electric toothbrush on plaque removal, gingival bleeding, and probing pocket depth. (Abstract)

Medium- and long-term effectiveness of a counterrotational electric toothbrush on plaque removal, gingival bleeding, and probing pocket depth. This study analyzed the difference in effectiveness of a well-known manual toothbrush and a counterrotational electric toothbrush over medium- and long-term periods. Six dental students and six patients with moderate periodontitis participated in a split-mouth, single-blind experiment with repeated recordings of pocket depths and plaque and gingivitis (...) indices. During the experiment, the use of interdental aids or mouth rinses was forbidden. At all intervals up to week 34, manual brushing resulted in significantly less plaque removal, especially at approximal sites. Use of the counterrotational electric toothbrush resulted in a significantly greater reduction in gingival inflammation and significantly increased pocket reduction, especially in the periodontitis group. A crossover experiment confirmed the inferiority of the manual cleaning. The long

1994 The International journal of periodontics & restorative dentistry Controlled trial quality: uncertain

3564. The effect of a single scaling with or without oral hygiene instruction on gingival bleeding and calculus formation. (Abstract)

follow-up period. OHI had no significant effect on the calculus and bleeding scores. Since the effect of scaling alone on the gingival condition was small and the effect of a single OHI negligible, the practice of occasional scaling without repeated OHI, which is commonly employed in developing countries, should be considered as clinically irrelevant and of little use in improving the standard of periodontal health. (...) The effect of a single scaling with or without oral hygiene instruction on gingival bleeding and calculus formation. 136 students of both sexes aged 14-18 years who were deprived of regular dental care participated in a 22-month longitudinal study. All students underwent scaling of the assigned teeth in 2 quadrants according to a randomised split-mouth design on contralateral quadrants. 2 groups of students were formed, one group received oral hygiene instruction (OHI). Follow-up examinations

1998 Journal of clinical periodontology

3565. A comparative evaluation of hemostatic agents in the management of soft tissue graft donor site bleeding. (Abstract)

A comparative evaluation of hemostatic agents in the management of soft tissue graft donor site bleeding. Periodontal plastic surgery has increased the use of palatal wounds for donor tissue, with the most common complication being excessive bleeding from the palate after harvesting tissue. This study was conducted to evaluate the efficacy of 3 methods for achieving hemostasis on the palate after harvesting donor tissue for autogenous soft tissue grafts.Thirty sites were evaluated at surgery (...) was applied to the palatal wounds compared to controls in both groups. Pain assessment showed no differences across treatment groups. However, by 21 days, only the oxidized regenerated cellulose group had complete healing based on blinded clinical evaluation with all sites rated as normal to rapid healing, compared to the absorbable gelatin sponge group where 40% of the sites were rated as slow healing. Adverse events, primarily bleeding episodes during the first 7 days after surgery, were found in 40

1999 Journal of periodontology Controlled trial quality: uncertain

3566. Clinical comparison of plaque removal and gingival bleeding reduction by two different brush heads on a sonic toothbrush. (Abstract)

plaque and reduce gingival bleeding. One-hundred twenty-one young adults, in good general and periodontal health, volunteered as subjects in this five-week, single-blind, crossover study. All subjects used one brush for a two-week period, brushing twice daily for two minutes. Subjects used a manual toothbrush during a one-week washout period, and then used the other head for two weeks. At the beginning and end of each two-week trial period, subjects were scored for plaque and bleeding by means (...) Clinical comparison of plaque removal and gingival bleeding reduction by two different brush heads on a sonic toothbrush. Previous clinical studies have demonstrated the efficacy of a sonic toothbrush (Sonicare) in plaque removal and reduction of gingival inflammation. Currently, several different brush heads are available for this sonic toothbrush. The purpose of this clinical study was to compare two different brush heads (nine row and eight row) with respect to their ability to remove dental

2000 The Journal of clinical dentistry Controlled trial quality: uncertain

3567. A critically severe gingival bleeding following non-surgical periodontal treatment in patients medicated with anti-platelet. (Abstract)

A critically severe gingival bleeding following non-surgical periodontal treatment in patients medicated with anti-platelet. Only a few dental procedures have been reported to cause life-threatening bleeding. All of these cases followed surgical intervention.In this paper, we report a case of severe bleeding following non-surgical periodontal procedures in a patient treated with a dual anti-platelet regimen post-coronary stent insertion.Her medical history included ischaemic heart disease (...) , hypertension and diabetes mellitus. Haemostasis was achieved at the conclusion of the non-surgical periodontal treatment. However, several hours later, the patient arrived at the emergency room and was diagnosed with hypovolemic shock.This case should raise the clinician's awareness of bleeding complications in non-surgical procedures as well as the risk for bleeding when a dual anti-platelet regimen is administered. The importance of patient monitoring and the use of local haemostatic agents

2008 Journal of Clinical Periodontology

3568. Relationship between bleeding on probing and periodontal disease progression in community-dwelling older adults. (Abstract)

Relationship between bleeding on probing and periodontal disease progression in community-dwelling older adults. The main objective of this study was to determine the relationship between bleeding on probing (BOP) and periodontal disease progression in community-dwelling older adults.A 3-year longitudinal study was carried out in 229 non-smoking healthy older adults aged 70 years. Using pressure-controlled periodontal probes, BOP, pocket depth and attachment level at 13,289 sites were measured (...) annually. Periodontal disease progression was defined as an increase in attachment loss of >or=3 mm from the baseline to the final examination. The backward stepwise logistic regression analysis was performed to assess the relationship between the total number of sites with BOP in the four examinations and periodontal progression.Logistic regression analysis showed that the odds ratios of BOP frequency for periodontal disease progression ranged from 1.4 to 6.2 after controlling for pocket depth >or=4

2005 Journal of Clinical Periodontology

3569. Long-term effects of supportive therapy in periodontal patients treated with fibre retention osseous resective surgery. I: recurrence of pockets, bleeding on probing and tooth loss. (Abstract)

Long-term effects of supportive therapy in periodontal patients treated with fibre retention osseous resective surgery. I: recurrence of pockets, bleeding on probing and tooth loss. Periodontal surgery is indicated in the treatment of persistent pockets following cause-related therapy. The aim of this study was to evaluate the long-term effect of supportive therapy in periodontal patients treated with fibre retention osseous resective surgery.Three-hundred and four consecutive patients were (...) (FMPS) was 13+/-11.3% and full-mouth bleeding scores (FMBS) was 2+/-3%. In 98.5% of the sites, PD was minimal (or=6 mm was 68 and limited to 41 patients (13.8% of sample). Initial periodontal diagnosis of severe periodontitis, smoking habits, FMBS, number of teeth at completion of active periodontal therapy (T1), number of surgically treated teeth, number of teeth

2007 Journal of Clinical Periodontology

3570. A controlled multicenter study of adjunctive use of tetracycline periodontal fibers in mandibular class II furcations with persistent bleeding. (Abstract)

A controlled multicenter study of adjunctive use of tetracycline periodontal fibers in mandibular class II furcations with persistent bleeding. The aim of this randomized single-blind multicenter controlled clinical trial was to clinically evaluate the effectiveness of adjunctive local controlled drug delivery in the control of bleeding on probing in mandibular class II furcations during maintenance care. 127 patients presenting with a class II mandibular furcation with bleeding on probing were (...) included in the study. They had been previously treated for periodontitis and were participating in supportive care programs in periodontal specialty practices. Treatments consisted of scaling and root planing with oral hygiene instructions (control) and scaling and root planing and oral hygiene combined with local controlled drug delivery with tetracycline fibers (test). The following outcomes were evaluated at baseline and 3 and 6 months after therapy at the furcation site: bleeding on controlled

1998 Journal of clinical periodontology Controlled trial quality: uncertain

3571. Effect of a toothpaste containing triclosan on dental plaque, gingivitis, and bleeding on probing--an investigation in periodontitis patients over 28 weeks. (Abstract)

Effect of a toothpaste containing triclosan on dental plaque, gingivitis, and bleeding on probing--an investigation in periodontitis patients over 28 weeks. The aim of this double-blind, 28-week study was to evaluate the plaque-inhibitory and antigingivitis efficacy of a fluoride toothpaste containing 0.3% triclosan and essential oil (Dental Kosmetik, Dresden, Germany) in comparison with a control toothpaste. One hundred twenty subjects previously treated for chronic periodontitis were included (...) in the study. At baseline, 8, 18, and 28 weeks, plaque accumulation (PlI) and gingival status (GI) were assessed. Probing pocket depth (PD) and bleeding on probing (BOP) were measured at baseline and week 28 using a Florida probe. No professional hygiene was delivered during the study period. Mean plaque scores decreased between baseline and week 8 in both groups. At the end of the study, a significant increase of mean PlI compared to baseline could be observed in the test and in the control groups

2002 Clinical oral investigations Controlled trial quality: uncertain

3572. The effect of aspirin on the periodontal parameter bleeding on probing. (Abstract)

The effect of aspirin on the periodontal parameter bleeding on probing. The absence or presence of bleeding on probing (BOP) is a sign of periodontal health or disease, but the presence of BOP is not an accurate predictor of disease progression. Aspirin is increasingly used in the prevention of cerebrovascular and cardiovascular diseases and is a non-disease factor that may modify bleeding indices given its antithrombolytic activity. The purpose of this double-blind placebo-controlled (...) randomized clinical trial was to study the effect of short-term daily aspirin ingestion on the clinical parameter BOP.A total of 46 periodontally healthy subjects were included in this study: 16 received placebo, 15 low-dose aspirin (81 mg), and 15 regular dose (325 mg) aspirin. Clinical parameters assessed included plaque index, periodontal probing depth, and BOP using an automated pressure-sensitive probe. Measurements were recorded before and after 7-day exposure to placebo and aspirin regimens.A

2002 Journal of periodontology Controlled trial quality: uncertain

3573. Effect of interleukin-1 gene polymorphisms on gingival inflammation assessed by bleeding on probing in a periodontal maintenance population. (Abstract)

Effect of interleukin-1 gene polymorphisms on gingival inflammation assessed by bleeding on probing in a periodontal maintenance population. Bleeding on probing (BOP) is the most significant clinical parameter for the assessment of periodontal inflammation. The aim of this prospective longitudinal trial was to study the association between allelic variants of the IL-1 gene complex and gingival inflammation. Three hundred and twenty-three randomly selected periodontal maintenance patients (64.4 (...) % females) received a periodontal examination that included probing depth measurements and BOP at each of 4 supportive periodontal therapy (SPT) appointments. A blood sample taken from each subject was analysed for the presence of specific allotypes of the IL-1 gene complex. Two polymorphisms located at +4845 bp in the IL-1 alpha region and at +3954 bp in the IL-1 beta region were evaluated by a polymerase chain reaction method; 35.3% of the examined subjects were positive for specific combinations

2000 Journal of periodontal research Controlled trial quality: uncertain

3574. Short-term clinical study comparing supragingival plaque removal and gingival bleeding reduction of the Philips Jordan HP735 to a manual toothbrush in periodontal patients in a maintenance program. (Abstract)

Short-term clinical study comparing supragingival plaque removal and gingival bleeding reduction of the Philips Jordan HP735 to a manual toothbrush in periodontal patients in a maintenance program. The Philips Jordan HP735 was compared to a manual brush for plaque removal efficacy and reduction of gingival bleeding. Subjects in a periodontal maintenance program were randomly divided into two groups; Group I (n = 27), average age 36.9 years, brushed with the manual brush; and Group II (n = 22 (...) in plaque removal between groups during the study. The bleeding index decreased significantly in the electric toothbrushing group; however, due to the large variation in bleeding scores between subjects, the difference in the number of bleeding sites was not statistically significant between the two groups. In conclusion, in a group of periodontal patients in a maintenance phase, using an electric toothbrush did not significantly enhance plaque removal, but did decrease bleeding compared to baseline

2001 The Journal of clinical dentistry Controlled trial quality: uncertain

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