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Periodontal Bleeding

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21. Dual antiplatelet therapy and post-operative bleeding following minor oral surgery

Dual antiplatelet therapy and post-operative bleeding following minor oral surgery Dual antiplatelet therapy and post-operative bleeding following minor oral surgery - National Elf Service Search National Elf Service Search National Elf Service » » » » Dual antiplatelet therapy and post-operative bleeding following minor oral surgery Sep 30 2019 Posted by With an ageing population there are growing numbers of patients with cardiovascular and cerebrovascular disease and an increasing number (...) being prescribed antithrombolytics. dual antiplatelet therapy comprises acetylsalicylic acid (aspirin) in combination with agents, such as clopidogrel, ticlopidine, ticagrelor, or prasugrel. All these drugs inhibit platelet function which increases the risk of bleeding. The aim of this review was to evaluate the risk of bleeding complications in patients on dual antiplatelet therapy (DAPT) compared to patients on single antiplatelet therapy (SAPT) or no antiplatelet therapy (no APT) for patients

2019 The Dental Elf

22. Predictive factors for tooth loss during supportive periodontal therapy in patients with severe periodontitis: a Japanese multicenter study. (PubMed)

with severe periodontitis during SPT.The subjects were 82 patients from 11 dental institutions who were diagnosed with severe periodontitis and continued SPT for at least 1 year (mean follow-up = 4.9 years) between 1981 and 2008. The outcome was tooth loss due to periodontal disease during SPT. The Cox proportional hazards model was used to analyze sex, age, diabetes status, smoking history, number of periodontal pockets measuring ≥6 mm, rate of bleeding on probing, bone loss/age ratio, number of teeth (...) Predictive factors for tooth loss during supportive periodontal therapy in patients with severe periodontitis: a Japanese multicenter study. Supportive periodontal therapy (SPT) must take individual patient risk factors into account. We conducted a multicenter joint retrospective cohort study to investigate the value of modified periodontal risk assessment (MPRA) and therapy-resistant periodontitis (TRP) assessment as predictive factors for tooth loss due to periodontal disease in patients

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2019 BMC Oral Health

23. [Survey of periodontal health in medical college students after 3 years of periodontal health maintenance]. (PubMed)

, including selection of the toothbrush, the right way to brush teeth, the use of dental floss and interdental brush. At the same time ,they were given initial periodontal treatment according to the actual situation, and received oral health education, periodontal maintenance treatment, and reinforced plaque control every six months. The changes of debris index (DI), calculus index (CI), probing depth (PD), clinical attachment loss (CAL), bleeding on probing (BOP) and gingival index (GI) before and after (...) [Survey of periodontal health in medical college students after 3 years of periodontal health maintenance]. To observe and evaluate the status of periodontal disease in young people and the effect of intervention to control the development of periodontal diseases.One hundred and fifty-three medical college students were randomly divided into group A (receiving interventions) and group B (no interventions). They were followed up for 3 years. The subjects in group A received oral health education

2019 Shanghai kou qiang yi xue = Shanghai journal of stomatology

24. Comparing the periodontal tissue response to non-surgical scaling and root planing alone, adjunctive azithromycin, or adjunctive amoxicillin plus metronidazole in generalized chronic moderate-to-severe periodontitis: a preliminary randomized controlled tr (PubMed)

Comparing the periodontal tissue response to non-surgical scaling and root planing alone, adjunctive azithromycin, or adjunctive amoxicillin plus metronidazole in generalized chronic moderate-to-severe periodontitis: a preliminary randomized controlled tr The usefulness of administrating adjunctive systemic antibiotics to expedite healing of periodontal tissues is a topic of interest given the lack of clear guidelines.To compare clinical outcomes in patients given adjunctive azithromycin (AZ (...) patients completed the study. All groups experienced significant improvements in full-mouth clinical attachment level (CAL), probing pocket depth (PPD) and bleeding on probing. AZ exhibited greater reductions in PPD than SRP alone for baseline severe sites, whilst AMX+MTZ showed significant improvements in PPD and CAL than SRP alone for baseline moderate and severe sites. Of the two antibiotic therapies, AMX+MTZ showed greater reductions in PPD compared with AZ in baseline moderate sites only.For

2019 Australian dental journal

25. Evaluation of Long-Term Effects of Diode Laser Application in Periodontal Treatment of Poor Controlled Type-2 Diabetic Patients with Chronic Periodontitis. (PubMed)

controlled T2DM and chronic periodontitis completed this study. The patients were divided into two groups. The individuals in the control group received placebo laser treatment in addition to scaling and root planing (SRP). The individuals in the study group received DL (1 watt) in addition to SRP. Clinical index measurements were performed before treatment (T0), 3 months after treatment (T1) and 6 months after treatment (T2). Plaque index, gingival index, bleeding on probing, clinical attachment level (...) and probing depth were measured to determine periodontal status. HbA1c and C-reactive protein (CRP) levels were also analysed using blood samples.In both groups, clinical and laboratory parameters were significantly improved at T1 and T2 compared to baseline (P < 0.05). Gingival index, bleeding on probing and probing depth were more significantly reduced after treatment in the SRP+DL group than in the SRP group (P < 0.05). The serum CRP and HbA1c levels were similar between the groups (P > 0.05).The use

2019 International journal of dental hygiene

26. Supportive periodontal therapy in moderate-to-severe periodontitis patients: A two-year randomized clinical trial. (PubMed)

test or control treatment. Examination included periodontal probing depth (PPD), bleeding on probing (BOP) and clinical attachment loss (CAL). Generalized estimating equations were used for analyses.Baseline demographics and smoking were similar between groups. However, at baseline, mean PPD was greater in test group than in control group (2.32 mm vs. 2.17 mm, p = .03), but similar after 2 years (2.23 mm vs. 2.15 mm, respectively). With time, significant PPD and BOP decrease and CAL increase were (...) Supportive periodontal therapy in moderate-to-severe periodontitis patients: A two-year randomized clinical trial. Evaluate supportive periodontal therapy (SPT) consisting of oral prophylaxis with oral hygiene instructions as sole intervention (test) or combined with subgingival instrumentation removing/disrupting the subgingival biofilm (control).Sixty-two treated periodontitis patients (50.97 ± 9.26 years, 24 smokers) were randomly assigned to receive, every 3 months during 2 years, either

2019 Journal of Clinical Periodontology

27. Oral hygiene revisited. The clinical effect of a prolonged oral hygiene phase prior to periodontal therapy in periodontitis patients. A randomized clinical study. (PubMed)

Oral hygiene revisited. The clinical effect of a prolonged oral hygiene phase prior to periodontal therapy in periodontitis patients. A randomized clinical study. The present study was to investigate the effect of a three-month strict oral hygiene phase on key parameters of periodontitis: plaque, bleeding on probing and probing pocket depth.Forty-four patients with severe periodontal disease were randomly allocated to a test or a control group. The test group completed a three months strict (...) in the test group. No change to the better occurred in the control group.A three-month strict oral hygiene phase in patients referred for periodontal therapy reduced plaque, bleeding on probing and pocket depth to such an extent that it could affect therapy planning.© 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

2019 Journal of Clinical Periodontology

28. Effects of 810-nanometer diode laser as an adjunct to mechanical periodontal treatment on clinical periodontal parameters and gingival crevicular fluid volume of residual periodontal pockets. (PubMed)

periodontitis (CP) patients.A total of 84 residual pockets on single-rooted teeth in 11 CP patients were included and randomly assigned into three groups. Residual pockets were treated either only by mechanical treatment (Group M) (n = 28) or only by diode laser disinfection (Group L) (n = 28) or by a combination of these techniques (Group M + L) (n = 28). Plaque index, gingival index (GI), bleeding on probing (BoP), probing depth (PD), clinical attachment level and gingival recession were assessed (...) Effects of 810-nanometer diode laser as an adjunct to mechanical periodontal treatment on clinical periodontal parameters and gingival crevicular fluid volume of residual periodontal pockets. Aim of this randomized controlled parallel-designed study was to evaluate the effects of diode laser as an adjunct to mechanical periodontal treatment on clinical parameters and gingival crevicular fluid (GCF) volume of the residual pockets diagnosed following initial periodontal treatment in chronic

2017 Nigerian journal of clinical practice

29. One year results of a randomized controlled clinical study evaluating the effects of non-surgical periodontal therapy of chronic periodontitis in conjunction with three or seven days systemic administration of amoxicillin/metronidazole. (PubMed)

One year results of a randomized controlled clinical study evaluating the effects of non-surgical periodontal therapy of chronic periodontitis in conjunction with three or seven days systemic administration of amoxicillin/metronidazole. To evaluate the clinical outcomes 12 months after systemic administration of amoxicillin (AMX) and metronidazole (MET) adjunctive to subgingival debridement (SD) in patients with severe chronic periodontitis (sChP).102 patients with sChP were treated randomly (...) as follows: SD within 2 consecutive days and placebo for 7 days (group A), SD+AMX+MET (both 500mg x3 times daily TID) for 3 days (group B), SD+AMX+MET (both 500mg x 3 TID) for 7 days (group C). At baseline, at 3-, 6-, and 12-months post-treatment probing pocket depth (PD), clinical attachment level (CAL), furcation involvement, bleeding on probing (BOP), full-mouth plaque score (FMPS) were determined. The reduction in the number of sites with PD≥6mm was defined as main outcome variable.75 patients

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2017 PLoS ONE

30. Photodynamic Therapy (PDT) Does Not Decrease Bacterial Load More Than Conventional Therapy in Systemically Healthy Patients with Chronic Periodontitis with No Evidence Currently Available for Diabetic Patients with Chronic Periodontitis

for diabetic patients with chronic periodontitis receiving PDT, possibly with varying concentrations of RLP068 as reflected in the medical study. Clinical outcomes should also be addressed in future studies. Applicability No harmful side effects have been documented for PDT. Some possible short term benefits in clinical outcomes such as bleeding on probing, pocket depth and clinical attachment level (see CAT # 613) are documented; however PDT has not been shown to be effective at decreasing bacterial (...) Photodynamic Therapy (PDT) Does Not Decrease Bacterial Load More Than Conventional Therapy in Systemically Healthy Patients with Chronic Periodontitis with No Evidence Currently Available for Diabetic Patients with Chronic Periodontitis UTCAT2879, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Photodynamic Therapy (PDT) Does Not Decrease Bacterial Load More Than Conventional Therapy in Systemically Healthy Patients

2015 UTHSCSA Dental School CAT Library

31. Periodontal Therapy on HIV Patients Undergoing HAART May Provide Slight Benefit in Periodontal Health

that received HAART therapy, and one that was therapy naive Case Control Study Key results Of the periodontal parameters that were tested (probing pocket depth, gingival recession, clinical attachment level, papilla bleeding score, periodontal screening index and index for decayed, missed, and filled teeth), only the clinical marker for inflammation (the papilla bleeding score) achieved a significant difference, being twice as high (P ˂ 0.001) in the therapy naïve group (0.58 ± 0.40 versus 1.02 ± 0.59 (...) Periodontal Therapy on HIV Patients Undergoing HAART May Provide Slight Benefit in Periodontal Health UTCAT2849, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Periodontal Therapy on HIV Patients Undergoing HAART May Provide Slight Benefit in Periodontal Health Clinical Question In adult HIV patients undergoing HAART, are clinical outcomes (BOP, clinical attachments, and reduction in pocket depth) from periodontal

2015 UTHSCSA Dental School CAT Library

32. Topical Application of Fibroblast Growth Factor-2 May Promote Periodontal Regeneration in a Patient with Periodontitis

Topical Application of Fibroblast Growth Factor-2 May Promote Periodontal Regeneration in a Patient with Periodontitis UTCAT2886, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Topical Application of Fibroblast Growth Factor-2 May Promote Periodontal Regeneration in a Patient with Periodontitis Clinical Question In a patient with periodontal disease, is topical application of fibroblast growth factor-2 in combination (...) with scaling and root planning more effective in periodontal regeneration as compared to scaling and root planning alone? Clinical Bottom Line The use of topical fibroblast growth factor-2 adjunct to scaling and root planning as compared to scaling and root planning alone, is more effective in increasing bone fill and rate of alveolar bone height in periodontal tissue regeneration in patients with periodontitis. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author

2015 UTHSCSA Dental School CAT Library

33. Prescription Custom Trays with Hydrogen Peroxide Gel as an Adjunct to Frequent Maintenance Appointments May Be Beneficial for Adult Patients with Refractory Periodontitis

In an adult patient with refractory periodontitis, does using prescription custom trays with 1.7% hydrogen peroxide gel as an adjunctive therapy to routine maintenance visits enhance reduction of bleeding index (BI) and probing pocket depths (PPDs) more than recall periodontal maintenance visits alone? Clinical Bottom Line Patients using prescription trays with hydrogen peroxide gel 1-2 times daily as an adjunct to maintenance therapy every 2-4 months exhibit reduced bleeding on probing (BOP) compared (...) at baseline, at 3 months, 3 months, 1 year, and then yearly as indicated. PPDs were charted at baseline, at 1 year, and every 2 years as indicated. In predicting periodontal disease, BOP to the base of the pocket has a low sensitivity (due to high incidence of false positives) and a higher specificity (failure to bleed indicates health). From a clinical perspective, the beneficial effects of this adjunctive therapy over an extended period of time for failing refractory patients are encouraging. From

2017 UTHSCSA Dental School CAT Library

34. Periodontal Disease is a Risk Factor for the Development of Gestational Diabetes Mellitus

significantly higher levels of attachment loss and probing depths and more bleeding on probing compared to the controls. Periodontitis was significantly associated with GDM (OR = 3.00, 95% CI: 1.19 to 7.56). Evidence Search periodontitis and gestational diabetes Comments on The Evidence Validity: Both articles included case-control studies that linked periodontal disease and its’ inflammatory mediators to an increased risk of gestational diabetes mellitus. Inflammatory mediators, IL1 and IL6, induce local (...) Periodontal Disease is a Risk Factor for the Development of Gestational Diabetes Mellitus UTCAT3223, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Periodontal Disease is a Risk Factor for the Development of Gestational Diabetes Mellitus Clinical Question In pregnant women, does having periodontal disease increase the risk of gestational diabetes mellitus (GDM)? Clinical Bottom Line Studies have shown that periodontal

2017 UTHSCSA Dental School CAT Library

35. Vitamin D and Calcium Supplementation Along with Oral Hygiene Show Positive Affect on Periodontal Health

Vitamin D and Calcium Supplementation Along with Oral Hygiene Show Positive Affect on Periodontal Health UTCAT3161, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Vitamin D and Calcium Supplementation Along with Oral Hygiene Show Positive Affect on Periodontal Health Clinical Question In patients with periodontal disease does oral supplementation of vitamin D and calcium along with recommended oral hygiene regimens (...) result in improved periodontal health? Clinical Bottom Line Evidence showed that there is only a slight positive affect on periodontal health when supplementing vitamin D and calcium along with oral hygiene. This is supported by evidence from a randomized clinical trial and an observational clinical trial that measured the periodontal health in two patient groups, one taking supplementation and one that was not. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author

2017 UTHSCSA Dental School CAT Library

36. No Evidence to Show that Oral Probiotics Reduce the Number of Common Periodontal Pathogens

bias was not assessed due to the limited number of studies. Only one of the three studies had a low risk of bias. Overall, the findings were inconsistent and the evidence supporting the use of probiotics was graded as very low. Perspective: This study analyzed not only bacterial number measurements as a surrogate for periodontal disease, but also other parameters to determine periodontal tissue inflammation including: plaque and gingival indexes, bleeding on probing (BOP), probing pocket depths (...) No Evidence to Show that Oral Probiotics Reduce the Number of Common Periodontal Pathogens UTCAT3177, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title No Evidence to Show that Oral Probiotics Reduce the Number of Common Periodontal Pathogens Clinical Question In humans, what effects do oral probiotics exert on periodontal disease as assessed via bacterial numbers compared with a placebo or alternative treatments

2017 UTHSCSA Dental School CAT Library

37. Adults Who Are Chronic Crack Cocaine Users May Be at Increased Risk of Developing Periodontal Disease

for non-crack users was 20.8% while for crack users it was 43.4%. This is evidenced by the finding that crack users were more likely to exhibit clinical attachment loss greater than 4 mm. In addition, they were found to be more likely to exhibit bleeding on probing, a higher visible plaque index, and probing depths greater than 3 mm. Crack users had an approximately three-fold greater chance (odds ratio: 3.44; 95% confidence interval: 1.51 to 7.86) of periodontal disease than non-users. #2) Cury/2017 (...) Adults Who Are Chronic Crack Cocaine Users May Be at Increased Risk of Developing Periodontal Disease UTCAT3195, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Adults Who Are Chronic Crack Cocaine Users May Be at Increased Risk of Developing Periodontal Disease Clinical Question In adults, does chronic usage of crack cocaine lead to an increased risk of periodontal disease as measured by clinical attachment loss

2017 UTHSCSA Dental School CAT Library

38. Effect of Nd:YAG laser-assisted non-surgical periodontal therapy on clinical periodontal and serum biomarkers in patients with and without coronary artery disease: A short-term pilot study. (PubMed)

Effect of Nd:YAG laser-assisted non-surgical periodontal therapy on clinical periodontal and serum biomarkers in patients with and without coronary artery disease: A short-term pilot study. We hypothesized that nonsurgical-periodontal-therapy (NSPT) with adjunct Nd:YAG laser therapy is more effective in reducing periodontal inflammatory parameters (plaque index [PI], bleeding-on-probing [BOP], and probing-pocket-depth [PPD]) and serum interleukin-1beta (IL-1β) and matrix metalloproteinase-9 (...) (MMP-9) levels in patients with and without coronary artery disease (CAD) than NSPT alone. The aim of this short-term pilot study was to assess the effect of NSPT + Nd:YAG laser therapy on periodontal parameters and serum IL-1β and MMP-9 levels in patients with and without CAD.A prospective randomized clinical study was conducted on 87 patients who were divided into two groups: Group-1: 44 patients with CAD and periodontal disease (PD) and Group-2: 43 patients with PD alone. Treatment-wise

2018 Lasers in surgery and medicine

39. Effect of photodynamic therapy as an adjuvant to non-surgical periodontal therapy: Periodontal and metabolic evaluation in patients with type 2 diabetes mellitus. (PubMed)

Effect of photodynamic therapy as an adjuvant to non-surgical periodontal therapy: Periodontal and metabolic evaluation in patients with type 2 diabetes mellitus. This pilot study aimed to evaluate the effect of antimicrobial photodynamic therapy (aPDT) as an adjuvant to non-surgical periodontal therapy (NSPT) on periodontal status and glycemic control in patients with type 2 diabetes mellitus and generalized chronic periodontitis.Twelve patients were evaluated at five time points: during (...) tooth.Whitin the limitation of this study, the results showed that the plaque index reduced significantly only in the control group (p = 0.02) at T2 (30 days). For bleeding on probing, both groups showed a significant reduction between T1 and T2, with no difference between groups G1 and G2. Regarding the probing depth, there were no differences between groups, but the parameters decreased over time when compared to T1. The glycated haemoglobin and fructosamine levels did not significantly differ between

2018 Photodiagnosis and Photodynamic Therapy

40. Evaluation of the local effect of nonsurgical periodontal treatment with and without systemic antibiotic and photodynamic therapy in generalized aggressive periodontitis. A randomized clinical trial. (PubMed)

depth and clinical attachment level ≥5 mm, and with bleeding on probing. The pockets were randomly distributed into four groups (n = 18 each) that received ultrasonic periodontal debridement in addition to placebo (the UPD group), systemic clarithromycin (the UPD + CLM group), aPDT (the UPD + aPDT group), or both systemic clarithromycin and aPDT (the UPD + CLM + aPDT group). The measurements were performed prior to treatment (baseline) and at 3 and 6 months postoperatively. The following parameters (...) Evaluation of the local effect of nonsurgical periodontal treatment with and without systemic antibiotic and photodynamic therapy in generalized aggressive periodontitis. A randomized clinical trial. This study's aim was to evaluate the local effect of clarithromycin associated with antimicrobial photodynamic therapy (aPDT) in the treatment of generalized aggressive periodontitis.The study sample comprised 72 periodontal pockets on single-rooted teeth in multiple quadrants, with both probing

2018 Photodiagnosis and Photodynamic Therapy

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