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Periodontal Bleeding

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41. Bleeding on Probing as it relates to smoking status in patients enrolled in supportive periodontal therapy for at least 5 years. (Abstract)

Bleeding on Probing as it relates to smoking status in patients enrolled in supportive periodontal therapy for at least 5 years. To relate the mean percentage of bleeding on probing (BOP) to smoking status in patients enrolled in supportive periodontal therapy (SPT).Retrospective data on BOP from 8'741 SPT visits were related to smoking status among categories of both periodontal disease severity and progression (instability) in patients undergoing dental hygiene treatment at the Medi School (...) of Dental Hygiene (MSDH), Bern, Switzerland 1985-2011.A total of 445 patients were identified with 27.2% (n = 121) being smokers, 27.6% (n = 123) former smokers and 45.2% (n = 201) non-smokers. Mean BOP statistically significantly increased with disease severity (p = 0.0001) and periodontal instability (p = 0.0115) irrespective of the smoking status. Periodontally stable smokers (n = 30) categorized with advanced periodontal disease demonstrated a mean BOP of 16.2% compared to unstable smokers (n = 15

2014 Journal of Clinical Periodontology

42. Gingival bleeding on probing: relationship to change in periodontal pocket depth and effect of sodium hypochlorite oral rinse. Full Text available with Trip Pro

Gingival bleeding on probing: relationship to change in periodontal pocket depth and effect of sodium hypochlorite oral rinse. This study evaluated the potential of gingival bleeding on probing to serve as a predictor of future periodontal breakdown. It also assessed the ability of 0.25% sodium hypochlorite twice-a-week oral rinse to convert periodontal pockets showing bleeding on probing to nonbleeding sites.The study was performed as a randomized, single-blinded, clinical trial in parallel (...) groups. Seven periodontitis patients rinsed twice-weekly for 3 mo with 15 mL of a fresh solution of 0.25% sodium hypochlorite, and five periodontitis patients rinsed with water. The 12 study patients received no subgingival or supragingival scaling. Clorox(®) Regular-Bleach was the source of sodium hypochlorite. At baseline and 3-mo visits, gingival bleeding was assessed within 30 s after probing to full pocket depth using an approximate force of 0.75 N.A total of 470 (38%) of 1230 periodontal

2014 Journal of periodontal research Controlled trial quality: uncertain

43. The effect of endodontic treatment using different intracanal medicaments on periodontal attachment level in concurrent endodontic-periodontal lesions: A randomized controlled trial. Full Text available with Trip Pro

The effect of endodontic treatment using different intracanal medicaments on periodontal attachment level in concurrent endodontic-periodontal lesions: A randomized controlled trial. The aim of this study is to evaluate the effect of different intracanal medicaments used during endodontic treatment on periodontal attachment level in concurrent endodontic-periodontal lesions without communication.Seventy-five teeth with combined endodontic-periodontal lesions were randomly assigned to 3 groups (...) : Test Group I (calcium hydroxide [Ca(OH)2]), Test Group II (2% chlorhexidine + Ca(OH)2), and control group (no intracanal medicament). Root canal treatment (RCT) was performed using standard methodology. Teeth of test groups were medicated with respective medicaments for 10 days before obturation. Scaling and root planning was done 1 month after completion of RCT in all the groups. Clinical measurements, including probing depth (PD), clinical attachment level (CAL), and bleeding on probing (BOP

2019 Journal of conservative dentistry : JCD Controlled trial quality: uncertain

44. Radiographic alveolar bone level and levels of serum 25-OH-Vitamin D<sub>3</sub> in ethnic Norwegian and Tamil periodontitis patients and their periodontally healthy controls. Full Text available with Trip Pro

and levels of serum VitD in ethnic Norwegian and Tamil periodontitis patients and their respective healthy controls.Twenty-seven Tamil periodontitis patients living in Norway were compared to 21 Tamil controls as well as to 21 Norwegian periodontitis patients and 23 Norwegian controls. Marginal bone level was diagnosed on radiographs. VitD levels were diagnosed in blood samples by high-performance liquid chromatography-mass spectrometry.VitD levels were lower in Norwegian periodontitis patients than (...) in controls, while no significant differences were observed between Tamil periodontitis patients and controls despite the significant difference between RBL between the periodontitis patients and controls in both groups. When calculating the odds ratio for having periodontal disease in both populations together, it appeared that one unit increased serum VitD (i.e. 1 nmol/L) decreased the odds of having radiographic bone loss by 4%.According to logistic regression, and after correcting for confounding

2019 BMC Oral Health

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

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 Controlled trial quality: uncertain

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

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

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

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 (...) 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

2019 International journal of dental hygiene Controlled trial quality: uncertain

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

, 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 Controlled trial quality: uncertain

49. 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 (Abstract)

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 Controlled trial quality: uncertain

50. Predictive factors for tooth loss during supportive periodontal therapy in patients with severe periodontitis: a Japanese multicenter study. Full Text available with Trip Pro

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

2019 BMC Oral Health

51. Efficacy of adjunctive photodynamic therapy on the clinical periodontal, HbA1c and advanced glycation end product levels among mild to moderate chronic periodontal disease patients with type 2 diabetes mellitus: A randomized controlled clinical trial. (Abstract)

photodynamic therapy (PDT) as an adjunct to full-mouth disinfection (FMD).Thirty type 2 DM patients with mild to moderate periodontitis were divided into two main groups: Group-A receiving adjunctive PDT with FMD and Group-B receiving FMD alone. Full-mouth plaque index (PI), bleeding on probing (BOP), probing depth (PD), attachment level (AL) were recorded. Serum HbA1c was assessed among all participants using a HbA1c analyser kit. Levels of AGEs in GCF were determined using enzyme-linked immunosorbent (...) Efficacy of adjunctive photodynamic therapy on the clinical periodontal, HbA1c and advanced glycation end product levels among mild to moderate chronic periodontal disease patients with type 2 diabetes mellitus: A randomized controlled clinical trial. To evaluate the clinical periodontal, serum glycated haemoglobin (HbA1c) and levels of advanced glycation end-products (AGEs) in the gingival crevicular fluid (GCF) among patients with periodontitis and type 2 diabetes mellitus (DM) after

2019 Photodiagnosis and Photodynamic Therapy Controlled trial quality: uncertain

52. 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

53. 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

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

of 50-80 years with >2 interproximal sites with >3 mm attachment loss Cohort study Key results Fifty-one patients were split into two groups, takers (23 patients) and non-takers (28 patients) of supplemental vitamin D and calcium. Throughout the study all patients received periodontal maintenance, which consisted of scaling and root planing, polishing of teeth, reinforcement of oral hygiene procedures, and general dental examinations, every 3 months. The clinical measurements taken into account were (...) attachment loss, gingival index, bleeding, pocket depth, and furcation. When considered collectively, these clinical measurements showed that there were borderline differences between the groups at baseline (p=0.061); at 6 months the differences were significant (p=0.049), but at 12 months there was no significant differences between the groups (p=0.114). Collectively the five clinical measures decreased significantly throughout the study in both takers (p Evidence Search ("vitamin d"[MeSH Terms

2017 UTHSCSA Dental School CAT Library

55. 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

56. 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 (...) (PPD), and clinical attachment loss. This review found that probiotic therapy resulted in reduction of scores in gingival indexes, BOP, and PPD. The authors believe these results are due to the effects of probiotics on host response rather than on the quantity of periodontal pathogens. Applicability Based on this systematic review, there is presently inadequate evidence to support the use of probiotics to prevent or treat gingivitis or periodontitis. However, a growing number of studies have found

2017 UTHSCSA Dental School CAT Library

57. 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

58. 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. Full Text available with Trip Pro

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 Controlled trial quality: uncertain

59. 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. (Abstract)

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 Controlled trial quality: uncertain

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

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 Controlled trial quality: uncertain

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