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Periodontal Bleeding

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81. Chlorhexidine mouthwash after periodontal or implant surgery

considered. Two reviewers independently screened studies, abstracted data and assessed study quality using the Jadad Scale. The main outcome measures were plaque index (PI) and bleeding-on-probing (BOP), staining, periodontal probing depth (PPD) and patient acceptance were also considered. Results 11 RCTs were included. 4 RCTs (82 patients) compared chlorhexidine against placebo. All 4 studies reported reductions in plaque accumulation, these ranged from 29-86% at one week and between 51-82% at 2 weeks (...) Chlorhexidine mouthwash after periodontal or implant surgery Chlorhexidine mouthwash after periodontal or implant surgery - National Elf Service Search National Elf Service Search National Elf Service » » » » Chlorhexidine mouthwash after periodontal or implant surgery Feb 20 2019 Posted by Chlorhexidine mouthwash has been available many years and is readily available. It has been shown to reduce plaque and gingivitis in the short term ( Dental Elf – 3 rd Apr 2017 ), and is often recommended

2019 The Dental Elf

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

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

83. Periodontitis in Coronary Heart Disease Patients: Strong Association between Bleeding on Probing and Systemic Biomarkers. (PubMed)

Periodontitis in Coronary Heart Disease Patients: Strong Association between Bleeding on Probing and Systemic Biomarkers. Few studies have examined the relationship of individual periodontal parameters with individual systemic biomarkers. This study assessed the possible association between specific clinical parameters of periodontitis and systemic biomarkers of coronary heart disease risk in coronary heart disease patients with periodontitis.Angiographically proven coronary heart disease (...) patients with periodontitis (n = 317), aged >30 years and without other systemic illness were examined. Periodontal clinical parameters of bleeding on probing (BOP), probing depth (PD), and clinical attachment level (CAL) and systemic levels of high-sensitivity C-reactive protein (CRP), fibrinogen (FIB) and white blood cells (WBC) were noted and analyzed to identify associations through linear and stepwise multiple regression analyses.Unadjusted linear regression showed significant associations between

2014 Journal of Clinical Periodontology

84. NSAIDs and bleeding in periodontal surgery. (PubMed)

NSAIDs and bleeding in periodontal surgery. To evaluate and compare the clinical effects of ibuprofen and diclofenac sodium on bleeding during periodontal surgery.Thirteen medically healthy men and women of mean age 37.5±17.67 (mean age± standard deviation) were selected for the study. All the subjects were divided into three groups: control (C) and test groups (T1) and (T2). Each subject of T1 group and T2 group was given ibuprofen and diclofenac sodium respectively, prior to surgery. Bleeding (...) times of patients were recorded prior to performance of periodontal flap surgical procedures.It was found that there was increased bleeding time and increased peri-operative bleeding when ibuprofen and diclofenac sodium were taken prior to surgery and this was statistically significant. (2.5538 (T1), 1.8385 (T2) versus 1.2385 (C) minute, p= .001) (mean blood loss) and (62.0325 ± 9.0594 (T1), 51.082 ± 9.792 (T2) versus 37.4992 ± 5.99 (C) millilitre, p = .000).The findings of this study suggested

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2014 Journal of clinical and diagnostic research : JCDR Controlled trial quality: uncertain

85. Gingival bleeding on probing: relationship to change in periodontal pocket depth and effect of sodium hypochlorite oral rinse. (PubMed)

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

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2014 Journal of periodontal research Controlled trial quality: uncertain

86. Periodontal health: a national cross-sectional study of knowledge, attitudes and practices for the public oral health strategy in China. (PubMed)

periodontal attitudes and practices were estimated. Multiple logistic regression analyses were used to examine the related factors.Less than 20% of Chinese adults were knowledgeable about periodontal disease. Very few (2.6%) of Chinese adults use dental floss ≥once a day and undergo scaling ≥once a year, and visit a dentist (6.4%) in the case of gingival bleeding. Periodontal health KAP was associated with gender, age, body-mass index, marital status, place of residence, education level, income, smoking (...) status, and history of periodontal disease.Periodontal health KAP are generally poor among the Chinese adult population. Community based health strategies to improve periodontal health KAP need to be implemented. Increasing knowledge of periodontal disease, the cultivation of correct practices in response to gingival bleeding, and the development of good habits concerning the use of dental floss and regular scaling should be public oral health priorities. This article is protected by copyright. All

2019 Journal of Clinical Periodontology

87. Periodontal disease influences osteoclastogenic bone markers in subjects with and without rheumatoid arthritis. (PubMed)

Periodontal disease influences osteoclastogenic bone markers in subjects with and without rheumatoid arthritis. Periodontal disease (PD) and rheumatoid arthritis (RA) are bone pathologies mediated through immuno-inflammatory mechanisms. The aim of this study was to investigate the serum markers osteopontin (OPN), tumor necrosis factor receptors 1 (TNFR1) and 2 (TNFR2) receptor activator of nuclear factor-kappa B ligand (RANKL) and RANKL/ osteoprotegerin (OPG) ratio and compare them in PD and RA (...) groups.RA (with PD = 19 and without PD = 19), PD (n = 38) and 14 healthy subjects underwent bleeding on probing (BOP) and probing pocket depth (PPD) measurement. PD was defined as PPD measuring ≥5mm registered in ≥3 sites. Marginal bone loss (MBL) for premolars and molars was measured on digital panoramic radiographs. Serum samples were collected from all subjects. OPN, TNFR1, TNFR2 and RANKL were measured by enzyme-linked immunosorbent assays (ELISAs). OPG was measured as part of a multiplex proximity

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2018 PLoS ONE

88. Periodontal status correlates with anti-citrullinated protein antibodies (ACPAs) in first degree relatives of individuals with rheumatoid arthritis. (PubMed)

assessed in 34 ACPA positive (ACPA+) and 65 ACPA negative (ACPA-) subjects: gingival index (GI), plaque Index (PI), probing depth (PD), bleeding on probing (BOP) and clinical attachment level (CAL). We compared the two groups using conditional logistic regression.In ACPA+ individuals, the mean PI, PD, BOP, CAL and number of sites per person with PD>4mm and BOP was significantly higher compared to ACPA- group. All ACPA+ subjects had periodontitis: 44.1% presenting moderate and 47.1% severe periodontitis (...) Periodontal status correlates with anti-citrullinated protein antibodies (ACPAs) in first degree relatives of individuals with rheumatoid arthritis. To evaluate periodontal status in first-degree relatives of patients with rheumatoid arthritis (FDR-RA) and detect correlation with presence of anti-citrullinated protein antibodies (ACPA).Rheumatologic and periodontal status were evaluated in a nested case-control study of FDR-RA with no diagnosis of RA at enrolment. The following parameters were

2019 Journal of Clinical Periodontology

89. Comparison of two measures to determine the oral health-related quality of life in elders with periodontal disease. (PubMed)

the psychometric properties of the scales in older people with periodontal disease.Participants were 155 elderly patients with periodontal disease attending a university periodontal department. Periodontal measures included gingival index, plaque index, probing pocket depth, clinical attachment level, and bleeding on probing. GOHAI and OHIP-14 scales were used to assess OHQoL. In addition, participants completed a checklist of symptoms related to periodontal disease.Using the additive method for scoring, 22 (...) Comparison of two measures to determine the oral health-related quality of life in elders with periodontal disease. The Oral Health Impact Profile (OHIP) and Geriatric Oral Health Assessment Index (GOHAI) are accepted as comprehensive and widely used tools for assessing oral health-related quality of life (OHQoL). However, OHQoL assessment of elders with periodontal disease has not yet been investigated.To assess the discriminative performance of GOHAI and OHIP-14 and to compare

2019 Community dental health

90. Risk factors for recurrence of periodontal disease in patients in maintenance care in a private practice. (PubMed)

. The longer the time, the more frequent the recall visits, and the more was spent during the maintenance phase, the greater was the reduction. Multivariate analysis rendered BMI and smoking as factors influencing number of sites with PD ≥ 4 mm and bleeding on probing.Tooth loss and periodontal tissue damage can be contained over prolonged periods if periodontal disease is treated and patients attend regular maintenance care.© 2019 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. (...) Risk factors for recurrence of periodontal disease in patients in maintenance care in a private practice. To assess periodontal and dental conditions in individuals in maintenance care after periodontal therapy in private practice, and to identify risk factors for recurrence of disease and tooth loss.One hundred patients attending a routine recall visit were included. All had been treated for periodontal disease and were in maintenance since ≥ 2 years.Examinations took place 18.0 (±8.71) years

2019 Journal of Clinical Periodontology

91. Periodontitis in individuals with liver cirrhosis: A case-control study. (PubMed)

Periodontitis in individuals with liver cirrhosis: A case-control study. The aim of this study was to evaluate the association between liver cirrhosis and periodontitis.This case-control study included 294 individuals, 98 cases with liver cirrhosis and 196 controls. A full-mouth periodontal examination was performed and plaque index, probing depth, clinical attachment level and bleeding on probing were recorded. The association of risk variables with periodontitis was tested through univariate (...) analysis and multivariate logistic regression, stratified by alcohol status.A high prevalence of periodontitis was observed among cases (62.2%) when compared to controls (41.8%). Individuals with cirrhosis presented a chance ~2 higher of having periodontitis than controls (OR = 2.28; 95% CI 1.39-3.78; p < .001). Significant variables associated with periodontitis in the final logistic models were as follows: (a) no/occasional alcohol use model-number of teeth up 14, age ≥45-55 years, male sex

2019 Journal of Clinical Periodontology

92. Periodontal regeneration using bone morphogenetic protein 2 incorporated biomimetic calcium phosphate in conjunction with barrier membrane: A pre-clinical study in dogs. (PubMed)

in 15 dogs' mandibles. After the initial periodontal therapy, the defects were randomly assigned to the following groups: (a) control; (b) barrier membrane; (c) deproteinized bovine bone mineral + barrier membrane; (d) BioCaP + barrier membrane and (e) BMP-2/BioCaP + barrier membrane (6 quadrants with 18 teeth per group). Eight weeks later, clinical examinations, micro-CT, and histomorphometric analyses were performed.Clinical examinations, including plaque index, bleeding index, and probing depth (...) Periodontal regeneration using bone morphogenetic protein 2 incorporated biomimetic calcium phosphate in conjunction with barrier membrane: A pre-clinical study in dogs. To evaluate the effect of bone morphogenetic protein 2 (BMP-2) incorporated biomimetic calcium phosphate (BMP-2/BioCaP) in conjunction with barrier membrane on periodontal regeneration in chronic periodontitis experimental model.Chronic periodontitis experimental model with critical-sized supra-alveolar defects was created

2019 Journal of Clinical Periodontology

93. Status of periodontal health in German patients suffering from chronic kidney disease - Data from GCKD study. (PubMed)

(GCKD) project was analyzed by recording bleeding on probing (BOP), pocket probing depth (PPD) and clinical attachment level (CAL). Furthermore, the awareness of the study subjects of their periodontal conditions was evaluated by a self-reported questionnaire.24.4% of the CKD study patients showed no or only mild signs of periodontal disease, 47.6% displayed moderate and 27% severe periodontitis. Questionnaire data revealed that 62.3% of the study subjects with severe periodontitis, were not aware (...) Status of periodontal health in German patients suffering from chronic kidney disease - Data from GCKD study. To assess the prevalence and severity of periodontitis in patients with moderate chronic kidney disease (CKD) and comparing the results with the self-reported periodontitis awareness of the study subjects.The periodontal status of 270 patients with moderate CKD randomly selected from a cohort of 5.217 subjects participating in the prospective observational German Chronic Kidney Disease

2019 Journal of Clinical Periodontology

94. Patients' perception of their oral and periodontal health and its impact: a cross-sectional study in the NHS. (PubMed)

probing depths (mm), gingival recession (mm), gingival bleeding (yes/no), dentine hypersensitivity (Schiff score, and yes/no) and tooth wear (basic erosive wear examination score) were measured.Results Participants were regular dental attenders, with good oral hygiene practices and a low prevalence of periodontal disease (probing depth of 4 mm or more) (25%). For all conditions assessed, self-reported data and clinical indices were significantly positively associated, with the strongest associations (...) Patients' perception of their oral and periodontal health and its impact: a cross-sectional study in the NHS. Aims To determine patient awareness of periodontal health, dentine hypersensitivity and tooth wear, and their impact on oral health quality of life in patients attending NHS practices in South West England.Method In this cross-sectional, multi-centre epidemiological study 814 adult NHS patients completed an oral health questionnaire and then underwent a clinical examination. Pocket

2019 British Dental Journal

95. Alleviation of acute dental pain from localised apical periodontitis: A prospective randomised study comparing two emergency treatment procedures. (PubMed)

the emergency clinic at Malmö University met the inclusion criteria: spontaneous pain and/or pain on percussion and palpation, non-bleeding pulp in the canal orifice, pain ≥4 on a Numeric Rating Scale and ≥18 years of age. The diagnosis was symptomatic apical periodontitis, in the absence of swelling and/or fever. Pre-operative pain levels and intake of analgesics were registered. The patients were randomised to one of the two treatment groups. Three to five days post-operatively, the patients were (...) Alleviation of acute dental pain from localised apical periodontitis: A prospective randomised study comparing two emergency treatment procedures. To compare the outcomes of two emergency treatment procedures to alleviate pain from localised symptomatic apical periodontitis: complete chemo-mechanical disinfection (CMD) of the root canal system, or removal of necrotic tissue from the pulp chamber (RNT), that is without instrumentation of the root canals.Fifty-seven consecutive patients from

2019 Journal of oral rehabilitation Controlled trial quality: uncertain

96. Clinical, in vitro and phytochemical, studies of Scrophularia striata mouthwash on chronic periodontitis disease. (PubMed)

Clinical, in vitro and phytochemical, studies of Scrophularia striata mouthwash on chronic periodontitis disease. Chronic periodontitis is an inflammatory process of the oral cavity that is caused by different reasons. Streptococcus mutans bacteria is the main cause of the disease. Scrophularia striata in Iranian traditional medicine is used to heal inflammation of gum and mouth. Also, In vitro anti-bacterial effect of S. striata in S. mutans have been demonstrated.Clinical, in vitro (...) and chemical constituent studies of S. striata on chronic periodontitis disease.This study is a randomized clinical trial that was performed in Dental College, Hamadan University of Medical Sciences. Fifty patients with chronic periodontitis (20-50 years old) were selected and the study was approved and registered in Iranian Registry of Clinical Trials as number IRCT2015081323468N1 prior to the experiment. The 50 patients were divided into two groups. One group used herbal mouthwash that was made from

2019 Journal of Ethnopharmacology Controlled trial quality: uncertain

97. Topical oral 1-tetradecanol complex in the treatment of periodontal diseases in cats. (PubMed)

periodontal disease except tooth mobility at 6 weeks. The 1-TDC group exhibited a statistically significant reduction in pocket depth, clinical attachment loss, gingival index and bleeding on probing after treatment at 6 weeks, whereas the placebo group did not show any significant change.Chronic inflammation associated with periodontal diseases leads to periodontal tissue destruction. As a result, modulation of the host response has been included in the treatment protocol for periodontal diseases. Fatty (...) Topical oral 1-tetradecanol complex in the treatment of periodontal diseases in cats. The aim of this study was to evaluate the outcomes of the treatment of chronic periodontal disease with an oral application of tetradecanol complex (1-TDC) in cats.The test group (n = 9) received 1-TDC (525 mg per gel capsule/day) and the placebo group (n = 4) received olive oil (0.25 ml per gel capsule/day) for 6 weeks.Oral treatment with 1-TDC resulted in significant reductions in all parameters of clinical

2019 Journal of feline medicine and surgery Controlled trial quality: uncertain

98. Microbiome in maintained periodontitis and its shift over a single maintenance interval of 3 months. (PubMed)

Microbiome in maintained periodontitis and its shift over a single maintenance interval of 3 months. To assess the subgingival microbial shift of maintained periodontitis treated by ultrasonic scaling (US) or air polishing (AP) during a 3-month maintenance interval.We conducted a 12-week randomized split-mouth controlled trial with US and AP in 17 maintained subjects (bleeding on probing [BOP%] ≤25%, probing depth [PD] ≤5 mm). They were monitored at baseline, week 2, week 8 and week 12. The V3 (...) -V4 region of the 16S rDNA from 136 subgingival plaque samples was sequenced and analysed.Treatment by US or AP could effectively reduce the PD, microbial richness, diversity, periodontitis-associated microbiota and pathogenic metabolism in maintained periodontitis. Bacteria recolonized after treatment and returned to the pre-treatment level 12 weeks after treatment. Ultrasonic scaling group demonstrated slight advantage in reducing BOP (%), pathogenic bacteria and metabolism than AP group

2019 Journal of Clinical Periodontology Controlled trial quality: uncertain

99. A double-blind, paralleled-arm, placebo-controlled, randomized clinical trial of the effectiveness of probiotics as an adjunct in periodontal care. (PubMed)

A double-blind, paralleled-arm, placebo-controlled, randomized clinical trial of the effectiveness of probiotics as an adjunct in periodontal care. This study aimed to evaluate the clinical effectiveness of the probiotic Lactobacillus reuteri as an adjunct to non-surgical periodontal therapy (NSPT).A double-blind, paralleled-arm, placebo-controlled, randomized clinical trial was conducted. Probiotics L. reuteri or placebo lozenges were randomly prescribed for use twice-daily for 28 days (...) . Primary outcome were clinical attachment levels (CAL) and probing pocket depths (PPD). All participants underwent NSPT and follow-up clinical assessments were performed at Day 90 and Day 180.The trial response rate was 69.5% (41 out of 59). Among the test and control groups, there were significant intra-group differences in primary outcomes: CAL (both, p<0.001) and PPD (both, p<0.001); and in secondary outcomes: percentage of sites with 'bleeding on probing' (both, p<0.001) and visible plaque (both, p

2019 Journal of Clinical Periodontology Controlled trial quality: predicted high

100. Effectiveness of scaling and root planning with and without adjunct antimicrobial photodynamic therapy in the treatment of chronic periodontitis among cigarette-smokers and never-smokers: A randomized controlled clinical trial. (PubMed)

-smokers.Demographic information was collected using a questionnaire. Cigarette-smokers (group-1) and never-smokers (group-2) with CP were included. Treatment wise, these individuals were divided into two subgroups as follows: (a) SRP alone and (b) SRP with adjunct aPDT. Periodontal parameters (plaque index [PI], bleeding on probing [BOP], clinical attachment loss [AL] and probing pocket depth≥4 mm [PD] were measured at baseline and at 1 month and 3 months' follow-up. Group comparisons were done using the Kruskall (...) Effectiveness of scaling and root planning with and without adjunct antimicrobial photodynamic therapy in the treatment of chronic periodontitis among cigarette-smokers and never-smokers: A randomized controlled clinical trial. The aim of the present short-term randomized clinical trial was to assess the efficacy of scaling and root planing (SRP) with and without adjunct antimicrobial photodynamic therapy (aPDT) in the treatment of chronic periodontitis (CP) among cigarette-smokers and never

2019 Photodiagnosis and Photodynamic Therapy Controlled trial quality: uncertain

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