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Periodontal Bleeding

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81. Antibiotics as an adjunct to the non-surgical periodontal treatment of smokers

in English; studies with smoker patients (at least 10 cigarettes per day for at least five years) diagnosed with chronic periodontitis; patients without significant systemic diseases ; aged between 30 and 70 years; not receive periodontal treatment in the last six months; used systemic antibiotic therapy associated with periodontal treatment; present the results of the test and control groups, and assessments of clinical periodontal parameters such as probing depth (PD), bleeding on probing (BOP (...) Antibiotics as an adjunct to the non-surgical periodontal treatment of smokers Antibiotics as an adjunct to the non-surgical periodontal treatment of smokers - National Elf Service Search National Elf Service Search National Elf Service » » » » Antibiotics as an adjunct to the non-surgical periodontal treatment of smokers Aug 14 2017 Posted by It has long been established that smoking is a significant modifying factor in the progression of periodontal disease and eventual tooth loss (Dietrich

2017 The Dental Elf

82. Motivational interviewing for periodontal disease

Follow up periods ranged from 6 week-12 months. 2 studies MI showed a significant positive effect on bleeding on probing and plaque values. 1 study showed improvement of self-efficacy in interdental cleaning. 2 studies showed no influence of MI on periodontal parameters of the patients. Conclusions The authors concluded: – the use of Motivational Interviewing as an adjunct to periodontal therapy might have a positive influence on clinical periodontal parameters and psychological factors related (...) to oral hygiene. Due to the low body of evidence further long-term studies are needed. Comments This review has focused only on the use of motivational interviewing to improve the outcomes of periodontal treatment in contrast to previous reviews ( see other references ) which have considered a range of behavioural approaches to improve compliance. The authors have also chosen to exclude studies that did not use both a plaque index (PI) and one inflammatory index (e.g., gingival index, bleeding

2017 The Dental Elf

83. Correlations between clinical parameters in implant maintenance patients: analysis among healthy and history-of-periodontitis groups (PubMed)

period to determine significant correlations between these parameters.We examined 55 implant patients at the time of maintenance visits between April and September 2016 and classified patients into a healthy group (H) and a history-of-periodontitis group (HP). For each implant, we evaluated the modified plaque index, probing pocket depth, and bleeding on probing as clinical parameters. Statistical analyses were performed with Spearman's rank correlation coefficient.A total of 130 implants were (...) assessed. The mean time since implant placement was 6 years and 6 months. The prevalence of implant-based peri-implantitis was 10.8% of all the implants. All cases of implant-based peri-implantitis came from the HP group, and many were present in patients with a history of severe periodontitis. The probing pocket depth around the implant was significantly greater in the HP group than in the H group. We found weak positive correlations between the probing pocket depth and bleeding on probing (r s

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2017 International journal of implant dentistry

84. Periodontitis and bone metabolism in patients with advanced heart failure and after heart transplantation (PubMed)

) in HF. However, adjustment of periodontal results for measures of oral hygiene (plaque, bleeding on probing), systemic 25-hydroxyvitamin D, and race attenuated significant differences between groups.Patients with HF exhibit more severe periodontal disease associated with increased bone turnover markers when compared with control patients. However, local and systemic factors may account for this association and should be evaluated in future studies. (...) Periodontitis and bone metabolism in patients with advanced heart failure and after heart transplantation Heart failure (HF) is a multi-organ, pro-inflammatory syndrome that impairs bone metabolism. Pro-inflammatory cytokines and bone catabolism enhance periodontal disease, a local inflammatory, bacteria-induced disease that causes bone loss and periodontal soft tissue destruction.Medical and dental examinations were performed on patients with HF (n = 39), following heart transplantation (post

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2017 ESC heart failure

85. Metal versus Plastic Partial Dentures for Patients with Periodontal Disease

and periodontal outcomes. Thirty- eight patients experienced further tooth loss, with no significant differences between Metal Versus Plastic Partial Dentures for Patients with Periodontal Disease 8 study groups. Reasons given for extraction were endodontic, caries, fracture, and periodontal disease. Pocket depth and bleeding on probing were assessed for inclusion into a multivariate model, but neither they nor any of the other baseline covariates were significantly associated. In a separate paper (...) , periodontal outcomes were assessed by the plaque index according to Silness and Löe, vertical clinical attachment loss, probing pocket depth and bleeding with probing. The results suggested slightly poorer outcomes with the removable partial denture as opposed to the shortened dental arch alone, but the differences were small. Studies excluded because they did not report material for denture construction 6. Müller S, Eickholz P, Reitmeir P, Eger T. Long-term tooth loss in periodontally compromised

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

86. 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

87. 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

88. 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

2014 Journal of periodontal research

89. 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

90. 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

91. Comparative evaluation of subgingivally-delivered 1% metformin and Aloe vera gel in the treatment of intrabony defects in chronic periodontitis patients: A randomized, controlled clinical trial. (PubMed)

Comparative evaluation of subgingivally-delivered 1% metformin and Aloe vera gel in the treatment of intrabony defects in chronic periodontitis patients: A randomized, controlled clinical trial. The aim of the current study was to explore the effectiveness of locally-delivered 1% metformin (MtF) and Aloe vera (AV) gel as an adjunct to scaling and root planning (SRP) in the treatment of intrabony defects in chronic periodontitis patients.A total of 90 volunteers were randomly assigned to three (...) treatment groups: (a) SRP + placebo gel; (b) SRP + 1% MtF gel; and (c) SRP + AV gel. Clinical parameters, including gingival index (GI), bleeding on probing (BoP), pocket probing depth (PPD), and clinical attachment level (CAL), were recorded at baseline, and 6 and 12 months. The radiological assessment of bone defect fill was done at 6 and 12 months.GI, BoP, PPD, and CAL improved in all the groups; however, the mean PPD reduction, CAL gain, and percentage of bone fill was found to be greater in the MtF

2019 Journal of investigative and clinical dentistry

92. Periodontal therapy and endothelial function in coronary artery disease: A randomized controlled trial. (PubMed)

, whereas the control group received equal treatment after the study period. Endothelial function was assessed by measurement of brachial artery flow-mediated dilation, concentrations of sVCAM-1, sICAM-1, and P-selectin in serum before and 3 months after periodontal therapy.The test group exhibited statistically better periodontal parameters-plaque, probing depth, periodontal attachment loss, and bleeding on probing. No significant improvements were observed in the control (1.37%) and test (1.39 (...) Periodontal therapy and endothelial function in coronary artery disease: A randomized controlled trial. To assess the effects of periodontal treatment on endothelial function in patients with coronary artery disease.A randomized controlled trial was conducted with 69 patients with stable coronary disease and severe periodontitis. The test group received nonsurgical periodontal therapy consisting of personalized oral hygiene instructions, subgingival scaling, and root planing per quadrant

2019 Oral diseases

93. 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

94. UTILISATION OF ANTIMICROBIAL PHOTODYNAMIC THERAPY AS AN ADJUNCTIVE TOOL FOR OPEN FLAP DEBRIDEMENT IN THE MANAGEMENT OF CHRONIC PERIODONTITIS: A RANDOMIZED CONTROLLED CLINICAL TRIAL. (PubMed)

UTILISATION OF ANTIMICROBIAL PHOTODYNAMIC THERAPY AS AN ADJUNCTIVE TOOL FOR OPEN FLAP DEBRIDEMENT IN THE MANAGEMENT OF CHRONIC PERIODONTITIS: A RANDOMIZED CONTROLLED CLINICAL TRIAL. Antimicrobial photodynamic therapy (aPDT) has proved to be an effective adjunctive modality with potential benefits in the management of chronic periodontitis. The combination of photothermal and photodynamic effects of Indocyanine green (ICG) dye, when it is photoactivated with a diode laser of 810 nm wavelength (...) clinical parameters were assessed at baseline and 3 months: probing pocket depth (PPD), relative attachment level (RAL), relative gingival margin level (RGML), plaque index (PI), gingival index (GI), and gingival bleeding index (GBI).Intragroup comparison using paired t-test revealed a statistically significant improvement from baseline visit (p < 0.05). Intergroup comparison using independent samples t-test showed a statistically significant improvement in RAL, RGML and GI in the test group (p < 0.05

2019 Photodiagnosis and Photodynamic Therapy

95. 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

96. 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

97. Clinical benefits of systemic amoxicillin/metronidazole may depend on periodontitis severity and patients' age. An exploratory sub-analysis of the ABPARO-trial. (PubMed)

Clinical benefits of systemic amoxicillin/metronidazole may depend on periodontitis severity and patients' age. An exploratory sub-analysis of the ABPARO-trial. The aim was to identify benefit thresholds for clinical variables. We hypothesize, if variables fall below or exceed these threshold levels, systemic amoxicillin/metronidazole may contribute to reducing progression of periodontitis.This is an explorative per-protocol collective analysis (n = 345) conducted on the placebo-controlled (...) , multi-center ABPARO-trial (clinicaltrials.gov NCT00707369). Patients received debridement with systemic amoxicillin 500 mg/metronidazole 400 mg (3x/day, 7 days, n = 170) or placebo (n = 175), and maintenance therapy every three months. To identify thresholds, each of the following baseline characteristics were classified into two groups (≥ threshold value/< threshold value): bleeding on probing, extent of pocket probing depth (PPD) ≥ 5 mm, mean clinical attachment level, and age. Treatment effect

2019 Journal of Clinical Periodontology

98. Polyhexamethylene guanidine phosphate irrigation as an adjunctive to scaling and root planing in the treatment of chronic periodontitis. (PubMed)

Polyhexamethylene guanidine phosphate irrigation as an adjunctive to scaling and root planing in the treatment of chronic periodontitis. To evaluate the efficacy of adjunctive polyhexamethylene guanidine (PHMG) phosphate irrigation in periodontal treatment.The subjects comprised 59 patients with severe chronic periodontitis. Plaque index, bleeding on probing (BOP) and pocket probing depths (PPD) were recorded. The subjects were randomly allocated to one of three groups for scaling and root (...) no intergroup differences in PPDs persisted. While post study surgical treatment needs decreased in all three groups, no intergroup differences were observed in the number of deep periodontal pockets.Irrigation with PHMG phosphate significantly reduces PPDs in the short-term, but has no significant long-term effect on the mean pocket depth.

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2019 Acta odontologica Scandinavica

99. 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

100. 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

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