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Periodontal Bleeding

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101. Inconclusive Evidence Supporting a Significant Correlation Between Periodontal Disease and Tooth Loss with Esophageal Cancer Risk

with cancer whether or not periodontal disease is associated; when in actuality many of the cases are a result of caries related tooth loss. The second reason being many of the studies that examine the periodontal status of the patients do not use dentists for the oral exam; which may indicate why tooth loss is used as a marker for periodontal disease in numerous studies as opposed to bleeding on probing, loss of attachment and radiographic bone loss. While periodontal disease does result in tooth loss (...) Inconclusive Evidence Supporting a Significant Correlation Between Periodontal Disease and Tooth Loss with Esophageal Cancer Risk UTCAT3057, Found CAT view, CRITICALLY APPRAISED TOPICs University: | | ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM View the CAT / Title Inconclusive Evidence Supporting a Significant Correlation Between Periodontal Disease and Tooth Loss with Esophageal Cancer Risk Clinical Question In an adult patient with periodontal disease, will excessive tooth loss result

2016 UTHSCSA Dental School CAT Library

102. Treatment of Periodontal Abscess

untreated, PA may lead to: • T ooth loss r esulting in r educed oral function and impair ed quality of life (QoL) • Financial implications in r eplacing missing teeth and oral functional rehabilitation iii. Interlink between oral-systemic health (periodontal medicine) in periodontal conditions and systemic diseases, especially bidirectional relationship between diabetes mellitus and periodontitis. iiiManagement of Periodontal Abscess 2016 Rationale for the development of the CPG: i. To standardise (...) and poorly-contr olled diabetics ar e mor e pr one to severe periodontal disease with higher prevalence of periodontal abscess. Key Message 2 • Pr esence of swelling, suppuration, deep periodontal pockets and bleeding on probing are the main clinical features of PA. Key Message 3 • Mechanical debridement and drainage thr ough the periodontal pocket without antibiotics is usually effective. • Mechanical tr eatment of periodontal pocket is to debride the r oot surface using either a hand or ultrasonic

2016 Ministry of Health, Malaysia

103. Subgingival microbiome of rheumatoid arthritis patients in relation to their disease status and periodontal health. Full Text available with Trip Pro

%, severe: 18%). P. gingivalis was present in 14% of the samples. Different levels of gingival bleeding, periodontal probing depth, RA disease status, prednisolone use and smoking were associated with significantly different microbiome compositions. Two subgingival microbial community types were discerned.In RA patients with active disease, anti-inflammatory medication as part of RA therapy was associated with better oral health status and a healthier subgingival microbiome compared to that of RA (...) Subgingival microbiome of rheumatoid arthritis patients in relation to their disease status and periodontal health. Rheumatoid arthritis (RA) and periodontitis are chronic inflammatory diseases that share common risk factors. However, the bidirectional relationship between RA and periodontal disease is not fully understood. This study was undertaken to describe the bacterial component of the subgingival microbiome in RA patients and to relate this to RA disease activity and periodontal

2018 PLoS ONE

104. Socio-economic factors associated with periodontal conditions among Brazilian elderly people - Multilevel analysis of the SBSP-15 study. Full Text available with Trip Pro

Socio-economic factors associated with periodontal conditions among Brazilian elderly people - Multilevel analysis of the SBSP-15 study. The objective of the present study was to analyze individual, contextual and social support factors associated with periodontal condition among 2332 dentate elderly Brazilian participants from the São Paulo State Oral Health Survey 2015 (SBSP-15).This study used the database compiled by the SBSP-15, conducted from January to December in 2015. The associations (...) were made by relative risk (RR), with Multilevel Poisson Regressions, among individual, contextual and social support variables, and had periodontal diseases as outcomes.The mean age of elders was 70.13 years (SD 5.67). The risk factors for all outcomes of periodontal diseases were male gender and self-perceived color of non-white skin. Regarding social support, feeling unhappy was a risk factor for the presence of shallow periodontal pockets (3-5mm) RR 1.43(CI 95% 1.10-1.86). The coverage

2018 PLoS ONE

105. Salivary microbial profiles in relation to age, periodontal, and systemic diseases. Full Text available with Trip Pro

higher bacteria counts in saliva. Individuals having mental disorders or muscle and joint diseases showed significantly altered microbial profiles whereas small or no differences were found for subjects with high blood pressure, heart disease, previous heart surgery, bowel disease, tumors, or diabetes.Age, periodontal status, sex, smoking, and certain medical conditions namely, mental disorders and muscle and joint diseases, might affect the microbial profile in saliva. (...) Salivary microbial profiles in relation to age, periodontal, and systemic diseases. Analysis of saliva is emerging as a promising tool to diagnose and monitor diseases which makes determination of the salivary microbial profile in different scenarios essential.To evaluate the effects of age, periodontal disease, sex, smoking, and medical conditions on the salivary microbial profile.A randomly selected sample of 441 individuals was enrolled (51% women; mean age 48.5±16.8). Participants answered

2018 PLoS ONE

106. Periodontitis and bone metabolism in patients with advanced heart failure and after heart transplantation Full Text available with Trip Pro

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 (...) ) 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.

2017 ESC heart failure

107. Correlations between clinical parameters in implant maintenance patients: analysis among healthy and history-of-periodontitis groups Full Text available with Trip Pro

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

2017 International journal of implant dentistry

108. Periodontal disease influences osteoclastogenic bone markers in subjects with and without rheumatoid arthritis. Full Text available with Trip Pro

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 (...) 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

2018 PLoS ONE

109. Videoscope-Assisted Minimally Invasive Surgery Might Minimize Post-Operative Pain and Gingival Recession in Periodontal Surgery

surgery, does videoscope-assisted minimally invasive surgery (V-MIS) cause less post-operative pain and gingival recession? Clinical Bottom Line V-MIS may be a suitable alternative in localized periodontal defects in patients with residual pocket depth/clinical attachment loss following initial non-surgical therapy. This surgical technique improves soft tissue height and reduces patient discomfort. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author / Year Patient (...) Group Study type (level of evidence) #1) Harrel/ 2016 30 systemically healthy patients with residual periodontal defects following initial non-surgical therapy Blinded clinical cohort study Key results Thirty patients were enrolled in the study. Probing depth, clinical attachment level, soft tissue height and radiographs were obtained before and after the surgical procedure. The V-MIS protocol was followed with split thickness reflection of the papilla in order to maintain blood supply. Defects were

2016 UTHSCSA Dental School CAT Library

110. Long-Term Use of Triclosan in Dentifrice Does Not Develop Oral Bacterial Resistance for Patients with Periodontal Disease

develop resistance on host’s oral bacteria? Clinical Bottom Line Long-term use of triclosan-containing dentifrice for the treatment of patients with periodontal disease is safe and does not develop oral bacterial susceptibility or resistance. Triclosan can suppress microbial pathogen recognition of pathway molecules and acute and chronic inflammatory mediators. Triclosan anti-inflammatory/antimicrobial properties reduce plaque- and gingivitis-associated bleeding around natural teeth and dental (...) and safe long-term use of triclosan-containing toothpaste for the treatment and prevention of inflammation and bleeding associated to periodontal disease. Susceptibility changes and resistant bacteria were not developed over a period of 19 years with triclosan use of at least 5 to 13 years. Applicability Regular use of .03 % triclosan, 2% copolymer, and .243% sodium fluoride containing dentifrice was proven to be a safe and effective treatment to reduce signs of periodontal inflammation, bleeding

2016 UTHSCSA Dental School CAT Library

111. Hyaluronic acid as an adjunct to periodontal treatment

. worldcat.org). Randomised controlled trials (RCTs) on the use of HA as an adjunctive to surgical and non-surgical periodontal treatment published in English were considered. For surgical studies there was a minimum requirement of 6-months follow-up and 3 months for non-surgical treatment. Two reviewers independently selected studies extracted data and assessed risk of boas using the Cochrane tool. Meta-analyses were conducted for pocket depth (PD), clinical attachment level (CAL) and bleeding on probing (...) Hyaluronic acid as an adjunct to periodontal treatment Hyaluronic acid as an adjunct to periodontal treatment - National Elf Service Search National Elf Service Search National Elf Service » » » » Hyaluronic acid as an adjunct to periodontal treatment Oct 16 2019 Posted by Hyaluronic acid is naturally present in the body the highest concentrations being found in the eyes and joints. It is also present in many tissues including the periodontium. It is considered to be a good material for wound

2019 The Dental Elf

112. 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

113. Hypovitaminosis D is a Risk Factor for Periodontal Disease

and 28 not taking such supplementation, was evaluated after 18 months. The study provided evidence for the association of periodontal disease (PD) with low serum 25(OH)D concentrations, indicating that subjects who took supplementation had shallower probing depths, fewer bleeding sites, lower gingival index values, fewer furcation involvements, less attachment loss ,and less alveolar crest height loss. Mean values of vitamin D and calcium intake for takers were significantly higher than non-takers (...) by evidence from a cohort study of calcium and vitamin D supplementation and another study that measured periodontal attachment loss as a function of serum 25(OH)D concentrations among different age groups. Best Evidence (you may view more info by clicking on the PubMed ID link) PubMed ID Author / Year Patient Group Study type (level of evidence) #1) Miley/2009 Cohort study involving 51 subjects Cohort study Key results The cohort study of 51 subjects, 23 taking vitamin D and calcium supplementation

2015 UTHSCSA Dental School CAT Library

114. The Addition of Platelet Rich Fibrin (PRF) to Open Flap Debridement (OFD) Aids in The Treatment of Chronic Periodontitis with Intrabony Defects

of platelet-rich fibrin (PRF) to open flap debridement (OFD) aid in the resolution of intrabony defects (vertical alveolar bone loss)? Clinical Bottom Line Platelet-rich Fibrin (PRF) is obtained from a centrifuged blood sample taken from the patient. The addition of PRF to OFD aids in the treatment of chronic periodontitis in patients with intrabony defects by decreasing probing depths, raising clinical attachment levels, and displaying radiographic bone-fill. Best Evidence (you may view more info (...) patient harm can result from obtaining a blood sample, and a centrifuge is a limiting factor in obtaining the autogenous PRF. However, patients with intra bony defects may benefit from the addition of PRF to bone matrix. The growth factor is autogenous, and the patient is unlikely to have a response/reaction to its addition. It is a simple procedure and cost effective, making it an ideal fibrin concentrate additive. Specialty/Discipline (General Dentistry) (Oral Surgery) (Periodontics) Keywords

2015 UTHSCSA Dental School CAT Library

115. Effect of non-surgical periodontal therapy on insulin resistance and insulin sensitivity among individuals with borderline diabetes: A randomized controlled trial. (Abstract)

Effect of non-surgical periodontal therapy on insulin resistance and insulin sensitivity among individuals with borderline diabetes: A randomized controlled trial. To investigate the effect of non-surgical periodontal therapy on insulin resistance and sensitivity among individuals with borderline diabetes not receiving medications.A crossover, randomized controlled trial was conducted among participants with borderline diabetes diagnosed by a 75-g oral glucose tolerance test. Participants were (...) randomly assigned to either an early or later intervention group. The early intervention group underwent non-surgical periodontal therapy of scaling and root planing during the first 6 months, followed by a 6-month non-intervention period. The order was reversed in the later intervention group. Primary outcomes included: fasting or post-load serum glucose and insulin, body mass index (BMI), HOMA-IR, HOMA-β, and Matsuda Index.Seventy-four participants were randomized, and 71 participants completed

2019 Journal of dentistry Controlled trial quality: uncertain

116. Indocyanine green-based adjunctive antimicrobial photodynamic therapy for treating chronic periodontitis: A randomized clinical trial. (Abstract)

Indocyanine green-based adjunctive antimicrobial photodynamic therapy for treating chronic periodontitis: A randomized clinical trial. The objective was to evaluate the efficiency of indocyanine green (ICG)-based adjunctive antimicrobial photodynamic therapy (aPDT) in a prospective clinical study regarding non-surgical treatment of chronic periodontitis.Affected teeth of twenty patients were treated with scaling and root planing (control group). Using a split-mouth design, two quadrants (...) received additional ICG-based (perio green®, 0.1 mg/ml) aPDT (test group) with a diode laser at 808 nm (100 mW at 2 kHz). Clinical assessment of bleeding on probing (BOP), sulcus fluid flow rate (SFFR) and microbiological analysis were performed at baseline, two weeks, three and six months after treatment. Relative attachment level (RAL), probing depths (PD) and gingival recession (GR), were also analyzed.At baseline, none of the assessed parameters showed significant differences between the test

2019 Photodiagnosis and Photodynamic Therapy Controlled trial quality: uncertain

117. Comparing the outcomes of incisions made by colorado microdissection needle, electrosurgery tip, and surgical blade during periodontal surgery: A randomized controlled trial. Full Text available with Trip Pro

, and surgical blade during periodontal surgery.Twenty-two individuals participated in this study. Three quadrants in each individual were randomly assigned into each of the following experimental groups: Colorado® microdissection needle (CMD), electrosurgery tip (EC) and surgical blade (BP), in which, incisions were given with Colorado® microdissection needle, straight electrocautery tip, and a scalpel blade, respectively.Blood loss (BL) was measured immediately after surgery, and changes in interdental (...) papilla dimensions were recorded at baseline, 7, 30, 120, and 180 days after surgery. Measures of periodontal disease were recorded at baseline, 120, and 180 days after surgery. Postoperative pain and wound healing were recorded at 1, 7, and 15 days after surgery.The use of CMD for periodontal surgery showed better results over EC in all parameters. CMD resulted in lesser bleeding and less postoperative pain and attained similar results to that of BP in clinical parameters of periodontal

2019 Journal of Indian Society of Periodontology Controlled trial quality: uncertain

118. The effect of risk communication on periodontal treatment outcomes: A randomized controlled trial. (Abstract)

hygiene attended a primary dental care setting for a standard consultation. Intervention participants received an individualized calculation of their periodontal disease risk using only the Previser Risk Calculator (Risk group) or supplemented with a GPS-behavioral intervention (GPS group). Clinical, behavioral and psychological measures were obtained at baseline, 4 and 12 weeks later.Percent plaque reduced significantly (P < 0.05) in intervention groups but not in TAU group. Percent of sites bleeding (...) -on-probing reduced in all groups, but the effect was more pronounced in the intervention groups. Interdental cleaning frequency improved only in the intervention groups (P < 0.05). Brushing frequency and probing depths showed little variation across time/groups. Disease risk and most thoughts about periodontal disease changed across time (P < 0.05).A simple behavioral intervention using individualized periodontal disease risk communication, with or without GPS, reduced plaque and bleeding and increased

2019 Journal of periodontology Controlled trial quality: uncertain

119. Discomfort/pain due to periodontal and peri-implant probing with/without platform switching. Full Text available with Trip Pro

, PAL, bleeding on probing, suppuration) were well balanced between implants and teeth. Peri-implant probing (VAS: 10; 0.75/16.25) caused significantly (p < .001) more discomfort/pain than periodontal probing (4; 0/10). Logistic regression analysis identified a larger difference between discomfort/pain for peri-implant and periodontal probing in the maxilla than the mandible (p = .003). Comparing discomfort/pain between implants maxilla (p = .006) and emergence profile (p = .015) were associated (...) Discomfort/pain due to periodontal and peri-implant probing with/without platform switching. To compare discomfort/pain following periodontal probing around teeth and peri-implant probing around implants with or without platform switching.Two dentists recruited and examined 65 patients, each of them exhibiting a dental implant with a contralateral tooth. Only two types of implants were included: one with and one without platform switching. Periodontal and peri-implant probing depths (PPD

2019 Clinical oral implants research Controlled trial quality: uncertain

120. Clinical and microbiological effects of multiple applications of antibacterial photodynamic therapy in periodontal maintenance patients. A randomized controlled clinical study. (Abstract)

Clinical and microbiological effects of multiple applications of antibacterial photodynamic therapy in periodontal maintenance patients. A randomized controlled clinical study. At present, very limited data are available on the clinical and microbiological outcomes obtained following repeated application of aPDT following one single mechanical debridement.To evaluate clinically and microbiologically the outcomes following one single session of subgingival mechanical debridement (scaling (...) and root planing; e.g. SRP) followed by 1x immediate application of aPDT and 2 x subsequent use of aPDT without SRP.Forty patients diagnosed with generalized chronic periodontitis that were enrolled in periodontal maintenance (supportive periodontal therapy) program, were randomly assigned to one of the two treatments: 1. SRP by means of ultrasonic and hand instruments followed by one single session of SRP followed by 1x immediate application of aPDT and 2 x subsequent applications of aPDT without SRP

2019 Photodiagnosis and Photodynamic Therapy Controlled trial quality: uncertain

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