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Showing papers by "G.A. van der Weijden published in 2012"



Journal ArticleDOI
TL;DR: It is found that nearly all mouthwashes with active ingredients had beneficial effects in reducing oral malodor in both short- and longer-term studies, and those that contained a combination of cetyl pyridinum chloride and zinc provided the best evidence profile on Oral malodor.
Abstract: Objective: The objective of this study is to systematically review the literature regarding the impact of mouthrinses on oral malodor and present evidence for the treatment effects of mouthrinses on oral malodor. Material and methods: PubMed-MEDLINE, the Cochrane-CENTRAL and EMBASE were searched through February 10, 2012 to identify appropriate studies. Volatile sulphur compound measurements, organoleptic measurements and tongue coating were selected as outcome variables. Search results: The independent screenings of 333 unique titles and paper abstracts revealed 12 publications (12 experiments) that met the eligibility criteria. Means and standard deviations were extracted. The results were separated into short-term (<3 weeks) and longer-term (≥3 weeks) studies. Conclusion: In this review, nearly all mouthwashes with active ingredients had beneficial effects in reducing oral malodor in both short- and longer-term studies. The most compelling evidence was provided for chlorhexidine mouthwashes, and those that contained a combination of cetyl pyridinum chloride and zinc provided the best evidence profile on oral malodor. Little data with respect to tongue coating were available, and none of the studies showed a beneficial effect for this parameter.

59 citations


Journal ArticleDOI
TL;DR: Oral and/or peri-oral piercings were observed in a relatively small percentage of young adults among the populations that were studied, and the tongue was the most common oral site for a piercing.
Abstract: OBJECTIVE: To determine the prevalence of oral and/or peri-oral piercings in young adults based on a systematic review of the available literature. MATERIAL AND METHODS: The MEDLINE-PubMed, Cochrane-CENTRAL and EMBASE databases were comprehensively searched through April 2012 to identify appropriate studies. The prevalence of oral and/or peri-oral piercings was evaluated in the general population, as well as by gender and by anatomical site. RESULTS: An independent screening of 1711 unique titles and abstracts resulted in 13 publications that met the eligibility criteria. In total, 11 249 participants (mean age, 20.6 years) were questioned and/or examined for oral and/or peri-oral piercings. In the studies that provided information concerning the presence of oral and/or peri-oral piercings, the prevalence varied from 0.8% to 12%, resulting in a mean prevalence of 5.2%. When examined based on anatomical site, the most common sites were the tongue (a prevalence of 5.6%), followed by the lip (1.5%). Oral piercings were more prevalent in women (5.6%) than men (1.6%). CONCLUSION: Among the populations that were studied, oral and/or peri-oral piercings were observed in a relatively small percentage (5.2%) of young adults. The prevalence was approximately four times higher among females when compared with males. On the basis of the literature, the tongue was the most common oral site for a piercing. Dental care professionals are in an ideal position to offer information regarding safe piercings and to provide advice regarding oral hygiene, aftercare and possible complications.

27 citations


Journal ArticleDOI
TL;DR: There is moderate evidence that a combination of CHX and an OA reduces tooth staining without interfering with plaque growth inhibition.
Abstract: BACKGROUND: Although chlorhexidine digluconate (CHX) is currently the most effective mouthwash for reducing plaque and gingivitis, one of its side effects is extrinsic tooth staining. Interestingly, oxygenating agents may reduce this staining. OBJECTIVE: The aim of this review was to systematically search the literature for data concerning the inhibiting effect of an oxygenating agent (OA) on CHX-induced tooth staining. METHODS: MEDLINE-PubMed, Cochrane-CENTRAL, EMBASE and other relevant electronic databases were searched for articles that were published up to November 2011. Articles were included if they were randomized controlled trials or controlled clinical trials conducted with healthy subjects ≥ 16 years of age that compared the effects of CHX mouthrinse combined with an OA with the effects of CHX alone. RESULTS: An independent screening of 1183 titles and abstracts resulted in 4 publications that met the inclusion criteria. The extracted data allowed meta-analyses of intermediate length studies and showed that combining an OA with CHX mouthrinses led to a significant reduction in tooth staining (mean difference: 0.27; P = 0.02) and plaque scores (mean difference: 0.10; P = 0.003) when compared with CHX alone. One of the included studies reported a side effect for one participant. The present review was limited by the availability of data, and the included studies were methodologically and clinically heterogeneous, which affected the quality and interpretation of the evidence. CONCLUSION: There is moderate evidence that a combination of CHX and an OA reduces tooth staining without interfering with plaque growth inhibition.

23 citations


Journal ArticleDOI
TL;DR: It can be concluded that 15 ml is perceived as the most comfortable volume in this single-blind, clinical trial with duplicate assessments.
Abstract: AIM: The purpose of this study was to assess patient comfort when rinsing for 30 s with 5, 10, 15, 20 or 30 ml volumes of mouthwash, with the goal of establishing the most agreeable volume. MATERIAL AND METHODS: The study was designed as a single-blind, clinical trial with duplicate assessments. Participants were asked to rinse with five different volumes of mouthwash in randomized order. All participants received a questionnaire to evaluate their attitudes towards the volumes used based on a Visual Analogue Scale (VAS). The extremes of the VAS were 0 (far too little) to 10 (far too much), with a score of five representing the optimal score. After 1 week, the participants returned, and the assessment was repeated to evaluate the validity of the estimate. Volumes were tested for differences regarding participants' perceptions of comfort using anova and paired t-tests, and the duplicate answers of the participants were analysed for validity by calculating the Pearson correlation coefficient. RESULTS: In total, 62 participants completed both assessments, which provided valuable data. The 15-ml volume resulted in a mean score of 5.40, whereas the 5, 10, 20 and 30 ml volumes resulted in mean scores of 1.89, 3.71, 6.54 and 8.65, respectively. The differences between the mean scores for all five tested volumes were statistically significant. A correlation between the first and second VAS scores was 0.4-0.6. CONCLUSION: On the basis of the results of this experiment, it can be concluded that 15 ml is perceived as the most comfortable volume.

14 citations


Journal ArticleDOI
TL;DR: The present study did not reveal a statistically significant effect of daily SBTB programmes in 8- to 11-year-old school children with respect to gingivitis and plaque scores.
Abstract: Aim: The present study assessed whether gingivitis and plaque scores of 8- to 11-year-old school children who participated in a SBTB programme for 2 years were lower than those of children who did not participate in the programme. Material and methods: The present study was performed using an examiner-blind, parallel group design and was performed in Burma (Myanmar) in 2006. Three of the five schools where daily SBTB programmes took place after lunch and which were performed under teacher supervision were randomly selected; three non-participating schools (non-SBTB) from the same area were assigned as controls. Twenty-five children per school were examined for gingivitis (bleeding on marginal probing) and plaque (Quigley & Hein). Results: In total, 150 8- to 11-year-old children participated, with 75 children in either group. The test group (SBTB) exhibited an overall mean bleeding score of 0.76. For the control group (non-SBTB), this score was 0.83. With respect to the overall mean plaque scores, the test group exhibited a score of 2.93, whereas the control group exhibited a score of 2.91. No statistically significant differences between the test and the control group were observed. Conclusion: The present study did not reveal a statistically significant effect of daily SBTB programmes in 8- to 11-year-old school children with respect to gingivitis and plaque scores.

11 citations


01 Jan 2012
TL;DR: Evidence from large cohort studies has demonstrated that high standards of oral hygiene will ensure the stability of periodontal Multi-Disciplinary Management of Periodontal Disease.
Abstract: There is increasing public awareness of the value of personal oral hygiene. People brush their teeth for a number of reasons: to feel fresh and confident, to have a nice smile, and to avoid bad breath and disease. Oral cleanliness is important for the preservation of oral health as it removes microbial plaque, preventing it from accumulating on teeth and gingivae (Choo et al 2001). Maintenance of effective plaque control is the cornerstone of any attempt to prevent and control periodontal disease. The benefits of optimal home-use plaque-control measures include the opportunity to maintain a functional dentition throughout life. Self-care has been defined by the World Health Organization as all the activities that the individual takes to prevent, diagnose and treat personal ill health by selfsupport activities or by referral to a healthcare professional for diagnosis and care (Claydon 2008). There is substantial evidence showing that toothbrushing and other mechanical cleansing procedures can reliably control plaque, provided that cleaning is sufficiently thorough and performed at appropriate intervals. Evidence from large cohort studies has demonstrated that high standards of oral hygiene will ensure the stability of periodontal Multi-Disciplinary Management of Periodontal Disease Edited by: PM Bartold, LJ Jin © 2012 Asian Pacific Society of Periodontology

1 citations