Journal ArticleDOI
The effects of a simplified oral hygiene regime plus supragingival irrigation with chlorhexidine or metronidazole on chronic inflammatory periodontal disease
I. A. Aziz-Gandour,Hn Newman +1 more
TLDR
Clinical differences between groups were relatively small, except for CH effect on PII, and within procedure comparisons, CH was better in reducing PII at all times except at day 84, and on several occasions in reducing GI and SBI.Abstract:
This study compared a simplified oral hygiene regime (scaling, root planing and Bass brushing) with this same regime plus 0.02% chlorhexidine (CH), 0.05% metronidazole (MD) and inactive control (PL) solutions delivered supragingivally by a pulsating water jet irrigator. 22 patients were distributed randomly into 3 groups, 0.02% chlorhexidine (CH), 0.05% metronidazole (MD), and inactive control (PL). Approximal surfaces with associated pockets greater than or equal to 4 mm were monitored at day 0, for plaque index (PII), gingival index (GI), sulcus bleeding index (SBI), baseline measurement for gingival shrinkage and probable pocket depth. All monitored surfaces were then immediately scaled and root planed. All patients received identical oral hygiene instruction (Bass brushing), with a sodium fluoride toothpaste and a multituft toothbrush, and were shown how to use the oral irrigator. Proficiency in use of the oral irrigator was checked again at day 7. No interdental cleaning was taught. The active treatment period was 28 days. Patients were seen at days 7, 28, 56 and 84, and all parameters were recorded at each visit, but no further oral hygiene instruction was given. Within procedure comparisons of the findings at days 28 (end of active treatment) 56 and 84 with those at day 0, showed statistically highly significant improvements in all parameters for all groups. Regarding between procedure comparisons, CH was better in reducing PII at all times except at day 84, and on several occasions in reducing GI and SBI. Irrigated groups were always better than nonirrigated groups. Although the differences were statistically highly significant, clinically the differences between groups were relatively small, except for CH effect on PII.(ABSTRACT TRUNCATED AT 250 WORDS)read more
Citations
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Journal ArticleDOI
Antibiotics in periodontal therapy: advantages and disadvantages.
Jergen Slots,Thomas E. Rams +1 more
TL;DR: A review of published papers reveals that appropriate systemic antibiotic therapy may enhance healing in patients with recent or high risk of periodontal breakdown and several promising antimicrobial agents for periodontitis treatment need testing in placebo-controlled, double-blind, randomized clinical trials.
Journal ArticleDOI
Oral hygiene in the prevention of periodontal diseases: the evidence.
Journal ArticleDOI
Impact of local adjuncts to scaling and root planing in periodontal disease therapy: a systematic review.
TL;DR: Whether improvements in scaling and root planing accompanied by a local adjunctive therapeutic agent improves outcomes over time compared to SRP alone remains a question.
Journal ArticleDOI
Antimicrobial effects of mechanical debridement.
TL;DR: Self-performed plaque removal using manual or powered toothbrushes and interdental cleaning devices is improved in subjects that have received oral hygiene instructions, and repeated subgingival debridement, as performed in supportive periodontal therapy, can reduce the number and proportions of periodontopathogenic bacteria in subgesival plaque.
Journal ArticleDOI
Nonsurgical periodontal therapy in 2000: a literature review.
TL;DR: The data indicate that most patients with mild-to-moderate periodontitis can be treated with nonsurgical therapies, however, clinicians need to be aware of the limitations of each technique with regard to the magnitude of improvement that it can induce at specific sites.
References
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Journal ArticleDOI
Periodontal Disease in Pregnancy II. Correlation Between Oral Hygiene and Periodontal Condition
John Silness,Harald Löe +1 more
TL;DR: In this paper, the correlation between oral hygiene and periodontal condition was investigated in the context of pregnant women with Periodontal Disease in Pregnancy II (PDI II).
Journal ArticleDOI
The effect of plaque control and surgical pocket elimination on the establishment and maintenance of periodontal health. A longitudinal study of periodontal therapy in cases of advanced disease
Jan Lindhe,Sture Nyman +1 more
TL;DR: It is demonstrated that it is possible to treat periodontal disease successfully, even in advanced stages, in patients willing to maintain plaque-free dentition.
Journal ArticleDOI
Effect of controlled oral hygiene procedures on caries and periodontal disease in adults. Results after 6 years.
Paul Bryde Axelsson,Jan Lindhe +1 more
TL;DR: The findings demonstrated that a preventive program which stimulates individuals to adopt proper oral hygiene habits may resolve gingivitis and prevent progression of periodontal disease and caries in adults.
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