JCP Jan-March 2022 Flashcards
Demarco et al. 2021
NCCLs and Associated Factors - cohort study in Brazil (multilevel analysis)
900 selected for analys
oral health studies followed thousands of people
Associated: Male sex, smoking, frequent tooth brushing, recession present
Lower prevelence if: presence of perio pocket
Highly assiciated with: Recession
Iwasaki et al. 2021
Sleep Duration and Severe Perio in Mid-aged Jap Workers
1130 workers (ave age 43)
Oral health exam and Questionaire
Sleep duration on work/off days
number of work/off days/week
12 dentists blinded to questionaire did exam
Shorter Sleep associated with: Advanced age, Current smoking, Later sleep onset time
Sleep <5hrs/day = OR 2.76 vs 7-7.9hrs
Bertl (Stavrapolous) et al. 2021
Impact of Successfully Treated Perio patient status on patient related outome perameters during long term supportive care
Stage III or IV - Mod-high adherence for 7.5yrs at least - 100pts selected
Stage/graded at baseline
Stability diagnosed according to Chappel
Diseased teeth = 4mmPD all around tooth
Check for: Diseased teeth/patient - TLDP - TLDanything else
Initial exam:
Periodontal Risk Assessment (low/mod/high) significantly higher in aherent group! (23/70/7 vs 20/43/0)
More unstable in highly adherent (21 vs 9)
Final Exam:
Only 20% patients stable
Factors associated with increased risk for TLDP and more diseased teeth: More initial diseased teeth, unstable initial status, poor oral hygiene
Tooth loss due to any other reason was 3x more common than TLDP
High compliance mitigated effect of non-stable initial diagnosis
Anoixiadou et al. 2021
EMD in non-surgical GTR - randomized clinical trial
Minimally Invasive Non-Surgical Technique (MINST)
double blinded
G1: MINST + EMD (18pts)
G2: MINST (18pts)
6 and 12mo outcomes
NSSD in clinical and radiographic outcomes
Eeckhout (Cosyn) et al. 2022
RCT for Hyaluronic Acid Gel in Socket Preservation
Changes in wound dimension over time
Inclusion: ARP site has at least 1 tooth adj., No molars, >50% buccal bone
DBBM + Collagen Matrix
Control 20pts 23 sites
Test 18pts 23 sites
0.8% HA applied to Collagen Matrix 3x/day for 7days
Wound dimension (Immediate/1wk/3wks)
Bone dimension (4mo)
NSSD between wound healing dimenstions
NSSD in pain/bleeding/edema
SSD - MORE horizontal boneloss in Test group!!!
(1.92 vs 3.55)
Blonco, Pico et al.
Adjunctive benefit of systemic metronidazole on non-surgical treatment of Pi (randomized placebo-controlled trial)
32pt 64i
Clinical, radiographic and microbiological at baseline, 3, 6, and 12 months at six sites per implant
500mg TID 7days
Berglundh 2018 diag (no records)
Results w/ SSD: t vs c
PPD Red: 2.53 vs 1.02
CAL Gain: 2.14 vs 0.53
RBGain: 2.33 vs 1.33
Succss: 56% vs 25%
Significantly greater decrease in Porphyromonas gingivalis, Tannerella forsythia, and Campylobacter rectus counts compared with the control group (p value <.05).
Philip et al. 2021
Microbiome of Dental and Peri-implant subgingival plaque during mucositis treatment: RCT
debridement in conjunction wi
Results
Mucositis sites have less complex and less anaerobic biofilms
Antimicrobial mouth rinse + debridement effects dental AND periimplant biofilms (less dysbiotic) - does not translate clinically
Dental and Periimplant environments are distinct and require different treatment approaches
Aim
Assess the microbial effects of mechanical
debridement in conjunction with use of
mouthrinse on sites with peri-implant mucositis
and gingivitis
Methods
89pts
Pts with mucostits (4+mm + BOP) and gingivitis
SupraG debridement + mouthrinse:
0.2% Delmopinol
0.2% CHX
Placebo
Submucosal/SubG Biofilm samples at baseline, 1mo, 3mo
Silva (Hammerle) et al. 2021
Periimplant tissue change at ARP sites with DBBM vs DBBM + Col: 22mo follow up
Results
Rec: NSSD
MT: From T0-T1: DBBM Sig better at 3 and 5mm below margin (0.5mm differences)
MT: From T1-T2: NSSD
NSSD: MBL
Methods
RCT (54/66pts followed up)
Silicone impressions
EXT + ARP w/ DBBM vs DBBM-c
T0: Before extraction
T1: 2wks after crown placement
T2: 1yr after crown placement
Midfacial recession
Mucosal thickness (MT): assessed at 1mm, 3mm, and 5mm below
MBL
