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Periodontics

What are the early signs of periodontal disease?

This question was submitted by a general dentist: What are the early signs of periodontal disease? Dr. Gordon Schwartz, from GumDocs, in collaboration with Dr. Suham Alexander, Oasis Clinical Editor, provided this quick initial response

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Is There an Association between Maternal Periodontitis and Adverse Pregnancy Outcomes?

By  Mohammad A. Javaid;  McGill University, Montréal, Québec  (currently at the University of British Columbia) Robert Durand;  Université de Montréal, Montréal, Québec Yannie Chea;  Private office, Montreal, Quebec Andrea Hsu;  Private office, Montreal, Quebec Simon D. Tran; McGill University, Montréal, Québec Access the Supplement Context Pregnancy is a normal physiological process that may sometimes result in adverse events like preterm birth, low birth weight (LBW) and/or pre-eclampsia. A multitude of risk factors may increase the incidence of these adverse pregnancy outcomes (APOs), including maternal periodontitis. Purpose of Review In this review, we present the most recent epidemiological evidence with regard ...

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The Bidirectional Relationship between Periodontitis and Diabetes: How Should Patients Affected by Either or Both These Diseases be Managed?

This summary is based on a series of articles published in the Journal of Clinical Periodontology (2013, 40 Supplement 14)

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How effective is the use of mouthwash in the prevention of plaque, gingivitis and caries?

This summary is based on the supplement published in the Oral Diseases journal: Special Issue: Mouthwash Use and the Prevention of Plaque, Gingivitis and Caries (January 2014) Read the Executive Summary and Summary of the Article (PDF) Careful quantitative assessment of data regarding use of mouthwash and risk of common oral conditions reveals that there is a clear evidence of benefi t from use in terms of reducing the risk of dental plaque, gingivitis, dental caries and that there are no major adverse effects including no evidence of an increased risk of oral cancer among users of mouthwash containing alcohol. Key Messages There is ...

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What is calcium channel blocker-induced gingival enlargement?

This summary is based on the article published in the Journal of Human Hypertension: Calcium channel blocker-induced gingival enlargement (June 2013) Context Despite the popularity and wide acceptance of the calcium channel blockers (CCBs) by the medical community, their oral impact is rarely recognized or discussed. CCBs, as a group, have been frequently implicated as an etiologic factor for a common oral condition seen among patients seeking dental care: drug-induced gingival enlargement or overgrowth. This enlargement can be localized or generalized, and can range from mild to extremely severe, affecting patient’s appearance and function. Treatment options for these patients include cessation of the offending drug ...

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What are the microbiological and immuno-pathological aspects of peri-implant diseases?

This summary is based on the article published in the Archives of Oral Biology: Microbiological and immuno-pathological aspects of peri-implant diseases (January 2014) Context Peri-implant diseases are a cluster of ‘‘contemporary’’ oral infections in humans that have emerged as a result of the routine application of osseointegrated dental implants in clinical practice. They are characterized by the inflammatory destruction of the implant-supporting tissues, as a result of biofilm formation on the implant surface. Peri-implant mucositis and peri-implantitis are analogous to gingivitis and periodontitis that affect natural teeth.  The Purpose of the Review Provide insights into the infectious aetiology and immuno-pathology of peri-implant diseases, and to identify similarities ...

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What are the effects of triclosan/copolymer containing toothpastes for oral health?

This summary is based on the Cochrane systematic review: Triclosan/copolymer containing toothpastes for oral health  Context Periodontal disease and dental caries are highly prevalent oral diseases that can lead to pain and discomfort, oral hygiene and aesthetic problems, and eventually tooth loss, all of which can be costly to treat and are a burden to healthcare systems. Triclosan is an antibacterial agent with low toxicity, which, along with a copolymer for aiding retention, can be added to toothpastes to reduce plaque and gingivitis (inflammation of the gums). It is important that these additional ingredients do not interfere with the anticaries effect ...

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Why must you know about your patients’ pharmacological history?

By Drs. Jacob Fitzgerald, Joel Epstein, Mark Donaldson, Karen Fung, Gordon Schwartz, Cameron Jones Classes of medications reported by patients (PDF) There are many reasons why we need to be aware of the medications that our patients are taking. We need to make sure that there are no adverse reactions to these medications with the treatments or drugs that we prescribe. Additionally, we need to have an understanding of the effects these medications on the oral environment. Importantly, knowing exactly what a patient takes can also provide insight into their medical conditions. Some medications have oral side effects upon saliva, mucosa ...

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