Only very low quality evidence available on the use of platelets for jawbone defects

Teeth are maintained in their position by soft and hard tissues (gums and surrounding bone). Gum disease or periodontitis, is an inflammatory condition of all these tissues caused by the bacteria present in the dental plaque. If left untreated, gum disease can cause teeth to loosen and eventually lead to tooth loss. The destruction of jaw bone around teeth (called the alveolar bone) during gum disease, can be horizontal (where the whole level of bone around the root is reduced) or vertical, forming a bone defect within the bone (infrabony defect). There are several available surgical treatments for infrabony defects, including: 1. open flap debridement in which the gum is lifted back surgically in order to clean the deep tartar; 2. bone graft in which a portion of natural or synthetic bone is placed in the area of bone loss; 3. guided tissue regeneration in which a small piece of membrane-like material is placed between the bone and gum tissue in order to keep the gum tissue from growing into the area where the bone should be; and 4. the use of enamel matrix derivative, a gel-like material which is placed in the area where bone loss has occurred and promotes its regeneration. In order to accelerate the healing process, autologous platelet concentrates have been recently used. They are concentrates of the platelets of patient’s own blood containing growth factors that are thought to promote tissue regeneration. The aim of this review was to assess if the addition of APC brings any benefits in the treatment of infrabony defects when combined with different surgical treatments. Continue reading

Cochrane Oral Health’s impact factor leaps to 5.340 in 2017

Every year in June, Clarivate Analytics publish the Journal Impact Factors of all journals indexed in their Journal Citation Report. Impact factor is a calculation which shows the number of citations that articles published in a journal received in a given year (in this case, in 2017) divided by the number articles published by the journal in the previous two years (2015 and 2016). Continue reading

No conclusion is possible on the best methods of delivering one-to-one oral hygiene advice

Dentist using props to show a patient how to brush her teethPoor oral hygiene habits are known to be associated with high rates of dental decay and gum disease. The dental team routinely assesses oral hygiene methods, frequency and effectiveness or otherwise of oral hygiene routines carried out by their patients. Oral hygiene routines can include toothbrushing, reducing sugar intake, interdental cleaning with floss or interdental brushes, and using a fluoride mouthwash or dentifrice. One-to-one oral hygiene advice is regularly provided by members of the dental team with the aim of motivating individuals and improving their oral health. The most effective method of delivering one-to-one advice in the dental setting is unclear. This review’s aim is to determine if providing patients with one-to-one oral hygiene advice in the dental setting is effective, and if so what is the best way to deliver this advice. Continue reading

Which type of attachment system is most effective for connecting implants to dentures?

For adults with complete tooth loss, the modern approach is to use implant dentures with attachment systems, these connect the implant to the undersurface of the dentures. The choice of the number of implants and the design of the attachments influences the success of the dentures, the amount of wear and tear, patient satisfaction, preference and cost. Continue reading

Receding gums: we evaluate the different surgical techniques for covering an exposed tooth root

Receding gums (also known as gingival recession) is the gradual loss of gum tissue, and if left untreated it can result in exposure of the tooth root, between the gum and the tooth. It can involve one tooth (single recession‐type defect) or many teeth (multiple recession‐type defects). It can affect the look of the teeth, and is also linked to tooth sensitivity. Exposure of the tooth root can be treated by cosmetic surgery; techniques include grafting and gum regeneration. Grafting involves taking tissue from another place in the mouth and stitching it over the area of the exposed root. With gum regeneration, biomaterials are used to regenerate gum tissue without the need for taking it from the roof of the mouth. Procedures used in gum grafting and gum regeneration include: free gingival grafts, coronally advanced flaps, acellular dermal matrix grafts, laterally positioned flaps and guided tissue regeneration. This review is an update of the original version that was published in 2009. Continue reading

Professional oral mouth care for nursing home residents: is it more effective than usual care?

Pneumonia is common among elderly people living in nursing homes. Nursing home‐acquired pneumonia (NHAP) is a bacterial infection of the lung that occurs in residents of long‐term care facilities and nursing homes. Poor oral hygiene is considered to contribute to the likelihood of contracting an infection. Professional mouth care is a combination of brushing teeth and mucosa, cleaning dentures, using mouthrinse, and check‐up visits to a dentist, while usual mouth care is generally less intensive, and is self‐administered, or provided by nursing home staff without special training in oral hygiene. Continue reading