64차호영 논문
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This study compared the efficacy of four mouthwash solutions in reducing plaque and gingivitis over 6 months in a population with good oral hygiene: 1) two low-dose 0.06% chlorhexidine preparations, 2) a commercially available 0.1% chlorhexidine solution, 3) an amine fluoride/stannous fluoride solution, and 4) a water control. All solutions reduced plaque levels, but the 0.1% and 0.06% chlorhexidine solutions were more effective at 3 months. The 0.1% chlorhexidine solution also produced greater reductions in gingivitis than the control. However, it also caused more discoloration than potential alternative solutions.
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![Keywords
Plaque Index (PHP, Quglich Hein..)
Gingival Index : An index of periodontal disease that relates to the severity and
location of the lesion.
Discoloration Index
Low-dose chlorhexidine (시중 0.1%), 실험 0.06%
Amine fluoride/stannous fluoride : 불화[플루오르화] 제1 주석](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
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This document discusses the biocompatibility of dental materials and is presented by Dr. Ritu Gupta. It covers topics such as the CE marking which indicates European Conformity of dental materials. It also discusses nanoleakage at the composite-dentin interface and clinical testing of dental materials. References are provided on biocompatibility, allergic reactions to materials like nickel and latex, and investigating patient complaints related to oral galvanism through intraoral voltage measurements.
aggressive periodontitis
This document discusses aggressive periodontitis, including its history, classification, localized aggressive periodontitis, and generalized aggressive periodontitis. It defines aggressive periodontitis as a specific type of periodontitis featuring rapid attachment loss, bone destruction, and familial aggregation, with inconsistent microbial deposits and severe tissue destruction. Localized aggressive periodontitis is characterized by circumpubertal onset and localized first molar/incisor involvement. Generalized aggressive periodontitis affects at least three teeth other than first molars and incisors and has an episodic nature. Both forms are associated with elevated levels of certain bacteria and potential immunological and genetic factors.
Systemic antibiotics in periodontal therapyامراض اللثة د حاتم البيطار.pdf
This document reviews the use of systemic antibiotics as an adjunct to mechanical debridement in the treatment of periodontitis. It finds that while some studies show superior outcomes with adjunctive antibiotics, the role of antibiotics remains controversial. The key findings are:
1) Antibiotics alone without mechanical debridement are not effective treatments for periodontitis due to the biofilm structure protecting bacteria.
2) Adjunctive antibiotics may provide additional benefits over mechanical debridement alone, including greater reductions in pocket depth and clinical attachment gains.
3) The quality of mechanical debridement impacts outcomes, with more experienced clinicians achieving better results when combining antibiotics and debridement.
Respiratory disorder and periodontitis
This document discusses the relationship between periodontal and respiratory diseases. It begins by describing the human respiratory system and its defense mechanisms. Key respiratory diseases like bacterial pneumonia and chronic obstructive pulmonary disease are explained. Evidence is presented that shows oral bacteria can cause respiratory infections by aspirating into the lungs or modifying surfaces to promote pathogen adhesion. Maintaining oral health through practices like toothbrushing and chlorhexidine use may help prevent respiratory infections by reducing oral bacterial loads and pathogen reservoirs. The document concludes by stating periodontal therapy may help improve lung function in COPD patients with chronic periodontitis.
Hyperbaric oxygen therapy (HBOT)
1. Hyperbaric oxygen therapy (HBOT) involves breathing pure oxygen in a pressurized chamber, which increases the amount of oxygen that dissolves in the patient's plasma and tissues. This promotes healing and reduces recovery time.
2. HBOT works by increasing oxygen tension in tissues through several physiological effects, including increased angiogenesis and fibroblast proliferation. The increased oxygen aids neutrophils in fighting infection and promotes tissue regrowth.
3. HBOT is used to treat osteoradionecrosis, refractory osteomyelitis, and compromised bone healing after radiation therapy for dental implants through its effects on increasing oxygen delivery and stimulating cell growth in hypoxic tissues.
Pentoxifylline therapy in the management of oral submucous
This document summarizes a study comparing the efficacy of Pentoxifylline to placebo in the treatment of oral submucous fibrosis (OSF). OSF is a premalignant condition caused by chewing areca nut and characterized by fibrosis in the mouth restricting opening. The study involved randomly assigning 62 patients with OSF to receive either Pentoxifylline or a placebo for 7 months. Outcomes like mouth opening, symptoms, and signs of OSF were evaluated and compared between the two groups at baseline and over 18 months of follow-up.
Rationale of endodontics
Introduction
Portals of entry to the pulp
Concepts of infection
Focus of infection
Zones of Fish
Kronfeld’s mountain pass theory
Older v/s Newer Concepts in endodontics
Endodontics: When to do and When not to do?
Vital pulp therapy
Rationale of Pulpotomy
Vital pulp therapy over root canal therapy
Root canal therapy over vital pulp therapy
Rationale of Apexification
Conclusion
References
Innovacyn_OWM_0515_lr
This document discusses a panel of wound care experts that convened to review evidence and develop recommendations for the use of hypochlorous acid (HOCl) solutions to prevent and treat wound infections. The panel found that HOCl has promising antimicrobial properties without cytotoxicity based on in vitro studies. There is moderate evidence that HOCl is effective for resolving infection and improving healing in diabetic foot wounds. The panel recommended HOCl be used as an adjunct to standard wound care practices like debridement and that it be applied directly to the wound for 15 minutes after debridement. More clinical studies are still needed to evaluate HOCl's safety and efficacy for other wound types and application methods.
HBOT in Oral Surgery.pptx
Hyperbaric oxygen therapy (HBOT) has been used successfully in several oral surgery cases at the Naval Central Hospital in Surabaya, Indonesia. HBOT involves breathing 100% oxygen at pressures over 1 atmosphere and has benefits such as increased tissue oxygen levels and accelerated wound healing. Cases that have been treated include severe trauma, jaw osteomyelitis, replanted avulsed teeth, pre-operative prophylaxis, fungal infections, and paresthesia. HBOT has been shown to promote wound repair, stimulate collagen synthesis, reduce swelling and infection risk, and re-establish blood flow and nerve function. It is an effective adjunct treatment in dentistry that shows promise for other applications.
Chlorhexidine- clinical trial
This scientific paper presented the results of a clinical trial that assessed the effect of a 0.2% chlorhexidine mouth rinse on aerosol contamination from ultrasonic scalers in ventilated and non-ventilated dental clinics. Bacteria colony counts were significantly lower after patients used the chlorhexidine rinse, particularly near the dentist's mask, apron, and patient. The study found that a pre-procedural chlorhexidine rinse reduced aerosol contamination and recommends its use to improve infection control in dental procedures.
Interdisciplinary Periodontics ppt.pptx
This document provides an overview of interdisciplinary periodontics, covering interactions between periodontics and other dental specialties. It discusses the relationship between periodontics and endodontics, orthodontics, prosthodontics and restorative dentistry, oral surgery, oral pathology, and oral and maxillofacial radiology. For each interaction, it describes clinical findings, diagnoses, treatments, and prognoses. The document focuses in depth on endodontic-periodontal interactions and the relationship between orthodontics and periodontics.
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64차호영 논문
- 1. T. Hoffmann · G. Bruhn · S. Richter · L. Netuschil M. Brecx Clinical controlled study on plaque and gingivitis reduction under long-term use of low-dose chlorhexidine solutions in a population exhibiting good oral hygiene 64 차 호 영
- 2. Keywords Plaque Index (PHP, Quglich Hein..) Gingival Index : An index of periodontal disease that relates to the severity and location of the lesion. Discoloration Index Low-dose chlorhexidine (시중 0.1%), 실험 0.06% Amine fluoride/stannous fluoride : 불화[플루오르화] 제1 주석
- 3. Abstract 이 연구의 목적은 다음 용액들의 치석 억제와 치은염 억제 작용을 비교하는것이다. 1) two low-dose 0.06% chlorhexidine (CHX) preparations 2) commercially available 0.1% CHX Solution 3) an amine fluoride/stannous fluoride (ASF) solution 4) water control
- 4. Continue 81명의 의대생들은 양치 후 다음 용액들로 30초간 구강세척을 하였다. The plaque index (PlI), the gingival index (GI) and the discoloration index (DI) were taken at day –14 and months (M) 0, 1, 2, 3 and 6.
- 5. 모든 제품의 PlI score가 감소하였다. At M3 0.1% 과 0.06% CHX 사용자가 ASF 사용자보다 훨씬 적은 치태축적을 보였다.
- 6. 대조군이 0.1%CHX 사용자와 GI index가 큰 차이를 보인다.
- 7. 시중에 유통되는 0.1% CHX 은 착색을 많이 유발하므로 대체물질을 사용하는 것 이 좋다.
- 9. References 1. Addy M (1986) Chlorhexidine compared with other locally delivered antimicrobials. A short review. J Clin Periodontol 13: 957–964 2. Addy M, Moran J, Wade W (1994) Chemical plaque control in the prevention of gingivitis and periodontitis. In: Lang NP, Karring T (eds) Proceedings of the first European Workshop on Periodontology. Quintessence, London, pp 244–257 3. Axelsson P (1998) Needs-related plaque control measures based on risk prediction. In: Lang NP, Attström R, Löe H (eds) Proceedings of the European Workshop on Mechanical Plaque Control. Quintessenz, Berlin, pp 190–247 4. Baehni PC, Bourgeois DM (1998) Epidemology of periodontal health and disease. In: Lang NP, Attström R, Löe H (eds) Proceedings of the European Workshop on Mechanical Plaque Control. Quintessenz, Berlin, pp 19–34 5. Bonesvoll P (1978) Retention and plaque inhibiting effect in man of chlorhexidine after multiple mouth rinses and retention and release of chlorhexidine after toothbrushing with a chlorhexidine gel. Arch Oral Biol 23: 295–299
Editor's Notes
- 불화 제1주석/ 클로르헥시딘 장기사용시 착색