Objective:The aim of this parallel controlled randomized clinical trial was to evaluate the clinical efficacy of ultrasonic subgingival debridement in combination with Er:YAG laser as compared to full mouth ultrasonic subgingival debridement alone, after one year, in patients with initial to moderate chronic periodontitis. Material & Methods: 40 patients diagnosed with mild to moderate periodon...

Detecting dental calculus is clinically challenging in dentistry. This study used typodonts with extracted premolar and molar teeth and simulated gingival tissue to compare the performance of differential reflectometry and periodontal probing. A total of 30 extracted teeth were set in an anatomical configuration in stone to create three typodonts. Clear polyvinyl siloxane impression material wa...

OBJECTIVE The aim of this study was to assess the effect of adjunctive antimicrobial photodynamic therapy (aPDT) in chronic periodontitis. MATERIAL AND METHODS Twenty patients with untreated chronic periodontitis were included. All teeth received periodontal treatment comprising scaling and root planing. Using a split-mouth design, two quadrants (test group) were additionally treated with aPD...

BACKGROUND Probiotics are living microorganisms that provide beneficial effects for the host when administered in proper quantities. The aim of this double-masked placebo-controlled parallel-arm randomized clinical trial is to evaluate the clinical effects of a Lactobacillus rhamnosus SP1-containing probiotic sachet as an adjunct to non-surgical therapy. METHODS Twenty-eight systemically heal...

OBJECTIVES The aim of this study was to assess the clinical effect of the administration of Lactobacillus reuteri Prodentis as a probiotic agent in the treatment of initial to moderate chronic periodontitis. Secondary objectives were to evaluate the patient 'compliance' factor and to observe the potential side-effects of the probiotic agent. MATERIALS AND METHODS Twenty systemically healthy, ...

RESULTS: At 6 and 12 months, Class Ie defects tended to reveal higher changes in the mean probing depth (PD) and clinical attachment level (CAL) values when compared with Class Ib and Class Ic groups. However, significant differences were only observed at 6 months (PD: 2.9 +/0.3 versus 1.4 +/0.5 versus 1.3 +/0.7 mm; CAL: 2.5 +/0.5 versus 0.9 +/0.8 versus 0.9 +/0.7 mm). Site-level analysis has p...

The etiology of chronic periodontitis clearly includes a heritable component. Our purpose was to perform a small exploratory genome-wide association study in adults ages 18-49 years to nominate genes associated with periodontal disease-related phenotypes for future consideration. Full-mouth periodontal pocket depth probing was performed on participants (N = 673), with affected status defined as...

BACKGROUND The aim of this pilot study was to investigate the effects of four weeks of an oral health optimized diet on periodontal clinical parameters in a randomized controlled trial. METHODS The experimental group (n = 10) had to change to a diet low in carbohydrates, rich in Omega-3 fatty acids, and rich in vitamins C and D, antioxidants and fiber for four weeks. Participants of the contr...

Gingival tissues in human cadavers were examined the blood vessel diameter in the depths of the gingival pockets such as three groups: gingiva adjacent to a sulcus of 2 mm (Group 1); gingiva adjacent to a 2-4-mm sulcus (Group 2); and gingiva adjacent to a sulcus of > 4 mm (Group 3). A meaningful significant difference was seen observed in gingival pocket side, intermediate and outer layer side ...

Instead of extraction this case report presents an alternative treatment option for a maxillary incisor with a vertical root fracture (VRF) causing pain in a 78-year-old patient. After retreatment of the existing root canal filling the tooth was stabilized with a dentine adhesive and a composite restoration. Then the tooth was extracted, the VRF gap enlarged with a small diamond bur and the exi...