Routine dental care: does the evidence give us something to smile about?

In thisEvidently Cochrane blog, Sarah Chapman looks at the Cochrane evidence for aspects of routine dental care. Something to smile about? Or are there big gaps …?“Are you afraid to laugh?” Goodall’s Dental Institute, 1912.Wellcome Collection.My grandmother used to tell the tale of when she was a schoolgirl, back in about 1920, and a school event to which parents were invited. Nan and her friend enjoyed a carefree afternoon without their mothers there, having avoided inviting them – the friend because her mother had white hair, and Nan because her mother had just had all her teeth taken out. There was trouble, she recalled, when they were rumbled by a write-up of the event.Teenagers haven ’t changed much in the hundred years since then, but thankfully the state of the nation’s teeth has. My great-grandmother would not have been unusual in having all her teeth removed, to be replaced by an easier-to-care-for set of dentures, and some women even received this as a 21st birthday pre sent! This changed, thanks, in part, to free dental treatment through the NHS from its beginning in 1948, the fluoridation of toothpaste from 1959, improvements in diet and a new emphasis on good dental hygiene.Today, we are commonly told we should have a dental check-up every six months, and a visit to the dental surgery often includes getting advice from a hygienist on how to care for our teeth and gums, and perhaps a ‘scale and polish’. This r...
Source: Cochrane News and Events - Category: Information Technology Authors: Source Type: news

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CONCLUSIONS: Only one study looked at whether toothbrushing with interdental brushing was better than toothbrushing alone, and there was very low-quality evidence for a reduction in gingivitis and plaque at one month. There is also low-quality evidence from seven studies that interdental brushing reduces gingivitis when compared with flossing, but these results were only found at one month. There was insufficient evidence to determine whether interdental brushing reduced or increased levels of plaque when compared to flossing. PMID: 31017680 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
CONCLUSIONS: Using floss or interdental brushes in addition to toothbrushing may reduce gingivitis or plaque, or both, more than toothbrushing alone. Interdental brushes may be more effective than floss. Available evidence for tooth cleaning sticks and oral irrigators is limited and inconsistent. Outcomes were mostly measured in the short term and participants in most studies had a low level of baseline gingival inflammation. Overall, the evidence was low to very low-certainty, and the effect sizes observed may not be clinically important. Future trials should report participant periodontal status according to the new peri...
Source: Cochrane Database of Systematic Reviews - Category: General Medicine Authors: Tags: Cochrane Database Syst Rev Source Type: research
This study aimed to determine predictors of changes in visible plaque (VP) and gingival bleeding (GB) during integrated dental care.Materials and methodsA retrospective longitudinal study was conducted by a census of patients receiving integrated dental care in a general clinical practice ambulatory at the Federal University of Rio Grande do Sul (Brazil). The sample comprised 91 charts of patients attended over a 6-months period. Gender, age, patient ’s main complaint, oral hygiene pattern, and clinical data were recorded from charts for the last two dental visits in the ambulatory. Changes in VP and GB were modeled ...
Source: Clinical Oral Investigations - Category: Dentistry Source Type: research
CONCLUSIONS: The combination of manual toothbrush and mechanical interdental device demonstrated a better plaque control and gingival inflammation levels in orthodontic patients compared to manual brushing alone. PMID: 29495655 [PubMed - as supplied by publisher]
Source: Minerva Stomatologica - Category: Dentistry Tags: Minerva Stomatol Source Type: research
I’m not a dentist, so sometimes my patients are surprised when I tell them I want to look at their teeth and gums. Here’s why I do it… Your mouth is an early warning system for serious conditions throughout your body. Whatever is going on with your oral health gives me a pretty good idea of what’s going on with all your major organs and systems. It makes sense because everything in your body is connected biologically. And your mouth is the gateway to the rest of your body. It’s also home to around 100 billion bacteria. Most dentists are concerned when those bacteria cause tooth decay and gum ...
Source: Al Sears, MD Natural Remedies - Category: Complementary Medicine Authors: Tags: Anti-Aging Source Type: news
The objective of this study was to evaluate the clinical efficacy of a dentifrice containing Eugenia uniflora Linn. (Surinam cherry) extract versus a triclosan-based comparator in treating gingivitis in children aged 10-12 years. The in vitro antibacterial potential of the dentifrice was tested against oral pathogens (Streptococcus mutans, Streptococcus oralis and Lactobacillus casei). Then a phase-II clinical trial was conducted with 50 subjects aged 10-12 years, with clinical signs of gingivitis. The subjects were randomly assigned to the experimental group (n=25) and control group (n=25), in which participants used the ...
Source: Braz Dent J - Category: Dentistry Authors: Tags: Braz Dent J Source Type: research
Conclusion Current evidence is insufficient for recommending probiotics for managing dental caries, but supportive towards managing gingivitis or periodontitis. Future studies should only record bacterial numbers alongside accepted disease markers or indicators. Clinical significance Probiotic therapy could be used for managing periodontal diseases. For caries, further studies should ascertain both efficacy and safety.
Source: Journal of Dentistry - Category: Dentistry Source Type: research
CONCLUSION: There is a lack of epidemiological studies in oral health status of hemophilia patient. PMID: 25896036 [PubMed - in process]
Source: Stomatologija - Category: Dentistry Tags: Stomatologija Source Type: research
ConclusionBeing aware that bleeding gum requires treatment was a determinant of toothbrushing habit. Improved perceived need for dental check‐up regardless of dental problem may promote children's preventive dental attendance.
Source: International Journal of Paediatric Dentistry - Category: Dentistry Authors: Tags: Original Article Source Type: research
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