Tooth brushing in just 10 seconds?
Automatic toothbrushing could have future potential, but still requires further technical developments to improve existing shortcomings with regard to customizsation for different jaw sizes and tooth positions, interdental spaces and choice of optimal brushing time.
When as well as possible is not good enough
Even when told to brush their teeth as well as possible, the quality of tooth brushing among young adults is poor; the main weaknesses are cleaning palatal/lingual surfaces and overall brushing technique.
Prevention is the best treatment!
Optimal diabetes control, regular supportive implant therapy and augmentation of peri-implant soft tissue deficits have proven to be crucial features in primary prevention of peri-implant diseases.
Peri-implant mucositis – are chemical adjunctive therapies effective? Part 2!
Additional measures locally applied or taken systemically by the patient (e.g. antiseptics in the form of mouth-rinse solutions or probiotics) could have an additional positive effect in the treatment of peri-implant mucositis.
Non-surgical peri-implantitis treatment – chemical cleaning ...?
Chemical additives for cleaning the implant surface as part of non-surgical peri-implantitis therapy may make sense, but there is a shortage of well-conducted studies with a sufficient number of patients and a long-enough follow-up period to really be able to recommend a specific method and/or a specific product.
Non-surgical peri-implantitis treatment – gold standard ...?
Due to a continuing lack of well-conducted clinical studies, it is still not possible, based on the evidence, to give a clear treatment guideline for mechanical cleaning as part of non-surgical peri-implantitis treatment.
Chewing gum as treatment …?
Chewing sugar-free xylitol chewing gum could have significantly positive effects in reducing gingival inflammation when used as an adjunct to traditional therapies for treating gingivitis (mechanical cleaning and optimisation of home oral hygiene), but further clinical studies are required in order to confirm this assumption.
Periodontal diagnosis made easy
Implementing the new classification for periodontal and peri-implant diseases takes time and is a question of experience and practice, but simple reference tools such as a flowchart can help with this process.
Oral hygiene helps even in difficult situations!
Oral health (gingivitis, periodontitis) influences the occurrence and the healing process of oral mucositis in patients with haematological disorders who are given high-dose chemotherapy.
Air polishing as an adjunct in non-surgical periodontal treatment …?
As part of non-surgical periodontal treatment, the additional use of air-polishing treatment could be beneficial for deep baseline probing pocket depths (≥ 5.5 mm) in particular.
Gingivitis treatment = happier and healthier patients!
Treating gingivitis is not only the most effective option for preventing the occurrence of periodontitis, but also leads to a reduction in systemic inflammatory markers, whilst also improving the patient’s quality of life in terms of oral health.
Artificial intelligence in dental practice
The use of artificial intelligence with the aim of optimising home oral hygiene significantly improved the results in non-surgical periodontal therapy
What is the situation with e-cigarettes and periodontal health?
Based on the available literature, the smoking of e-cigarettes seems to have a slightly less negative effect on periodontal health compared to traditional cigarettes.
Periodontitis & bowel disease – Is there a link?
Patients with inflammatory bowel disease have a higher risk of oral diseases (periodontitis and tooth loss) and these diseases appear in turn to increase the degree of activity of inflammatory bowel disease.
Lifelong supportive periodontitis treatment? Absolutely!
Periodontitis patients should always be integrated into supportive periodontitis treatment, as otherwise the rate of recurrence, and therefore a further episode of periodontal inflammation, is likely to be very high.
The long-lasting effects of smoking on our implants …
Tobacco consumption has a lasting negative effect on the peri-implant tissue and leads to an increased risk of developing periimplantitis. This negative effect continues for years, even after an individual has successfully stopped smoking.
Periodontitis doesn’t normally come alone!
As early as 2016 (Monsarrat et al. 2016), a study outlined a link between periodontitis and 57(!) systemic diseases, the most well-known of these being diabetes mellitus and cardiovascular diseases. Time and again, these links prompt a discussion about the need for positive cooperation between dentists and doctors in order to improve early diagnosis of specific systemic diseases.
Sensitive tooth cervix following periodontal therapy...
Experiencing cervical tooth sensitivity following periodontal therapy? Here’s what you can do about it! Non-surgical periodontal therapy can unfortunately entail a number of disadvantages, which are the sources of some complaints from our patients time and again. For example, they complain about the longer appearance of their teeth and/or about increased sensitivity of the exposed tooth cervix. Studies have shown that around 60 to 90% of our patients suffer from cervical tooth sensitivity in the period immediately following non-surgical periodontal therapy and that from a third up to a quarter of patients still suffer from cervical tooth sensitivity after 4 to 8 weeks (Lin et al. 2012).
When does it make sense to splint teeth?
Periodontitis and the related attachment loss inevitably lead to increased tooth mobility after a certain period of time. This increased tooth mobility often makes patients aware that “something is not right,” but for many patients it is also a very unpleasant side effect of periodontal disease and one which can make them feel as if they are losing their teeth.
Does periodontitis increase the risk of gestational diabetes
The links between diabetes mellitus and periodontitis are very well described and documented in the literature. A specific malfunction in the sugar metabolism can occur during pregnancy, which is referred to as gestational diabetes. In Austria, around 5–10% of all pregnant women are affected by gestational diabetes.
Can yoghurt reduce tooth loss ...?
Many beneficial effects on our health are attributed to the consumption of dairy products. Research indicates that there is a lower risk of diabetes mellitus, metabolic syndrome and cardiovascular disease. It also describes beneficial effects specifically for the oral cavity thanks to the consumption of dairy products. Certain studies, for example, showed that high and regular consumption of dairy products led to a lower risk of periodontitis.
Interdental cleaning – by itself or with an “extra” component?
Every day we try to persuade our patients to brush their teeth twice a day and to brush the interdental spaces at least once a day as well. However, we all know how particularly difficult it is to persuade our patients to brush the interdental spaces, as this calls for a certain amount of skill on their part.
Knowledge is motivation!
The key to success in periodontal treatment is the cooperation of the patient. If the patient fails to comply every day of their life with good and efficient oral hygiene at home and fails to attend recalls consistently, we will unfortunately fail despite all our efforts.
Medium bristles – are they really a problem?
The discussion on soft, medium or hard bristled toothbrushes is not a new one, and yet new literature on the subject is appearing all the time, so it is something we are keen to address.
Successful treatment – does it make a difference?
The ‘new’, although also now almost five-year-old, classification for periodontal and peri-implant conditions included a definition for a successfully treated periodontitis patient for the first time.
Prognosis for teeth with through-and-through furcations
The optimal treatment result for periodontitis patients is for them to keep their own teeth in good condition for as long as possible. However, there are both patients and teeth with certain characteristics that make it significantly harder to actually achieve this objective!
Lessons from the pandemic: continuity in treatment is important!
The Covid-19 pandemic has posed and continues to pose major challenges for all of us – this includes our patients and their compliance in terms of attending regular dental check-ups. For example, already during the first few months of the pandemic, patients proved to be far more reluctant to attend medical check-ups and appointments (Makiyama 2020). Now that the pandemic has continued for far longer than initially anticipated, however, it is important for us to encourage our patients to begin attending regular appointments for check-ups and treatment again.
NIWOP – Part 1: The pre-treatment
NIWOP is a plannable workflow that starts long before implantation and continues beyond the prosthetic restoration. Its goal, aside from actual implant placement, is minimising the incidence of biological complications such as peri-implant mucositis or peri-implantitis. (The pre-treatment as per articles from PD Dr Kristina Bertl, PhD, MBA, MSc)