{"title":"Effect of a twice daily 0.12% chlorhexidine rinse on the oral health of a geriatric population.","authors":"M Weitz, C Brownstein, M Deasy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The inhibitory effect of a chlorhexidine rinse on gingival inflammation and plaque accumulation has been well documented. The purpose of this study was to determine whether a twice daily oral rinse with 0.12% chlorhexidine will resolve denture-associated inflammation in a geriatric population. Thirty-six subjects, average age 83 years, were randomly divided into two groups, active and control, and further stratified into three subgroups, removable partial dentures, complete overdentures and lacking a removable prosthesis. Gingival (Löe and Silness '63) and plaque (Silness and Löe '64) indexes were performed on teeth Nos 3, 9, 12, 19, 25 and 28 at baseline and at 60 days. The subjects, following baseline measurements, were required to rinse twice daily for 30 seconds with either a 15 ml solution of 0.12% chlorhexidine or a placebo and instructed to continue their normal oral hygiene routine. The data were statistically analyzed. When active and control groups were compared, either in total or within their stratified subdivisions, significant differences were observed (P less than 0.001). The active group had a 10.27% and 16.68% reduction in the gingival and plaque indexes, respectively, compared to insignificant changes in the control groups. It was concluded that although chlorhexidine proved effective in reducing inflammation and plaque scores, this reduction was not influenced by the type of prosthesis worn.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"14 3","pages":"9-13"},"PeriodicalIF":0.0,"publicationDate":"1992-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12668662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
D Zyskind, D Steinberg, M Friedman, J P Bernimoulin
{"title":"Inhibition of plaque accumulation under periodontal dressing by sustained-release varnish of chlorhexidine.","authors":"D Zyskind, D Steinberg, M Friedman, J P Bernimoulin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Slow-release varnish containing chlorhexidine was applied prior to the application of a periodontal dressing. The ability of the slow-release varnish to inhibit accumulation of dental plaque under the dressing was compared to a placebo varnish. Seven volunteers were fitted with periodontal dressing on the lower and upper jaws. One jaw was pre-coated with slow-release varnish containing chlorhexidine, while the other was coated with a placebo. A week later the dressings were removed and the plaque under the dressing was scored. Significantly less plaque was found on teeth pre-coated with the slow-release varnish containing chlorhexidine as compared to the control. An increase in the amount of gingival fluid was observed in both the control and experimental groups after removing the periodontal dressing.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"14 3","pages":"29-33"},"PeriodicalIF":0.0,"publicationDate":"1992-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12668666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The oral prophylaxis--survey II.","authors":"J S Pfeifer, R VanSwol","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A survey of Wisconsin dentists was done to better understand what procedures dentists are including in their oral prophylaxis or soft-tissue management program. The goal of the survey was to develop data so that suggestions could be made to improve this service. When we compare this survey with the survey done four years ago, we see a decline in quality care, particularly in the time spent doing the oral prophylaxis. There was little or no improvement in recording of periodontal probing depths, sharpening of instruments, use of disclosing solution and the frequency of recall.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"14 3","pages":"19-28"},"PeriodicalIF":0.0,"publicationDate":"1992-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12669441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A survey on oral hygiene practices among Malaysian adults.","authors":"R. Esa, I. A. Razak, R. L. Jallaudin, N. Jaafar","doi":"10.5072/ZENODO.74893","DOIUrl":"https://doi.org/10.5072/ZENODO.74893","url":null,"abstract":"A survey on oral hygiene practices was conducted on 537 dentate adult patients aged 15 years and over. The aim of this study was to investigate the variation in dental behavior with regards to socio-demographic factors, namely age, sex, ethnicity, income, education and occupational status. Patients attending nine randomly selected government dental clinics were interviewed on their daily oral hygiene practices. The majority (89.7%) of the subjects reported that they brushed their teeth, 68% used toothpaste containing fluoride, but only 8.4% flossed their teeth. Generally the younger group had better oral hygiene habits. The higher the socioeconomic status of the adults, the better their toothcleaning practices. Awareness concerning dental floss was low regardless of all the socio-demographic variables. It was concluded that there is a need to improve the dental health practices of adults in Malaysia.","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"14 1 1","pages":"23-7"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70794227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Maryland dentists' attitudes regarding tobacco issues.","authors":"J L Fried, L A Cohen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Due to increased national interest in tobacco intervention roles for oral health professionals, a survey of Maryland dentists' attitudes toward tobacco issues was conducted. A convenience sample of 700 members of the Maryland State Dental Association was drawn from the total membership list (N = 2200). A 30% response rate was obtained. Subjects were mailed a twelve-item questionnaire that elicited primarily attitudinal information. Results revealed that 54.3% of the subjects never smoked, 39% formerly smoked and 6.1% currently smoke. Smoking behavior was associated with numerous attitudinal variables including dentistry's role in promoting tobacco-use cessation. Relatively few of the respondents were aware of federal initiatives regarding the oral health professions' roles in intervention. Less than half viewed tobacco-use cessation interventions as a practice builder, yet 82.1% believe cessation advice is the dentist's responsibility. Respondents' interest in obtaining free training in tobacco-use interventions was positive and was significantly related to several attitudinal variables. Dentists in Maryland appear to appreciate their role in tobacco-use interventions at both the clinical and community levels. However, they exhibit ambivalence regarding the economic value of office interventions and the need for formalized training. Maryland dentists also need to be apprised of federal initiatives concerning tobacco use interventions.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"14 2","pages":"10-6"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12669436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L M Silverstone, T S Tilliss, G N Cross-Poline, E Van der Linden, D J Stach, M J Featherstone
{"title":"A six-week study comparing the efficacy of a rotary electric toothbrush with a conventional toothbrush.","authors":"L M Silverstone, T S Tilliss, G N Cross-Poline, E Van der Linden, D J Stach, M J Featherstone","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The rotary electric toothbrush, Rota-dent, is often recommended and used as an alternative to the conventional toothbrush. The purpose of this short-term study was to evaluate the effectiveness of the Rota-dent on plaque removal and gingival health in comparison to a conventional toothbrush. Twenty-four subjects were divided into two groups. For 6 weeks one group used the Rota-dent, while the other group used a conventional (Oral-B 40) toothbrush. Plaque and gingival indexes were evaluated each week. Results indicated that the Löe and Silness Gingival Index scores improved significantly for both groups. There was a significant improvement in plaque removal as measured by Turesky modification of the Quigley-Hein Plaque Index for the Rota-dent group, while there were no significant differences in the Silness and Löe Plaque Index for either group. Thus, both devices had a positive effect on gingival health, and the Rota-dent removed plaque better than a conventional toothbrush as measured by one but not another plaque index.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"14 2","pages":"29-34"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12669437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
T Ohkubo, M Shibata, Y Haraga, H Kaya, H Takahashi
{"title":"Blood reflux into cartridges for dental anesthesia: detection in residual solution.","authors":"T Ohkubo, M Shibata, Y Haraga, H Kaya, H Takahashi","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The study examines blood reflux into cartridges under infiltration anesthesia. When imitation examination was carried out using Pontamine blue dye solution in 7 kinds of syringes using cartridges, dye reflux was observed in all of them. Dye reflux was observed in all but 1 of 4 kinds of cartridges on the market. The amounts of protein in residual anesthetic solution of cartridges after infiltration anesthesia were quantitatively measured by a dye binding method. Human hemoglobin was also measured by enzyme immunoassay (EIA). The detection rates of protein and human hemoglobin were 26.2% (85/324) and 24.2% (24/99), respectively. Study results show that blood reflux cannot be avoided in the cartridge system so reuse of residual anesthetic solution from cartridges should be prohibited as quickly as possible to avert risk of cross-infection of HB and AIDS virus.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"14 2","pages":"17-20"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12669442","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"High fruit consumption and the periodontal status of farm workers.","authors":"J B Blignaut, S R Grobler","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The results of a study on the periodontal health of orchard and vineyard workers on apple, grape, citrus and mixed-variety fruit farms are presented. Workers on grain farms were used as controls. The only significant differences in the diets of the different groups were the very large amounts of fresh fruits eaten by the fruit-farm workers. The CPITN index was used to record the periodontal status. Healthy periodontal sextants (code 0) were significantly less in the citrus group (P less than 0.05) compared to the other groups. However, this group also showed a significantly (p less than 0.05) lower prevalence of deep periodontal pockets than the other groups.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"14 2","pages":"25-8"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12669438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tongue indentations as an indicator of clenching.","authors":"S M Sapiro","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study examines the diagnostic efficacy of lateral tongue indentations as an indicator of clenching. A retrospective study of 113 patients (85 active and 28 recall) using radiographic indicators, excessive tooth mobility and self-report by the patient suggests that tongue indentations when present are indicators of clenching and warrant routine examination.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"14 2","pages":"21-4"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12669434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Changes in public concern about transmission of AIDS from dentist to patient after CDC report.","authors":"L A Cohen, E G Grace, M A Ward","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study was conducted to examine the impact on the public of a report from the Centers for Disease Control of the possible transmission of AIDS from a Florida dentist to his patient. Differences in the findings between two identical telephone surveys conducted approximately five months apart are reported. The second survey occurred approximately three months following the CDC report. The response rates to spring and fall 1990 surveys were 68.9 percent and 69.9 percent, respectively. Approximately 60 percent of the respondents to the fall survey reported that they had read or heard of the incident. Public concern about the transmission of AIDS in the dental office increased significantly following the CDC report. This concern was expressed in a decreased willingness to remain in the practice of dentists infected with AIDS or those who treated infected patients. In addition, respondents to the fall survey were less respectful of provider and patient confidentiality.</p>","PeriodicalId":75715,"journal":{"name":"Clinical preventive dentistry","volume":"14 2","pages":"6-9"},"PeriodicalIF":0.0,"publicationDate":"1992-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"12496975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}