TY - JOUR
T1 - Effect of professional mechanical plaque removal on secondary prevention of periodontitis and the complications of gingival and periodontal preventive measures
T2 - 11th European Workshop on Periodontology
AU - Sanz, Mariano
AU - Bäumer, Amelie
AU - Buduneli, Nurcan
AU - Dommisch, Henrik
AU - Farina, Roberto
AU - Kononen, Eija
AU - Linden, Gerard
AU - Meyle, Joerg
AU - Preshaw, Philip M.
AU - Quirynen, Marc
AU - Roldan, Silvia
AU - Sanchez, Nerea
AU - Sculean, Anton
AU - Slot, Dagmar Else
AU - Trombelli, Leonardo
AU - West, Nicola
AU - Winkel, Edwin
N1 - Conflict of interest and source of funding statement:
Funds for this workshop were provided by the European Federation of Periodontology in part through unrestricted educational grants from Johnson & Johnson and Procter & Gamble. Workshop participants filed detailed disclosure of potential conflict of interest relevant to the workshop topics and these are kept on file. Declared potential dual commitments included having received research funding, consultant fees and speakers fee from: Colgate-Palmolive, Procter & Gamble, Johnson & Johnson, Sunstar, Unilever, Philips, Dentaid, Ivoclar-Vivadent, Heraeus-Kulzer, Straumann
Publisher Copyright:
© 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
PY - 2015/4/1
Y1 - 2015/4/1
N2 - Background and Aims The scope of this working group was to review: (1) the effect of professional mechanical plaque removal (PMPR) on secondary prevention of periodontitis; (2) the occurrence of gingival recessions and non-carious cervical lesions (NCCL) secondary to traumatic tooth brushing; (3) the management of hypersensitivity, through professionally and self administered agents and (4) the management of oral malodour, through mechanical and/or chemical agents. Results and Conclusions Patients undergoing supportive periodontal therapy including PMPR showed mean tooth loss rates of 0.15 ± 0.14 teeth/year for 5-year follow-up and 0.09 ± 0.08 teeth/year (corresponding to a mean number of teeth lost ranging between 1.1 and 1.3) for 12-14 year follow-up. There is no direct evidence to confirm tooth brushing as the sole factor causing gingival recession or NCCLs. Similarly, there is no conclusive evidence from intervention studies regarding the impact of manual versus powered toothbrushes on development of gingival recession or NCCLs, or on the treatment of gingival recessions. Local and patient-related factors can be highly relevant in the development and progression of these lesions. Two modes of action are used in the treatment of dentine hypersensitivity: dentine tubule occlusion and/or modification or blocking of pulpal nerve response. Dentifrices containing arginine, calcium sodium phosphosilicate, stannous fluoride and strontium have shown an effect on pain reduction. Similarly, professionally applied prophylaxis pastes containing arginine and calcium sodium phosphosilicate have shown efficacy. There is currently evidence from short-term studies that tongue cleaning has an effect in reducing intra-oral halitosis caused by tongue coating. Similarly, mouthrinses and dentifrices with active ingredients based on Chlorhexidine, Cetylpyridinium chloride and Zinc combinations have a significant beneficial effect.
AB - Background and Aims The scope of this working group was to review: (1) the effect of professional mechanical plaque removal (PMPR) on secondary prevention of periodontitis; (2) the occurrence of gingival recessions and non-carious cervical lesions (NCCL) secondary to traumatic tooth brushing; (3) the management of hypersensitivity, through professionally and self administered agents and (4) the management of oral malodour, through mechanical and/or chemical agents. Results and Conclusions Patients undergoing supportive periodontal therapy including PMPR showed mean tooth loss rates of 0.15 ± 0.14 teeth/year for 5-year follow-up and 0.09 ± 0.08 teeth/year (corresponding to a mean number of teeth lost ranging between 1.1 and 1.3) for 12-14 year follow-up. There is no direct evidence to confirm tooth brushing as the sole factor causing gingival recession or NCCLs. Similarly, there is no conclusive evidence from intervention studies regarding the impact of manual versus powered toothbrushes on development of gingival recession or NCCLs, or on the treatment of gingival recessions. Local and patient-related factors can be highly relevant in the development and progression of these lesions. Two modes of action are used in the treatment of dentine hypersensitivity: dentine tubule occlusion and/or modification or blocking of pulpal nerve response. Dentifrices containing arginine, calcium sodium phosphosilicate, stannous fluoride and strontium have shown an effect on pain reduction. Similarly, professionally applied prophylaxis pastes containing arginine and calcium sodium phosphosilicate have shown efficacy. There is currently evidence from short-term studies that tongue cleaning has an effect in reducing intra-oral halitosis caused by tongue coating. Similarly, mouthrinses and dentifrices with active ingredients based on Chlorhexidine, Cetylpyridinium chloride and Zinc combinations have a significant beneficial effect.
KW - dentine hypersensitivity
KW - intra-oral halitosis
KW - non-carious cervical lesion
KW - oral malodour
KW - professional plaque removal
KW - supportive periodontal therapy
KW - traumatic tooth brushing
U2 - 10.1111/jcpe.12367
DO - 10.1111/jcpe.12367
M3 - Article
C2 - 25626357
AN - SCOPUS:84944443947
SN - 0303-6979
VL - 42
SP - S214-S220
JO - Journal of Clinical Periodontology
JF - Journal of Clinical Periodontology
IS - S16
Y2 - 9 November 2014 through 12 November 2014
ER -