PERIODONTAL ISSUE | JULY 2022
If caught early, gum disease is something a patient can manage themselves with proper hygiene and management of their diet. However, gum disease is a sum of multiple factors that require a multifactorial approach. As clinicians, it is important that we consider adjunctive treatments that can be added to our normal routine that will put our patients in their best state of dental health.
Clinical and public health implications of periodontal and systemic diseases: An overview
Periodontol 2000, Robert J Genco et al
Not everyone may be aware of this fact, but severe periodontitis is estimated to affect 11.2% of the global adult population and is considered to be the sixth most common human disease. Being the sixth on a list of most common human diseases means we should pay more attention to how it can be treated since the alternative means a large burden to our health care system and lower-income communities. Dental and health care professionals have widely discussed for many years that periodontitis can have a systemic impact on your health, with a particular emphasis on cardiovascular health, pregnancy complications and diabetes. But what if periodontitis comes with the risk of having an impact on a larger scale of systemic diseases and not just the ones we have been hearing and learning about since the 1990s? The following article will review the many important advances made in the last 5 years that seek to grow our understanding of periodontitis and its association with systemic diseases such as obesity, rheumatoid arthritis, certain cancers, respiratory diseases, and cognitive disorders such as Alzheimer’s.
Effect of diode laser combined with minocycline hydrochloride in nonsurgical periodontal therapy: a randomized clinical trial
BMC Oral Health 2022,Congchong Yang et al
Certain symptoms of gum disease often start mild and are easily missed, and without proper intervention, unfortunately, can lead to the more serious condition of periodontitis. What some patients fail to realize is periodontitis is a bacterial infection that is chronic, and every chance they miss to treat their disease brings them closer to their final and only choice of treatment which is surgery. With proper education and treatment planning, we can help our patients understand that there are better avenues open to them than just waiting until they need gum grafting and extractions. The development of locally applied antibiotics is a tried and true treatment that actually treats the root problem, which is the invasive red-complex bacteria. While scaling and root planing is an important step in treating periodontitis, the red complex bacteria will start it’s return to baseline levels within moments of the patient leaving the chair. Now imagine a treatment protocol that includes the use of a diode laser and locally applied minocycline hydrochloride to fight the red complex bacteria, reduce pocket depths and push the need for surgery further into the future for your patient. The following article will study the effects of scaling and root planing in conjunction with a diode laser and minocycline hydrochloride that has to be regularly applied. While reading this article, it is important to note that there is the option to use minocycline that does not need to be applied regularly but instead stays in the pocket and releases treatment slowly over the course of 14 days. Contact us to learn more!