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These findings suggest that using chlorhexidine mouthwash with scaling and root planing to treat periodontitis in pregnant individuals may improve birth outcomes. The final set of studies to be included in the meta-analysis were evaluated for risk of bias. Happy holidays y'all. Please register to post and access all features of our very popular forum.
Scaling And Root Planing Forum Forum
Underdiagnosing periodontal disease, not making distinctions between the various patient types (albeit chronic, rapidly downhill refractory), and inadequate root debridement may benefit the practice but not the patients. For this systematic review and meta-analysis, RCTs were included if they were conducted among pregnant participants with periodontitis, used interventions consisting of mechanical periodontal treatment (ie, SRP) with or without chlorhexidine mouthwash vs no periodontal treatment or mouthwash use during pregnancy, ascertained birth outcomes, and reported preterm birth (ie, <37 weeks' gestation) or low birth weight (ie, <2500 g). Analyses for Preterm Birth Repeated Using Definition in Cochrane Review. You made a nice informative post; however the bolded is NOT true - we have an excellent hygienist; she has had to do a deep cleaning on my teeth because they are almost ALL crowned, and those teeth are forever compromised. Anyway, a scaling and root planing or deep cleaning is necessary when you have build up below the gumline that is causing or might cause bone loss. More than 10 years ago, a group of dentists sharing this feeling decided to develop an alternative. Is this procedure really necessary? I came home and looked online and many sites mention that dentists may choose to use antibiotic powder or gel or fibers, but nothing has given me the impression that that is the way it is done all the time. Pockets without bleeding and pink gingiva are not necessarily free of active disease. He'd always ask if I had any issues, of course, but I just say something like "No, not really", just to put things off... until a tooth broke or a filling fell out and then I'd end up needing a root canal and a crown. Are indicated to improve the health of your gums and thus tighten up your teeth. Composite Fillings – tooth colored fillings. "Pockets" are caused by inflammation due to bacterial plaque accumulation on the root surface and on the calculus A pocket is discovered by periodontal probing.
All deep cleanings are not a scam. Feels nice having CLEAN teeth. Typically, only one or two quadrants of a patient's mouth are treated at a time. In fact, most of my family don't know how to use half of my instruments because they never had to learn that. It clearly reaffirms the long-term value of careful, repeated scaling and root planing for the maintenance of periodontal patients. 350 posts, read 376, 091.
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4 Reasons Why Ask DoctorBase™ is the Most Efficient Way to SEO and Establish Your Brand Online. Circle City Hygiene Forum Event & Registration 2022-2023 Circle City Hygiene Forum Special Circle City Hygiene Forum Registration Pricing Entire Series $200. We then conducted a subgroup meta-analysis by chlorhexidine use. Restorative Dentistry.
So you should ask a friend who they use for a dentist and, if their dentist offers an inexpensive (under $100) initial visit, go ahead and make an appointment. The vibrating metal tip of the tool can chip away tartar & an accompanying water spray washes away the debris as it's removed. However, many dental professionals use chlorhexidine off-label, and this is where the contraindications and safety concerns come into play. The treatment and prevention of periodontal disease took flight with ground-breaking practitioners early in the 20th century. It might be a total placebo effect, but my gums did feel better following the procedure, it was almost like I just got used to slight constant irritation and now it's gone. During the scaling procedure, the hygienist will use the scaler to scrape tartar from the tooth roots above and below the gum line. I was there yesterday for a hygienist visit and I actually find it to be quite relaxing. All answers submitted by healthcare professionals (you) are for entertainment purposes only and do not constitute doctor-patient relationships. Join Date: May 2014. Funding/Support: This work is partially supported by an ASPIRE grant No. Calculus build up left on the tooth/ teeth will accelerate the loss of bone. OH and if YOU can feel my fist in your face then I MUST be in the right spot too. The Phoenix crybaby strikes again.
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They done a ton of work on my teeth... no deep cleaning/scaling though. Editor's note: Originally posted in 2020 and updated regularly. 11, 12 However, bias was present to varying degrees in the other studies included in the Cochrane review. Whenever possible, wait about 30 minutes after eating before brushing your teeth. Well-conducted RCTs are needed to test this hypothesis. This is exactly what a friend back home who is a dental technician told me. But I have 40 that required deep cleaning. Nationally, the number of patients being referred to periodontists for periodontal evaluations and treatment has dropped significantly. They show up in my office with >75% bone loss and loose teeth, looking for some miracle to save their teeth. Well the fact of the situation is....
A True "University Without Walls". I would advise avoiding it. The handheld instruments used are a scaler & a curette. While chlorhexidine is an effective killer of bacteria, its side effects and dangerous off-label usage open the door to safer and equally effective alternatives. The basic protocol for treating periodontal disease has always been: 1) Deep cleaning by hygienist/general dentist. In the root planing part of the treatment, the dentist or hygienist smoothes the surface of the tooth root to make it harder for bacteria to stick in the future & easier for the gums to re-attach. Taken together, these features make it safe for everyday use. Actually, I will amend this statement by saying that I know one dentist who is probably better at me at cleaning teeth because she was a hygienist first and then went to dental school. A good dentist or hygienist will explain an annoying detail every single thing they're doing and why. These technological advances often negate the skill and judgment necessary for effective long-term treatment and management of periodontal patients. I dunno, guinea pig not getting it done and check back in 6 months? The treatment we do is basically a crap-shoot and it may or may not work.