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This pilot study shows that, if sufficient logistical and financial resources are available, it is feasible to conduct randomised clinical trials in a seniors' facility. The use of an AF-EOMW to improve oral hygiene in seniors was not found to be superior to tap water. However, larger controlled clinical studies are needed to confirm these results.

The different aspects of treatment of periodontal disease and mucogingival defects all require an accurate diagnosis in addition to good control and precision during therapeutic procedures. Magnification aids and microsurgery, combined with minimally invasive techniques, can best meet these requirements. The suitability of treatment, the healing time, pain levels and postoperative scarring are all improved and the patient benefits.

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