Non‐Surgical Periodontal Therapy With Adjunctive Chlorhexidine Use in Adults With Down Syndrome: A Prospective Case Series

Cheng, Ronald H.W.; Leung, W. Keung; Corbet, EF

doi:10.1902/jop.2008.070247

Cited by 20 publications

(24 citation statements)

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“…Dental abnormalities are usually observed, including abnormal structure, number, eruption and position of teeth, as well as a high incidence of dental caries (4) and periodontal disease (5). Adults with DS might be more prone to suffering falls due to impaired motor development (6).…”

Section: Introductionmentioning

confidence: 99%

Patient with Down syndrome and implant therapy: a case report

et al. 2010

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Patients with Down syndrome may not be cooperative during dental treatment and, in cases of complex treatment, it is necessary to use oral or inhaled sedation and/or general anesthesia, which represent safe and efficient treatment resources. There are few reports about oral rehabilitation with dental implants in patients with Down syndrome in the literature. This paper presents the case of a patient with Down syndrome and moderate mental retardation who suffered avulsion of the maxillary left central incisor after a fall, and was treated by means of a single dental implant with immediate load carried out under general anesthesia. After 4 years of follow up, there has been improvement in the sleep obstructive apnea syndrome due to the use of a tongue crib adapted for providing esthetics and preserving the implant placed.

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Section: Introductionmentioning

confidence: 99%

Patient with Down syndrome and implant therapy: a case report

et al. 2010

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“…After non-surgical periodontal treatment, oral niches in favor of periodontal bacteria can shift from a predominantly Gram-negative to a Grampositive subgingival microbiota. However, currently very little data are available in the literature on the microbiological outcome after non-surgical periodontal therapy in the Chinese population (Xu et al, 2004;Cheng et al, 2008). Moreover, while previous studies assessing the microbiological effects of periodontal therapy mainly used the techniques of culture, DNA probe or polymerase chain reaction (PCR), recent oral research has used quantitative real-time PCR (qRT-PCR), due to its accurate and rapid assessment of microbiological levels (Gomes et al, 2008;Cionca et al, 2010).…”

mentioning

confidence: 99%

Short-term microbiological effects of scaling and root planing and essential-oils mouthwash in Chinese adults

Huang

et al. 2013

J. Zhejiang Univ. Sci. B

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Abstract:Objective: To assess the short-term effect of scaling and root planing (SRP) and essential-oils mouthwash on the levels of specific bacteria in Chinese adults. Methods: Fifty Chinese adults with chronic periodontitis were randomly assigned to full-mouth SRP or a 7-d essential-oils mouthwash regimen. In addition, 22 periodontally healthy adults used essential-oils mouthwash for 7 d. Clinical examination and plaque/saliva sampling were performed at baseline and on Day 7. Quantitative real-time polymerase chain reaction (PCR) was used to measure Aggregatibacter actinomycetemcomitans (Aa), Fusobacterium nucleatum (Fn), Porphyromonas gingivalis (Pg), Prevotella intermedia (Pi), and total bacterial loads in saliva, supra-and sub-gingival plaque samples. Results: The detection frequencies of four tested species remained unchanged after either treatment. However, the bacterial loads of Fn, Pg, and Pi were significantly reduced by SRP; the mean reduction of bacterial counts in saliva ranged from 52.2% to 62.5% (p<0.01), in supragingival plaque from 68.2% to 81.0% (p<0.05), and in subgingival plaque from 67.9% to 93.0% (p<0.01). Total bacterial loads were reduced after SRP in supra-and sub-gingival plaque (p<0.05). Essential-oils mouthwash reduced Fn levels in supragingival plaque by a mean of 53.2%, and reduced total bacterial loads in supra-and sub-gingival plaque (p<0.01). In subgingival plaque from periodontal patients, Pg and Pi reductions were high after SRP compared to essential-oils mouthwash (93.0% vs. 37.7% and 87.0% vs. 21.0%, p<0.05). No significant bacterial reduction was observed in periodontally healthy subjects using essential-oils mouthwash. Conclusions: SRP and essential-oils mouthwash both have an impact on saliva and gingival plaque flora in Chinese periodontitis patients in 7 d, with greater microbiological improvement by SRP.

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“…The authors compared individuals who had frequent dental visit (mean intervals between visits: 3.7 ± 1.3 months) versus those who had visits more than one year apart and revealed that the regular review group had better clinical parameters. Cheng et al (2008) reported satisfactory healing response on 21 DS individuals treated by non-surgical mechanical periodontal therapy (followed by monthly recalls) and the adjunctive use of chlorhexidine gel for toothbrushing and chlorhexidine mouthwash twice daily. It appears from the above conflicting and varied findings, conventional periodontal therapy which involves oral hygiene instructions, scaling and root debridement cannot guarantee good gingival healing response.…”

Section: Periodontitismentioning

confidence: 99%