scholarly journals Clinical Audit of Two Standard Surgical Site Treatments Following Dental Extractions and The Impact on Incidence of Alveolar Osteitis Within a Specialist Dental Clinic

2021 ◽  
Author(s):  
Myles Dakin ◽  
Richard Aspinall ◽  
Thomas Kenny
Keyword(s):  
Low Dose ◽  
Physiological Saline ◽  
Dental Extraction ◽  
Control Group ◽  
Mouth Rinse ◽  
Painful Condition ◽  
Oral Rinse ◽  
Alveolar Osteitis ◽  
Physiologic Saline ◽  
The Impact

Abstract Background Alveolar osteitis is a painful condition following dental extraction associated with absence of blood clot and consequent exposure of underlying alveolar bone. It is a condition whose exact aetiology is unresolved and a known complication in up to 30-40% of dental extractions. The following report details a retrospective evaluation of two approved, long-standing wound care treatments used, post-extraction, within our clinic to assess for relationship with alveolar osteitis incidence. Methods Patients undergoing non-acute dental extraction at a dental out-patient clinic in the UK had received two different standard treatments for a period from 2000 to 2014. The treatments were mouth rinse with physiologic saline or surgical site irrigation and mouth rinse with physiologic saline-low dose aqueous chlorine used in wound and burn-site care. Retrospective, post-operative outcome analysis suggested improved outcomes with one of the standard treatments versus the other. A full retrospective audit of consecutive treatment outcomes was implemented to test the hypothesis. The audit data-collection was blinded to the treatment administered and to the identity of the treating clinician. Statistical analysis was carried out independently and blinded to the treatment modality. Results All patients were routinely reviewed within seven days and a determination of un-complicated healing vs alveolar osteitis (requiring further intervention) was made. Our results show that treatment with of aqueous chlorine in physiological saline significantly reduced the incidence of alveolar osteitis versus the control group who received physiologic saline without socket irrigation and chlorhexidine oral rinse home-care. (Odds Ratio 0.0146 Relative Risk 0.029 (95%CI 0.0093 to 0.0928) significance (p<0.001). Conclusions This is the first report to show an extremely significant reduction in the incidence of alveolar osteitis following treatment with low dose aqueous chlorine in physiological saline compared with those receiving the physiologic saline and saline mouth rinse or Corsodyl mouth rinse. This shows an approach to surgical site care is superior to the most common, reported, standard of care treatment. The impact of this has led to improved antibiotic stewardship within the clinic for dental extraction or elective oral surgery, including third molars.

scholarly journals Original Research. The Influence of Desquamative Gingivitis on Periodontal Health

2017 ◽  
Vol 2 (s1) ◽  
pp. 49-52 ◽  
Author(s):  
Monica Monea ◽  
Tudor Hănțoiu ◽  
Alexandra Stoica ◽  
Ramona Vlad ◽  
Alexandru Sitaru
Keyword(s):  
Alveolar Bone ◽  
Radiographic Evaluation ◽  
Control Group ◽  
Original Research ◽  
Gingival Inflammation ◽  
Periodontal Health ◽  
Painful Condition ◽  
Anterior Teeth ◽  
Attached Gingiva ◽  
The Impact

Abstract Background: Desquamative gingivitis (DG) is a non-plaque-induced, blistering and painful condition occurring most frequently on the labial aspect of the attached gingiva of anterior teeth. The incidence of DG is highest around 50 years of age, and usually indicates the presence of oral or systemic diseases. The purpose of our study was to determine the impact of DG on periodontal health by recording the plaque index, gingival index and gingival bleeding index in a group of patients with DG, compared to healthy controls. Materials and methods: Recordings of specific indices were performed in a group of 26 patients with DG and compared with 24 healthy individuals. These were followed by radiographic examinations in order to assess the loss of marginal alveolar bone. Results: The results showed that patients with DG had a statistically significant increase in periodontal indices, with more gingival inflammation and plaque retention compared to the control group (p <0.05). The highest scores for gingival inflammation were recorded in patients with DG, but on radiographic evaluation the difference was related only to gender, men being more affected by alveolar bone loss in both groups (p <0.05). Conclusions: The incidence and severity of gingival inflammation proved to be higher in patients with DG, which calls for better preventive and maintenance treatment protocols in this group of patients. Early diagnosis and initial-phase periodontal treatment are very important in preventing further tissue breakdown.

scholarly journals The Impact of Chlorhexidine Mouth Rinse on the Bond Strength of Polycarbonate Orthodontic Brackets

2014 ◽  
Vol 15 (6) ◽  
pp. 688-692 ◽  
Author(s):  
Sukumaran Anil ◽  
Farouk Ahmed Hussein ◽  
Mohammed Ibrahim Hashem ◽  
Elna P Chalisserry
Keyword(s):  
Bond Strength ◽  
Shear Bond Strength ◽  
Testing Machine ◽  
Test Group ◽  
Orthodontic Brackets ◽  
Control Group ◽  
Mouth Rinse ◽  
Significant Difference ◽  
Bond Strengths ◽  
The Impact

ABSTRACT Objective The purpose of the current in-vivo study was to assess the effect of using 0.12% chlorhexidine (CHX) mouth rinse, before bonding, on shear bond strength of polycarbonate brackets bonded with composite adhesive. Subjects and methods Eighteen orthodontic patients with a mean age 21.41 ± 1.2 years, who were scheduled to have 2 or more first premolars extracted, were included in this study. Patients were referred for an oral prophylaxis program which included, in part, the use of a mouth rinse. Patients were divided into 2 groups, a test group of 9 patients who used 0.12% CHX gluconate mouth rinse twice daily and a control group of 9 patients who used a mouth rinse without CHX, but with same color. After 1 week, polycarbonate brackets were bonded to first premolars with Transbond XT composite adhesive. Premolars were extracted after 28 days and tested for shear bond strength on a universal testing machine. Student's t-test was used to compare shear bond strengths of both groups. Results No statistically significant difference was found in bond strengths’ values between both groups. The test group (with CHX) has mean shear bond strength of 14.21 ± 2.42 MPa whereas the control group (without CHX) revealed a mean strength of 14.52 ± 2.31 MPa. Conclusion The use of 0.12% CHX mouth rinse, for one week before bonding, did not affect the shear bond strength of polycarbonate brackets bonded with Transbond composite. Furthermore, these brackets showed clinically acceptable bond strength. How to cite this article Hussein FA, Hashem MI, Chalisserry EP, Anil S. The Impact of Chlorhexidine Mouth Rinse on the Bond Strength of Polycarbonate Orthodontic Brackets. J Contemp Dent Pract 2014;15(6):688-692.

scholarly journals Evaluation of anti-ulcer activity of 4-hydrooxy benzalydehide against NSAIDs induced ulcers in rats

2021 ◽  
Vol 9 (5) ◽  
pp. 1412
Author(s):  
Rupali V. Jadhav ◽  
V. K. Redasani ◽  
Shankar B. Kalbhare ◽  
Karishma Yadav ◽  
Aryan Langeh ◽  
...  
Keyword(s):  
Low Dose ◽  
Positive Control ◽  
Gastric Volume ◽  
Control Group ◽  
High Dose ◽  
Antiulcer Activity ◽  
Ulcer Index ◽  
Pylorus Ligation ◽  
The Impact ◽  
Intermediate Dose

Background: The aim of this study was to evaluate antiulcer activity of 4-hydroxybenzaldehyde against NSAIDs induced ulcer in rats based differences in its morphology, distance with other external landmarks and also to sigmoid and transverse sinuses.Methods: The antiulcer activity of 4-HBD was evaluated using pylorus ligation-aspirin induced ulcer method. Animals of this models were treated with 4-HBD (50mg/kg, 100mg/kg and 150mg/kg).Results: It has been observed that 4-HBD at low dose (50mg/kg), intermediate dose (100mg/kg) and high dose (150mg/kg) showed significant increase in pH, significant decrease in gastric volume, significant decrease in ulcer index and significant decrease in total acidity.Conclusions: The impact of 4-HBD therapy with intermediate (100mg/kg, p.o.) dose was observed to be similar with the positive control group.  

scholarly journals The comparison of the efficacy of Alveogyl, 0.8% Hyaluronic acid, and 0.2% Chlorhexidine Digluconate in alveolar osteitis

2021 ◽  
Vol 11 (1) ◽  
pp. 6-11
Author(s):  
Ömür Dereci ◽  
Görkem Tekin ◽  
Yasin Çağlar Koşar
Keyword(s):  
Hyaluronic Acid ◽  
Clinical Signs ◽  
Physiological Saline ◽  
Signs And Symptoms ◽  
Control Group ◽  
Chlorhexidine Digluconate ◽  
Saline Irrigation ◽  
Significant Difference ◽  
Alveolar Osteitis ◽  
Clinical Signs And Symptoms

Aim:  The aim of this study was to compare the efficacy of Alveogyl, 0.8% hyaluronic acid (HA), and 0.2% chlorhexidine digluconate (CHX) gel in reducing pain and improving clinical signs and symptoms of alveolar osteitis. Methodology: The clinical data of patients treated for alveolar osteitis between 01/01/2015 and 01/01/2019 were retrieved for this study. All patients were initially treated by curettage and physiological saline irrigation. Patients were then divided into 4 groups. Group 1 was considered the control group; no other biomaterials were administered after curettage and physiological saline irrigation. All other groups were administered an additional treatment in the socket after curettage and physiological saline irrigation (Group 1 – Alveogyl; Group 2 - 0.8% HA; Group 3 - 0.2% CHX). Patents were evaluated before surgery as well as days 3 and 7 after surgery. The postoperative evaluations included: Visual analog scale(VAS) pain scores, the presence of clinical signs and symptoms of exposed alveolar bone, disorganized blood clot, inflammation around the socket, and bad odor and taste. Results: Sixty-seven patients were included in the study. There was no statistically significant difference between groups in all control evaluations (p>0.05). There was significantly reduced inflammation around the extraction socket on postoperative day 7 in the CHX group compared to that in the control group (p<0.05). No other significant changes in clinical signs and symptoms were observed among groups. Conclusion: There was no significant difference between curettage with physiological saline irrigation alone and the addition of Alveogyl, 0.8% HA, or 0.2% CHX in the reduction of pain in alveolar osteitis. Nonetheless, CHX may reduce inflammation around the extraction sockets.   How to cite this article: Dereci Ö, Görkem T, Koşar YÇ. The comparison of the efficacy of Alveogyl, 0.8% Hyaluronic acid, and 0.2% Chlorhexidine Digluconate in alveolar osteitis. Int Dent Res 2021;11(1):6-11. https://doi.org/10.5577/intdentres.2021.vol11.no1.2   Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

Impact of Low-Dose Ionizing Radiation on the Composition of the Gut Microbiota of Mice

2019 ◽  
Vol 171 (1) ◽  
pp. 258-268 ◽  
Author(s):  
Xiaodan Liu ◽  
Yao Zhou ◽  
Shaozheng Wang ◽  
Hua Guan ◽  
Sai Hu ◽  
...  
Keyword(s):  
Ionizing Radiation ◽  
Gut Microbiota ◽  
Human Health ◽  
Type Ii Diabetes ◽  
Low Dose ◽  
Control Group ◽  
Dependent Manner ◽  
X Rays ◽  
Type Ii ◽  
The Impact

Abstract Although the importance of the gut microbiota in the maintenance of human health has been well established, little is known about the impact of low-dose ionizing radiation ([LDR]; exposure to a dose of less than 0.5 Gy of low linear energy transfer radiation such as γ- or X-rays) on the composition and functional role of the gut microbiota. The aim of the present study was to investigate and compare the composition of the gut microbiota in mice exposed to LDR. Male BALB/c mice were exposed to low-dose Co60 radiation. Fecal samples taken prior to and after irradiation were used for high-throughput sequencing of 16S rRNA gene sequence amplicons. We observed substantial changes in the composition of the gut microbiota, including alpha diversity and beta diversity, in mice exposed to LDR compared with the nonradiated control group. Moreover, at the genus level, the abundance of Clostridium, Helicobacter, and Oscilibacter increased, and those of Bacteroides and Barnesiella decreased, in a time-dependent manner in the radiated groups compared with the nonradiated control group. The functional metabolic pathway analysis indicated that Bacteroides spp. and members of the other genera that were found are predicted to play roles in bacterial toxin production, DNA repair, and Type II diabetes. Furthermore, these alterations in the gut microbiota were accompanied by changes in the abundance of multiple metabolites, which were predicted to be involved in multiple signaling pathways, including glucagon, central carbon metabolism, and type II diabetes. The possibility of microbiota-mediated pathophysiology resulting from LDR may be an as yet unrecognized hazard that merits further experimental examination. This study provides a conceptual and analytical foundation for further research into the chronic effects of LDR on human health, and points to potential novel targets for intervention to prevent the adverse effects of radiation.

scholarly journals The impact of low-dose glucocorticoids on disease activity, bone mineral density, fragility fractures, and 10-year probability of fractures in patients with rheumatoid arthritis

2018 ◽  
Vol 66 (6) ◽  
pp. 1004-1007 ◽  
Author(s):  
Tien-Tsai Cheng ◽  
Han-Ming Lai ◽  
Shan-Fu Yu ◽  
Wen-Chan Chiu ◽  
Chung-Yuan Hsu ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Bone Mineral Density ◽  
Disease Activity ◽  
Bone Mineral ◽  
Clinical Characteristics ◽  
Low Dose ◽  
Control Group ◽  
Study Group ◽  
Mineral Density ◽  
The Impact

This study aimed to investigate the effect of low-dose glucocorticoids (LDGs) on disease activity, bone density, and fractures in patients with rheumatoid arthritis (RA). This was an interim analysis of the RA Registry. Demographic data and clinical characteristics, including fracture risk assessment tool, were collected. 25(OH) Vitamin D, bone mineral density (BMD), and intact parathyroid hormone were measured at enrollment. The study group were those who took LDGs (2.5–7.5 mg/day prednisolone or equivalent dose), and the others were included as the control group. A total of 425 participants were enrolled, including 85 (20%) in the control group and 340 (80%) in the study group. The demographics and clinical characteristics were comparable between the two groups. Compared with the control group, the LDGs group had a significantly lower vertebral BMD (L 1–4) (g/cm2), (0.854 vs 0.896, p=0.046), significantly higher rate of previous fractures (103 (30.3%) vs 13 (15.3%), p=0.006), higher 10-year probability of major fractures (14 (15.5) vs 8 (8.6), p<0.0001), and higher 10-year probability of hip fractures (4.4 (8.4) vs 2 (3.9), p<0.0001). Disease activity appeared to be similar in the patients with RA regardless of whether or not they received LDG treatment. However, the patients with RA who received LDG treatment had a lower BMD at the spine (L1–4) and a higher rate of previous fractures that was associated with a significantly higher 10-year probability of fractures than those who did not receive LDG treatment.

scholarly journals Low-dose corticosteroid therapy for cardiogenic shock in adults (COCCA): study protocol for a randomized controlled trial

Trials ◽  
2022 ◽  
Vol 23 (1) ◽  
Author(s):  
Armand Mekontso Dessap ◽  
François Bagate ◽  
Clément Delmas ◽  
Tristan Morichau-Beauchant ◽  
Bernard Cholley ◽  
...  
Keyword(s):  
Cardiogenic Shock ◽  
Corticosteroid Therapy ◽  
Low Dose ◽  
Controlled Trial ◽  
Control Group ◽  
Link Type ◽  
Circulatory Insufficiency ◽  
Shock Reversal ◽  
Dose Corticosteroid ◽  
The Impact

Abstract Background Cardiogenic shock (CS) is a life-threatening condition characterized by circulatory insufficiency caused by an acute dysfunction of the heart pump. The pathophysiological approach to CS has recently been enriched by the tissue consequences of low flow, including inflammation, endothelial dysfunction, and alteration of the hypothalamic-pituitary-adrenal axis. The aim of the present trial is to evaluate the impact of early low-dose corticosteroid therapy on shock reversal in adults with CS. Method/design This is a multicentered randomized, double-blind, placebo-controlled trial with two parallel arms in adult patients with CS recruited from medical, cardiac, and polyvalent intensive care units (ICU) in France. Patients will be randomly allocated into the treatment or control group (1:1 ratio), and we will recruit 380 patients (190 per group). For the treatment group, hydrocortisone (50 mg intravenous bolus every 6 h) and fludrocortisone (50 μg once a day enterally) will be administered for 7 days or until discharge from the ICU. The primary endpoint is catecholamine-free days at day 7. Secondary endpoints include morbidity and all-cause mortality at 28 and 90 days post-randomization. Pre-defined subgroups analyses are planned, including: postcardiotomy, myocardial infarction, etomidate use, vasopressor use, and adrenal profiles according the short corticotropin stimulation test. Each patient will be followed for 90 days. All analyses will be conducted on an intention-to-treat basis. Discussion This trial will provide valuable evidence about the effectiveness of low dose of corticosteroid therapy for CS. If effective, this therapy might improve outcome and become a therapeutic adjunct for patients with CS. Trial registration ClinicalTrials.gov, NCT03773822. Registered on 12 December 2018

scholarly journals Intraoperative magnesium infusion during carotid endarterectomy: a double-blind placebo-controlled trial

2009 ◽  
Vol 110 (5) ◽  
pp. 961-967 ◽  
Author(s):  
William J. Mack ◽  
Christopher P. Kellner ◽  
Daniel H. Sahlein ◽  
Andrew F. Ducruet ◽  
Grace H. Kim ◽  
...  
Keyword(s):  
Carotid Endarterectomy ◽  
Low Dose ◽  
Controlled Trial ◽  
Control Group ◽  
Stepwise Logistic Regression ◽  
High Dose ◽  
Stepwise Logistic Regression Analysis ◽  
Intravenous Magnesium ◽  
The Impact ◽  
Magnesium Therapy

Object Recent data from both experimental and clinical studies have supported the use of intravenous magnesium as a potential therapy in the setting of cerebral ischemia. This study assessed whether intraoperative magnesium therapy improves neuropsychometric testing (NPT) following carotid endarterectomy (CEA). Methods One hundred eight patients undergoing CEA were randomly assigned to receive placebo infusion or 1 of 3 magnesium-dosing protocols. Neuropsychometric testing was performed 1 day after surgery and compared with baseline performance. Assessment was also performed on a set of 35 patients concurrently undergoing lumbar laminectomy to serve as a control group for NPT. A forward stepwise logistic regression analysis was performed to evaluate the impact of magnesium therapy on NPT. A subgroup analysis was then performed, analyzing the impact of each intraoperative dose on NPT. Results Patients treated with intravenous magnesium infusion demonstrated less postoperative neurocognitive impairment than those treated with placebo (OR 0.27, 95% CI 0.10–0.74, p = 0.01). When stratified according to dosing bolus and intraoperative magnesium level, those who were treated with low-dose magnesium had less cognitive decline than those treated with placebo (OR 0.09, 95% CI 0.02–0.50, p < 0.01). Those in the high-dose magnesium group demonstrated no difference from the placebo-treated group. Conclusions Low-dose intraoperative magnesium therapy protects against neurocognitive decline following CEA.

scholarly journals Frequency of inflammatory complications following surgical tooth extraction and the efficiency of postoperative protocols for their prevention

2020 ◽  
Vol 71 (2) ◽  
pp. 14-20
Author(s):  
Tamara Đurić ◽  
Ana Tadić
Keyword(s):  
Tooth Extraction ◽  
Oral Surgery ◽  
Healing Process ◽  
Clinical Signs ◽  
Surgical Site Infections ◽  
Control Group ◽  
Treatment Type ◽  
Significant Difference ◽  
Alveolar Osteitis ◽  
The Impact

Introduction: Surgical tooth extraction is one of the most common surgical procedures in oral surgery nowadays. The post-extraction period is usually uneventful, however, in some cases, the healing process may be affected by the extraction trauma or by the impact of bacteria at the surgical site. Aim: The aim of this paper is to establish the frequency of inflammatory complications, specifically surgical site infections and alveolar osteitis, after surgical extractions, and to explore the impact of antiseptics and antibiotics regarding the prevention of these complications. Material and methods: A number of 60 patients was included in this research, divided into three research groups according to the post-operative treatment type prescribed. The first group consisted of the patients who had been prescribed antibiotics, while the second group consisted of the patients who had been instructed to rinse their mouth with 0.12% chlorhexidine digluconate rinse postoperatively. Control group consisted of the patients who had not been prescribed any treatment. The postoperative check-ups were done on the second and the seventh day after the surgery, where it was checked if there were any clinical signs of infection or alveolar osteitis at the surgical site. Results: The study consisted of 60 patients, out of which a total of 67 teeth were extracted. Two patients were diagnosed alveolar osteitis, while four patients were diagnosed postoperative infection Conclusion: Statistically significant difference between the participant groups regarding the frequency of postoperative complications has not been noticed. There is insufficient evidence to justify the routine use of antibiotics or antiseptics after surgical tooth extractions.

scholarly journals The Research on the Impact of Green Beans Sports Drinks on Relieving Fatigue in Sports Training

2015 ◽  
Vol 9 (1) ◽  
pp. 318-321 ◽  
Author(s):  
Li Qi ◽  
Liu Ying
Keyword(s):  
Dose Group ◽  
Low Dose ◽  
Physiological Saline ◽  
Saline Group ◽  
High Dose ◽  
Serum Urea ◽  
Green Beans ◽  
Swimming Time ◽  
Sports Drinks ◽  
The Impact

For researching the function of relieving fatigue of green beans sports drinks, this paper selected 60 mice as subjects. They were randomly divided into four groups (low dose group, middle dose group, high dose group and physiological saline group). Each time they were respectively feed 10g 20g/L, 40g/L, 80 g/L green beans sports drinks and 15ml/(kg.d) physiological saline. The experiment lasted for a month. We recorded weight of mice, swimming time and blood urea nitrogen indicators. The results show that green beans sports drinks can significantly prolong swimming time of mice (p <0.05). For serum urea the results show no effect. So green beans sports drinks have a certain function of relieving physical fatigue.

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