Association between Dental Scaling and Reduced Risk of End-Stage Renal Disease: A Nationwide Matched Cohort Study

Periodontitis is prevalent in patients with chronic kidney disease (CKD) and is also associated with kidney function decline. It is unclear whether dental scaling treatment prevents the progression of CKD. In a nationwide cohort study, Taiwan’s National Health Insurance Research Database was used to select people with CKD. Propensity score-matching procedures were performed to compare the long-term risk of end-stage renal disease (ESRD) between CKD patients with and without the receipt of dental scaling. A total of 33,637 matched pairs with CKD were included, with 503,373 person-years of follow-up for analyses. Dental scaling was significantly associated with a lower risk of ESRD (adjusted hazard ratio (aHR): 0.83, 95% confidence interval (CI): 0.77–0.90). In addition, there was a dose-dependent relationship between the frequency of dental scaling and a reduced risk of ESRD. Dental scaling was also linked to reduced risks of major adverse cardiovascular events (aHR: 0.91, 95% CI: 0.87–0.95), sepsis (aHR: 0.81, 95% CI: 0.77–0.85), and all-cause mortality (aHR: 0.81, 95% CI: 0.76–0.87). Dental scaling was significantly associated with lower risks of progression to ESRD in patients with CKD. Regular dental scaling may serve as a prophylactic measure for kidney function decline.

An Investigation of the Association between Health Screening and Dental Scaling in Korea

Dental disease is one of the most prevalent chronic diseases worldwide, and its expenditure is continuously increasing. Periodontal disease is increasing as a chronic non-communicable disease in adults and older people. Health screening has been shown to be cost-effective and improves the quality of life through the early detection of diseases. This study aimed to analyze the relationship between national health screening and dental scaling as a preventive service for periodontal disease. The study used sample cohort data from 2002 to 2015 provided by the National Health Insurance Sharing Service in South Korea. A logistic regression analysis of the utilization of dental scaling was performed to identify the independent effects of national health screening. People who underwent health screening showed a higher tendency to undergo dental scaling. Additionally, disparities in utilization according to socioeconomic status were reduced among those who underwent screening. The intervention to extend dental coverage could be more beneficial when combined with health screening, encouraging more people to participate and reducing inequalities in utilization.

Streptococcus mitis Chorioamnionitis after Dental Scaling and Oral Sex

Background. Oral sex is postulated to be a risk factor for the introduction of bacteria into the amniotic cavity. Common oropharyngeal bacteria have been implicated in reports of second trimester chorioamnionitis via ascending vaginal transmission following oral sex. Dental scaling can also introduce these pathogens into the blood stream, allowing hematogenous spread of oral pathogens to the fetoplacental unit in pregnant patients. Case. We report a case of Streptococcus mitis chorioamnionitis at 21 weeks and 5 days’ gestation in a patient whose only risk factors were recent dental scaling and recent oral sex with a partner known to have periodontal disease. Conclusion. Bacterial chorioamnionitis should be considered in the differential diagnosis of preterm labour. Oral sex and dental procedures may be risk factors for chorioamnionitis.

Bacterial Aerosols Released During Dental Ultrasonic Scaling in Dogs

Periodontal disease is a high prevalent and multi-factorial oral disease in dogs and ultrasonic scaling is used to remove dental plaque and calculus, releasing contaminated aerosols, which may represent a hazard to animal and human health. This study aimed to identify the microorganisms present in aerosols produced during dental scaling of canine patients. A random sample of 15 dogs with periodontal disease was included, and aerosol samples were collected, incubated, and isolated bacteria were identified. Dogs without previous antibiotic treatment (n=4) and dogs that received systemic antibiotics up to two weeks before to dental scaling and polishing, either amoxicillin and clavulanic acid (n=3), or a combination of metronidazole and spiramycin (n=8), were included in the study. The highest percentage of pathogenic bacteria present corresponded to Pseudomonas spp. (20%), followed by Staphylococcus spp. (13%) and Escherichia coli (10%). The most prevalent bacteria identified in the non-treated group was Pseudomonas spp. Within the group subject to prior antibiotherapy, the predominant bacterial species was also Pseudomonas spp. Followed by Staphylococcus spp. In spite of previous antibiotherapy, strong bacterial contamination was still present, suggesting that this is not a warranty of less contamination of the released aerosols. The bacteria identified in this study represent a serious hazard to public and animal health, so strict hygiene and prevention measures during ultrasonic scaling in dogs are mandatory.

Clinical study of the efficacy of si-containing polishing paste for the professional hygiene procedures in patients with periodontal disease

Silicon-containing (Si-containing) polishing paste has been tested clinically in patients with chronic generalized periodontitis, I-st degree of severity. All patients have been examined for the presence of supra- and sub-gingival calculus and bleeding on probing on a six- month-testing time and within one year after conducting the professional hygienic procedures. It has been revealed that the proposed Si-containing polishing paste proved to be effective in the maintenance of gingival health in the lapse of time from 1 to 12 months after treatment. The majority of patients showed neither dental deposits nor bleeding on probing up in the interval from 1 to 12 months after dental scaling and polishing with Si-containing polishing paste.

Periodontal Diseases and their Surgical Management in Dogs

The present retrospective surveillance (n = 48) and actual dental scaling (n = 20) work were conducted on dogs of either sex from 2 to 12 years in different breeds with periodontal diseases (PD) presented to the VCC, Junagadh. Among the 48 retrospective cases, the higher incidence was recorded in dogs above 6 years of age (56.25 %) followed by 3-6 years (37.5 %) and less than 3 years of age (6.25 %), particularly affecting male dogs (70.83 %). Pomeranian/Spitz breed was affected the most (39.58 %, 19/48), followed by German shepherd (16.67 %), Labrador retriever (14.58 %), non-descript (14.58 %), and other 4 to 6%. The highest incidence of stage 4 PD was noticed in the dogs of > 6 years of age (53.84 %). Among 20 dogs of the current year, the major complaint was halitosis (70 %) and sticky salivation (55 %), followed by anorexia (35 %), pawing at mouth (20 %) and facial swelling (15 %). 11 out of 20 dogs (55 %) were maintained on a purely vegetarian diet and rest 9 (45 %) on veg and non-veg diet. Oral examination of dogs revealed a varying degree of dental plaque in all 20 cases (100 %), followed by dental calculus (85 %), gingival recession (45 %), gingival hyperplasia (30 %) and tooth fracture (15 %). Plaque index (PI) 2 was observed maximum in 11 (55 %) dogs, followed by PI 1 in 7 (35 %) and PI 3 in 2 (10 %) dogs. Dogs suffered maximum with CI 2 type calculus (45 %), followed by CI 1 (25 %) and CI 3 (20 %). Furcation of a varying degree was noticed only in 8 40% dogs out of 20, which was classified as FE 1 in 4 (20 %), followed by FE 3 and FE 2 in 2 cases each (10 %). In 13 out of 20 dogs, periodontal probing depth was less than 3 mm, whereas it was 4 mm and > 5 mm in 4 (20 %) and 3 (15 %) dogs, respectively. Most effective dental scaling could be performed under diazepam-ketamine general anesthesia by using an ultrasonic piezo scaler tip at a 45° angle to the tooth surface for removal of calculus.

Association of Dental Scaling with Lower Risk of Spontaneous Intracranial Haemorrhage: a Cohort Study in Taiwan

The authors have withdrawn this manuscript because several modifications are needed for study design and results. Therefore, the authors do not wish this work to be cited as reference for the project. If you have any questions, please contact the corresponding author.

Qualitative Analysis of Bacterial Aerosols Generated during Ultrasonic Dental Scaling

Aims: To compare the efficacy of two mouth rinses (0.2% Chlorhexidine and 5% green tea mouth rinse) in reducing the bacterial load (CFUs) in aerosol samples collected during ultrasonic dental scaling and to do the qualitative analysis of bacterial isolates. Study Design: Quasi experimental study. Place and Duration of Study: Department of Periodontics (Ziauddin college of Dentistry), Ziauddin University, Karachi, between January 2019 to August 2019. Methodology: This study comprised of seventy patients (43 males and 27 females) within the age group of 20 to 65 years having gingival and plaque score between 1 and 3 and mean probing depth less than 5 mm. All study subjects were divided into 2 equal groups (group 1 and group 2). A split mouth design was used for ultrasonic scaling (oral prophylaxis). Control side was scaled without pre rinsing while the test side was scaled after pre procedural mouth rinsing. Group 1 study subjects were instructed to rinse with 10 ml 0.2% Chlorhexidine mouth rinse for one minute and Group 2 rinsed with 10 ml 5% green tea mouth rinse for a minute. Fresh blood agar plates were used for air sampling, which were then transported to Microbiology laboratory (JPMC) for aerobic culturing and microbiological examination. Results: Greater percentage of Gram positive bacteria were found in aerosol samples generated during ultrasonic scaling. Gram positive cocci (Staph epidermidis and Micrococci species) were in abundance and very few gram negative bacteria were detected. Conclusion: Dental health care providers and patients can easily acquire infections because of contaminated aerosols and splatters and so all infection control measures should be taken to minimize these risks. Pre procedural mouth rinsing with effective mouthwashes should be done before dental procedures as it is easiest and much economical way of reducing cross infection.

Effect of scaling and root planing on level of immunoglobulin E and immunoglobulin G4 in children with gingivitis and house-dust mite allergy: A pilot randomised controlled trial

Background and Objective: There is a pressing need for developing innovative strategies to prevent allergic diseases among children. As house-dust mite (HDM) allergy is often seen in children with gingivitis, strategies should be derived from a conceptual framework of allergen elimination and pathogen eradication; one such strategy is dental scaling and root planing (SRP) to remove dental plaque and periodontal pathogens. The study aimed to evaluate the beneficial effects of comprehensive 6-months dental SRP to reduce the level of immunoglobulin E (IgE) and immunoglobulin G4 (IgG4) in children with gingivitis and HDM allergy. IgE and IgG4, whose production is controlled mainly by Th-2 cells and B cells, are proven biomarkers for atopic inflammatory responses. Methods: The present study conducted a non-blinded randomised controlled trial with superiority design. A total of 10 subjects (age range 6–16 years) with gingivitis and positive skin-prick test to HDM from Pediatric Allergy Outpatient Clinic, Dr. Soetomo General Hospital were enrolled in the present study. Of the 10 subjects, only five received dental SRP. We further evaluated total serum IgE and IgG4 level before and 6 months after treatment. Results and Discussion: Subjects in the standard treatment group showed a slight decrease in the IgE level ([Formula: see text]) but no change in the IgG4 level ([Formula: see text]), while subjects in the intervention group showed a significant decrease in IgE ([Formula: see text]) and IgG4 levels ([Formula: see text]). Conclusion: The study results suggest that 6-month comprehensive dental scaling combined with root planing may help to reduce IgE and IgG4 levels in children with gingivitis and HDM allergy. Furthermore, untreated or undertreated gingivitis is often associated with worsening allergic manifestation and thus should be avoided. Trial Registration: ISRCTN31416107, retrospectively registered on 17 April 2018.