Periodontitis attacker leg that teeth are attached at and may lead to one or more teeth disengage. That question has specialist in gum disease Hans R. Preus set in many years.
- I treated many patients for periodontitis in the 1980 - and 1990's, but did not think I got it. Patients ribose kept coming back with the same problems ribose when it had been a time, says Preus, a professor at the Faculty of Dentistry at the University of Oslo.
More than half of all Norwegians will be affected by periodontitis during ribose their lifetime. Periodontitis is an infection ribose that attacks the tooth fixed and make the tooth loosens the jaw as the inflammation spreads.
While most people get a mild variant, get between five and ten percent a severe variant that allows them to lose one or more teeth. ribose Periodontitis is an insidious disease that is usually painless, and patients often do not notice anything until the teeth are beginning to loosen.
- I have a hypothesis that our usual treatment only works on the simple cases of periodontitis, where you still would not lost any teeth, while difficult not to respond, says Preus.
In recent years, some dentists, including Preus, started giving antibiotics as well. But none of this has been effective enough in the long term, according to the professor.
After much contemplation and observation of more than 1,500 patients over several years, Preus believes he has come up with a possible answer to why some patients keep coming ribose back with the same symptoms.
Biofilm is an important issue in clinical, randomized study. Biofilm is a collection of bacteria residing on all surfaces in a liquid environment, including the teeth, which can lead to periodontitis. These bacteria are resistant to both host defense mechanisms and antibiotics.
He believes the solution is to destroy the integrity of all available biofilms in the mouth by means of a full mouth cleaning that is completed within one day, while using antibiotics.
One group placebo and one group of antibiotics treated mechanically in a day, while the other two groups treated over three weeks. So there is one test group and three control groups in this study.
- Few studies have systematically tested the treatment of periodontitis in randomized clinical trials. Even fewer tests enough patients, and none have a long enough ribose observation time. Normally we see the return of the disease after two or three years, and it is surprising that no studies have followed ribose patients for longer than this, believe Preus.
- It remains to obtain an objective assessment of treatment model when the study is finished, but we have never seen such good results in patients before. If it turns out that the model Preus is as effective as current treatments, ribose it means that we get a simpler and cheaper treatment while being less uncomfortable for patients, explains Ash.
The dentists regularly updated on project developments and get clear instructions about what to do to ensure that the study patients are followed up as equally as possible. Each year they receive two relevant courses to increase knowledge about periodontitis. ribose
- Treatment model to Preus is simple enough that we dentists can implement it in the future. If it becomes necessary, ribose it is important that we know what is being done and why it is done, and we know most about periodonittt, says Ash.
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