News for pharmacy professionals
31 May 2016
If
80-85% of the adult population in Spain has gingivitis, 25-40% have
periodontitis; 43% have peri-implant mucositis, and 22% peri-implantitis, this
may mean the health care and health promotion model needs reviewing. Perhaps
the solution lies in improving strategies and preventive measures,
complementing the important role of treatment.
A recent European Workshop on Periodontology
on prevention of periodontal and peri-implant diseases—held in November 2014
and whose findings were published in the March 2015 issue of the Journal of
Clinical Periodontology—highlighted recent evidence on the benefits of primary
and secondary prevention of infectious diseases of the gums or tissues around
dental implants, and also identifies the most significant trends for the future
concerning prevention.
Given the clinical, social and economic
impact of diseases of the gums and tissues surrounding dental implants, experts
are calling for greater involvement of health authorities and health policy
makers. “We have to educate the authorities on how effective periodontal
treatment is for general health, and they have to become convinced of the
advantages of investment in the prevention of oral diseases” insists Professor
of Periodontology Mariano Sanz.
In the same vein, the President of the
Spanish Society of Periodontology (SEPA), David Herrera, expressed “the need to
end an incongruous situation, that of excluding periodontal problems from the portfolio of public health prevention and
care, especially when the consequences of these diseases are proving to
have a negative impact on overall health.”
There remains some controversy as to which
hygiene measures and advice have actually been shown to have a positive effect
in the prevention of periodontal and peri-implant diseases, and which have not.
1.
Brushing teeth, using either manual or electric toothbrushes, is effective in
preventing these diseases, the latter possibly being more efficient due to
convenience or ease of use.
2. The duration of brushing is important and
may be different in primary or secondary prevention. Teeth must be brushed at
least twice a day and for over 60 seconds.
3. Interdental hygiene is necessary, and the
use of interdental brushes has better scientific support than the use of dental
floss (probably due to the greater difficulty in the use of the latter).
4. Chemical control of bacterial plaque,
using toothpastes or mouthwashes, has shown clinically relevant effectiveness; most
studies show positive results.
5. Professional removal of bacterial plaque
is essential, but is not sufficient as the sole measure to prevent recurrence
of periodontal problems. In this sense, education and changes in behaviour are
essential for good prevention.
6. The use of anti-inflammatory products has not yet shown significant results.
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The content shown below corresponds to Spain and to products sold under country-specific registration.
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