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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
7
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pubmed:dateCreated |
1989-10-12
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pubmed:abstractText |
The present study evaluated the effect of systemic metronidazole on advanced periodontitis in 10 patients with inadequate oral hygiene. Clinical and microbiological observations were made at a total of 173 bleeding pockets of 5 mm depth or more. The clinical observations comprised plaque index scores, dichotomous measurements of gingival redness and suppuration, pocket depths and attachment levels. The microbiological variables investigated were the % spirochaetes, % black-pigmented Bacteroides species, % facultative streptococci and presence of absence of Bacteroides gingivalis. At baseline, after clinical measurements and microbiological samples had been taken, each patient received a thorough scaling and root planing. After 3 months, the clinical measurements and microbiological sampling were repeated and a 5-day course of metronidazole was administered while one side of the mouth was scaled and root planed. After a further 3 months, the final measurements and samples were taken. In comparing pre- and post-treatment data, the following significant differences were observed: for debridement alone, a reduction in mean % spirochaetes from 11.5% to 4.9% and an increase in mean % streptococci from 4.7% to 8.8%; for metronidazole alone, a 0.3 mm gain in mean attachment level, a 0.4 mm reduction in mean pocket depth and a reduction in the frequency of suppurating sites from 32% to 16%; for debridement plus metronidazole, a 0.2 mm gain in mean attachment level, a 0.5 mm reduction in mean pocket depth and a reduction in mean % spirochaetes from 5.6% to 2.5%. Thus systemic metronidazole, either alone or accompanied by debridement, produced a modest clinical improvement after debridement alone had failed.(ABSTRACT TRUNCATED AT 250 WORDS)
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
D
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Aug
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pubmed:issn |
0303-6979
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
16
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
443-50
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pubmed:dateRevised |
2006-10-30
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pubmed:meshHeading |
pubmed-meshheading:2671057-Administration, Oral,
pubmed-meshheading:2671057-Adult,
pubmed-meshheading:2671057-Bacteria,
pubmed-meshheading:2671057-Bacteroides,
pubmed-meshheading:2671057-Dental Plaque,
pubmed-meshheading:2671057-Dental Prophylaxis,
pubmed-meshheading:2671057-Dental Scaling,
pubmed-meshheading:2671057-Female,
pubmed-meshheading:2671057-Humans,
pubmed-meshheading:2671057-Male,
pubmed-meshheading:2671057-Metronidazole,
pubmed-meshheading:2671057-Middle Aged,
pubmed-meshheading:2671057-Periodontal Pocket,
pubmed-meshheading:2671057-Periodontitis,
pubmed-meshheading:2671057-Spirochaetales,
pubmed-meshheading:2671057-Tooth Root
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pubmed:year |
1989
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pubmed:articleTitle |
Systemic metronidazole in the treatment of periodontitis.
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pubmed:affiliation |
Periodontology Unit, University of Glasgow Dental Hospital and School, UK.
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pubmed:publicationType |
Journal Article
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