
Antibiotics for endodontic infection: when they add nothing but resistance
Antibiotic prescribing for endodontic infections often provides no additional clinical benefit over local treatment, contributing to antimicrobial resistance.
Root Canal Treatment: Does One Visit Really Compare to Two?
Single-visit root canal therapy delivers comparable postoperative pain and complication rates to multiple-visit protocols in mandibular molars.
Powered versus manual brushing: The real-world effect on oral health
Powered toothbrushes consistently outperform manual brushing in plaque removal and gingivitis reduction, with evidence suggesting superior long-term oral health outcomes.
Reversing gingivitis: What actually changes patient behaviour?
Gingivitis, if left untreated, progresses to periodontitis, a leading cause of tooth loss. Effective reversal hinges on sustained patient adherence to oral hygiene, a challenge often underestimated.
Chlorhexidine vs. essential oils: Which rinse actually cleans up gingivitis?
Chlorhexidine remains the gold standard for plaque and gingivitis reduction, outperforming essential oils and cetylpyridinium chloride in head-to-head comparisons.
Periodontitis and Heart Disease: What the Evidence Actually Supports
Periodontitis associates with cardiovascular disease through shared inflammatory pathways, but direct causality and intervention benefits remain unproven.
Applying the New Periodontitis Classification in General Practice
The 2017 classification system for periodontitis offers a more precise framework for diagnosis and management, moving beyond the traditional chronic versus aggressive dichotomy.
Periodontal Treatment: A Neglected Lever for Glycaemic Control in Type 2 Diabetes?
Nonsurgical periodontal therapy reduces inflammatory markers and improves clinical outcomes in type 2 diabetes patients with chronic periodontitis.
Which oral lesions demand biopsy, and which can wait for review?
Distinguishing oral potentially malignant disorders requiring immediate biopsy from those suitable for watchful waiting remains a clinical challenge.