A double-blind, paralleled-arm, placebo-controlled and randomized clinical trial of the effectiveness of probiotics as an adjunct in periodontal care.

Abstract:

AIM:This study aimed to evaluate the clinical effectiveness of the probiotic Lactobacillus reuteri as an adjunct to non-surgical periodontal therapy (NSPT). MATERIALS AND METHODS:A double-blind, paralleled-arm, placebo-controlled and randomized clinical trial was conducted. Probiotics L. reuteri or placebo lozenges were randomly prescribed for use twice-daily for 28 days. Primary outcomes were clinical attachment levels (CAL) and probing pocket depths (PPD). All participants underwent NSPT, and follow-up clinical assessments were performed at day 90 and day 180. RESULTS:The trial response rate was 69.5% (41 out of 59). Among the test and control groups, there were significant intra-group differences in primary outcomes: CAL (both, p < .001) and PPD (both, p < .001); and in secondary outcomes: percentage of sites with 'bleeding on probing' (both, p < .001) and visible plaque (both, p < .001). There were no statistically significant inter-group differences in any outcomes at any time points (all, p > .05) nor in the changes in outcomes (∆) with time (all, p > .05). There was a trend of a greater magnitude of statistical change occurring among the test group compared to the control group. CONCLUSION:The adjunctive use of probiotics with NSPT did not show any additional clinical effectiveness when compared to NSPT alone in the management of periodontitis (ChiCTR-IOR-17010526).

journal_name

J Clin Periodontol

authors

Pelekos G,Ho SN,Acharya A,Leung WK,McGrath C

doi

10.1111/jcpe.13191

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

1217-1227

issue

12

eissn

0303-6979

issn

1600-051X

journal_volume

46

pub_type

杂志文章,随机对照试验
  • Clinical, microbiological and host defense parameters associated with a case of localized prepubertal periodontitis.

    abstract::A 4-year-old Japanese boy was referred to Osaka University Dental Hospital because of severe mobility and pain of the right lower primary canine. The canine had severe bone loss and a pocket depth exceeding 5-6 mm. The left lower canine showed slight mobility and moderate alveolar bone loss. The other primary teeth sh...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章

    doi:10.1111/j.1600-051x.1995.tb01771.x

    authors: Yoshida-Minami I,Kishimoto K,Suzuki A,Fujiwara T,Shintani S,Morisaki I,Sobue S,Miyamoto M,Nagai A,Kurihara H

    更新日期:1995-01-01 00:00:00

  • Peri-implant reconstruction using autologous periosteum-derived cells and guided bone regeneration.

    abstract:AIM:This investigation evaluated the bone healing in peri-implant defects treated with periosteum-derived cells (PCs) and guided bone regeneration (GBR). MATERIAL AND METHODS:PCs were harvested from six beagle dogs and characterized in vitro with regard to their osteogenic properties. The animals were subjected to tee...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章

    doi:10.1111/j.1600-051X.2010.01635.x

    authors: Ribeiro FV,Suaid FF,Ruiz KG,Rodrigues TL,Carvalho MD,Nociti FH,Sallum EA,Casati MZ

    更新日期:2010-12-01 00:00:00

  • Late implant placement following ridge preservation versus early implant placement: A pilot randomized clinical trial for periodontally compromised non-molar extraction sites.

    abstract:AIM:To compare late implant placement following alveolar ridge preservation (LP/ARP) and early implantation (EP) in periodontally compromised non-molar extraction sites with respect to soft tissue levels, aesthetics, and patient-reported outcomes. MATERIALS AND METHODS:Sixteen patients were randomly allocated to group...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/jcpe.13223

    authors: Lim HC,Seo S,Thoma DS,Park JC,Hong JY,Shin SY

    更新日期:2020-02-01 00:00:00

  • Supportive periodontal therapy of furcation sites: non-surgical instrumentation with or without topical doxycycline.

    abstract:OBJECTIVES:Evaluation of the clinical effect of topical subgingival application of doxycycline gel adjunctively to scaling and root planing (SRP) at furcation sites during supportive periodontal therapy (SPT). MATERIAL AND METHODS:In 39 SPT patients exhibiting at least four pockets > or m with bleeding on probing, SRP...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1600-051X.2009.01414.x

    authors: Dannewitz B,Lippert K,Lang NP,Tonetti MS,Eickholz P

    更新日期:2009-06-01 00:00:00

  • Assessment of arterial stiffness in periodontitis using a novel pulse wave imaging methodology.

    abstract:AIM:We investigated the cross-sectional relationship between periodontal status and arterial stiffness, assessed through a novel Pulse Wave Imaging methodology. METHODS:Eighty volunteers were enrolled (39% male, age range 24-78 years) and 33 pairs were formed of periodontitis patients/periodontally healthy controls, m...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章

    doi:10.1111/jcpe.12717

    authors: Sanz-Miralles EC,Li R,Momen-Heravi F,Mendieta C,Konofagou EE,Papapanou PN

    更新日期:2017-05-01 00:00:00

  • Dose response of chlorhexidine against plaque and comparison with triclosan.

    abstract::The optimum dose of chlorhexidine delivered by mouthrinse, which balances efficacy against local side-effects, is generally considered to be in the region of 20 mg 2 x daily. Unfortunately, there have been few dose-response studies for chlorhexidine mouthrinses and for these, only limited details are published. The ai...

    journal_title:Journal of clinical periodontology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1600-051x.1994.tb00313.x

    authors: Jenkins S,Addy M,Newcombe RG

    更新日期:1994-04-01 00:00:00

  • Generation of inflammatory stimuli: how bacteria set up inflammatory responses in the gingiva.

    abstract:OBJECTIVES:The primary aetiologic factor of periodontal disease is the bacterial biofilm. Gram-positive and gram-negative bacteria possess a plethora of structural or secreted components that may cause direct destruction to periodontal tissues or stimulate host cells to activate a wide range of inflammatory responses. ...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章,评审

    doi:10.1111/j.1600-051X.2005.00821.x

    authors: Madianos PN,Bobetsis YA,Kinane DF

    更新日期:2005-01-01 00:00:00

  • Periodontal diseases and depression: A preclinical in vivo study.

    abstract:AIM:To analyse, through a pre-clinical in vivo model, the possible mechanisms linking depression and periodontitis at behavioural, microbiological and molecular levels. MATERIALS AND METHODS:Periodontitis (P) was induced in Wistar:Han rats (oral gavages with Porphyromonas gingivalis and Fusobacterium nucleatum) during...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章

    doi:10.1111/jcpe.13420

    authors: Martínez M,Martín-Hernández D,Virto L,MacDowell KS,Montero E,González-Bris Á,Marín MJ,Ambrosio N,Herrera D,Leza JC,Sanz M,García-Bueno B,Figuero E

    更新日期:2021-01-12 00:00:00

  • Accuracy of probing attachment levels using a CEJ probe versus traditional probes.

    abstract:BACKGROUND:Current interest in the assessment of probing attachment level measurements has been stimulated by recent introduction of novel periodontal probes as well as by the reclassification of periodontal diseases. Clinical attachment level (CAL) is currently the "gold standard" for diagnosing and monitoring periodo...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章

    doi:10.1111/j.0303-6979.2004.00464.x

    authors: Karpinia K,Magnusson I,Gibbs C,Yang MC

    更新日期:2004-03-01 00:00:00

  • The effect of periodontal status and occlusal support on masticatory performance: the Suita study.

    abstract:AIM:In this study, we investigated the effect of differences in periodontal status in the masticatory performance of dentate subjects with the same occlusal supporting area. MATERIALS AND METHODS:The subjects of the analysis were classified into those of Eichner A1-3 (n = 1094) and Eichner B1-4 (n = 529). Subjects' pe...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章

    doi:10.1111/jcpe.12241

    authors: Kosaka T,Ono T,Yoshimuta Y,Kida M,Kikui M,Nokubi T,Maeda Y,Kokubo Y,Watanabe M,Miyamoto Y

    更新日期:2014-05-01 00:00:00

  • Absence of a specific subgingival microflora in adults with Down's syndrome.

    abstract:BACKGROUND:Periodontal disease in Down's syndrome (DS) is generally characterized by a high degree of bone loss. Bone loss of 5 mm or more is observed in 70% of these subjects. Among DS subjects, considerable differences in disease progression occur. So far, no studies have been conducted in which specific properties o...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章

    doi:10.1034/j.1600-051x.2001.281103.x

    authors: Reuland-Bosma W,van der Reijden WA,van Winkelhoff AJ

    更新日期:2001-11-01 00:00:00

  • Effects of transforming growth factor-beta and platelet-derived growth factor on human gingival fibroblasts grown in serum-containing and serum-free medium.

    abstract::Both transforming growth factor-beta (TGF-beta) and platelet-derived growth factor (PDGF) have been shown to affect cell proliferation in vitro. The hypothesis being tested was that the effects of the 2 cytokines would be modulated by the presence of serum in the medium. Gingival fibroblasts, obtained from periodontal...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章

    doi:10.1111/j.1600-051x.1998.tb02363.x

    authors: Anderson TJ,Lapp CA,Billman MA,Schuster GS

    更新日期:1998-01-01 00:00:00

  • A critically severe gingival bleeding following non-surgical periodontal treatment in patients medicated with anti-platelet.

    abstract:BACKGROUND:Only a few dental procedures have been reported to cause life-threatening bleeding. All of these cases followed surgical intervention. MATERIAL AND METHODS:In this paper, we report a case of severe bleeding following non-surgical periodontal procedures in a patient treated with a dual anti-platelet regimen ...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章

    doi:10.1111/j.1600-051X.2008.01206.x

    authors: Elad S,Chackartchi T,Shapira L,Findler M

    更新日期:2008-04-01 00:00:00

  • Lactate dehydrogenase activity in gingival crevicular fluid collected with filter paper strips: analysis in subjects with non-inflamed and mildly inflamed gingiva.

    abstract::A previous study of lactate dehydrogenase (LDH) in gingival crevicular fluid (GCF) suggested that the concentration is 10 to 25 times that of serum (means = 2300 international units/1 versus 100 IU/1 for serum). That study used capillary tubes to collect microliter amounts of GCF. Since invasive collection techniques ...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章

    doi:10.1111/j.1600-051x.1985.tb01374.x

    authors: Lamster IB,Mandella RD,Gordon JM

    更新日期:1985-02-01 00:00:00

  • Orthodontic movement in bone defects augmented with Bio-Oss. An experimental study in dogs.

    abstract:OBJECTIVE:To study if it was possible to move, by orthodontic means, a tooth into an area of the jaw that had been augmented with Bio-Oss. MATERIAL AND METHODS:5 beagle dogs were used. The 1st, 2nd, and 4th mandibular premolars on each side were removed. The defect at the left 4th premolar site was filled with a bioma...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章

    doi:10.1034/j.1600-051x.2001.280111.x

    authors: Araújo MG,Carmagnola D,Berglundh T,Thilander B,Lindhe J

    更新日期:2001-01-01 00:00:00

  • Efficacy of a prototype brush head for a powered toothbrush. A multicentre study.

    abstract:PRIMARY OBJECTIVE:To evaluate a multicentre clinical trial design for testing powered toothbrushes. SECONDARY OBJECTIVE:To compare the efficacy of a prototype brush head (N2.3) for the Philips Jordan Sensiflex 2000 powered toothbrush (PTB) to that of Braun Oral-B D15 PTB in removing dental plaque MATERIAL AND METHODS...

    journal_title:Journal of clinical periodontology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:10.1034/j.1600-051x.2002.291003.x

    authors: McCracken GI,Chapple IL,Milward M,Steen N,DeJager M,Heasman PA

    更新日期:2002-10-01 00:00:00

  • Levels of salivary IgA antibodies reactive with bacteria from dental plaque are associated with susceptibility to experimental gingivitis.

    abstract::Serum IgG, IgA and IgM and salivary IgA antibody levels reactive with extracts from Actinobacillus actinomycetemcomitans, Porphyromonas gingivalis, Eubacterium saburreum and Streptococcus mutans, were measured by enzyme-linked immunosorbent assay in samples from 12 persons before, during and after experimental gingivi...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章

    doi:10.1111/j.1600-051x.1993.tb00381.x

    authors: Schenck K,Poppelsdorf D,Denis C,Tollefsen T

    更新日期:1993-07-01 00:00:00

  • Application of matched pair procedures to site-specific data in periodontal research.

    abstract::Application of standard statistical procedures to site-specific data in periodontal research is invalid unless site-to-site dependencies are accounted for. In this paper, we present the adjustments required for valid application of matched pair procedures, including the paired t-test and McNemar's chi 2 test for corre...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章

    doi:10.1111/j.1600-051x.1991.tb00068.x

    authors: Donner A,Eliasziw M

    更新日期:1991-11-01 00:00:00

  • Mechanism of alveolar bone loss in a collagen-induced arthritis model in mice.

    abstract:OBJECTIVE:the aim of this study was to understand the cellular/molecular mechanisms of periodontal breakdown in a collagen-induced arthritis (CIA) model in mice to enhance the understanding of rheumatoid arthritis (RA)-associated alveolar bone loss in humans. MATERIALS AND METHODS:all analyses were performed on paired...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章

    doi:10.1111/j.1600-051X.2010.01645.x

    authors: Park JC,Su C,Jung IH,Choi SH,Cho KS,Kim CK,Park YB,Lee SK,Kim CS

    更新日期:2011-02-01 00:00:00

  • The relationship of stress and anxiety with chronic periodontitis.

    abstract:AIM:This case-control study investigates the relationship of stress and anxiety with periodontal clinical characteristics. METHOD:Seventy-nine selected patients (mean age 46.8+/-8 years) were assigned to three groups in accordance with their levels of probing pocket depth (PPD): control group (PPD< or =3 mm, n=22), te...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章

    doi:10.1034/j.1600-051x.2003.10271.x

    authors: Vettore MV,Leão AT,Monteiro Da Silva AM,Quintanilha RS,Lamarca GA

    更新日期:2003-05-01 00:00:00

  • Effect of non-erupted 3rd molars on distal roots and supporting structures of approximal teeth. A radiographic survey of 202 cases.

    abstract::Root resorption of 2nd molars in proximity to non-erupted 3rd molars has been widely reported. The purpose of this study was to determine the prevalence of root resorption in second molars adjacent to non-erupted third molars. Its association to age and gender of the patient, location and inclination of the non-erupte...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章

    doi:10.1111/j.1600-051x.1996.tb00616.x

    authors: Nemcovsky CE,Libfeld H,Zubery Y

    更新日期:1996-09-01 00:00:00

  • Effects of tetracycline hydrochloride and chlorhexidine gluconate on Candida albicans. An in vitro study.

    abstract::This study examined the effects of tetracycline hydrochloride (TCN) and chlorhexidine gluconate (CHX) on the growth and viability of Candida albicans. Subcultures of Candida albicans on Sabouraud's agar, were divided into 5 treatment groups: group 1, untreated control; group 2, 0.12% CHX; group 3, 3.0 mg/ml TCN adjust...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章

    doi:10.1111/j.1600-051x.1997.tb00193.x

    authors: MacNeill S,Rindler E,Walker A,Brown AR,Cobb CM

    更新日期:1997-10-01 00:00:00

  • Minimally Invasive Single Implant Treatment (M.I.S.I.T.) based on ridge preservation and contour augmentation in patients with a high aesthetic risk profile: one-year results.

    abstract:AIM:To evaluate the 1-year outcome of Minimally Invasive Single Implant Treatment (M.I.S.I.T.) based on ridge preservation and contour augmentation in patients with a high aesthetic risk profile. MATERIALS AND METHODS:Periodontally healthy non-smoking patients with a failing tooth in the anterior maxilla (15-25) were ...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章

    doi:10.1111/jcpe.12384

    authors: Cosyn J,Pollaris L,Van der Linden F,De Bruyn H

    更新日期:2015-04-01 00:00:00

  • Cost effectiveness of periodontal services.

    abstract::This paper presents the combined use of decision trees and cost-effectiveness analysis to determine on which patients new diagnostic tests can be useful, and whether they can change the dentist's decision to provide different services and thus improve patient outcomes in 5 different categories of patients. A decision ...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章

    doi:10.1111/j.1600-051x.1996.tb02089.x

    authors: Douglass CW,Fox CH

    更新日期:1996-03-01 00:00:00

  • Patterns of bone loss around teeth restored with endodontic posts.

    abstract:OBJECTIVES:This retrospective study described the pattern of bone loss around teeth with endodontic posts in periodontitis patients, and compared it with contra-lateral teeth without posts. MATERIAL AND METHODS:From full-mouth radiographic surveys of 146 periodontitis patients (> or =35 years), 194 roots with endodont...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章

    doi:10.1111/j.1600-051X.2009.01465.x

    authors: Katsamakis S,Timmerman M,Van der Velden U,de Cleen M,Van der Weijden F

    更新日期:2009-11-01 00:00:00

  • Effects of carrier release kinetics on bone morphogenetic protein-2-induced periodontal regeneration in vivo.

    abstract:BACKGROUND:Bone morphogenetic proteins (BMPs) have shown considerable promise as a therapeutic agent to enhance periodontal regeneration although the optimal characteristics of a suitable release system are not known. AIM:The aim of this study was to compare the effects of slow and fast degrading gelatin carriers on B...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章

    doi:10.1034/j.1600-051x.2001.028004340.x

    authors: Talwar R,Di Silvio L,Hughes FJ,King GN

    更新日期:2001-04-01 00:00:00

  • Fluctuations in crevicular and salivary anti-A. viscosus antibody levels in response to treatment of gingivitis.

    abstract::Experimental gingivitis studies support a pathogenic rôle for Actinomyces viscosus because of its numerical predominance in disease-associated plaques. The aims of the present investigation were to quantify specific crevicular IgG against A. viscosus before and after conventional gingivitis treatment and to determine ...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章

    doi:10.1111/j.1600-051x.1985.tb01402.x

    authors: Tynelius-Bratthall G,Ellen RP

    更新日期:1985-10-01 00:00:00

  • The interaction between beta-3 adrenergic receptor polymorphism and obesity to periodontal disease in community-dwelling elderly Japanese.

    abstract:OBJECTIVES:The purpose of this study was to elucidate whether the association between beta-3 adrenergic receptor polymorphism and periodontal disease is modified by body weight. MATERIAL AND METHODS:We enrolled 332 postmenopausal women and determined their HbA1C levels (%) and beta-3 adrenergic receptor (rs4994) genot...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章

    doi:10.1111/jcpe.12235

    authors: Yoshihara A,Sugita N,Iwasaki M,Miyazaki H,Nakamura K

    更新日期:2014-05-01 00:00:00

  • Pre-treatment conceptions of periodontal disease and treatment in periodontal referrals.

    abstract:BACKGROUND:Patients preconceptions of periodontal therapy have not been extensively studied and are poorly understood. AIMS:To register specific anxieties and preconceptions held by patients referred for specialist periodontal treatment and to investigate the risks such patients were prepared to take of progressive pe...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章

    doi:10.1034/j.1600-051x.2001.280811.x

    authors: Fardal Ø,Johannessen AC,Linden GJ

    更新日期:2001-08-01 00:00:00

  • Five-year results following treatment of intrabony defects with enamel matrix proteins and guided tissue regeneration.

    abstract:BACKGROUND:Treatment with enamel matrix proteins (EMD) or guided tissue regeneration (GTR) has been shown to enhance periodontal regeneration. However, until now there are limited data on the long-term results following these treatment modalities. AIM:The aim of the present clinical study was to present the 5-year res...

    journal_title:Journal of clinical periodontology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1111/j.1600-051X.2004.00518.x

    authors: Sculean A,Donos N,Schwarz F,Becker J,Brecx M,Arweiler NB

    更新日期:2004-07-01 00:00:00