Beruflich Dokumente
Kultur Dokumente
Review Article
Ariaudo & Tyreil 1957, 1960), zinc bacitracin (Baer et al. 1958, 1960, 1969) noneugenal phenol derivatives such as chlorothymol (Molnar 1962), oil of bergamot
(Schach 1968), and chlorhexidine (AsboeJorgensen et al. 1974, Addy & Douglas
1975, Pliiss et al. 1975). It should be noted
that chemical inactivation may occur: Baer
et al. (1958) report that eugenol and tannic
acid both affect bacitracin.
Apart from haemostatics such as tannic
acid, there have been two attempts to improve postoperative healing by means of
substances with a primary effect on the
tissues. Saad & Swenson (1965) reported
on steroids; and Swann et al. (1975) reported on diiantin. The latter agent had
been previously reported to increase the
rate of healing in skin wounds of rats and
humans, but neither agent showed any
advantage in these periodontal studies.
It is unlikely that the present periodontai
climate will be conducive to the widespread use of therapeutic agents other than
antibacteriats in dressings. Emphasis on
plaque control by the patient has largely
replaced the earlier philosophies based on
professional intervention.
Material Aspects
Retention
A considerable amount of ingenuity has
been expended on the problem of how peri-
Biological Side-effects
It is essential that no risk should accompany the use of dressing materials. The
patient should not suffer any side-effects,
the surgical procedures should in no way
be compromised, and there should be no
health risks to the operator and his staff.
In general, three methods of testing materials are used: tissue culture, animal experiments and human trials.
Tissue irritation
Culture studies with eugenol and noneugenol dressings show that with minor
may easily occur where antibacterial dressings are used (Heaney et al. 1972). If an
antibiotic is employed, two possible problems may occur: emergence of resistant
organisms, and opportunistic infection. In
the study quoted, organisms resistant to
certain antibacterials predominated under
the dressings used, but led to no adverse
effect. However, Romauow (1964) found
that clinical signs of candidiasis occurred
when using tetracycline in dressings, and
that bacitracin enhanced the growth of
yeasts, though without clinical signs in this
series.
Gruber et al. (1966) showed in vitro
that Candida would grow on tissue conditioners, but Frisch et al. (1968c) found no
signs of candidiasis in patients using tissue
conditioners as periodontal dressings. Thus,
evidence suggests that antibacterials may
lead to this problem, but not tissue conditioners.
Critical Assessment
10
no.
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mucogingival junction. Dental Clinics of
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Asboe-Jdrgerisen, V., Attstroni, R., Lang, N. P.
& Loe, H. (1974) Effect of a chlorbexidine
dressing on the healing after periodontal
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Baer, P. N. & Wertheimer, F. W. (1961) A
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Baer, P. N., Goldman, H. & Scigliano, J. (1958)
Studies on a bacitracin periodontal dressing.
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Baer, P. N., Sumner, C. F. & Scigliano, J.
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Baer, P. N., Sumner, C. E. & Miller, A. (1969)
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Berman, C, Beube, E., Odrich, R. & Kutscher,
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Bhaskar, S. N., Frisch, J., Margeds, P. M. &
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Bhaskar, S. N., Frisch, J., Cutright, D. E. &
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Oral Surgery, Oral Medicine and Oral
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Journal of Periodontoiogy 33, 346-352.
Box, H. K. & Ham, A. W. (1942) Necrotic
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Castenfeit, T. (1962) A dressing for major
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CDA Council for Dental Materials and Devices
(1977) Status report: periodontal dressings.
Journal of the Canadian Dental Association
43, 501-502.
Chasens, A. I. & Marcus, R. W. (1963) Use of
an inert syndietic gauze in periodontal surgery. Journal of Periodontoiogy 34, 23-26.
Christensen, G. (1944) Paraffin packing and its
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Colman, G. (1962) A study of some antimicrobial agents used in oral surgery. Snti.vh Dental Journal 113, 22-28.
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43^9.
Cowan, A, (1965) Sulcus deepening incorporating mucosal graft. Journal of Periodontoiogy
36, 188-192.
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Surgery, Oral Medicine and Oral Pathology
30, 803-808.
12
14
Brown, R. (1968) Gingiva] hea]ing. II. C]inica] and histo]ogic repair sequences following gingiveetomy. Journal of Periodontoiogy
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Stahl, S. S., Witkin, G. J., He]]er, A. & Brown,
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34-37.
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Swann, W. P., Swenson, H. M. & Shafer, W. G.
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Triadan, H. (1965) Klinische und histologiscbe
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Weinreb, M. M. & Shapiro, S. (1964) A clinical
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Address:
Trevor L. P. Watts
Department of Oral Medieine
Turner Dental School
Bridgeford Street
Manchester M15 6FH
England