TP5OR1+Parod+litteraturseminarium+1


 * TP5OR1 – Litteraturseminarium 1 – Kliniska effekter av supra-gingival plack-kontroll  **

**Frågor  ** **1. Cause related periodontal therapy consists of  patient information, instructions  in oral hygiene  and scaling / rootplaning . Which <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> part <span class="SpellingError SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;">of <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> the <span class="SpellingError SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;">therapy <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> do <span class="SpellingError SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;">you consider <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> to be the <span class="SpellingError SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;">most important <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;">? <span class="SpellingError SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;">Motivate your answer <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;">. <span class="SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> **

<span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;">Instruktioner i munhygien är det viktigaste, om patienten inte vet hur den kan hålla sin orala hygien på en bra nivå kommer de bara falla tillbaka in i sjukdom igen (gingivit och parodontit) <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">pga <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> ackumulering av <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">supragingivalt <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> plack. Detta då den <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">subgingivala <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> mikrofloran <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">rekoloniseras <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> vid närvaro av <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">supragingivalt <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> plack.

**<span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;">2. <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">Discuss <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> the <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">effect of <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> supra-gingival plaque <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">control <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> on: **

**<span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;">a) the <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">sub <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;">-gingival <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">microbiota <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> in <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">deep <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> and <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">shallow <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> pockets <span class="SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> **

<span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;">Den <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">subgingivala <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> mikrofloran <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">rekoloniseras <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> vid närvaro av <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">supragingivalt <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> plack. <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">De grundare fickorna (< 4mm) hade färre spiroketer och rörliga stavar I sig än de djupa (4-7 mm). Därför har <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">supragingival <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> plackkontroll en bättre effekt på grunda fickor än djupa.

**<span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;">b) <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">periodontal health <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> in <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">shallow <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> and <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">deep <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> pockets ** <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Supragingival plackkontrol ledde till att: > > > **<span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;">3. <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">Discuss <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> the <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">effect of mechanical cleaning <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> in <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">comparison <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> to anti- <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">microbial mouth rinse <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;">. <span class="SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> **
 * <span style="font-family: Arial,sans-serif; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Djupa fickor (4-5mm) minskade…
 * <span style="font-family: Arial,sans-serif; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">…Och att många av dem istället blev till grunda fickor (< 4mm)

<span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Bästa sättet för att behandla interdental gingivit är genom tandborstning och interdental rengöring (ex tandstickor). <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Antimikrobiella ämnen, såsom <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">klorhexidin <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">, kan ej nå interdentalt och behandlar därför inte interdental gingivit. <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">(Antimikrobiella ämnen såsom <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">klorhexidin <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> kan motverka gingivit på sites där det kan nå, dvs på buckala och <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">lingual <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> ytor (tidigare studier).

**<span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;">4. <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">How frequent should supportive periodontal therapy <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> (SPT) be <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">performed <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> in order to **

**<span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">maintain <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> a <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">healthy periodontium <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;">? ( <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">after <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> initial <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">therapy <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;">). <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">Motivate your answer <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> in relation **

**<span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;">to plaque <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">control level <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;">. (dvs hur ofta ska stödbehandling utföras för att <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">pat <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> ska botas från sin parodontit?) <span class="EOP SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> ** <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;">Det beror på: > >
 * <span style="font-family: Times-Roman,sans-serif; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;">Sjukdomens allvarlighet – djupare fickor kan följas mer noggrant än djupa fickor, då självutförd <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">supragingival <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> rengöring inte har lika god effekt på djupa fickor.
 * <span style="font-family: Times-Roman,sans-serif; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;">Patientens möjlighet/motivation att utföra god <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 12pt;">supragingival <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 12pt;"> plackkontroll och därmed hålla placknivåerna nere.

**<span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 14pt;">Corbet <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 14pt;"> & Davies (1993) – “The <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 14pt;">role of supragingival <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 14pt;"> plaque in the <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 14pt;">control of <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 14pt;"> progressive <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 14pt;">periodontal disease <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 14pt;">” ** **<span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Varför studien utfördes <span class="EOP SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> ** > > > <span style="background-color: #ffffff; display: block; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 8px;"> **<span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Hur studien utfördes <span class="SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> **
 * <span style="font-family: Arial,sans-serif; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">För att utreda orsakssamband mellan <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">supragingivalt <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> plack och parodontit.
 * <span style="font-family: Arial,sans-serif; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Rollen som <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">supragingival <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> plack har på <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">subgingival rekolonisation <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> a

<span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Systematisk litteraturöversikt på <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">Cochrane <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> och <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">Pubmed <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">.

**<span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Huvudresultat och tolkningar <span class="SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> **

<span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Supragingival plackkontroll är i vissa fall inte lika effektivt i att motverka parodontit som när man också utför <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">subgingival depuration <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">. <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Supragingival plackkontroll motverkar gingivit. <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">Rekolonisation <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> av den <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">subgingivala <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> miljön påverkas av närvaro av <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">supragingivalt <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> plack.

**<span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Hur resultaten kan användas kliniskt <span class="SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> **

<span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Supragingival plackkontroll kan användas för att behandla parodontit.

**<span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 14pt;">Magnusson et al. (1984) – “ <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 14pt;">Recolonization of <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 14pt;"> a <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 14pt;">subgingival microbiota following scaling <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 14pt;"> in <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 14pt;">deep <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 14pt;"> pockets” ** **<span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Varför studien utfördes <span class="SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> **

<span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">För att studera <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">rekolonisation <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> av den <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">subgingivala <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> mikrofloran efter <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">subgingival depuration <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> (på sites med parodontit och djupa fickor).

**<span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Hur studien utfördes <span class="EOP SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> ** > > > > <span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">vid varje site (inte patient!). > > > > > > > > > > > > > > <span style="background-color: #ffffff; display: block; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 8px;"> **<span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Huvudresultat och tolkningar <span class="EOP SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> ** <span class="TextRun SCX191746400" style="background-color: transparent; font-family: Arial,sans-serif; font-size: 12pt;">Ta bort plack (Figur 1) -> ta bort patologin -> mindre blödning vid sondering (Figur 2) och fickdjup (Figur 3). <span style="background-color: #ffffff; display: block; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 8px;"> <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">Subgingival depuration <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> resulterade i: > > <span style="background-color: #ffffff; display: block; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 8px;"> <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Närvaro av <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">supragingivalt <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> plack (Grupp A) resulterade i att den <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">subgingivala <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> mikrofloran <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">rekoloniserades <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> av spiroketer och rörliga stavar. <span style="background-color: #ffffff; display: block; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 8px;"> <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">De grundare fickorna (< 4mm) hade färre spiroketer och rörliga stavar I sig än de djupa (4-7 mm). <span style="background-color: #ffffff; display: block; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 8px;"> **<span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Hur resultaten kan användas kliniskt <span class="SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> **
 * 1) <span style="font-family: Arial,sans-serif; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">16 <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">pat <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> med parodontit valdes ut från Parodontologi- <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">avd <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> på Odontologen, Gbg.
 * 1) <span style="font-family: Arial,sans-serif; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">Baseline <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> undersökning.
 * 1) <span style="font-family: Arial,sans-serif; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Tittade på plack, gingivit, blödning vid sondering ( <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">BoP <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">) och fickdjup (PPD)
 * 1) <span style="font-family: Arial,sans-serif; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Tog mikrobiologiska prover av <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">subgingivala <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> mikrofloran och tittade i mikroskop.
 * 1) <span style="font-family: Arial,sans-serif; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Pat fick info om hur plack och tandsten spelar roll i etiologin för parodontit. De fick även instruktioner i munhygien (tandborste, tandsticka och tandtråd).
 * 1) <span style="font-family: Arial,sans-serif; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">Depuration <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> av hela käken under ett par tillfällen.
 * 1) <span style="font-family: Arial,sans-serif; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="NormalTextRun SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">__Pat delades in i 2 grupper – Grupp A och B.__
 * 1) <span style="font-family: Arial,sans-serif; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Group A – kontrollgruppen. Övervakades inte <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">map <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> självutförd plackkontroll, fick ingen information, instruktion eller feedback. De samlade på sig <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">supragingivalt <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> plack.
 * 1) <span style="font-family: Arial,sans-serif; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Group B – testgruppen. Återkallades ofta till kliniken för rengöring och instruktioner i munhygien. Sköljde också två gånger dagligen med <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">klorhexidin <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> (0,2%) i 1 minut.
 * 1) <span style="font-family: Arial,sans-serif; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Undersökte båda grupperna igen efter 2, 4, 8, 12 och 16 veckor.
 * 1) <span style="font-family: Arial,sans-serif; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Efter 16 veckor fick även Grupp A rengöring på klinik, instruktioner I munhygien och 0,2% <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">klorhexidin <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">.
 * 1) <span style="background-color: #ffffff; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-family: Arial,sans-serif; font-size: 12pt; font-size: 8px; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Group B hade alltid samma upplägg under hela studien.
 * 1) <span style="background-color: #ffffff; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-family: Arial,sans-serif; font-size: 12pt; font-size: 8px; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Studien fortsatte sedan i ytterligare 16 veckor. Den varade alltså totalt 32 veckor (16+16).
 * 1) <span style="background-color: #ffffff; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-family: Arial,sans-serif; font-size: 12pt; font-size: 8px; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Mindre blödning vid sondering ( <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">BoP <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">) och fickdjup (PPD)
 * 1) <span style="background-color: #ffffff; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-family: Arial,sans-serif; font-size: 12pt; font-size: 8px; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">En minskning av de rörliga bakterierna I <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">subgingivala <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> mikrofloran.

<span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Supragingivalt plack påverkar den <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">subgingivala <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> mikrofloran – närvaro av <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">supragingivalt <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> plack resulterar i en <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">rekolonisation <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> av den <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">subgingivala <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> mikrofloran. Pat måste rengöra <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">supragingivalt <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> för att <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">subgingivalt <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> plack inte ska <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">rekolonisera <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">.

<span style="background-color: #ffffff; display: block; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 8px;"> **<span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 14pt;">Dahlén et al. (1992) – “The <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 14pt;">effect of supragingival <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 14pt;"> plaque <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 14pt;">control <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 14pt;"> on the <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 14pt;">subgingival microbiota <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 14pt;"> in <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Times-Roman,sans-serif; font-size: 14pt;">subjects with periodontal disease <span class="TextRun SCX191746400" style="font-family: Times-Roman,sans-serif; font-size: 14pt;">” ** <span style="background-color: #ffffff; display: block; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 8px;"> **<span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Varför studien utfördes <span class="SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> **

<span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">För att titta på vilken <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">effect <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> plackkontroll (instruktioner i munhygien, <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">supragingival scaling <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">) har på den <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">subgingivala <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> mikrofloran och kliniska parametrar för parodontit under 2 år.

<span style="background-color: #ffffff; display: block; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 8px;"> **<span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Hur studien utfördes <span class="EOP SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> ** > > > > > > > <span style="background-color: #ffffff; display: block; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 8px;"> > > >
 * <span style="background-color: #ffffff; font-family: Arial,sans-serif; font-family: verdana; font-size: 12pt; font-size: 8px; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">300 individer undersöktes för <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">parodontala <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> sjukdomar och följdes i 2 år.
 * <span style="background-color: #ffffff; font-family: Arial,sans-serif; font-family: verdana; font-size: 12pt; font-size: 8px; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Efter 2 år bjöds 80 av dessa individer in (40 med gingivit, 40 med parodontit).
 * <span style="background-color: #ffffff; font-family: Arial,sans-serif; font-family: verdana; font-size: 12pt; font-size: 8px; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">62 individer accepterade inbjudan.
 * <span style="background-color: #ffffff; font-family: Arial,sans-serif; font-family: verdana; font-size: 12pt; font-size: 8px; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Delades in I 2 grupper – grunda fickor och djupa fickor.
 * <span style="background-color: #ffffff; font-family: Arial,sans-serif; font-family: verdana; font-size: 12pt; font-size: 8px; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Tog mikrobiologiska prov av den <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">subgingivala <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> mikrofloran.
 * <span style="background-color: #ffffff; font-family: Arial,sans-serif; font-family: verdana; font-size: 12pt; font-size: 8px; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Deltagarna gick igenom ett kontrollerat munhygienprogram i 2 år som bestod av:
 * 1) <span style="background-color: #ffffff; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-family: Arial,sans-serif; font-size: 12pt; font-size: 8px; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Supragingival <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">scaling <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> under de första 3 månaderna.
 * 1) <span style="font-family: Arial,sans-serif; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Tandborste, interdentalborste och tandstickor.
 * 1) <span style="font-family: Arial,sans-serif; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Instruktioner I munhygien gavs vid flera tillfällen.
 * <span style="font-family: Arial,sans-serif; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Efter deltagarna gått igenom det 2 år långa munhygienprogrammet undersöktes de igen (kliniskt och mikrobiologiskt).

**<span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Huvudresultat och tolkningar <span class="SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> **

<span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Fickor som var djupare än PPD 5 mm minskade inte (Figur 3). <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Antalet <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">indivder <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> och sites med P. <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">gingivalis <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">, A. <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">actinomycetemcomitans <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> (A.A.) minskade (Tabell 3). <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Supragingival plackkontrol ledde till att: > >
 * <span style="font-family: Arial,sans-serif; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Djupa fickor (4-5mm) minskade…
 * <span style="font-family: Arial,sans-serif; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">…Och att många av dem istället blev till grunda fickor (< 4mm)

**<span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Hur resultaten kan användas kliniskt <span class="SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> **

<span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Patienter kan behandla fickor upp till 5mm själva med <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">supragingival <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> plackkontroll. Djupare fickor kan behöva rengöras professionellt av oss som behandlare.

**<span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 14pt;">Caton <span class="TextRun SCX191746400" style="font-family: Calibri,sans-serif; font-size: 14pt;"> et al. (1993) –” <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 14pt;">Comparison between mechanical cleaning <span class="TextRun SCX191746400" style="font-family: Calibri,sans-serif; font-size: 14pt;"> and an <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 14pt;">antimicrobial rinse <span class="TextRun SCX191746400" style="font-family: Calibri,sans-serif; font-size: 14pt;"> for the <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 14pt;">treatment <span class="TextRun SCX191746400" style="font-family: Calibri,sans-serif; font-size: 14pt;"> and prevention <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 14pt;">of <span class="TextRun SCX191746400" style="font-family: Calibri,sans-serif; font-size: 14pt;"> interdental <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Calibri,sans-serif; font-size: 14pt;">gingivitis <span class="TextRun SCX191746400" style="font-family: Calibri,sans-serif; font-size: 14pt;">” ** **<span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Varför studien utfördes <span class="SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> **

<span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">För att jämföra effekten som > > > <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">har på interdental gingivit.
 * <span style="font-family: Arial,sans-serif; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">Munskölj <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">: antimikrobiell <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">munskölj <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> (0,12% <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">klorhexidin <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">) + tandborstning
 * <span style="font-family: Arial,sans-serif; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Mekanisk rengöring: interdental rengöring (tandstickor) + tandborstning
 * <span style="font-family: Arial,sans-serif; font-family: verdana; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Kontrollgrupp: tandborstning

**<span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Hur studien utfördes <span class="EOP SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> ** > > <span style="background-color: #ffffff; display: block; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 8px;"> > > > >
 * 1) <span style="font-family: Arial,sans-serif; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">92 män undersöktes vid <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">baseline
 * 1) <span style="font-family: Arial,sans-serif; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Blödningstendens (gingivit) undersöktes genom att sätta in en tandsticka av trä interdentalt.
 * 1) <span style="font-family: Arial,sans-serif; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Deltagarna fick instruktioner i munhygien och <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">scaling <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> + polering.
 * 1) <span style="font-family: Arial,sans-serif; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Delades sedan in i 3 olika grupper ( <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">munskölj <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">, mekanisk, kontroll).
 * 1) <span style="font-family: Arial,sans-serif; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Undersöktes månadsvis under 3 månader <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">map <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> blödning.
 * 1) <span style="font-family: Arial,sans-serif; font-size: 12pt; vertical-align: baseline;"><span style="background-color: transparent; color: windowtext; font-family: 'Segoe UI',Tahoma,Verdana,sans-serif; font-size: 6pt; vertical-align: baseline;"><span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Statistisk analys av resultaten

**<span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Huvudresultat och tolkningar <span class="SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> **

<span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Mekanisk rengöring gav en minskning i antal blödande ytor jämfört med <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">baseline <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> (Tabell 2) <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Ingen signifikant minskning för de andra 2 grupperna ( <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">munskölj <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> och kontrollgrupp) (Tabell 2). <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Fulla effekten av mekanisk rengöring sågs efter 2 månader (Tabell 3).

**<span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Hur resultaten kan användas kliniskt <span class="SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> **

<span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Bästa sättet för att behandla interdental gingivit är genom tandborstning och interdental rengöring (ex tandstickor). <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">Antimikrobiella ämnen, såsom <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">klorhexidin <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">, kan ej nå interdentalt och behandlar därför inte interdental gingivit. <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;">(Antimikrobiella ämnen såsom <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">klorhexidin <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> kan motverka gingivit på sites där det kan nå, dvs på buckala och <span class="SpellingError SCX191746400" style="background-color: inherit; font-family: Arial,sans-serif; font-size: 12pt;">lingual <span class="TextRun SCX191746400" style="font-family: Arial,sans-serif; font-size: 12pt;"> ytor (tidigare studier).