EFFECT OF SUBGINGIVAL IRRIGATION WITH SILVER NANOCOLLOID ON CLINICAL PERIODONTAL PARAMETERS AS AN ADJUNCT TO SUBGINGIVAL ROOT DEBRIDEMENT: A RANDOMIZED, SPLIT MOUTH CONTROLLED TRIAL Local delivery of antimicrobials has been investigated as an adjunct to conventional therapy. This study aimed to determine the efficacy and clinical outcomes of nanocolloid silver irrigation as an adjunct to mechanical root debridement in the management of periodontitis. Fifty one (51) patients with the presence of at least 1 pocketing site of ≥ 6mm in both contralateral half mouth after periodontal assessment were enrolled. In this split mouth design study, pocketing sites of ≥ 6mm were treated with root surface instrumentation in combination with either Perioflush or saline subgingival irrigation. Bleeding score showed a significant reduction over the observation period in control group (p = 0.034). The probing pocket depths were reduced for both groups, with a significant treatment effect (p < 0.001) from baseline to 6-week review. Also, there was a notable reduction in overall median pocket depth in both genders. In conclusion, within the limitations of the study, no additional benefits were observed with the use of nanocolloid silver irrigation following mechanical debridement.

ABSTRACT Erectile dysfunction (ED) and periodontitis have common risk factors, such as diabetes mellitus and tobacco smoking. Multiple reports are available in regard to the association between ED and chronic periodontitis (CP). The study aimed to determine the association of ED and CP in selected Malaysian population. In this study, 74 patients (mean age = 52.4 ± 10.9 years old) diagnosed with ED, from scores via the International Index of Erectile Function (IIEF-5) questionnaire, were included. ED severity was classified as mild, mild to moderate, moderate, and severe. Periodontal condition was recorded using basic periodontal examination (BPE) method, of which scores of 0, 1, 2, and 3 were associated with having no periodontitis while a score of 4 was considered to have periodontitis. There are 40 (54.1%) subjects found to have periodontitis and the association of ED and periodontitis showed a moderate positive degree of correlation, ρ = 0.487 (p < 0.001). The percentage of subjects having periodontitis indicated an increasing trend with the severity of ED; from 19.0% (mild ED), 54.2% (mild to moderate ED), 75.0% (moderate ED), to 84.6% (severe ED). A greater degree of correlation was noted between dental scaling experience and ED, ρ = 0.635 (p < 0.001). Binomial logistic regression had shown no other co-morbidities and factors were affecting this relation. There seemed to be an association between ED and periodontitis existing in these selected Malaysian populations.
Erectile Dysfunction ; Chronic Periodontitis ; Malaysia--ethnology

The practice of quack dentistry worldwide is a challenge to the profession of dentistry as it undermines the trust of the general public and places the patients at unnecessary risks through their illegal practices. Although the ratio of patients to dentists is rapidly decreasing in Malaysia due to the increased output of qualified dentists from both local and foreign institutions, quack dentistry is still practiced in many areas. This report intends to highlight a popular treatment prescribed by these quack dentists which is removable partial dentures that is fixed to the adjacent teeth by cold cure acrylic. We also aim to discuss the design of the denture and the means employed to remove this ’fixed partial denture’. It is hoped that this case report will highlight the prevalence of the practice of quack dentistry especially in geographical area of this case report and allow the authorities to devise means to stop this illegal practice.
Denture, Partial ; Dentistry