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Balacco D, Bardhan A, Grant M, Kuehne S, Hirschfeld J, Heagerty A, Chapple I. LB978 High relative abundance of bacillales is associated with epidermolysis bullosa (EB) at different stages of wound healing. J Invest Dermatol 2022. [DOI: 10.1016/j.jid.2022.05.1001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Ibrahim H, Kuehne S, Hirschfeld J, Hadis M, Heagerty A, Chapple I. 540 Using swabs and scanning electron microscopy (SEM) to detect biofilms in chronic epidermolysis bullosa (EB) wounds. J Invest Dermatol 2022. [DOI: 10.1016/j.jid.2022.05.550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Sanz M, del Castillo AM, Jepsen S, Gonzalez-Juanatey JR, D’Aiuto F, Bouchard P, Chapple I, Dietrich T, Gotsman I, Graziani F, Herrera D, Loos B, Madianos P, Michel JB, Perel P, Pieske B, Shapira L, Shechter M, Tonetti M, Vlachopoulos C, Wimmer G. Periodontitis and Cardiovascular Diseases. Consensus Report. Glob Heart 2020; 15:1. [PMID: 32489774 PMCID: PMC7218770 DOI: 10.5334/gh.400] [Citation(s) in RCA: 90] [Impact Index Per Article: 22.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2019] [Accepted: 12/20/2019] [Indexed: 12/11/2022] Open
Abstract
Background In Europe cardiovascular disease (CVD) is responsible for 3.9 million deaths (45% of deaths), being ischaemic heart disease, stroke, hypertension (leading to heart failure) the major cause of these CVD related deaths. Periodontitis is also a chronic non-communicable disease (NCD) with a high prevalence, being severe periodontitis, affecting 11.2% of the world's population, the sixth most common human disease. Material and Methods There is now a significant body of evidence to support independent associations between severe periodontitis and several NCDs, in particular CVD. In 2012 a joint workshop was held between the European Federation of Periodontology (EFP) and the American Academy of Periodontology to review the literature relating periodontitis and systemic diseases, including CVD. In the last five years important new scientific information has emerged providing important emerging evidence to support these associations. Results and Conclusions The present review reports the proceedings of the workshop jointly organised by the EFP and the World Heart Federation (WHF), which has updated the existing epidemiological evidence for significant associations between periodontitis and CVD, the mechanistic links and the impact of periodontal therapy on cardiovascular and surrogate outcomes. This review has also focused on the potential risk and complications of periodontal therapy in patients on anti thrombotic therapy and has made recommendations for dentists, physicians and for patients visiting both the dental and medical practices.
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Affiliation(s)
- M. Sanz
- Department of Dental Clinical Specialties and ETEP Research Group, Faculty of Odontology, University Complutense of Madrid, Plaza Ramon y Cajal, Madrid, ES
| | | | - S. Jepsen
- Department of Periodontology, Operative and Preventive Dentistry, University of Bonn, Bonn, DE
| | - J. R. Gonzalez-Juanatey
- Cardiology Department, University Hospital, University of Santiago de Compostela, IDIS, CIBERCV, ES
| | - F. D’Aiuto
- Department of Periodontology, Eastman Dental Institute and Hospital, University College London, London, UK
| | - P. Bouchard
- U.F.R. d’odontologie, Université Paris Diderot, Hôpital Rothschild AP-HP, Paris, FR
| | - I. Chapple
- School of Dentistry, Institute of Clinical Sciences, College of Medical and Dental Sciences, The University of Birmingham, Birmingham, UK
| | - T. Dietrich
- School of Dentistry, Institute of Clinical Sciences, College of Medical and Dental Sciences, The University of Birmingham, Birmingham, UK
| | - I. Gotsman
- Heart Institute, Hadassah University Hospital, Jerusalem, IL
| | - F. Graziani
- Department of Surgical, Medical and Molecular Pathology and Critical Care Medicine, University of Pisa, Pisa, IT
| | - D. Herrera
- Department of Dental Clinical Specialties and ETEP Research Group, Faculty of Odontology, University Complutense of Madrid, Plaza Ramon y Cajal, Madrid, ES
| | - B. Loos
- ACTA University, Amsterdam, NL
| | - P. Madianos
- Department of Periodontology, School of Dentistry, National and Kapodistrian University of Athens, GR
| | - J. B. Michel
- Inserm Unit 1148, laboratory for translational CV science, X. Bichat hospital, Paris, FR
| | - P. Perel
- World Heart Federation, Geneva, CH
- Centre for Global Chronic Conditions, London School of Hygiene and Tropical Medicine, UK
| | - B. Pieske
- Charité Universitätsmedizin Berlin, Department of Internal Medicine and Cardiology, Berlin, DE
- DZHK (German Center for Cardiovascular Research) Partnersite Berlin, German Heart Institut Berlin, DE
| | - L. Shapira
- Department of Periodontology, Hebrew University – Hadassah Faculty of Dental Medicine, Jerusalem, IL
| | - M. Shechter
- Leviev Heart Center, Chaim Sheba Medical Center, tel Hashomer and the Sackler Faculty of Medicine, Tel Aviv University, IL
| | - M. Tonetti
- Department of Periodontology, The University of Hong Kong, Prince Philip Dental Hospital, HK
| | - C. Vlachopoulos
- Department of Cardiology, National and Kapodistrian University of Athens, GR
| | - G. Wimmer
- Department of Prosthetic Dentistry, School of Dental Medicine, Karl-Franzens University Graz, AT
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Busby M, Chapple L, Clover H, McCreanor J, Chapple I. Capitation care fee banding: aspects of reliability and validity of an online tool. Br Dent J 2018; 225:sj.bdj.2018.865. [PMID: 30310237 DOI: 10.1038/sj.bdj.2018.865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/06/2018] [Indexed: 11/09/2022]
Affiliation(s)
- M Busby
- Simplyhealth Professionals, The Stables, Heritage Court, Clifton Reynes, Olney, MK46 5FW
| | - L Chapple
- Oral Health Innovations Ltd, Birmingham Research Park, Vincent Drive Birmingham, B15 2SQ
| | - H Clover
- Simplyhealth Professionals, Simplyhealth House Victoria Road, Winchester, SO23 7RG
| | - J McCreanor
- Simplyhealth Professionals, Simplyhealth House Victoria Road, Winchester, SO23 7RG
| | - I Chapple
- Birmingham Dental School, 5Mill Pool Way Edgbaston, Birmingham, B5 7EG
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McCluskey L, Fenton A, Jackson T, Sharma P, Chapple I, Cockwell P. 20THE ASSOCIATION BETWEEN FRAILTY AND PERIODONTITIS IN COMMUNITY DWELLING OLDER ADULTS. Age Ageing 2018. [DOI: 10.1093/ageing/afy113.03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- L McCluskey
- Institute of Inflammation and Ageing, University of Birmingham
| | - A Fenton
- Institute of Inflammation and Ageing, University of Birmingham
| | - T Jackson
- Institute of Inflammation and Ageing, University of Birmingham
| | - P Sharma
- Institute of Inflammation and Ageing, University of Birmingham
| | - I Chapple
- Institute of Inflammation and Ageing, University of Birmingham
| | - P Cockwell
- Institute of Inflammation and Ageing, University of Birmingham
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Batt J, Milward M, Chapple I, Grant M, Roberts H, Addison O, Addison O. TiO 2 nanoparticles can selectively bind CXCL8 impacting on neutrophil chemotaxis. Eur Cell Mater 2018; 35:13-24. [PMID: 29350745 DOI: 10.22203/ecm.v035a02] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
Abstract
The interaction between TiO2 nanoparticles (NPs) and inflammatory cytokines, including CXCL8, a clinically relevant pro-inflammatory chemokine was investigated. TiO2 is present in tissues adjacent to failing implanted Ti (titanium) devices. TiO2 NPs were shown to bind to CXCL8 in vitro, causing perturbation of quantification of CXCL8 by ELISA, in both simple and complex protein panels, in a dose-dependent manner. Binding between TiO2 NPs and CXCL8 was demonstrated by protein gel electrophoresis. TiO2 NPs were also shown to inactivate the chemoattractant property of CXCL8 in a dose-dependent manner, suggesting that the binding between TiO2 NPs and CXCL8 is likely to be clinically relevant. The results of this study disputed the applicability of detection of CXCL8 by ELISA in systems where TiO2 NPs were present. Clinically, the disruption of chemotaxis of neutrophils in response to CXCL8 in the presence of TiO2 might mean a hampered immune response to inflammation in tissues containing TiO2 NPs.
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Affiliation(s)
| | | | | | | | | | - O Addison
- School of Dentistry, University of Alberta, Edmonton, T6G 1C9,
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Busby M, Fayle S, Chapple L, Clover H, Chapple I. Practitioner evaluation of an online oral health and risk assessment tool for young patients. Br Dent J 2017; 223:595-599. [PMID: 29026188 DOI: 10.1038/sj.bdj.2017.841] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/09/2017] [Indexed: 11/09/2022]
Abstract
Aim To test the validity and acceptability of an online oral health assessment and biofeedback tool for young patients (under 17) for use in general dental practice.Methods A convenience sample of thirteen practitioners were recruited to test the functionality of a novel version of the Denplan PreViser Patient Assessment tool (DEPPA) developed for young patients (YDEPPA). Dentists who had completed eight or more assessments during a one month window were sent a link to an online feedback survey, comprising eight statements about YDEPPA, with scoring options of 0-10, where a score of 10 indicated complete agreement with the relevant questions. Verbatim comments were encouraged. The clinical data submitted were held in a central database in an encrypted format so that only the user practice could identify individual patients.Results Twelve practitioners completed eight or more assessments and were included in the survey. A total of 175 patient assessments were received. Ten practitioners completed the on-line survey. The statement 'YDEPPA produces a valid measurement of each patient's oral health' received an average feedback score of 8.8. The statement 'The full YDEPPA report is a valuable communication aid' received a score of 9.6. Feedback was generally very positive with all scores >8.2. Constructive critical feedback was received for the caries risk aspect of the YDEPPA protocol, with suggestions made for improving objectivity of data inputs. Eighty-one percent of the verbatim comments received were positive.Conclusions Once the caries risk issues raised by pilot dentists have been addressed, YDEPPA appears suitable as a pragmatic analytical and biofeedback tool for use in general dental practice to assess the oral health of young patients, and to facilitate education and engagement of young patients and their parents/carers in positive health behaviours.
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Affiliation(s)
- M Busby
- Primary Dental Care University of Birmingham, The Stables, Heritage Ct, Clifton Reynes, Olney, MK46 5FW
| | - S Fayle
- Consultant in Paediatric Dentistry, Clarendon Way, Leeds, LS2 9LU
| | - L Chapple
- Managing Director Oral Health Innovations Ltd, Birmingham Research Park, Vincent Drive, Birmingham, B15 2SQ
| | - H Clover
- Head of Dental Policy Denplan Ltd, Denplan Court, Victoria Road, Winchester, SO23 7RG
| | - I Chapple
- Restorative Dentistry Head of School of Dentistry and Periodontal Research Group, College of Medical and Dental Sciences and Birmingham Community Healthcare Foundation Trust, Birmingham Dental School, 5 Mill Pool Way, Edgbaston, Birmingham, B5 7EG
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Busby M, Chapple L, Matthews R, Burke FJT, Chapple I. Continuing development of an oral health score for clinical audit. Br Dent J 2016; 216:E20. [PMID: 24809589 DOI: 10.1038/sj.bdj.2014.352] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/17/2014] [Indexed: 11/09/2022]
Abstract
AIM To compare the outcomes of a contemporary oral health status (OHS) scoring system with national oral health data from the 2009 Adult Dental Health Survey, and to explore the utility of the OHS in audit and service development. METHODS An OHS scoring system was developed as part of a previously reported comprehensive on-line patient assessment tool. The assessment tool also measured future disease risk and indicative capitation fee grading. The modified OHS score component was developed over 20 years of research and experience from the original Oral Health Index (Burke and Wilson 1995). The online tool was piloted by 25 volunteer dentists on 640 recall patients and qualitative and quantitative feedback provided. Anonymised data from the inputs and scores generated were collected centrally and analysed using descriptive statistics. RESULTS The modified OHS was reported to have good validity by the pilot group. Submitted data confirmed a mean age for the recall patients examined as 53 ± 15.8 years and an average oral health status score of 79.5 ± 10.8 where a score of 100 equates to perfect oral health. A breakdown of the scores into the eight principal components provided evidence of cross validation with the Adult Dental Health Survey (2009). CONCLUSIONS Scoring oral health status electronically offers valuable opportunities for clinical audit. The reported benchmark oral health score of 79.5 for recall patients can be updated as increased numbers of patients enter the centralised data recording system. Audit can be facilitated by this move from a paper-based system to an on-line tool with central data collection.
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Affiliation(s)
- M Busby
- 1] Dental Advisor Denplan, The Stables, Heritage Ct, Clifton Reynes, Olney, MK46 5FW [2] Honorary Lecturer in Primary Dental Care, University of Birmingham, St Chad's Queensway, Birmingham, B4 6NN
| | - L Chapple
- Managing Director Oral Health Innovations Ltd, Birmingham Research Park, Vincent Drive, Birmingham, B15 2SQ
| | - R Matthews
- Chief Dental Officer Denplan Ltd, Denplan Ct, Victoria Road, Winchester, SO23 7RG
| | - F J T Burke
- Professor of Primary Dental Care, Birmingham School of Dentistry, St Chad's Queensway, Birmingham, B4 6NN
| | - I Chapple
- Professor of Periodontology and Consultant in Restorative Dentistry Periodontal Research Group and MRC Centre for Immune Regulation; College of Medical and Dental Sciences; Dental School, University of Birmingham, St Chad's Queensway Birmingham, B4 6NN
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Chapple I, Milward M, Ling-Mountford N, deSpirt S, Weston P, Dallal G, Stahl W, Matthews J. The effect of supplementation with adjunctive whole fruit/vegetable/berry concentrate on outcomes of periodontal therapy. Eur J Integr Med 2010. [DOI: 10.1016/j.eujim.2010.09.087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Kirschen R, Carlsson G, Chapple I, Clerehugh V, Davenport E, Jacobs R, Matthews D, Moles D, Mossey P, Sloan P, Stuart-Wilson F, Watts T. Editorial control. Br Dent J 2004. [DOI: 10.1038/sj.bdj.4811933] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Abstract
Drug-induced gingival overgrowth is an iatrogenic clinical condition, which affects a proportion of patients medicated for conditions such as hypertension, epilepsy and the prevention of organ transplant rejection. Clinical manifestation can vary in severity from minor problems to complete coverage of the standing teeth. Drifting of teeth can also occur, producing further aesthetic and functional problems for the patient. This report documents a case of a renal transplant patient in whom drifting of the upper incisor teeth spontaneously resolved following surgical reduction of the overgrown gingivae. Clinical issues relating to the management of gingival overgrowth are also discussed.
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Abstract
Smoking is a major risk factor for periodontal disease, causing bone and tooth loss. Effective management of many oral conditions requires accurate information about smoking. We describe a disposable, 10-min, near-patient saliva test to monitor cigarette smoking. A plastic device contains the dried reagents to measure nicotine and its metabolites by a colorimetric assay. The device can be used to give a semi-quantitative assessment of tobacco consumption by observing a colour change and comparing it to a reference chart. Alternatively, the test can be quantified by measuring the light absorbance with a colorimeter and determining the concentration of nicotine metabolites by reference to a cotinine standard. This method correlates with reported daily cigarette consumption (r=0.62, P<0.0001) and nicotine yield of cigarettes smoked (r=0.35, P<0.01) and compares favourably with cotinine, as measured independently by radioimmunoassay (r=0.57, P<0.005). The method provides a simple-to-use, inexpensive way of monitoring tobacco consumption in dental surgeries.
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Affiliation(s)
- G Cope
- Wolfson Applied Technology Laboratory, School of Dentistry, The University of Birmingham, UK.
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Chapple I. Metamorphoses in medicine. A view from general practice. Med J Aust 1994; 161:45-7. [PMID: 8022346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
General practice once involved the work of all the specialties, particularly in the sparsely populated areas of Australia's north and west. Now the specialists are more likely to be available for referral, but general practice has evolved into a specialty of its own.
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