Results: 349

For: periodontal disease

Plaque accumulation with clear aligners and fixed orthodontic appliances

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This review comparing plaque accumulation in orthodontic patients undergoing clear aligner (CA) and conventional fixed appliance treatment included 14 studies. The findings suggested less plaque accumulation with CA but all the included studies were at moderate to high risk of bias.

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Edentulism in diabetics compared to non-diabetics

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This review of the prevalence of edentulism among diabetic patients compared to non-diabetic people included 7 cross-sectional studies. The findings suggest a higher level of edentulism in diabetic patients but the findings should be interpreted cautiously.

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Supportive care to prevent recurrence or progression of peri-implantitis

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This review of whether supportive care is effective in preventing recurrence or progression of peri-implantitis included 15 studies. However none of the included studies was specifically designed to test supportive care regimens so there is a need for new well conducted and reported randomised trials of appropraite size and duration to provide better quality evidence.

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How clean is your toothbrush?

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This review of the level of toothbrush contamination and the factors affecting contamination in the general population included 15 studies. The findings show that toothbrush contamination occurs after first use and rises with continuing use. However, there is little evidence of significant adverse events from current practices.

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Oil pulling for oral health

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This review of oil pulling compared to chlorhexidine and other mouthwashes in improving the plaque, gingival and bacteria count parameters included 25 RCTs. However, the studies are modest in size of short duration and all except one study were considered to be at high risk of bias. Consequently the available evidence is of very low certainty and should be interpreted cautiously.

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Oral piercings and periodontal health

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This review of the influence of oral piercings on the periodontal health status in adult patients included 8 small observational studies. In line with other reviews the findings indicate adverse effects on periodontal health from oral piercings. However the quality of the evidence is low.

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Vitamin D and periodontitis

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This review compared vitamin D levels in individuals with or without periodontitis, and the effects of scaling and root planing (SRP) +vitamin D on periodontal clinical parameters in patients with periodontitis. The findings suggest a possible benefit but the quality of evidence means the findings should be interpreted very cautiously.

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Smoking and the incidence of peri-implantitis

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This review of the influence of smoking on the incidence of peri-implantitis included 6 prospective cohort studies involving a total of 762 patients. The findings suggest an increased patient-level risk of peri-implantitis in smokers risk ratio = 2.08 (95%CI; 1.17 to 3.71.

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Peri-implantitis – adjunctive measures to non-surgical peri-implant therapy

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This review of the effectiveness of patient-performed or administered adjunctive measures to non-surgical peri-implantitis therapy included 9 RCTs. A wide range of interventions were tested but the studies were mainly small with only one being at low risk of bias. Consequently addition high quality well conducted studies are needed on both the prevention and treatment of peri-implant disease.

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Peri-implantitis – surgical treatment methods

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This review comparing the effectiveness of different surgical methods for peri-implantitis included 13 parallel group RCTs. However, a wide variety of interventions were tested and the studies were generally small providing very low certainty evidence. Consequently additional high quality well reported studies are needed.

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