This review looks at one potential side effect of clear aligner treatment, periodontal health. However only 5 small studies of limited quality are available. All of the included studies found that periodontal health improved however because of the limited evidence available the findings should be interpreted with caution.
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This equivalence trial compared two alcohol free mouthrinses with an alcohol containing rinse and toothbrushing alone. At 8 weeks all 4 interventions reduced interproximal bleeding with plaque reductions being significantly greater in the mouthrinse groups. There was more staining in the 3 mouthrinse groups.
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Another review of failure rates of dental implants shows increased failure rates in patients with generalised aggressive periodontitis. Six studies (5 from the same research group ) involving 290 patients and 834 implants were included.
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This new review identified 22 studies but no randomised trials and found a higher dental implant failure rate in periodontally compromised patients than health ones. However concerns over study quality means the findings should be interpreted with caution.
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This small study in orthodontic patients suggests that text messaging might improve plaque control in short term. Larger better quality studies are needed to provide more definitive answers.
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Today we look at a review of surgical treatments for the management of peri-implantitis. 21 studies were identified but only 5 were randomised trials, only one of which was at low risk of bias. While all approaches provided some benefit the available evidence is limited.
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This Bayesian network meta-analysis only included 11 small studies of overall low quality. While the greatest reduction in PPD was seen with debridement in conjunction with antibiotics the difference are small so it is difficult to conclude that any particular non-surgical treatment for peri-implantitis performs better than debridement alone
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This review compares the clinical outcomes of scaling and root planing with Er:YAG laser either as an alternative or as an adjuvant in patients with chronic periodontitis. 12 small trials were included and similar outcomes were seen with both treatments at 3 months . However hetrogeneity in teh studies and the small sample size mean that these finding should be interpreted with caution.
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A systematic review identified 39 observational studies looking at oral health problems in elite athletes. The quality of the studies was low and there may be some concerns about unrepresentative sampling. It suggests that oral health problems are common in this group. This consensus statement highlights these problems and makes recommendation for the future oral health of athletes and to research in this area.
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The review represents some of the output of the 2010 Global Burden of Disease studies and finds that severe periodontitis is the 6th most prevalent disease affecting about 11% of adults worldwide.The prevalence increases gradually with age with a steep increase between the 3rd and 4th decades.
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