Nonsurgical periodontal treatment: adjunctive antibiotic use in diabetics

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This review of adjunctive use of systemic antibiotics in nonsurgical periodontal treatment of diabetics identified 12 small RCTs. No additional benefit was seen with antibiotic use

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Periodontal maintenance after specialist treatment: specialist or primary care setting?

gum disease, scale and polish

This reviews of the efficacy of periodontal maintenance treatment carried out in primary care compared to the specialist setting following specialist treatment included 8 cohort studies. The quality of the available evidence was limited suggesting outcomes may be poorer in primary care further high quality studies are required

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Dental Implant survival in patients with aggressive periodontitis

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7 prospective cohort studies were included in this review of dental implant survival in patients with periodontitis. Patients with aggressive periodontitis has statistically significant lower survival rates at 3 years but the quality of the evidence is limited.

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Systemic antibiotics for aggressive periodontitis?

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This review of systemic antibiotics and non-surgical periodontal therapy for aggressive periodontitis included 13 RCTs and suggests a statistically significant benefit compared to non-surgical therapy alone.

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Azithromycin as an adjunct to scaling and root planing for periodontal disease

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This review of azithromycin as an adjunct to scaling and root planing for periodontal disease included 9 small RCTs. While some studies demonstrated some small improvements in periodontal parameters, there was no data to demonstrate superiority of azithromycin against the standard antibiotic combination of metronidazole and amoxicillin.

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Aggressive periodontitis: is photodynamic therapy beneficial?

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This review looked at the effectiveness of antimicrobial photodynamic therapy as an adjunctive treatment to scaling and root polishing for aggressive periodontitis. Seven small studies suggest that it may be beneficial in the short term.

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Aggressive periodontitis: systemic antibiotics may improve outcome

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This review and network meta-analysis included 11 small RCTs of limited quality, suggesting a statistically significant benefit for the use of adjunctive systemic antibiotics for the treatment of aggressive periodontitis.

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Periodontitis: evidence lacking for different cytokine/chemokine profiles in aggressive and chronic disease

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This review included 17 studies and 843 patients. A wide range of cytokines/chemokines were assessed but the available evidence is not sufficient to prove that there are distinct differences between patients with aggressive periodontitis and those with chronic periodontitis.

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Dental Implants : higher failure rates in patients with aggressive periodontitis?

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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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What is the rate of disease progression in aggressive periodontitis?

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Periodontitis is common, but aggressive periodontitis (AgP) is thought to progress faster than chronic periodontitis (CP). Reviews suggest that tooth loss as a result of periodontitis is in the order of 1.5-9.8%. The aim of this current review was to investigate tooth loss and disease progression in aggressive periodontitis cases. The Medline and Embase databases [read the full story…]