Periodontal disease in pregnancy – How common is it?

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This review of the prevalence of periodontal disease among pregnant women included 20 studies. The findings suggest an overal prevalence of 40% (95%CI; 15 to 100%) based on 3 studies using the same assessment criteria.

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Dental implant placement in patients on anticoagulant or antiplatelet therapy

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The use of dental implants has steadily increased and in recent years the largest increase has been noted in patients aged between 65-74 years.  This age group are also likely to be on long-term prescription of antiplatelet and oral anticoagulants as prophylaxis against thromboembolic events. Dental implant placement as a surgical procedure presents a risk [read the full story…]

Full-mouth scaling or full-mouth disinfection (within 24 hours) for treatment of periodontitis

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This Cochrane review update comparing full-mouth scaling/disinfection (FMS/D) to conventional quadrant scaling for periodontitis for the treatment of periodontitis included 20 RCTs. However there is still no clear evidence that FMS/D approaches provide additional clinical benefit compared to conventional treatment.

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Dietary omega-3 fatty acids as an adjunct to non-surgical periodontal treatment

Fatty acid supplementation may have involved omega - 3 or -6 oils or both.

This review assessing the impact of dietary omega-3 fatty acids as an adjunct to non-surgical periodontal treatment when compared with periodontal treatment alone included 10 trials ivolving a total of 467 patients. The studies found statistically significant improvements in clinical attachment level (CAL) and periodontal probing depth (PPD) but the studies are generally small and short-term.

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Air polishing or hand and/or power-driven instruments in supportive periodontal therapy

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This review of air polishing devices (APDs) in comparison with hand instruments and/or power-driven instruments in supportive periodontal treatment and implant maintenance included 6 RCTs. 4 of the 6 included studies were considered to be at high risk of bias so the findings should be interpreted cautiously.

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Management of dental patients taking anticoagulants or antiplatelet drugs

SDCEP- Anticoag-platelets 2022

We take a look at the recently updated guidance on the Management of Dental Patients Taking Anticoagulants or Antiplatelet Drug from the Scottish Dental Clinical effectiveness programme (SDCEP).

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Rubber bristles interdental cleaners as an adjunct to toothbrushing

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This review of the efficacy of rubber bristles interdental cleaners (RBIC) as an adjunct to toothbrushing (TB) included 6 RCTs. The findings provide weak to very weak certainty evidence for the use of RBICs for gingivitis and plaque reduction.

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Antiseptics as adjuncts to nonsurgical periodontal treatment

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This review of the effectiveness of adjunctive local antiseptics to conventional scaling and root planning (SRP) included 12 RCTs only 3 of whihc were considered to be at low risk of bias. While the findings suggest some benefit from the use of antiseptics with a sustained-release delivery the limited quality of the included studies means that the findings should be interpreted cautiously.

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Probiotics for the treatment of gingivitis

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This review of the the efficacy of probiotics in the treatment of gingivitis included 10 small short term studies providing limited weak evidence for any effect on gingivitis.

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Hyaluronic acid as an adjunct to periodontal treatment

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This review looked at the adjunctive effects of hyaluronic acid (HA) on surgical or non-surgical periodontal treatment. Thirteen RCTs the majority at high risk of bias suggested that the topical application of HA may lead to additional clinical benefits.

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