Doxycycline as an adjunct to scaling and root planning in diabetics

shutterstock_129331370

This review of the effectiveness of systemic doxycycline as an adjunct to scaling and root planning (SRP) with SRP alone in diabetic patients with periodontitis included 6 small RCTs suggesting no additional benefit from systemic docycycline.

[read the full story...]

Periodontal infrabony defects: does autologous platelet concentrates (APC) improve surgical outcomes

shutterstock_28627237

38 RCTs were included in this Cochrane review of the effects of autologous platelet concentrates (APC) used as an adjunct to periodontal surgery. Very low quality evidence was found for two approaches involving open flap debridement.

[read the full story...]

Gingival recession: which surgical treatment technique?

Gum_graft_fig_1

This Cochrane review of the efficacy of different root coverage procedures for gingival recession included 48 RCTs describing a range of procedures. Most procedures led to a reduction in gingival recession.

[read the full story...]

Third molars: Regenerative techniques for preventing periodontal defects

shutterstock_133048361

This review of the effectiveness of regenerative periodontal treatment for preventing periodontal defects following third molar surgery included 21 RCTs and suggested that these approaches were effective. However a majority of the included studies were at high risk of bias so the findings should be interpreted cautiously.

[read the full story...]

Metformin as an adjunct to periodontal treatment

shutterstock_129331370

This review of metformin as an adjunct to scaling and root planing for chronic periodontitis included 5 RCTs that were of limited quality and mainly from one research group. The findings suggest benefit.

[read the full story...]

Statins as an adjunct to periodontal treatment?

This well conducted Cochrane review found no evidence that statins

This review of the adjunctive effect of statins on mechanical periodontal therapy included 15 studies 12 of which were RCTs. The findings suggest a positive effect on probing pocket depth, clinical attachment level, and intrabony defects but the overall quality of evidence is considered to be low.

[read the full story...]

Non-surgical periodontal therapy – which antibiotic regime?

shutterstock_64158991 question mark pills tablets

This review of amoxicillin & metronidazole as an adjunct to non-surgical periodontal treatment included 18 trials . A small benefit was seen with antibiotic use but no clinically meaningful difference between different doses or duration of amoxicillin-plus-metronidazole at 3 months post-treatment.

[read the full story...]

Phytotherapy as an adjunct to nonsurgical periodontal treatment?

shutterstock_2584741

7 small RCTs that majority of cross-over design were included in this review of phytotherapy as an adjunct to scaling and root planing for chronic periodontitis. While the findings suggest a benefit these should be viewed with caution until results from larger high quality studies are available.

[read the full story...]

Periodontitis- supportive periodontal treatment

shutterstock_2584741

This Cochrane review of the effects of supportive periodontal therapy (SPT) in the maintenance of the dentition of adults treated for periodontitis included 4 RCTs providing is insufficient evidence to determine the superiority of different protocols or adjunctive strategies to improve tooth maintenance during SPT.

[read the full story...]

Intrabony periodontal defects – does combining bone substitutes and enamel matrix derivatives improve outcomes?

shutterstock_28627237

This review of combining bone substitutes and enamel matrix derivatives for the management of intrabony periodontal defects only identified 5 small RCTs of limited quality. The addition of EMD to bony substitutes was not seen to be beneficial but the results should be interpreted cautiously due to limitations in the available evidence.

[read the full story...]