Periodontitis: Locally delivered anti-microbials as an adjunct to surgical periodontal treatment

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This review of the effectiveness of locally delivered adjunctive antibiotic treatment during periodontal surgery on clinical outcomes included 9 RCTs. While the findings suggested that adjunctive locally delivered antibiotics could improve some clinical sutcomes they evidence was limited and of very low certainty.

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Diabetes and periodontal status in children and adolescents

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This review comparing the periodontal status of normal children with those living with diabetes regardless of type included 11 studies. While the findings suggest that children and adolescents with diabetes have poorer periodontal status the quality of the evidence is low.

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Orthodontic ligation methods and biofilm formation

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This review comparing elastomeric ligation with self-ligation and steel wire ligation for orthodontic appliances and their effect on clinical outcomes included 11 RCTs. The findings suggest no significant differences although the trials were small with a majority at high risk of bias.

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Orthodontic retainers and periodontal health

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This review comparing the effects of vacuum-formed retainers (VFR) and Hawley retainers (HR) on periodontal health included 6 RCTs. While the findings suggests a statistical benefit in favour of HR in the short term the studies are small, short-term and most ( 5) were considered to be at high risk of bias.

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Probiotics and gingival inflammation

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This review of the effect of probiotics on gingival inflammation and oral microbiota in patients suffering from plaque-induced gingivitis included 11 RCTs. No clear evidence was found to indicate that oral probiotics have a positive effect on gingival inflammation and oral microecological environment of patients with gingivitis.

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Curcumin mouthwashes for plaque and gingivitis

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This review of the efficacy of curcumin mouthwash on plaque and gingivitis in comparison with chlorhexidine included 6 RCTs. While the findings suggest that curcumin mouthwashes have promising anti-plaque and anti-gingivitis properties 5 of the 6 studies were at high risk of bias.

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Powered toothbrushes and plaque control in orthodontic patients

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Typically, fixed appliance orthodontic treatment can last 18-24 months. As the presence of orthodontic appliance encourages plaque accumulation the maintenance of good oral hygiene is important is prevent adverse oral health outcomes.  The small head sizes of powered toothbrushes are considered to assist effective oral hygiene and have been sown to benefit oral health. The [read the full story…]

Powered toothbrushes for patients undergoing fixed orthodontic appliance treatment?

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This review of the effect of powered and manual toothbrushes on oral health during fixed applinace orthodontic treatment included 7 RCTs. The findings suggest no diference between the toothbrush types. However the quality of the evidence is low and the studies are of short duration.

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Triphala mouthwash for plaque-induced gingivitis

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This review of the efficacy of Triphala and chlorhexidine mouthwash in the treatment of plaque-induced gingivitis included 7 RCTs involving a total of 1270 patients. However most of the studies are of short duration at at high to medium risk of bias.

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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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