Scaling and root planing adjuncts for chronic periodontitis

shutterstock_113989924  - periodontitis

In 2015 the American Dental Association published a Guideline on nonsurgical treatment of chronic periodontitis. This network meta-analysis re-analyses the included studies providing a complementary appraisal of the data.

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Lasers for caries removal: evidence insufficient to support their use


This Cochrane review included 9 small RCTs with either a high or unclear risk of bias providing evidence that was insufficient to support the use of laser as an alternative to the drill for caries removal.

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Low-level laser as an adjunct to non-surgical periodontal treatment-evidence limited


This review of low-level laser therapy as an adjunct to non-surgical periodontal treatment only identified 7 small high risk studies. While results suggest short term improvements there should be viewed with caution.

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Lasers for surgical periodontal treatment – insufficient evidence of effectiveness


Eight small trials were identified for this review of lasers as an adjunct to surgical periodontal treatment. The limited number of studies and variation in the types of lasers used means there is insufficient evidence to support their effectiveness.

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Gingival recession: root surface modifiers did not improve surgical outcomes


Six small randomised controlled trials were found for this review assessing the use of root surface modifiers to improve the outcome of gingival recession surgery. None of the agents evaluated were seen to be of benefit.

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Guideline: Nonsurgical treatment of chronic periodontitis


This new systematic review from the ADA includes 72 RCTs on nonsurgical treatment approaches for chronic periodontitis. The systematic review provides the basis for a new clinical practice guideline.

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Dentine hypersensitivity: which treatments are best?


This review of dentine hypersensitivity treatment was broad, covering 11 agents and 105 RCTs. Most treatments suggested some benefits but the quality of available evidence was limited and there was little information on the relative effectiveness of the various agents.

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Low-level laser therapy may improve functional outcomes of patients with temporomandibular joint disorders


This new review of low-level laser therapy (LLLT) includes more trials ( 14) that two earlier reviews of this topic. While no improvements in pain were seen with LLT functional improvements were seen. Although 14 studies were included they only 454 patients have been included in studies to date.

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Review finds limited evidence for laser treatment in comparison to conventional treatment of peri-implantitis


Peri-implantitis is a common reason for the failure of dental implants and a number of different treatments for managing this condition have been suggested (Dental Elf 26th Jan 2012). The aim of this review was to assess whether laser therapy was effective either as a monotherapy or as an adjunctive therapy in the treatment of [read the full story…]

Review finds limited evidence for adjunctive use of the diode laser with non-surgical periodontal debridement


Diode-lasers have been used for soft-tissue applications such as incision, haemostasis, and coagulation so are considered to have potential for the treatment of periodontal disease. The aim of this review was to assess the adjunctive effect of a diode laser following non-surgical periodontal debridement (SRP) during the initial phase of periodontal therapy on the clinical [read the full story…]