Guideline: Nonsurgical treatment of chronic periodontitis

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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?

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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

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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

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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

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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…]

Small study suggests possible role for low-level laser therapy in treating recurrent oral ulcers

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Recurrent aphthous stomatitis (RAS) is the most common form of oral ulceration. Prevalence rates for the general population vary between 5-60%. Onset generally peaks between the ages of 10-19 an often persists in to adulthood. A wide range of topical and systematic treatments have been utilised including low-level laser therapy. The aim of the study [read the full story…]

Critical summary from the American Dental Association Center for Evidence-based Dentistry

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The ADA-EBD Center has just published another of its critical summaries of systematic reviews.  This one looks at a 2012 review by Sgolastra et al, which was looking at the efficacy of the Er:YAG laser when used as an alternative treatment to scaling and root planing (SRP) in the treatment of patients with chronic periodontitis? [read the full story…]

Review suggests that some lasers are effective in treatment of dentine hypersensitivity

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In my blog on 25th June 2011 we looked at a systematic review which aimed to assess whether laser therapy was more effective than desensitising agents for dentine hypersensitivity.   This latest systematic review on the topic by  Sgolastra et al  aimed to assess the efficacy of lasers, stratified according to laser type, on changes in [read the full story…]

Only weak evidence that laser-assisted pulpotomy improves outcomes in primary teeth

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Pulpotomy procedure are used to maintain a carious tooth by removing the infected pulp and lasers have been shown to reduce bacterial levels in human tissue.  The aim of this review was to identify studies comparing laser with conventional techniques for pulpotomy procedures in primary teeth and to evaluate their methodological quality, to assess whether [read the full story…]

Weak evidence shows no evidence of improved root surface coverage using root surface biomodification agents

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It has been suggested that root surface biomodification (RSB) with chemical agents, improves outcomes of periodontal surgery and scaling and root planning. The aim of this review was to determine if RSB has any positive or negative effects when used before root coverage procedures? Medline and the Cochrane Central Register of Controlled Trials together with [read the full story…]