Peri-implantitis: little evidence that particular non-surgical treatments are better than debridement alone


This Bayesian network meta-analysis only included 11 small studies of overall low quality. While the greatest reduction in PPD was seen with debridement in conjunction with antibiotics the difference are small so it is difficult to conclude that any particular non-surgical treatment for peri-implantitis performs better than debridement alone

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Periodontal treatment may be effective in improving metabolic control in diabetics but clinical significance is unclear


The destructive form of periodontal disease, periodontitis, affects approximately 50% of adults and over 60% of over 65 year olds, with severe periodontitis affecting 10–15% of populations. It is biologically plausible that chronic inflammation from periodontal disease has an impact on diabetes control and a number of epidemiological studies have highlighted associations between the two [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…]

Some evidence of improvement in metabolic control in diabetics, after treating periodontal disease


Many have suggested a two-way relationship between periodontitis and  diabetes mellitus. Poor glycaemic control is associated with an increase risk of periodontal disease and in 2010 a Cochrane review  (Simpson et al) estimated a 0.4% reduction of HbA1c associated with periodontal treatment.  At that time Simpson et al noted that there were only a small [read the full story…]

Tailored approaches to oral health education for non surgical periodontal treatment are cost effective


This cost effectiveness study is based on a data from a randomised controlled trial published by Jönsson et al (2010), that trial compared an individually tailored oral health educational programme (ITOHEP) on periodontal health with a standard oral health educational programme. and found, ITOHEP intervention in combination with scaling is preferable to the standard programme [read the full story…]

Limited benefit of slow release doxycycline gel as an adjunct to non-surgical periodontal maintenance treatment


The aim of this study was to evaluate the efficacy of a slow release doxycycline gel (SRD) administered as an adjunct to non-surgical therapy in subjects with recurrent or persistent periodontitis but acceptable oral hygiene during supportive periodontal care. What did they do Patients suffering from persistent or recurrent moderate to severe periodontitis and undergoing [read the full story…]

Periodontal treatment can moderately improve quality of life

shutterstock_14465950 dentist and assistant

Traditionally the response of periodontal disease to treatment has most commonly been measured using the surrogate markers of; bleeding on probing (BOP); pocket probing depth (PPD) and clinical attachment loss (CAL).  This review aims to review whether a patient orientation measure (POEM) such as quality of life can measure the effect of treatment. What did [read the full story…]