Periodontal treatment and glycaemic control in people with diabetes mellitus

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This Cochrane review of the effects of periodontal treatment on glycaemic control in people with diabetes mellitus and periodontitis updates the 2015 version. The earlier conclusions have changed and there is now moderate‐certainty evidence that periodontal treatment using subgingival instrumentation improves glycaemic control in those with periodontitis and diabetes.

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Air polishing or hand and/or power-driven instruments in supportive periodontal therapy

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This review of air polishing devices (APDs) in comparison with hand instruments and/or power-driven instruments in supportive periodontal treatment and implant maintenance included 6 RCTs. 4 of the 6 included studies were considered to be at high risk of bias so the findings should be interpreted cautiously.

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Cyanoacrylate tissue adhesive in postoperative palatal pain management

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This review assessing the effect of cyanoacrylate tissue adhesive (CTA) in the management of palatal wound healing and post-operative pain after epithelialised gingival graft harvesting included just 4 small RCTs. While the findings suggest a potential benefit with CTA both the quantity and quality of the available evidence is very limited.

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Interdental cleaning devices with active substances

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This review of the efficacy of interdental cleaning devices (ICDs) used with active substances, as adjuncts to toothbrushing included 7 RCTs. However, none of the available studies was at low risk of bias and all were small. While the findings suggest s benefit from using ICDs with active substances the evidence is of very low certainty so additional high qiality well reported trials are needed.

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Top Dental Elf Blogs: Oct – Dec 2021

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Amoxicillin and metronidazole as an adjunct to full-mouth scaling and root planing, malignant transformation on oral lichen planus and toothbrushing to prevent ventilator-associated pneumonia was out most popular blogs between October to December 2021.

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Tricalcium phosphates for infra-bony periodontal defects

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This review of the clinical efficacy of tricalcium phosphates (-containing) biomaterials in the treatment of periodontal infra-bony defects includes 16 RCTs. While the findings suggest improvements in pocket depth and clinical attachment level only 6 of the studies contributed to the meta-analyses and the number of events and studies are small so the findings should be viewed cautiously.

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Curcumin as an adjunct to scaling and root planing for chronic periodontitis

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This review of the effectiveness of oral curcumin products in reducing gingival inflammation and probing pocket depth in adults included 27 RCTs.The findings suggest that curcumin products were as effective as other products. However, a majority of the studies are small and none are at low risk of bias.

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Periodontitis: Adjunctive amoxicillin and metronidazole with full-mouth scaling and root planing

This review of whether amoxicillin and metronidazole used as an adjunct to full-mouth scaling and root planing improved clinical outcomes included 11 RCTs. While the findings indicate significant improvements in clinical attachment level and pocket probing depth they may not be clinically important.

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Prevention toolkit from Public Health England

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An updated version of ‘Delivering Better Oral Health, ’ the oral health prevention toolkit published iby Public Health England to provide practical evidence-based guidance for promoting oral health and preventing oral disease is now available.

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Peri-implantitis: Are locally administered antibiotics effective?

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This review of the effectiveness of locally administered antibiotics in the treatment of peri-implantitis included 12 small studies 7 of which were RCTs. While the findings suggest a small additional benefit with antibiotic use however the clinical importance of this is debatable.

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