Periodontal treatment and glycaemic control in diabetes

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This review of the efficacy of scaling and root planning (SRP) and SRP + adjuvant treatments in improving glycaemic control in patients with type 2 diabetes mellitus and chronic periodontitis included 14 RCTs suggesting some benefit in the short term.

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Tooth loss predictors in periodontal patients

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This review of predictors of tooth loss in patients with periodontitis undergoing treatment and receiving supportive care included 20 studies. Findings suggest older, non‐compliant patients, smokers, diabetics, those with IL‐1‐polymorphism, and teeth with bone loss, high probing pocket depths, mobility, as well as molars, especially with furcation involvement, are at higher risk of tooth loss.

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Anti-plaque agents in toothpaste: Are they helpful in managing gingivitis?

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This review of the efficacy of different anti-plaque chemical agents in managing gingivitis included 32 RCTS of toothpastes and 19 of mouthrinses suggested greater benefits with some agents.

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Periodontal disease: Influence of influence family/parent characteristics

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This review of the influence family/parent characteristics on periodontal disease in children and adolescents included 32 onsevations studies suggesting that parental income, education and occupation are assocated with periodontal disease.

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Interdental cleaning devices for prevention and control of caries and periodontal disease

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Thi Cochrane review evaluateingthe effectiveness of interdental cleaning devices used at home, in addition to toothbrushing, compared with toothbrushing alone, for preventing and controlling periodontal diseases, caries, and plaque includes 35 RCTs providing low to very low certainty evidence that floss or interdental brushes in addition to toothbrushing may reduce gingivitis or plaque, or both.

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Periodontitis and preterm birth

Antenatal mental health is a growing UK clinical and research priority, which affects all pregnant women

This review assessing the association between periodontitis and preterm birth included 31 studies with 20 contributing to a meta-analysis suggesting a significant positive association 2.01 (95%CI; 1.71 – 2.36).

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Chlorhexidine mouthwash after periodontal or implant surgery

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This review of the benefits of chlorhexidine rinsing after periodontal or implant surgery included 11 small RCTs which provide very low quality evidence of a benefit.

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Peri-implantitis: Is periodontal disease a risk factor?

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This review to assess whether dental implants placed in patients with periodontitis have a higher risk of peri-implantitis included 19 mainly cross-sectional studies providing very low quality evidence to suggest a link.

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Routine scale and polish for periodontal health

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Two UK primary care-based trials were included in this Cochrane review update of routine scale and polish. They provide high certainty evidence of litte or no difference between 6- & 12-monthly scale and polish for adult regular attenders without severe periodontitis.

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