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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Periodontitis: How good are current prediction models?

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12 prediction models for periodontitis incidence and progression were identified in 7 studies. There were several methodological and reporting shortcomings of published prediction models and indicated further research is required.

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Diabetic patients: does periodontal treatment improve glycaemic control?

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91 diabetic patients were randomised to non-surgical scaling and root planing and amoxicillin or control. While periodontal status significantly improved at 3 months there was no no significant effects on
glycaemic control.

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Gingival recession: which surgical treatment technique?

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This Cochrane review of the efficacy of different root coverage procedures for gingival recession included 48 RCTs describing a range of procedures. Most procedures led to a reduction in gingival recession.

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Third molars: Regenerative techniques for preventing periodontal defects

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This review of the effectiveness of regenerative periodontal treatment for preventing periodontal defects following third molar surgery included 21 RCTs and suggested that these approaches were effective. However a majority of the included studies were at high risk of bias so the findings should be interpreted cautiously.

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