Periodontitis- supportive periodontal treatment

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This Cochrane review of the effects of supportive periodontal therapy (SPT) in the maintenance of the dentition of adults treated for periodontitis included 4 RCTs providing is insufficient evidence to determine the superiority of different protocols or adjunctive strategies to improve tooth maintenance during SPT.

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Intrabony periodontal defects – does combining bone substitutes and enamel matrix derivatives improve outcomes?

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This review of combining bone substitutes and enamel matrix derivatives for the management of intrabony periodontal defects only identified 5 small RCTs of limited quality. The addition of EMD to bony substitutes was not seen to be beneficial but the results should be interpreted cautiously due to limitations in the available evidence.

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Powered toothbrushes for orthodontic patients

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This review of powered toothbrushes for periodontal health in orthodontic patients included 9 small RCTs. A small statistically significant benefit was noted in short term use.

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Statins as an adjunct to scaling and root planing

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11 RCTs were included in this review of statins as an adjunct to scaling and root planing. The findings suggest improvements in pocket depth and clinical attachment levels with statin use.

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Halitosis: effect of periodontal treatment

We'd like to see the 'C' word (Committing Suicide) eradicated from all discussions about suicide.

Eight low quality studies were included in this review of the effect of scaling and root planing, professional tooth cleaning together with oral hygiene instructions on halitosis. All the studies demonstrated a positive effect but the findings need to be interpret cautiously.

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Treating periodontitis to prevent heart disease – evidence unclear

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Only 1 trial at high risk of bias was included in this recent update of a 2014 Cochrane review of periodontal therapy for preventing cardiovascular disease (CVD) providing insufficient evidence to support or refute whether periodontal therapy can prevent the recurrence of CVD in the long term in patients with chronic periodontitis.

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Dementia and oral health status

Caring for a loved one with dementia can be stressful at times.

28 observational studies were included in this review of the oral health status of people with dementia. The findings suggest that compared with people without dementia those with dementia have poorer oral health.

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Children and adolescents with intellectual disabilities: oral health status

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This review of oral health status in people with intellectual disabilities included 39 studies. Higher level of dental plaque, worse gingival status, and fewer decayed and filled permanent teeth were seen than in patients without intellectual disabilities.

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Scaling and root planing: Do adjunctive statins improve effectiveness?

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10 randomised trials were included in this review of he adjunctive use of statins with scaling and root planing for treatment of chronic periodontitis . The findings suggest additional benefits with their use regardless of health or smoking status.

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Periodontal disease and pregnancy outcomes

Routine specialist pregnancy care involved an initial meeting to discuss quitting smoking and set a quit date, followed by 4 weekly telephone calls, and free nicotine replacement therapy for 10 weeks.

Twenty three systematic reviews were included in this overview of reviews reviews assessing the link between periodontal disease and adverse periodontal outcomes. While a majority of the available reviews suggest an association there are concerns regarding the quality of the primary studies.

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