Periodontitis: Systemic antimicrobials as an adjunct to non-surgical treatment

Periodontal disease
Periodontitis

This Cochrane review of the effects of systemic antimicrobials as an adjunct to scaling and root planing (SRP) for the non-surgical treatment of patients with periodontitis identified 45 RCTs. However the evidence is of very low certainty to inform tclinicians and patients if adjunctive antibiotics are beneficial.

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Chlorhexidine chip as adjunct to scaling and root planing in patients with chronic periodontitis

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This review of sub-gingival chlorhexidine chips as an adjunct to scaling and root planing in patients with chronic periodontitis included 15 RCTs involving 620 patients in total. Findings suggest an additional improvement with adjunctive use of chlorhexidine chips.

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Dental check-ups: How often should you go?

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This Cochrane review update of the optimal recall interval of dental check-up for oral health in a primary care setting included 2 RCTs. The findings show little to no difference between six‐monthly and risk‐based check‐ups in tooth decay, gum disease and quality of life after four years.

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Subgingival instrumentation for treating periodontitis

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This review evaluating the efficacy of subgingival instruments for the treatment of periodontitis included 19 RCTs. The findings show that mechanical subgingival instrumentation is efficacious in the nonsurgical treatment of periodontitis, irrespective of type of instrument or mode of delivery.

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Propolis-based mouthwashes

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This review evaluating the evidence regarding the efficacy of propolis-based mouthwash on dental plaque and gingival inflammation included 9 RCTs. While the findings suggest potential benefit from propolis-based mouthwash the quality of the available evidence is very low and additional high quality studies are needed to assess any benefits.

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Chronic periodontitis: pocket elimination after osseous resective surgery

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4 RCTs involving 96 patients were included in this review of osseous resective surgery (ORS) in the treatment of residual periodontal defects.
The findings suggest some benefit from ORS but they should be interpreted cautiously because of the limited number of small studies.

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Antiseptics as adjuncts to nonsurgical periodontal treatment

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This review of the effectiveness of adjunctive local antiseptics to conventional scaling and root planning (SRP) included 12 RCTs only 3 of whihc were considered to be at low risk of bias. While the findings suggest some benefit from the use of antiseptics with a sustained-release delivery the limited quality of the included studies means that the findings should be interpreted cautiously.

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Triphala mouthwash for plaque-induced gingivitis

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This review of the efficacy of Triphala and chlorhexidine mouthwash in the treatment of plaque-induced gingivitis included 7 RCTs involving a total of 1270 patients. However most of the studies are of short duration at at high to medium risk of bias.

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Orthodontic retainers: Effects on periodontal health

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This review of the effects of fixed orthodontic retainers on periodontal health includes 29 manily observational studies. While the findings suggest that fixed rettainers are compatibile with periodontal health the quality of the included studies is very low so the findings should be interpreted cautiously.

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Smoking and dental implant failure

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This review of whether there was an increased risk of dental implant failure in heavy smokers compared with light smokers included 23 studies the majority being retrospective studies. The findings suggest that the risk of implant failure was elevated with an increase in the number of cigarettes smoked per day but the findings should be interpreted cautiously.

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