Hyaluronic acid as an adjunct to periodontal treatment

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This review looked at the adjunctive effects of hyaluronic acid (HA) on surgical or non-surgical periodontal treatment. Thirteen RCTs the majority at high risk of bias suggested that the topical application of HA may lead to additional clinical benefits.

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Gingival recession: Stability of root coverage procedures for single gingival recessions

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This review evaluating the long-term (≥2 years) stability of root coverage procedures for single gingival recessions included 15 RCTs. the findings suggest that coronally advanced flap (CAF) may lose stability with time while CAF + connective tissue graft may produce a more stable result. However, the quality of the evidence is low.

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Doxycycline as an adjunct to scaling and root planning in diabetics

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This review of the effectiveness of systemic doxycycline as an adjunct to scaling and root planning (SRP) with SRP alone in diabetic patients with periodontitis included 6 small RCTs suggesting no additional benefit from systemic docycycline.

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Peri-implant disease: Does supportive periodontal treatment improve implant survival?

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This review of the impact of supportive periodontal treatment (SPT) following implant placement on peri-implant disease and survival rates included 9 studies. While the findings suggests that SPT can improve peri‐implant health the quality of the available evidence is limited so high quality well conducted prospective studies are needed.

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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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