Drug use and oral health status

Very few studies in this review, measured or adjusted for use of other substances such as cannabis.

This review investigating the relationship between drug use (methamphetamines, heroin, opiates, cocaine, cannabis and crack) and oral health includes 10 observational studies showing a higher risk of caries.

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Chlorhexidine gel as an adjunct to non-surgical periodontal treatment

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This review of the efficacy of adjunctive subgingival administration of chlorhexidine gel in nonsurgical periodontal treatment for chronic periodontitis included 17 RCTs only one of which was at low risk of bias for all domains. Findings suggest an improvement in pocket probing depth but not for clinical attachment.

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Periodontal treatment to prevent or manage cardiovascular disease

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Two small RCTs at high risk of bias were included in this Cochrane systematic review looking at the effects of periodontal therapy for primary or secondary prevention of CVD in people with chronic periodontitis.

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Top Dental Elf Blogs Apr– Jun 2019

The Dental Elf brings you daily updates of evidence-based dentistry research

The Cochrane review of interdental cleaning devices, whether antibiotics are needed for dental implant placement and oral health programmes for people with intellectual difficulties were our most popular blogs of the spring.

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Smoking cessation and tooth loss

This review provides strong evidence for quitting smoking and reducing your risk of dementia.

This review assessing whether smoking cessation reduced the risk of tooth loss included 14 cross-sectional and 7 longitudinal studies suggestign that the risk of tooth loss in former smokers is comparable to that of never smokers

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Mesenchymal stem cells in periodontal regeneration?

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This review evaluating the potential efficacy of mesenchymal stem cells in periodontal regeneration included 15 small studies of very low quality. Additional high quality RCTs are neeeded to assess effectiveness before clinicial use.

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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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