Chronic periodontitis: pocket elimination after osseous resective surgery

shutterstock_28627237

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.

[read the full story...]

Bone regeneration: Is cortical perforation a benefit?

shutterstock_2418735

This review of the effect of cortical perforations in bone regeneration considering the surgical technique included 16 small studies. All but one of teh studies was conducted in an animal model providing very little clinically relevant data.

[read the full story...]

Periodontal surgery: Is a minimally invasive approach effective for infrabony defects?

shutterstock_2092494 Dentist and assistant are examining you the patient

This review of minimally invasive periodontal surgery for the treatment of intra‐bony defects included 25 studies of which 10 were randomised controlled trials. There is limitied evidence comparing minimal and traditional approach but minimal invasive surgery may produce similar outcomes.

[read the full story...]

Chlorhexidine mouthwash after periodontal or implant surgery

shutterstock_20760106 - mouthwash

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.

[read the full story...]

Periodontal infrabony defects: does autologous platelet concentrates (APC) improve surgical outcomes

shutterstock_28627237

38 RCTs were included in this Cochrane review of the effects of autologous platelet concentrates (APC) used as an adjunct to periodontal surgery. Very low quality evidence was found for two approaches involving open flap debridement.

[read the full story...]

Periodontal regeneration therapies: Are benefits long-term?

gum disease, scale and polish

This review of periodontal regeneration therapies included 52 trials. While the results suggest some statistically significant improvements they may not be clinically important. There is also limited data for outcomes longer than 12 months.

[read the full story...]

Impacted canines – insufficient evidence for best surgical approach for good periodontal outcomes

shutterstock_82388884

This review of surgical approaches for the management of labially impacted canines only identified 3 small studies at high risk of bias. These provide insufficient evidence to determine the best approach.

[read the full story...]

Lasers for surgical periodontal treatment – insufficient evidence of effectiveness

shutterstock_129331361

Eight small trials were identified for this review of lasers as an adjunct to surgical periodontal treatment. The limited number of studies and variation in the types of lasers used means there is insufficient evidence to support their effectiveness.

[read the full story...]

Gingival recession: root surface modifiers did not improve surgical outcomes

shutterstock_124420087

Six small randomised controlled trials were found for this review assessing the use of root surface modifiers to improve the outcome of gingival recession surgery. None of the agents evaluated were seen to be of benefit.

[read the full story...]

Periodontal surgery: less favourable outcomes in smokers

shutterstock_4350574

This review of periodontal flap surgery identified 8 small studies, all of which demonstrated better outcomes in terms of probing the depth and the attachment level for non-smokers.

[read the full story...]