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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Nonsurgical periodontal treatment: adjunctive antibiotic use in diabetics

Participants ranked the clinical instruments most highly

This review of adjunctive use of systemic antibiotics in nonsurgical periodontal treatment of diabetics identified 12 small RCTs. No additional benefit was seen with antibiotic use

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Motivational interviewing for periodontal disease

Motivational interviewing works on facilitating and engaging intrinsic motivation within the client in order to bring about behaviour change.

This review of motivational interviewing (MI) as an adjunct to periodontal treatment only included 5 papers reporting 4 studies. The review provides limited evidence to suggest that MI might have a positive effect but more higher quality research is needed.

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Periodontal treatment during pregnancy-no evidence of impact on preterm birth

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.

15 RCTs were included in this Cochrane review of impact of periodontal treatment on adverse pregnancy outcomes. all the included studies were considered to be at high risk of bias. There was no evidence that periodontal treatment reduces the number of preterm babies.

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Anxiety and pain during dental treatment

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35 studies investigating 47 clinical groups were included in this review of the association between dental anxiety and pain during dental treatment. The findings suggest a consistent impact on pain through the entire period of dental treatment.

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Periodontal treatment: effectiveness of intra-pocket anaesthesia

gum disease, scale and polish

This review of intra-pocket anaesthesia for patients having scaling and root planing included 11 trials and demonstrated a benefit over placebo.

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Periodontal treatment- adjuvant antibiotics for diabetic patients?

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This review of adjuvant antibiotics for diabetics undergoing periodontal treatment included 13 small RCTs. While a statistically significant improvement in probing depth was seen the magnitude of this improvement is unlikely to be clinically significant.

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Furcation involvement may double risk of tooth loss in periodontitis

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This review of the impact of furcation involvement on tooth loss in periodontal disease found 21 pro- and retrospective studies. The data suggests that the risk of tooth loss may be doubled where there is furcation involvement.

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Periodontal therapy may increase the efficiency of H. pylori eradication

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7 small studies are included in this Cochrane review which suggests that adjunctive periodontal therapy helps increase the efficiency of H. pylori eradication. OR = 2.15 (95%CI; 1.47 to 3.14)

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Systemic antibiotics for aggressive periodontitis?

shutterstock_113989924  - periodontitis

This review of systemic antibiotics and non-surgical periodontal therapy for aggressive periodontitis included 13 RCTs and suggests a statistically significant benefit compared to non-surgical therapy alone.

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