Power toothbrushes – Sonic or oscillating-rotating?

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This review of the efficacy of oscillating-rotating power toothbrush compared to high-frequency sonic power toothbrush includes 32 RCTs. The findings show moderate certainty evidence in favour of the oscillating-rotating however the clinical relevance may not be important.

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Mobile applications and behaviour change in orthodontic patients

This RCT looked at whether Mentalization Based Treatment for Adolescents reduced self-harming beahviour

This review of the effectiveness of mobile applications and social media-based interventions in inducing behaviour change among orthodontic patients included 16 RCTs. While the findings suggest some limited beneficial changes in orthodontic patients the interventions are very hetrogeneous and not based on clear behavioural change theory.

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Curcumin as an adjunct to scaling and root planing for chronic periodontitis

Tumeric, curcumin

This review of the effectiveness of oral curcumin products in reducing gingival inflammation and probing pocket depth in adults included 27 RCTs.The findings suggest that curcumin products were as effective as other products. However, a majority of the studies are small and none are at low risk of bias.

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Periodontitis: Locally delivered anti-microbials as an adjunct to surgical periodontal treatment

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This review of the effectiveness of locally delivered adjunctive antibiotic treatment during periodontal surgery on clinical outcomes included 9 RCTs. While the findings suggested that adjunctive locally delivered antibiotics could improve some clinical sutcomes they evidence was limited and of very low certainty.

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Diabetes and periodontal status in children and adolescents

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This review comparing the periodontal status of normal children with those living with diabetes regardless of type included 11 studies. While the findings suggest that children and adolescents with diabetes have poorer periodontal status the quality of the evidence is low.

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Flossing: Before or after brushing?

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This review comparing the clinical performance of flossing before or after toothbrushing included two small RCTs involving a total of 60 patients. The findings suggest no difference with the use of floss before or after toothbrushing however the quality of the evidence is limited.

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Orthodontic retainers and periodontal health

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This review comparing the effects of vacuum-formed retainers (VFR) and Hawley retainers (HR) on periodontal health included 6 RCTs. While the findings suggests a statistical benefit in favour of HR in the short term the studies are small, short-term and most ( 5) were considered to be at high risk of bias.

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Probiotics and gingival inflammation

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This review of the effect of probiotics on gingival inflammation and oral microbiota in patients suffering from plaque-induced gingivitis included 11 RCTs. No clear evidence was found to indicate that oral probiotics have a positive effect on gingival inflammation and oral microecological environment of patients with gingivitis.

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Curcumin mouthwashes for plaque and gingivitis

Tumeric, curcumin

This review of the efficacy of curcumin mouthwash on plaque and gingivitis in comparison with chlorhexidine included 6 RCTs. While the findings suggest that curcumin mouthwashes have promising anti-plaque and anti-gingivitis properties 5 of the 6 studies were at high risk of bias.

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Powered toothbrushes and plaque control in orthodontic patients

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Typically, fixed appliance orthodontic treatment can last 18-24 months. As the presence of orthodontic appliance encourages plaque accumulation the maintenance of good oral hygiene is important is prevent adverse oral health outcomes.  The small head sizes of powered toothbrushes are considered to assist effective oral hygiene and have been sown to benefit oral health. The [read the full story…]