This review of the efficacy of different bone reconstructive therapies for peri-implantitis compared to access flap surgery at 12 months or longer. included 18 studies with 12 RCTs contributing to the meta-analyses. The findings suggest that compared with access flap surgery reconstructive surgery does not offer significant improvements at 12 months but the evidence is of low certainty.
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This review to estimate the prevalence of periodontitis between 2011 and 2020 from epidemiological data included 55 studies. From 32 studies with confident case definition an estimate of periodontitis prevalence = 61.6% (95%CI; 55.1% to 67.9%) and a estimate of severe periodontitis = 23.6% (95%CI;17.6% to 30.1%).
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This review of adjunctive systemic or local antimicrobials as an adjunct to surgical treatment of peri-implantitis included 4 RCTs. The included studies only included a total of 200 pateints and were all considered to be at high risk of bias. The studies antimicrobial and treatment protocols also showed marked variation. Consequently, there is little evidence available on the effectiveness of local or systemic antimicrobials as adjuncts to surgical treatment of peri-implantitis
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This review assessing the adjunctive effect of omega-3 (ω-3) fatty acids and non-surgical periodontal therapy (SRP)on probing pocket depth (PPD) and the clinical attachment level (CAL) included 10 RCTs. The findings suggest that adjunctive ω-3 fatty acids provides a 0.39 mm improvement in PPD and 0.41 mm of CAL gain.
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This review of the surgical treatment of peri-implantitis alone or in combination with adjunctive graft material included 5 small RCTs. The findings suggest improvements in marginal bone level (MBL) with graft material but the findings should be interpreted very cautiously because of the limited amount and quality of the evidence.
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This review of adjunctive therapies during supportive periodontal care (SPC) in patients with residual/relapsing pockets included 12 studies that currently provide insufficient/poor evidence to determine the efficacy of adjunctive strategies to improve SPC.
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This review of the prevalence of periodontal disease among pregnant women included 20 studies. The findings suggest an overal prevalence of 40% (95%CI; 15 to 100%) based on 3 studies using the same assessment criteria.
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This Cochrane review update comparing full-mouth scaling/disinfection (FMS/D) to conventional quadrant scaling for periodontitis for the treatment of periodontitis included 20 RCTs. However there is still no clear evidence that FMS/D approaches provide additional clinical benefit compared to conventional treatment.
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This review assessing the impact of dietary omega-3 fatty acids as an adjunct to non-surgical periodontal treatment when compared with periodontal treatment alone included 10 trials ivolving a total of 467 patients. The studies found statistically significant improvements in clinical attachment level (CAL) and periodontal probing depth (PPD) but the studies are generally small and short-term.
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This review of air polishing devices (APDs) in comparison with hand instruments and/or power-driven instruments in supportive periodontal treatment and implant maintenance included 6 RCTs. 4 of the 6 included studies were considered to be at high risk of bias so the findings should be interpreted cautiously.
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