Antibiotics as an adjunct to the non-surgical periodontal treatment of smokers

Smoking man

Mark-Steven Howe looks at a systematic review of the effectiveness of adjunctive antibiotics in smokers undergoing non-surgical periodontal treatment. While a statistical benefit was noted it was not considered to be clinically relevant.

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Periodontal maintenance after specialist treatment: specialist or primary care setting?

gum disease, scale and polish

This reviews of the efficacy of periodontal maintenance treatment carried out in primary care compared to the specialist setting following specialist treatment included 8 cohort studies. The quality of the available evidence was limited suggesting outcomes may be poorer in primary care further high quality studies are required

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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.

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Peri-implantitis: lack of high quality studies for surgical regenerative treatment

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This review of surgical regenerative treatment for peri-implantitis included 18 studies only 3 of which were RCTs. While a benefit is suggested the quality of the available studies is limited.

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Third molar removal: effect on periodontal health of second mandibular molars

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Mark-Steven Howe looks in detail at a recent network meta-analysis (NMA) of periodontal outcomes following third molar surgery. However the limited number of studies available for the NMA mean the reviews findings need to be interpreted with caution.

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Periodontal treatment: outcomes from long-term conservative management

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In patients with moderate to advanced periodontitis this longitudinal study demonstrated that long-term tooth retention is possible for compliant patients using a non-regenerative treatment concept.

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Third molar removal: flap design and periodontal outcomes

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8 small RCTs were identified for this review of the effect of flap design on periodontal outcomes following third molar removal. The available evidence did not favour any particular flap design.

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Gingival retraction methods and their impact on gingival health?

crown preparation

This review looked at the impact of gingival retraction on periodontal health. Only 10 small studies were available so which no method seems significantly superior the quality of the available evidence is limited.

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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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Periodontal surgery: less favourable outcomes in smokers

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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.

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