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?

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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?

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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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Periodontal surgery for furcation defects

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This review included 11 small low quality studies that suggest clinical benefits at 6 months. Further high quality longer term studies are needed to assess the clinical relevance.

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Professional mechanical plaque removal for secondary prevention of periodontal disease

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For this review of professional mechanical plaque removal 19 studies were identified. While benefits were shown for an number of outcomes; tooth loss; clinical attachment; pocket depth and bleeding on probing the impact on long-term tooth survival and stability of periodontal parameters has still to be assessed.

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Intrabony defects treated with conservative periodontal surgery show clinical improvements

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Periodontal bony lesions associated with deep pockets are frequent anatomical sequelae to periodontitis.  The aim of this systematic review was to assess the effectiveness of conservative periodontal surgery (CS)  for the treatment of periodontitis-related intrabony defects. The authors searched the Cochrane Oral Health Group specialist trials, Medline and Embase databases and three leading periodontal journals.  [read the full story…]