Results: 22

For: periodontal disease AND meta-analysis AND restorative dentistry

Edentulism in diabetics compared to non-diabetics

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This review of the prevalence of edentulism among diabetic patients compared to non-diabetic people included 7 cross-sectional studies. The findings suggest a higher level of edentulism in diabetic patients but the findings should be interpreted cautiously.

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Smoking and the incidence of peri-implantitis

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This review of the influence of smoking on the incidence of peri-implantitis included 6 prospective cohort studies involving a total of 762 patients. The findings suggest an increased patient-level risk of peri-implantitis in smokers risk ratio = 2.08 (95%CI; 1.17 to 3.71.

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Peri-implant mucositis – patient performed adjunctive measures

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This review of patient-performed or administered measures used adjunctively to submarginal instrumentation for the management of peri-implant mucositis included 14 studies. The findings indicated that adjunctive measures reduced probing depth, bleeding on probing and plaque level reductions at 3 months and were in favour of adjunctive measures, which were plaque.

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Peri-implantitis – How common is it?

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This review aiming to estimate the overall prevalence of peri-implantitis included 57 studies (18 cross-sectional,18 longitudinal, 17 cohort studies, 3 RCTs and 1 case-control). Meta-analysis found an ooverall patient level prevalence of 20% (95%CI; 16.6 to 23.7%). However most of the studies used convenience samples and there was a marked heterogeneity in the diagnostic criteria used so the findings should be viewed cautiously.

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Peri-implantitis – Surgical treatment with or without adjunctive graft material

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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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Oral piercing and oral complications

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This review examining the association between oral manifestations and the use of oral piercings included 54 studies. Damage to periodontal health and tooth structure were the most commonly reported complications however the quality of the evidence is of very low certainty.

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Peri-implantitis: Are locally administered antibiotics effective?

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This review of the effectiveness of locally administered antibiotics in the treatment of peri-implantitis included 12 small studies 7 of which were RCTs. While the findings suggest a small additional benefit with antibiotic use however the clinical importance of this is debatable.

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Articaine: Safety and efficacy compared to lidocaine

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This review assessing the safety and efficacy of articaine for routine dental treatment compared to lidocaine included 12 RCTs involving a total of 919 patients. The findings indicate that articaine is is a safe and efficacious local anaesthetic for all routine dental procedures.

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Diabetes and dental implants

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This review of the possible association between diabetes mellitus and dental implant complications included 10 cohort studies (8 prospective 2 retrospective). The findings suggest that patients with diabetes are more likely to have clinical complications with dental implants.

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Aerosol generating procedures: minimising production during dental procedures

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This Cochrane rapid review of the effectiveness of methods used during dental treatment procedures to minimize aerosol production and reduce or neutralize contamination in aerosols. While the studies suggest a reduction in the levels of bacterial contamination the quality of the studies means the evidence is of low certainty.

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