Scaling and root planing: Do adjunctive statins improve effectiveness?

shutterstock_138231533

10 randomised trials were included in this review of he adjunctive use of statins with scaling and root planing for treatment of chronic periodontitis . The findings suggest additional benefits with their use regardless of health or smoking status.

[read the full story...]

Periodontal disease and pregnancy outcomes

Routine specialist pregnancy care involved an initial meeting to discuss quitting smoking and set a quit date, followed by 4 weekly telephone calls, and free nicotine replacement therapy for 10 weeks.

Twenty three systematic reviews were included in this overview of reviews reviews assessing the link between periodontal disease and adverse periodontal outcomes. While a majority of the available reviews suggest an association there are concerns regarding the quality of the primary studies.

[read the full story...]

Nonsurgical periodontal treatment: adjunctive antibiotic use in diabetics

Participants ranked the clinical instruments most highly

This review of adjunctive use of systemic antibiotics in nonsurgical periodontal treatment of diabetics identified 12 small RCTs. No additional benefit was seen with antibiotic use

[read the full story...]

Motivational interviewing for periodontal disease

Motivational interviewing works on facilitating and engaging intrinsic motivation within the client in order to bring about behaviour change.

This review of motivational interviewing (MI) as an adjunct to periodontal treatment only included 5 papers reporting 4 studies. The review provides limited evidence to suggest that MI might have a positive effect but more higher quality research is needed.

[read the full story...]

Khat chewing has an adverse effect on periodontal tissues

Qat_man

12 observational studies were included in this review of the effect of khat chewing on periodontal tissues. The available evidence is of limited quality but it suggests that khat use has an adverse effect on periodontal status.

[read the full story...]

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.

[read the full story...]

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

[read the full story...]

Scaling and root planing adjuncts for chronic periodontitis

shutterstock_113989924  - periodontitis

In 2015 the American Dental Association published a Guideline on nonsurgical treatment of chronic periodontitis. This network meta-analysis re-analyses the included studies providing a complementary appraisal of the data.

[read the full story...]

Medication for mental health: Oral health impacts

shutterstock_146973512

This review of the side effects of medications prescribed for the management of mental health highlights their potential impact on oral health. The commonest problems being xerostomia.

[read the full story...]