11 systematic reviews were included in this overview of review of periodontal disease and glycaemic control in diabetics. The primary studies that underlying these systematic reviews have important limitations. Therefore larger higher quality studies are needed.
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This review of the impact of furcation involvement on tooth loss in periodontal disease found 21 pro- and retrospective studies. The data suggests that the risk of tooth loss may be doubled where there is furcation involvement.
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This review looked at the evidence linking carotid atherosclerosis with periodontal disease 15 studies involving 17,330 patients were included. The overall pooled result showed periodontal disease was associated with carotid atherosclerosis, OR=1.27 (95% C; 1.14–1.41; P = 0.001). However, once adjusted for smoking and diabetes mellitus, this reduced to borderline significance OR=1.08 (95% CI; 1.00–1.18; P = 0.05).
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This review of platelet-rich plasma for intrabony periodontal defects included 21 studies. These were mainly small studies with a marked degree of heterogeneity. They suggest some potential benefits but the findings should be interpreted with caution.
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This update of a 2010 Cochrane review found low quality evidence that periodontal treatment involving scaling and root planing does improve glycaemic control in people with diabetes, with a mean percentage reduction in HbA1c of 0.29% at 3-4 months, but there is insufficient evidence to demonstrate that this is maintained after 4 months.
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187 UK professional footballers were examined in this cross-sectional survey. Their oral health was poorer than the average for a group of UK adults sampled for the most recent Adult Dental Health Survey.
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13 small RCTs were identified for this review, comparing full mouth interventions with quadrant scaling for periodontitis. Limited evidence of a small benefit was found in two comparisons.
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5 small studies were included in this review of air polishing for peri-implant disease. Some improvement in bleeding on probing was seen with air polishing but the quality of the evidence was low.
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This review included 24 studies that showed a marked degree of heterogeneity but the findings suggest Implants placed in patients treated for periodontal disease are associated with higher incidence of biological complications, and lower success and survival rates than those placed in periodontally healthy patients.
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This large German cohort study with 23,376 participants found that smoking was associated with tooth loss with heavy males smokers (≥15 cigarettes per day) having a 3 times higher tooth loss.
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