Peri-implantitis: lack of clarity on best self-management options

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This review identified 11 small trials looking at self-management options for peri-implant disease. The quality of the available evidence for the best management strategies for peri-implant mucositis is limited at present.

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Periodontal disease: risk assessment may have promise

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This review found 10 cohort studies related to 5 different periodontal risk assessment tools. The available evidence is limited in quality and should be interpreted with caution but suggests that they are able to identify subjects with different probability of periodontitis progression.

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Which interdental cleaning aids for managing gingivitis?

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A number of reviews have been conducted of interdental cleaning aids. This meta-review brings together 6 reviews and finds only evidence of low quality for interdental brushes, floss, woodsticks and oral irrigators.

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Gingivitis: anti-inflammatory agents may be beneficial suggests review

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A new review of anti-inflammatory agents for the management of gingivitis identified 14 studies. While the various anti-inflammatory agents showed benefit, the majority of the studies were at high risk of bias, so the results should be treated with caution.

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Peri-implantitis: a common complication of dental implants?

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A mean prevalence of 22% (CI: 14-30%) was found for peri-implantitis and 43% (CI: 32-54%) for peri-implant mucositis in this review which included 15 studies. However, owing to the level of heterogeneity the results should be treated with caution.

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Professional plaque removal more effective with oral hygiene instruction

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This is an update to a review first published 10 years ago. Only 3 new studies could be added. These provide some additional evidence that there is little value in providing professional plaque removal without oral hygiene instruction.

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Periodontal disease: compliance with treatment improves outcomes

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When regularly compliant periodontal patients were compared with erratic compliers in this systematic review, they were found to have significantly lower risk of tooth loss during supportive periodontal treatment

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Non-surgical periodontal treatment – is there a role for systemic antibiotics?

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This review update includes 23 new studies comparing the effects of antibiotic therapy adjunctive to scaling and root planning for periodontal disease. While some additional benefit was shown the authors could not establish definitive conclusions and guidelines regarding their use.

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Periodontal dressings: should they be used in non-surgical cases?

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Periodontal dressings have been used following periodontal surgery this review looks at their use following non-surgical periodontal treatment and suggest that there may be some benefit . However, only 3 small studies were included so more high quality studies are needed to confirm these findings.

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Periodontitis: evidence lacking for different cytokine/chemokine profiles in aggressive and chronic disease

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This review included 17 studies and 843 patients. A wide range of cytokines/chemokines were assessed but the available evidence is not sufficient to prove that there are distinct differences between patients with aggressive periodontitis and those with chronic periodontitis.

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