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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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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This review of adjunctive therapies during supportive periodontal care (SPC) in patients with residual/relapsing pockets included 12 studies that currently provide insufficient/poor evidence to determine the efficacy of adjunctive strategies to improve SPC.
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This Cochrane review update on the effects of periodontal therapy for primary or secondary prevention of CVD in people with chronic periodontitis includes 2 studies which provide very low certainty evidence. No additional studies have been included since the last update in 2019.
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This review of the prevalence of periodontal disease among pregnant women included 20 studies. The findings suggest an overal prevalence of 40% (95%CI; 15 to 100%) based on 3 studies using the same assessment criteria.
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This review of the effectiveness of the miswak in reducing plaque and gingivitis in adults included 9 RCTs. The included studies were small with the findings indicating that the miswak reduced plaque and gingivitis scores to a level comparable to toothbrush in the short term.
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This Cochrane review update comparing full-mouth scaling/disinfection (FMS/D) to conventional quadrant scaling for periodontitis for the treatment of periodontitis included 20 RCTs. However there is still no clear evidence that FMS/D approaches provide additional clinical benefit compared to conventional treatment.
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This review assessing the impact of dietary omega-3 fatty acids as an adjunct to non-surgical periodontal treatment when compared with periodontal treatment alone included 10 trials ivolving a total of 467 patients. The studies found statistically significant improvements in clinical attachment level (CAL) and periodontal probing depth (PPD) but the studies are generally small and short-term.
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This review of the accuracy of clinical and radiographic measurements of infrabony periodontal defects inclded 10 studies reporting on 17 comparisons. the findings suggest that clinical and radiographic measurements of the bone level underestimate the true bone loss by an average of 1mm but the evidence is only of low to moderate certainty.
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This Cochrane review of the effects of periodontal treatment on glycaemic control in people with diabetes mellitus and periodontitis updates the 2015 version. The earlier conclusions have changed and there is now moderate‐certainty evidence that periodontal treatment using subgingival instrumentation improves glycaemic control in those with periodontitis and diabetes.
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