Chronic periodontitis: pocket elimination after osseous resective surgery

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4 RCTs involving 96 patients were included in this review of osseous resective surgery (ORS) in the treatment of residual periodontal defects.
The findings suggest some benefit from ORS but they should be interpreted cautiously because of the limited number of small studies.

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Antiseptics as adjuncts to nonsurgical periodontal treatment

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This review of the effectiveness of adjunctive local antiseptics to conventional scaling and root planning (SRP) included 12 RCTs only 3 of whihc were considered to be at low risk of bias. While the findings suggest some benefit from the use of antiseptics with a sustained-release delivery the limited quality of the included studies means that the findings should be interpreted cautiously.

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Triphala mouthwash for plaque-induced gingivitis

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This review of the efficacy of Triphala and chlorhexidine mouthwash in the treatment of plaque-induced gingivitis included 7 RCTs involving a total of 1270 patients. However most of the studies are of short duration at at high to medium risk of bias.

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Orthodontic retainers: Effects on periodontal health

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This review of the effects of fixed orthodontic retainers on periodontal health includes 29 manily observational studies. While the findings suggest that fixed rettainers are compatibile with periodontal health the quality of the included studies is very low so the findings should be interpreted cautiously.

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Smoking and dental implant failure

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This review of whether there was an increased risk of dental implant failure in heavy smokers compared with light smokers included 23 studies the majority being retrospective studies. The findings suggest that the risk of implant failure was elevated with an increase in the number of cigarettes smoked per day but the findings should be interpreted cautiously.

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Non-surgical periodontal treatment and quality of life

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This review of the impact of of non-surgical periodontal treatment (NSPT) on oral health-related quality of life included 12 studies. The findings suggest that NSPT improves oral health-related quality of life in the short-term.

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Probiotics for the treatment of gingivitis

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This review of the the efficacy of probiotics in the treatment of gingivitis included 10 small short term studies providing limited weak evidence for any effect on gingivitis.

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Drug use and oral health status

Very few studies in this review, measured or adjusted for use of other substances such as cannabis.

This review investigating the relationship between drug use (methamphetamines, heroin, opiates, cocaine, cannabis and crack) and oral health includes 10 observational studies showing a higher risk of caries.

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Chlorhexidine gel as an adjunct to non-surgical periodontal treatment

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This review of the efficacy of adjunctive subgingival administration of chlorhexidine gel in nonsurgical periodontal treatment for chronic periodontitis included 17 RCTs only one of which was at low risk of bias for all domains. Findings suggest an improvement in pocket probing depth but not for clinical attachment.

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Periodontal treatment to prevent or manage cardiovascular disease

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Two small RCTs at high risk of bias were included in this Cochrane systematic review looking at the effects of periodontal therapy for primary or secondary prevention of CVD in people with chronic periodontitis.

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