This review of motivational interviewing (MI) for the oral morbidities in adults included 7 randomised controlled trials. The findings focused on periodontal outcomes suggesting that MI has the potential to improve plaque and bleeding indicies.
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This review comparing plaque accumulation in orthodontic patients undergoing clear aligner (CA) and conventional fixed appliance treatment included 14 studies. The findings suggested less plaque accumulation with CA but all the included studies were at moderate to high risk of bias.
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This review of the prevalence of edentulism among diabetic patients compared to non-diabetic people included 7 cross-sectional studies. The findings suggest a higher level of edentulism in diabetic patients but the findings should be interpreted cautiously.
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This review of the level of toothbrush contamination and the factors affecting contamination in the general population included 15 studies. The findings show that toothbrush contamination occurs after first use and rises with continuing use. However, there is little evidence of significant adverse events from current practices.
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This review of oil pulling compared to chlorhexidine and other mouthwashes in improving the plaque, gingival and bacteria count parameters included 25 RCTs. However, the studies are modest in size of short duration and all except one study were considered to be at high risk of bias. Consequently the available evidence is of very low certainty and should be interpreted cautiously.
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This review compared vitamin D levels in individuals with or without periodontitis, and the effects of scaling and root planing (SRP) +vitamin D on periodontal clinical parameters in patients with periodontitis. The findings suggest a possible benefit but the quality of evidence means the findings should be interpreted very cautiously.
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This review of the influence of smoking on the incidence of peri-implantitis included 6 prospective cohort studies involving a total of 762 patients. The findings suggest an increased patient-level risk of peri-implantitis in smokers risk ratio = 2.08 (95%CI; 1.17 to 3.71.
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This review comparing the effectiveness of different surgical methods for peri-implantitis included 13 parallel group RCTs. However, a wide variety of interventions were tested and the studies were generally small providing very low certainty evidence. Consequently additional high quality well reported studies are needed.
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This review aimed to assess the effect of bioactive glass on bone and periodontal regeneration and included 20 RCTs. The included studies were small, involved numerous comparisions with only two being at low risk of bias. The findings showed a statistically signiciant benefit for probing depth with bioglass but this may not be clinically significant and the limited quality of thei included studies mean the findings should be interpreted cautiously.
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This review of the efficacy of chlorhexidine (CHX) products in maintaining gingival health in orthodontic patients with fixed appliances included 20 RCTs only 1 of which was at low risk of bias. The findings showed a benefcial effect on gingival parameters with CHX mouthwash at 1-3 months but the findings should be interpreted cautiously.
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