Results: 39

For: periodontal disease AND restorative dentistry

Edentulism in diabetics compared to non-diabetics

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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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Smoking and the incidence of peri-implantitis

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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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Adverse Childhood Experiences (ACEs) and oral health

The study participants may not be representative of the real-world population

This review of the relationship between adverse childhood experiences (ACEs) exposure and oral health among adults included 4 cross-sectional studies with the findings indicating an association between ACEs and poor oral health.

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Peri-implant mucositis – patient performed adjunctive measures

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This review of patient-performed or administered measures used adjunctively to submarginal instrumentation for the management of peri-implant mucositis included 14 studies. The findings indicated that adjunctive measures reduced probing depth, bleeding on probing and plaque level reductions at 3 months and were in favour of adjunctive measures, which were plaque.

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Peri-implant mucositis – non-surgical treatments

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This review of the effectiveness of professional mechanical/physical treatment of peri-implant mucositis included 5 RCTs. None of the included RCTs was at low risk of bias so there is little evidence to recommend one treatment of combination of treatment. Additional high quality well reported studies are needed.

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Local and systemically delivered antimicrobials and surgical treatment of peri-implantitis

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This review of adjunctive systemic or local antimicrobials as an adjunct to surgical treatment of peri-implantitis included 4 RCTs. The included studies only included a total of 200 pateints and were all considered to be at high risk of bias. The studies antimicrobial and treatment protocols also showed marked variation. Consequently, there is little evidence available on the effectiveness of local or systemic antimicrobials as adjuncts to surgical treatment of peri-implantitis

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Peri-implantitis – How common is it?

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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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Peri-implantitis – Surgical treatment with or without adjunctive graft material

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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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Oral piercing and oral complications

tongue piercing

This review examining the association between oral manifestations and the use of oral piercings included 54 studies. Damage to periodontal health and tooth structure were the most commonly reported complications however the quality of the evidence is of very low certainty.

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Peri-implantitis: Are locally administered antibiotics effective?

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This review of the effectiveness of locally administered antibiotics in the treatment of peri-implantitis included 12 small studies 7 of which were RCTs. While the findings suggest a small additional benefit with antibiotic use however the clinical importance of this is debatable.

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