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Some evidence to support adjunctive amoxicillin and metronidazole for...

Chronic periodontitis affects between 5-20% of the population. Scaling and root planing (SRP) is one of the most effective methods of treatment. The aim of this review was to assess whether  the...

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Trail shows improved outcomes with metronidazole alone or with amoxicillin as...

The main aim of this study was to evaluate the effects of the adjunctive use of metronidazole (MTZ) or MTZ + amoxicillin (AMX) in the treatment of generalized chronic periodontitis (ChP). Participants...

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Weak evidence suggests small additional benefit from the use of local...

Scaling and root planning (SRP) is the main therapeutic approach to treating periodontitis. The adjunctive use of local antimicrobials has demonstrated some improvement in outcomes.  The aim of this...

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Review suggests that antimicrobial photodynamic therapy may provide...

The aim of this review was to evaluate the clinical adjunctive effect of antimicrobial photodynamic therapy (aPDT) to scaling and root planing (SRP) when compared with SRP alone or in combination with...

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Limited information on the effects of smoking cessation on clinical outcomes...

Limited information on the effects of smoking cessation on clinical outcomes following periodontal therapy Smoking is a known risk factor for periodontal disease. The aim of this study was to conduct...

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Critical summary from the American Dental Association Center for...

The ADA-EBD Center has just published another of its critical summaries of systematic reviews.  This one looks at a 2012 review by Sgolastra et al, which was looking at the efficacy of the Er:YAG laser...

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ADA-EBD summary on amoxicillin/metronidazole therapy for chronic periodontitis

This ADA-EBD critical summary  looks at  systematic review by Sgolastra et al from 2012 that addressed  the question of whether the use of amoxicillin/metronidazole (AMX/MET)  as an adjunct to scaling...

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Cost effectiveness of surgery versus root planing in patients with chronic...

Both surgical and non-surgical approaches can be used for the treatment of chronic periodontitis. The traditional approach being improving plaque control and non- surgical scaling and root planing...

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Review suggests small benefits from enamel matrix derivative in the treatment...

A number of different regenerative techniques, guided tissue regeneration (GTR), bone grafting (BG) and the use of enamel matrix derivative (EMD) have been used to try and regenerate periodontal...

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Chronic periodontitis: review suggests that Er:YAG laser may provide short...

Chronic periodontal disease is a common problem worldwide. Recently the use of erbium-doped: yttrium, aluminium and garnet (Er:YAG) laser as an alternative or adjuvant to traditional debridement has...

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Periodontitis: evidence lacking for different cytokine/chemokine profiles in...

The clinical manifestations of aggressive periodontitis and chronic periodontitis differ and microbiological and immunological hypotheses have been advanced to explain the differences. The aim of this...

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Azithromycin as an adjunct to scaling and root planing for periodontal disease

This review of azithromycin as an adjunct to scaling and root planing for periodontal disease included 9 small RCTs. While some studies demonstrated some small improvements in periodontal parameters,...

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Azithromycin as an adjunctive antibiotic in non-surgical periodontal therapy

Another new review of local or systemic azithromycin as an adjunct in non-surgical periodontal therapy includes 14 RCTs and demonstrates small benefits in periodontal parameters. However, the included...

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Periodontitis- full mouth disinfection or quadrant scaling?

13 small RCTs were identified for this review, comparing full mouth interventions with quadrant scaling for periodontitis. Limited evidence of a small benefit was found in two comparisons. The post...

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Furcation involvement may double risk of tooth loss in periodontitis

This review of the impact of furcation involvement on tooth loss in periodontal disease found 21 pro- and retrospective studies. The data suggests that the risk of tooth loss may be doubled where there...

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Chronic periodontitis – probiotics as a adjunct to treatment?

4 small RCTs of probiotics as an adjunct to scaling and root planing for management of chronic periodontitis were identified for this review. While a statistical significant benefit was demonstrated...

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Dental Implant survival in patients with aggressive periodontitis

7 prospective cohort studies were included in this review of dental implant survival in patients with periodontitis. Patients with aggressive periodontitis has statistically significant lower survival...

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Periodontal maintenance after specialist treatment: specialist or primary...

This reviews of the efficacy of periodontal maintenance treatment carried out in primary care compared to the specialist setting following specialist treatment included 8 cohort studies. The quality of...

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Antibiotics as an adjunct to the non-surgical periodontal treatment of smokers

Mark-Steven Howe looks at a systematic review of the effectiveness of adjunctive antibiotics in smokers undergoing non-surgical periodontal treatment. While a statistical benefit was noted it was not...

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Nonsurgical periodontal treatment: adjunctive antibiotic use in diabetics

This review of adjunctive use of systemic antibiotics in nonsurgical periodontal treatment of diabetics identified 12 small RCTs. No additional benefit was seen with antibiotic use The post Nonsurgical...

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