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The effect on clinical parameters of periodontal inflammation following non-surgical periodontal therapy with ultrasonics and chemotherapeutic cooling solutions: a systematic review.
- Source :
- Journal of Clinical Periodontology; Dec2016, Vol. 43 Issue 12, p1074-1085, 12p, 1 Diagram, 4 Charts
- Publication Year :
- 2016
-
Abstract
- Aim To establish the added effect of a chemotherapeutic cooling solution in an ultrasonic device on clinical parameters of periodontal inflammation following non-surgical periodontal therapy. Methods The MEDLINE-PubMed, Cochrane- CENTRAL, and the EMBASE databases were searched. Probing pocket depth ( PPD) and clinical attachment level ( CAL) and their changes were selected as outcome variables. Subgroup analyses were performed according to the following active ingredients: essential oils ( EO), povidone-iodine ( PVP), and chlorhexidine ( CHX). Results Screening of 100 unique papers resulted in 14 eligible publications, including 16 comparisons. The meta-analysis ( MA) showed that when the ultrasonic cooling solution had adjuvant chemotherapeutic properties, the difference of means (DiffM) for end value PPD-0.12 (95% CI: −0.42; 0.18) and for CAL the DiffM+-0.13 (95% CI: −0.39; 0.14). None of these were statistically significant, and the findings were supported by the overall descriptive analysis. Subgroup analysis only revealed a small effect for PVP on the difference (DiffM = −0.23, 95% CI: −0.43; −0.02) with respect to CAL ( p = 0.03). Conclusions The collective evidence indicates that overall, no additional effects were observed. There is a 'very weak' recommendation based on the sub-analysis showing that in conjunction with PVP, a very small gain in CAL may be expected. For the use of CHX or EO, the added effect can be considered to be 'zero.' Therefore, the strength and direction of the recommendation emerging from this review is against their use. [ABSTRACT FROM AUTHOR]
- Subjects :
- COLD therapy
THERAPEUTIC use of essential oils
INFLAMMATION treatment
PERIODONTAL disease treatment
POVIDONE-iodine
CHLORHEXIDINE
BACTERICIDES
CONFIDENCE intervals
INFORMATION storage & retrieval systems
MEDICAL databases
MEDICAL information storage & retrieval systems
IRRIGATION (Medicine)
MEDLINE
META-analysis
ONLINE information services
PERIODONTAL disease
PERIODONTIUM examination
PROBABILITY theory
ULTRASONIC therapy
SYSTEMATIC reviews
THERAPEUTICS
Subjects
Details
- Language :
- English
- ISSN :
- 03036979
- Volume :
- 43
- Issue :
- 12
- Database :
- Complementary Index
- Journal :
- Journal of Clinical Periodontology
- Publication Type :
- Academic Journal
- Accession number :
- 119533201
- Full Text :
- https://doi.org/10.1111/jcpe.12613