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Effect of professional mechanical plaque removal performed on a long‐term, routine basis in the secondary prevention of periodontitis: a systematic review
Author(s) -
Trombelli Leonardo,
Franceschetti Giovanni,
Farina Roberto
Publication year - 2015
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/jcpe.12339
Subject(s) - medicine , periodontitis , dentistry , term (time) , dental plaque , secondary prevention , intensive care medicine , physics , quantum mechanics
Aims To systematically review the evidence evaluating the efficacy of long‐term, routine, professional mechanical plaque removal ( PMPR ) in the prevention of periodontitis progression. Methods A literature search was conducted to identify prospective studies evaluating the effect of PMPR in periodontitis patients undergoing active periodontal therapy and enrolled in a maintenance programme including PMPR for at least 3 years. Results No RCT s evaluating the efficacy of the intervention when compared with no treatment during maintenance were found. Nineteen prospective studies assessing the effect of PMPR as part of the supportive therapy were included. In general, studies reported no to low incidence of tooth loss during follow‐up. The weighted mean yearly rate of tooth loss was 0.15 ± 0.14 and 0.09 ± 0.08 for follow‐up of 5 years or 12–14 years, respectively, with no significant differences between groups. Mean clinical attachment loss was <1 mm at follow‐up ranging from 5 to 12 years. Conclusions Supportive therapy, which encompasses PMPR , may limit the incidence and yearly rate of tooth loss as well as the loss in clinical attachment in patients treated for periodontitis. However, whether and to what extent the intervention may impact on long‐term periodontal parameters still needs to be assessed.