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Professional mechanical plaque removal for prevention of periodontal diseases in adults – systematic review update
Author(s) -
Needleman Ian,
Nibali Luigi,
Di Iorio Anna
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.12341
Subject(s) - medicine , oral hygiene , randomized controlled trial , periodontitis , dentistry , bleeding on probing , narrative review , medline , evidence based dentistry , dental plaque , clinical trial , gingival inflammation , gingivitis , intensive care medicine , alternative medicine , surgery , pathology , political science , law
Aim To update previous systematic review investigating effect of professional mechanical plaque removal ( PMPR ) on prevention of periodontal diseases. Methods Search for randomized controlled trials: 2004 to April 2014. Screening and data abstraction conducted independently/in duplicate and narrative synthesis. Results From 1655 titles and abstracts, 24 full‐text articles screened and three new studies were eligible. Low–to moderate strength of evidence suggests that in adults, PMPR , particularly if combined with oral hygiene instructions ( OHI ), may achieve greater changes in measures of dental plaque and gingival bleeding/inflammation than no treatment. Moderate strength of evidence suggests there is no additional benefit to plaque and gingival bleeding outcomes from PMPR over that achieved by repeated and thorough OHI . There is no evidence from RCT s to inform on prevention of periodontitis. Low strength of evidence suggests that more frequent PMPR is associated with improved plaque and bleeding outcomes and possibly less annual attachment loss. Conclusions There are insufficient data to inform directly on the effect of PMPR on primary prevention of periodontitis. However, in relation to gingival health, new studies strengthen the evidence that there is little value in providing PMPR without OHI . In fact, repeated, thorough OHI can achieve a similar benefit to repeated PMPR .