Efficacy of alternative or additional methods to professional mechanical plaque removal during supportive periodontal therapy: A systematic review and meta-analysis.


AIMS:To systematically review the literature addressing the following focused questions: "What is the efficacy of either (#1) alternative or (#2) additional methods to professional mechanical plaque removal (PMPR) on progression of attachment loss during supportive periodontal therapy (SPT) in periodontitis patients?". METHODS:A systematic search for randomized clinical trials was performed. Change in clinical attachment level (CAL) from baseline was the primary outcome. RESULTS:Routine PMPR performed with either a combination of ultrasonic/hand instruments or Er:Yag laser showed similarly effective in preventing CAL loss. Moreover, a routine SPT regimen based on PMPR led to stability of CAL irrespective of a daily sub-antimicrobial doxycycline dose (SDD). Finally, an adjunctive photodynamic therapy (PDT) did not enhance the magnitude of CAL gain when sites with probing depth ≥4 mm were repeatedly treated. After pooling all data, the results of the meta-analysis showed no statistical differences in CAL change from baseline: mean overall CAL change was -0.233 mm (95% confidence interval: -1.065, 0.598; p = .351). CONCLUSIONS:Weak evidence indicate that in treated periodontitis patients enrolled in a 3-4 month SPT based on PMPR, Er:Yag laser (as alternative), SDD and PDT (as additional) do not produce a greater clinical effect on periodontal conditions compared to PMPR.


J Clin Periodontol


Trombelli L,Farina R,Pollard A,Claydon N,Franceschetti G,Khan I,West N




Has Abstract


2020-07-01 00:00:00








47 Suppl 22


  • Peripheral ameloblastoma--a clinical dilemma in gingival lesions.

    abstract::A case of peripheral ameloblastoma on the gingiva of a 50-year-old male is presented. The clinical and histological picture of the lesion is described. The etiology and the dilemma in the differential diagnosis of this peripheral odontogenic tumor is discussed. ...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章


    authors: Horowitz I,Hirshberg A,Dayan D

    更新日期:1987-07-01 00:00:00

  • Radiographic study of the prevalence of periodontal bone loss in Australian school-aged children attending the Royal Dental Hospital of Melbourne.

    abstract:OBJECTIVES:To investigate the prevalence of alveolar bone loss around the first permanent molars, and first and second deciduous molars in Australian school-aged children attending the Royal Dental Hospital of Melbourne. METHOD:Nine hundred and ninety-five records were examined for useable bitewing radiographs. From t...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章


    authors: Darby IB,Lu J,Calache H

    更新日期:2005-09-01 00:00:00

  • Polymorphisms in genes coding for enzymes metabolizing smoking-derived substances and the risk of periodontitis.

    abstract:OBJECTIVES:Although the direct cause for periodontitis is oral bacterial infection, its progression depends upon genetic and environmental factors. Smoking, one of the environmental factors, is a risk factor for the development and severity of periodontitis. Therefore, individual susceptibility to periodontitis may be ...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章


    authors: Kim JS,Park JY,Chung WY,Choi MA,Cho KS,Park KK

    更新日期:2004-11-01 00:00:00

  • Interleukin-1 and IL-1 receptor antagonist in gingival crevicular fluid.

    abstract:BACKGROUND/AIMS:This study aimed to investigate the cytokine IL-1beta and its receptor antagonist IL-1ra in gingival crevicular fluid (GCF), in patients with adult periodontitis. METHOD:A total of 40 GCF samples were harvested from 10 subjects with moderate to severe adult periodontitis and 10 healthy controls. Subjec...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章


    authors: Rawlinson A,Dalati MH,Rahman S,Walsh TF,Fairclough AL

    更新日期:2000-10-01 00:00:00

  • Effect of 3 dentifrices containing triclosan and various additives. An experimental gingivitis study.

    abstract:BACKGROUND:The antiplaque and antigingivitis effect of 3 dentifrices was evaluated using the 21-day partial-mouth experimental model of gingivitis. METHOD:25 volunteers took part in this cross-over, double-blind study, carried out in 4 phases of 21 days each. For each phase of the study, a toothshield of the IV quadra...

    journal_title:Journal of clinical periodontology

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Nogueira-Filho GR,Toledo S,Cury JA

    更新日期:2000-07-01 00:00:00

  • Effect of glycine powder air-polishing on the gingiva.

    abstract:OBJECTIVES:Safety and efficacy of glycine powder air-polishing (GPAP) in removing subgingival biofilm have been previously demonstrated. The hypothesis that GPAP results in less gingival erosion than sodium bicarbonate air-polishing (SBAP) or hand-instrumentation was assessed. MATERIAL AND METHODS:In each of 10 patien...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章,随机对照试验


    authors: Petersilka G,Faggion CM Jr,Stratmann U,Gerss J,Ehmke B,Haeberlein I,Flemmig TF

    更新日期:2008-04-01 00:00:00

  • Antimicrobial peptide gene expression in periodontitis patients: A pilot study.

    abstract:AIM:Antimicrobial peptides (AMPs) are one of the most active components of innate immunity and have characteristics that could place them at the heart of the pathogenesis of periodontal disease. This study investigated differences in the expression of AMP coding genes obtained using a simple harvesting technique, gingi...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章


    authors: Jourdain ML,Pierrard L,Kanagaratnam L,Velard F,Sergheraert J,Lefèvre B,Gangloff SC,Braux J

    更新日期:2018-05-01 00:00:00

  • Predictive power of various models for longitudinal attachment level change.

    abstract::Several statistical models that have been suggested in the periodontal literature for describing longitudinal attachment level changes, such as the gradual loss, single-burst, multiple-burst, and random walk models as well as other models introduced in this paper are compared by their power to predict future attachmen...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章


    authors: Yang MC,Marks RG,Clark WB,Magnusson I

    更新日期:1992-02-01 00:00:00

  • Periodontal repair in dogs: space-providing ePTFE devices increase rhBMP-2/ACS-induced bone formation.

    abstract:BACKGROUND:Recombinant human bone morphogenetic protein-2 (rhBMP-2) technologies have been shown to enhance alveolar bone formation significantly. Biomaterial (carrier) limitations, however, have restricted their biologic potential for indications where compressive forces may limit the volume of bone formed. The object...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章


    authors: Wikesjö UM,Xiropaidis AV,Thomson RC,Cook AD,Selvig KA,Hardwick WR

    更新日期:2003-08-01 00:00:00

  • A double-blind trial of tetracycline in the management of early onset periodontitis.

    abstract::The aim of the study was to evaluate the adjunctive effect of systemic tetracycline (250 mg qds for 14 days) in sequential root planing and surgical phases of treatment in a randomised, double-blind controlled trial. 38 patients who were under 26 years of age, in good general health and with localised (15 test/15 cont...

    journal_title:Journal of clinical periodontology

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Palmer RM,Watts TL,Wilson RF

    更新日期:1996-07-01 00:00:00

  • Depth of alveolar bone dehiscences in relation to gingival recessions.

    abstract::Dehiscence depths were measured in vivo during surgical treatment of 113 teeth with gingival recession in 27 subjects. The average dehiscence depth determined was 5.43 mm with an average recession depth of 2.67 mm. Statistical evidence of a correlation between recession depth and dehiscence depth (average distance bet...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章


    authors: Löst C

    更新日期:1984-10-01 00:00:00

  • Relationship between clinical parameters and cytokine profiles in inflamed gingival tissue and serum samples from patients with chronic periodontitis.

    abstract:OBJECTIVE:The purpose of the present study was to assess the relation between clinical parameters and concentrations of the key (IL-1beta, TNF-alpha, IL-2, IFN-gamma, IL-4, IL-10) cytokines, important in the initiation and progression of periodontal diseases, within inflamed gingival tissues and serum samples from pati...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章


    authors: Górska R,Gregorek H,Kowalski J,Laskus-Perendyk A,Syczewska M,Madaliński K

    更新日期:2003-12-01 00:00:00

  • Patient-reported outcomes and aesthetic evaluation of root coverage procedures: a 12-month follow-up of a randomized controlled clinical trial.

    abstract:AIM:To assess patient-reported outcome measures (PROMs), aesthetics and stability of root coverage procedures from a previous 6-month RCT after 1 year. MATERIAL & METHODS:Forty-five patients (90 recessions) had received a coronally advanced flap (CAF = control) only or a xenogeneic collagen matrix in addition (CAF + C...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章,随机对照试验


    authors: Stefanini M,Jepsen K,de Sanctis M,Baldini N,Greven B,Heinz B,Wennström J,Cassel B,Vignoletti F,Sanz M,Jepsen S,Zucchelli G

    更新日期:2016-12-01 00:00:00

  • Self-reported oral health, oral hygiene habits, and dental attendance of pregnant women in Kuwait.

    abstract:OBJECTIVES:The aim of this study was to describe self-reported oral health, oral hygiene habits, and frequency of visits to a dentist among pregnant women in Kuwait. MATERIAL AND METHODS:A cross-sectional study with an anonymous structured questionnaire was distributed among 650 pregnant women during May-June 2003, wh...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章


    authors: Honkala S,Al-Ansari J

    更新日期:2005-07-01 00:00:00

  • Cannabis use and destructive periodontal diseases among adolescents.

    abstract:AIM:The aim of this experiment was to investigate the association between cannabis use and destructive periodontal disease among adolescents. MATERIAL AND METHODS:Data from a population screening examination carried out among Chilean high school students from the Province of Santiago were used to determine whether the...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章


    authors: López R,Baelum V

    更新日期:2009-03-01 00:00:00

  • Aesthetic crown lengthening: periodontal and patient-centred outcomes.

    abstract:AIM:The objective of this prospective study was to assess clinical and patient-centred outcomes of aesthetic crown lengthening surgery for the treatment of altered passive eruption. MATERIALS AND METHODS:Twenty-two patients were treated and followed up for 6 months. The evaluated clinical parameters included, among ot...

    journal_title:Journal of clinical periodontology



    authors: Silva CO,Soumaille JM,Marson FC,Progiante PS,Tatakis DN

    更新日期:2015-12-01 00:00:00

  • Serum IgA and IgG antibodies to Treponema vincentii and Treponema denticola in adult periodontitis, juvenile periodontitis and periodontally healthy subjects.

    abstract::13 patients with untreated adult periodontitis (AP) were compared to 8 subjects free of periodontal disease (H) with respect to plaque index (PlI), gingival index (GI), probing depth (PD) and differential counts of subgingival bacterial morphotypes from a pooled sample of 6 surfaces with the greatest probing depth. Se...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章


    authors: Lai CH,Listgarten MA,Evian CI,Dougherty P

    更新日期:1986-09-01 00:00:00

  • Effects of academic stress on oral hygiene--a potential link between stress and plaque-associated disease?

    abstract:BACKGROUND:While there seems to be a common belief that psychosocial stress affects oral hygiene behavior, this assumption has rarely been proved. The present study thus aims to analyse stress effects on oral hygiene. MATERIAL AND METHODS:16 matched pairs of medical students each consisting of 1 student participating ...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章


    authors: Deinzer R,Hilpert D,Bach K,Schawacht M,Herforth A

    更新日期:2001-05-01 00:00:00

  • Periodontal disease and perinatal outcomes: a case-control study.

    abstract:AIM:Our aim was to measure the association of maternal periodontitis with low birth weight (LBW), pre-term LBW, and intra-uterine growth restriction. MATERIAL AND METHODS:An inclusive case-control design including subjects examined for periodontitis through attachment loss, information on perinatal outcomes and genera...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章


    authors: Bassani DG,Olinto MT,Kreiger N

    更新日期:2007-01-01 00:00:00

  • Concepts determining statistical analysis of dental data.

    abstract::This paper reviews some approaches to statistical analysis of dental data. Often dental data consist of more than one observation per patient which may not be independent, and consequently some standard statistical methods based on independence of all observations are inappropriate. This paper seeks to make the dental...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章,评审


    authors: McDonald BW,Pack AR

    更新日期:1990-03-01 00:00:00

  • Assessment of arterial stiffness in periodontitis using a novel pulse wave imaging methodology.

    abstract:AIM:We investigated the cross-sectional relationship between periodontal status and arterial stiffness, assessed through a novel Pulse Wave Imaging methodology. METHODS:Eighty volunteers were enrolled (39% male, age range 24-78 years) and 33 pairs were formed of periodontitis patients/periodontally healthy controls, m...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章


    authors: Sanz-Miralles EC,Li R,Momen-Heravi F,Mendieta C,Konofagou EE,Papapanou PN

    更新日期:2017-05-01 00:00:00

  • Changes in subgingival microbiota during puberty. A 4-year longitudinal study.

    abstract::It was the purpose of the present investigation to monitor the composition of the subgingival microbiota at selected sites in individuals passing through puberty and to correlate observed changes with the development of pubertal maturation. Between the ages of 11 and 14 years, pubertal and skeletal maturation was moni...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章


    authors: Gusberti FA,Mombelli A,Lang NP,Minder CE

    更新日期:1990-11-01 00:00:00

  • Differences in the inflammatory response in young and old human subjects during the course of experimental gingivitis.

    abstract::The aim of the present experiment was to study changes in (i) the composition of the inflammatory cell infiltrates and (ii) levels of alpha 2-macroglobulin, lactoferrin and IgG subclasses in gingival crevicular fluid in young and old individuals during 3 weeks of plaque formation. To establish healthy gingival conditi...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章


    authors: Fransson C,Mooney J,Kinane DF,Berglundh T

    更新日期:1999-07-01 00:00:00

  • Quality of reporting of descriptive studies in implant dentistry. Critical aspects in design, outcome assessment and clinical relevance.

    abstract:OBJECTIVES:The aim of this study was to conduct a review on quality of reporting on descriptive studies in implant dentistry using the STROBE Statement and to analyse possible changes in quality of reporting on descriptive studies in implant dentistry over time. MATERIAL AND METHODS:A hand search to select descriptive...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章,评审


    authors: Meijer HJ,Raghoebar GM

    更新日期:2012-02-01 00:00:00

  • Crevicular fluid glutathione levels in periodontitis and the effect of non-surgical therapy.

    abstract:AIM:To quantify reduced and oxidized glutathione (GSH and GSSG) levels in gingival crevicular fluid (GCF) of periodontitis patients pre-therapy (versus periodontally healthy controls) and ascertain whether successful non-surgical therapy alters glutathione levels. MATERIALS AND METHODS:Thirty-second GCF samples (6/sub...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章


    authors: Grant MM,Brock GR,Matthews JB,Chapple IL

    更新日期:2010-01-01 00:00:00

  • Periodontal health improves systemic inflammatory and haemostatic status in subjects with coronary heart disease.

    abstract:OBJECTIVES:A relationship between poor oral health and coronary heart disease (CHD) and systemic inflammatory and haemostatic factors has been recently documented in an Italian population. The present study was performed to assess whether intensive dental care may produce a periodontal improvement along with a change i...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章


    authors: Montebugnoli L,Servidio D,Miaton RA,Prati C,Tricoci P,Melloni C,Melandri G

    更新日期:2005-02-01 00:00:00

  • Morphology of polymorphonuclear neutrophils during periodontal disease in the cynomolgus monkey.

    abstract::The polymorphonuclear neutrophil (PMN) appears to be an important cell in the protection of the host from pathogenic periodontal micro-organisms. The purpose of the present histological studies was to observe the emigration of the PMN from the gingival vessels to the periodontal pocket during gingivitis and ligature-i...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章


    authors: Brecx M,Patters MR

    更新日期:1985-08-01 00:00:00

  • Prevalence and simultaneous occurrence of periodontitis and dental caries.

    abstract:AIM:The aim of the study was to evaluate the prevalence and simultaneous occurrence of periodontal disease and dental caries in Finnish adults. MATERIAL AND METHODS:The study was performed as part of the nationally representative Health 2000 Survey. The study population was 5255 subjects aged 30 years and older. Probi...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章


    authors: Mattila PT,Niskanen MC,Vehkalahti MM,Nordblad A,Knuuttila ML

    更新日期:2010-11-01 00:00:00

  • Ability of S100 proteins and matrix metalloproteinase-9 to identify periodontitis in a ligature-induced periodontitis dog model.

    abstract:AIMS:The present study aimed to monitor the levels of selected salivary biomarkers during the development and treatment of periodontitis and to evaluate their ability to identify periodontitis in dogs. MATERIALS AND METHODS:A total of 15 beagle dogs were divided into a control group (no ligature), group 1 (ligature on...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章


    authors: Liu M,Won Lee J,Jung S,Ji S,Choi Y

    更新日期:2020-02-01 00:00:00

  • Periodontal disease as a risk factor for adverse pregnancy outcomes: a prospective cohort study.

    abstract:AIM:The aim of this study was to determine the association between periodontitis and the incidence of preterm birth (PB), low birth weight (LBW) and preterm low birth weight (PLBW) MATERIAL AND METHODS: One thousand and ninety-six women were enrolled. Periodontal data, pregnancy outcome variables and information on oth...

    journal_title:Journal of clinical periodontology

    pub_type: 杂志文章


    authors: Agueda A,Ramón JM,Manau C,Guerrero A,Echeverría JJ

    更新日期:2008-01-01 00:00:00