A network meta-analysis of interproximal oral hygiene methods in the reduction of clinical indices of inflammation.

Abstract:

BACKGROUND:A wide selection of Interdental Oral Hygiene (IOH) aids is available to consumers. Recommendations for selection are, however, limited by the lack of direct comparisons in available studies. We aimed to assess the comparative efficacy of IOH aids using Bayesian Network Meta-Analysis (BNMA). METHODS:Two independent reviewers performed a systematic literature review of randomized clinical trials assessing IOH aids, based on a focused question. Gingival inflammation (Gingival Index (GI), Bleeding-on-probing (BOP)) was the primary outcome and plaque and probing depth were secondary outcomes A random-effects arm-based BNMA model was run for each outcome; posterior medians and 95% credible-intervals (CIs) summarized marginal distributions of parameters. RESULTS:A two-phase selection process identified 22 trials assessing 10 IOH aids as brushing adjuncts. Interdental brushes (IB) yielded the largest reduction in GI (0.23 [95% CI: 0.09, 0.37]) as toothbrushing adjuncts, followed by water-jet (WJ) (0.19 [95% CI: 0.14, 0.24]). Rankings based on posterior probabilities revealed that IB and WJ had the highest probability of being "best" (64.7% and 27.4%, respectively) for GI reduction, whereas the probability for toothpick and floss being the "best" IOH aids was near zero. Notably, except for toothpicks, all IOH aids were better at reducing GI as compared with control. CONCLUSIONS:BNMA enabled us to quantitatively evaluate IOH aids and provide a global ranking of their efficacy. Interdental brushes and water-jets ranked high for reducing gingival bleeding, whereas toothpicks and floss ranked last. The patient-perceived benefit of IOH aids is not clear because gingival inflammation measures are physical indicators of periodontal health.

journal_name

J Periodontol

authors

Kotsakis GA,Lian Q,Ioannou AL,Michalowicz BS,John MT,Chu H

doi

10.1002/JPER.17-0368

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

558-570

issue

5

eissn

0022-3492

issn

1943-3670

journal_volume

89

pub_type

杂志文章,meta分析,评审
  • Efficacy of acellular dermal matrix and coronally advanced flaps for the treatment of induced gingival recession defects: a histomorphometric study in dogs.

    abstract:BACKGROUND:Gingival recession (GR) defects can be treated by various methods, including acellular dermal matrix (ADM) or coronally advanced flaps (CAFs). The aim of this histomorphometric experiment is to compare the efficacy of ADM and CAF for treating GR defects in dogs. METHODS:In eight beagle dogs, a critical-size...

    journal_title:Journal of periodontology

    pub_type: 杂志文章

    doi:10.1902/jop.2012.120380

    authors: Al-Hezaimi K,Rudek I,Al-Hamdan KS,Javed F,Iezzi G,Piattelli A,Wang HL

    更新日期:2013-08-01 00:00:00

  • Investigating the Effects of Systemically Administered Strontium Ranelate on Alveolar Bone Loss Histomorphometrically and Histopathologically on Experimental Periodontitis in Rats.

    abstract:BACKGROUND:The aim of this study is to investigate effects of strontium ranelate (SR) on alveolar bone loss (ABL) in rats with experimental periodontitis. METHODS:Forty Wistar rats were randomly divided into five groups: 1) control (n = 8); 2) ligated (n = 8); 3) 300 mg/kg SR (SR300, n = 8); 4) 625 mg/kg SR (SR625, n ...

    journal_title:Journal of periodontology

    pub_type: 杂志文章

    doi:10.1902/jop.2016.160227

    authors: Karakan NC,Akpınar A,Göze F,Poyraz Ö

    更新日期:2017-02-01 00:00:00

  • The effect of platelet-rich plasma on the coronally advanced flap root coverage procedure: a pilot human trial.

    abstract:BACKGROUND:Coronally advanced flap (CAF) has been shown to effectively treat gingival recession. Platelet-rich plasma (PRP), containing autologous growth factors, has been shown to promote soft tissue healing. Therefore, the purpose of this study was to evaluate the effects of PRP in combination with CAF. METHODS:Twen...

    journal_title:Journal of periodontology

    pub_type: 杂志文章,随机对照试验

    doi:10.1902/jop.2005.76.10.1768

    authors: Huang LH,Neiva RE,Soehren SE,Giannobile WV,Wang HL

    更新日期:2005-10-01 00:00:00

  • A radiographic evaluation of bone healing around submerged and non-submerged dental implants in beagle dogs.

    abstract:BACKGROUND:The rehabilitation of the oral cavity with dental implants has become a predictable treatment modality. However, there have been only a few direct comparisons evaluating the submerged and nonsubmerged placement techniques. The purpose of this study was to characterize radiographic peri-implant bone changes f...

    journal_title:Journal of periodontology

    pub_type: 杂志文章

    doi:10.1902/jop.1999.70.3.248

    authors: Fiorellini JP,Buser D,Paquette DW,Williams RC,Haghighi D,Weber HP

    更新日期:1999-03-01 00:00:00

  • Effect of cigarette smoke inhalation and estrogen deficiency on bone healing around titanium implants: a histometric study in rats.

    abstract:BACKGROUND:It has been shown that cigarette smoke inhalation (CSI) and estrogen deficiency (OVX) may affect bone quality around titanium implants; however, their association has not been evaluated. Therefore, this study aimed to verify the effects of CSI associated with OVX on bone healing around titanium implants. ME...

    journal_title:Journal of periodontology

    pub_type: 杂志文章

    doi:10.1902/jop.2006.050190

    authors: Carvalho MD,Benatti BB,César-Neto JB,Nociti FH Jr,da Rocha Nogueira Filho G,Casati MZ,Sallum EA

    更新日期:2006-04-01 00:00:00

  • Osteogenic effects of bioabsorbable magnesium implant in rat mandibles and in vitro.

    abstract:BACKGROUND:Bone augmentation or grafting is often required for placement of dental implants or surgical reconstruction of bony defects. Bioabsorbable magnesium implant was shown to promote osteogenesis in long bones. The objectives of this study were to determine osteogenic effects of pure magnesium (Mg) in rat mandibl...

    journal_title:Journal of periodontology

    pub_type: 杂志文章

    doi:10.1002/JPER.20-0162

    authors: He W,Zhang H,Qiu J

    更新日期:2020-08-26 00:00:00

  • Focal dermal hypoplasia. Current concepts and differential diagnosis.

    abstract::Focal dermal hypoplasia syndrome (FDH) is a congenital disorder of mesodermal derivation with some ectodermal participation. The disorder, first described in 1962, is characterized by tenacious defects consisting of thinning of the skin; herniations of adipose tissue; abnormal skin pigmentation and other skeletal, den...

    journal_title:Journal of periodontology

    pub_type: 杂志文章

    doi:10.1902/jop.1989.60.6.330

    authors: Greer RO Jr,Reissner MW

    更新日期:1989-06-01 00:00:00

  • The etiology of hard- and soft-tissue deficiencies at dental implants: A narrative review.

    abstract:OBJECTIVE:The objective of the present paper was to review factors and conditions that are associated with hard and soft-tissue deficiencies at implant sites. IMPORTANCE:Hard- and soft-tissue deficiencies at dental implants are common clinical findings. They can lead to complications and compromise implant survival an...

    journal_title:Journal of periodontology

    pub_type: 杂志文章,评审

    doi:10.1002/JPER.16-0810

    authors: Hämmerle CHF,Tarnow D

    更新日期:2018-06-01 00:00:00

  • Periodontal disease in Kuna albinism: a comparative study.

    abstract:BACKGROUND:In classic albinism, all parts of the body are normal except for the absence of melanin. It is believed that lack of this pigment in periodontal tissues might influence periodontal disease progression. This study was designed to determine the relationship between periodontal diseases and albinism by comparin...

    journal_title:Journal of periodontology

    pub_type: 杂志文章

    doi:10.1902/jop.2007.050322

    authors: Champsaur A

    更新日期:2007-01-01 00:00:00

  • Clinical and microbiologic effects of local tetracycline irrigation on periodontitis.

    abstract::This investigation was conducted on seven individuals referred for treatment of moderate adult periodontitis. Twenty-eight sites with an average probing depth of 5.6 +/- 0.9 mm were evaluated. One tooth per jaw quadrant was randomly assigned to receive one of the following treatments: (I) no treatment, i.e., control; ...

    journal_title:Journal of periodontology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1902/jop.1988.59.5.301

    authors: Silverstein L,Bissada N,Manouchehr-Pour M,Greenwell H

    更新日期:1988-05-01 00:00:00

  • Effect of systemically administered naproxen sodium on clinical parameters and myeloperoxidase and elastase-like activity levels in gingival crevicular fluid.

    abstract:BACKGROUND:The present study was conducted to determine the possible effect of naproxen sodium on clinical status and the enzymatic profile of gingival crevicular fluid (GCF) when given as adjunct to periodontal treatment. METHODS:A total of 34 subjects with chronic periodontitis were selected and divided into two gro...

    journal_title:Journal of periodontology

    pub_type: 杂志文章,随机对照试验

    doi:10.1902/jop.2007.060412

    authors: Aras H,Cağlayan F,Güncü GN,Berberoğlu A,Kilinç K

    更新日期:2007-05-01 00:00:00

  • Periodontal status and neutrophilic enzyme levels in gingival crevicular fluid during pregnancy and postpartum.

    abstract:BACKGROUND:Pregnancy induces or enhances susceptibility to gingivitis; however, the presence and role of neutrophilic enzymes in pregnancy-related gingivitis are not well known. The present study demonstrates the relationship between neutrophilic enzymes in gingival crevicular fluid (GCF) and periodontal status during ...

    journal_title:Journal of periodontology

    pub_type: 杂志文章

    doi:10.1902/jop.2010.100147

    authors: Gürsoy M,Könönen E,Gürsoy UK,Tervahartiala T,Pajukanta R,Sorsa T

    更新日期:2010-12-01 00:00:00

  • Citric acid demineralization and subepithelial connective tissue grafts.

    abstract:BACKGROUND:The present study was designed to evaluate the effect, if any, of citric acid root demineralization in the outcome of subepithelial connective tissue grafts performed to cover localized gingival recessions. METHODS:Thirty-six patients participated, each providing one gingival recession; 19 received citric a...

    journal_title:Journal of periodontology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1902/jop.2000.71.4.568

    authors: Caffesse RG,De LaRosa M,Garza M,Munne-Travers A,Mondragon JC,Weltman R

    更新日期:2000-04-01 00:00:00

  • Analysis of consecutively placed loaded root-form and plate-form implants in adult Macaca mulatta monkeys.

    abstract::The present paper describes 36 consecutively treated non-human primates (Macaca mulatta) as part of a balanced block design study to examine osseointegration in root- and plate-form implants prepared by atraumatic preparation of bone. Clinical measurements around selected teeth and digital radiology were utilized to m...

    journal_title:Journal of periodontology

    pub_type: 杂志文章

    doi:10.1902/jop.1996.67.12.1322

    authors: Fritz ME,Braswell LD,Koth D,Jeffcoat M,Reddy M,Brogan D,Cotsonis G,Winter M,Lemons JE

    更新日期:1996-12-01 00:00:00

  • Osseointegration of dental implants in patients undergoing bisphosphonate treatment: a literature review.

    abstract:BACKGROUND:Bisphosphonates (BPs) are an important group of drugs used for the treatment of metabolic and oncologic pathologies involving the skeletal system. Osteonecrosis of the jaw (ONJ) is a complication observed in patients using oral or intravenous (IV) BPs. It was suggested that all patients undergoing BP therapy...

    journal_title:Journal of periodontology

    pub_type: 杂志文章,评审

    doi:10.1902/jop.2009.090587

    authors: Javed F,Almas K

    更新日期:2010-04-01 00:00:00

  • Radiographic and digital imaging in periodontal practice.

    abstract::This review defines terms such as accuracy, validity, and reliability, which are used to describe the quality of methods for taking x-rays and for analyzing digital images. Values for these parameters are described for techniques of taking standardized x-rays such as ear-rod fixation and fixation by use of teeth with ...

    journal_title:Journal of periodontology

    pub_type: 杂志文章,评审

    doi:10.1902/jop.2000.71.3.497

    authors: Hausmann E

    更新日期:2000-03-01 00:00:00

  • Periodontal manifestations of the heritable Mac-1, LFA-1, deficiency syndrome. Clinical, histopathologic and molecular characteristics.

    abstract::The clinical, histopathologic and functional consequences of the genetic deficiency of leukocyte Mac-1, LFA-1 and p150,95 were assessed among three affected patients, heterozygotes and unaffected individuals among two generations of a single kindred. Longitudinal assessments of this family afforded the unique opportun...

    journal_title:Journal of periodontology

    pub_type: 杂志文章

    doi:10.1902/jop.1987.58.6.400

    authors: Waldrop TC,Anderson DC,Hallmon WW,Schmalstieg FC,Jacobs RL

    更新日期:1987-06-01 00:00:00

  • Biomechanical behavior of oral soft tissues.

    abstract:BACKGROUND:Little attention has been given to understanding the variation in biomechanical behavior of oral soft tissues, and this represents an obstacle for the development of biomaterials that perform with appropriate biomechanical characteristics. With this as our motivation, a uniaxial mechanical analysis was perfo...

    journal_title:Journal of periodontology

    pub_type: 杂志文章

    doi:10.1902/jop.2011.100573

    authors: Goktas S,Dmytryk JJ,McFetridge PS

    更新日期:2011-08-01 00:00:00

  • Periodontitis and gestational diabetes mellitus in non-smoking females.

    abstract:BACKGROUND:Chronic inflammation has been implicated in the pathogenesis of gestational diabetes mellitus (GDM). Periodontal disease is associated with increased levels of inflammatory mediators and may be a risk factor for GDM. The authors aimed to examine the association between periodontitis and GDM among non-smoking...

    journal_title:Journal of periodontology

    pub_type: 杂志文章

    doi:10.1902/jop.2012.120344

    authors: Chokwiriyachit A,Dasanayake AP,Suwannarong W,Hormdee D,Sumanonta G,Prasertchareonsuk W,Wara-Aswapati N,Combellick J,Pitiphat W

    更新日期:2013-07-01 00:00:00

  • Hepatocellular carcinoma metastatic to the oral mucosa: report of a case with multiple gingival localizations.

    abstract:BACKGROUND:Metastases to the oral mucosa are rare, representing less than 1% of the tumors at this site. Most of these metastatic neoplasms originate in the lungs, kidneys, and liver. METHODS:The clinicopathologic features of an occult hepatocellular carcinoma, metastatic to the oral mucosa, are reported. The patient,...

    journal_title:Journal of periodontology

    pub_type: 杂志文章

    doi:10.1902/jop.2000.71.4.641

    authors: Maiorano E,Piattelli A,Favia G

    更新日期:2000-04-01 00:00:00

  • Journal of Periodontology 75th Anniversary.

    abstract::This tribute was written by Dr. E. Brady Hancock, who was a student of and who succeeded Dr. Timothy J. O'Leary as chair of the Department of Periodontics at Indiana University. Dr. O'Leary served as co-editor of the Journal of Periodontologyfrom 1970 until 1988. ...

    journal_title:Journal of periodontology

    pub_type: 杂志文章

    doi:10.1902/jop.2004.75.9.1175

    authors:

    更新日期:2004-09-01 00:00:00

  • The association between smoking cessation and periodontal status and salivary proteinase levels.

    abstract:BACKGROUND:Little information is available about the effects of the cessation of cigarette smoking on oral health, although cigarette smoking has been shown to be associated with a variety of oral diseases. The aim of this study was to compare periodontal status, salivary proteolytic activity, especially collagenase-2 ...

    journal_title:Journal of periodontology

    pub_type: 杂志文章

    doi:10.1902/jop.1999.70.11.1361

    authors: Liede KE,Haukka JK,Hietanen JH,Mattila MH,Rönkä H,Sorsa T

    更新日期:1999-11-01 00:00:00

  • Vertical distance from the crest of bone to the height of the interproximal papilla between adjacent implants.

    abstract:BACKGROUND:As patient demand increases for more natural restorations in the esthetic zone, clinicians must have the highest level of skill and knowledge to maintain or reform the interdental papilla between teeth, between implants and teeth, and between adjacent implants. To date, there are no reports that have measure...

    journal_title:Journal of periodontology

    pub_type: 杂志文章

    doi:10.1902/jop.2003.74.12.1785

    authors: Tarnow D,Elian N,Fletcher P,Froum S,Magner A,Cho SC,Salama M,Salama H,Garber DA

    更新日期:2003-12-01 00:00:00

  • Periodontal repair in dogs: space provision by reinforced ePTFE membranes enhances bone and cementum regeneration in large supraalveolar defects.

    abstract::Regeneration of alveolar bone and cementum following reconstructive therapy with reinforced space providing expanded polytetrafluorethylene (ePTFE) membranes was evaluated in supraalveolar mandibular premolar periodontal defects in five beagle dogs. The surgically-created defects in contralateral jaw quadrants were ra...

    journal_title:Journal of periodontology

    pub_type: 杂志文章

    doi:10.1902/jop.1994.65.4.350

    authors: Sigurdsson TJ,Hardwick R,Bogle GC,Wikesjö UM

    更新日期:1994-04-01 00:00:00

  • Clinical evaluation of partial- and full-mouth scaling in the treatment of chronic periodontitis.

    abstract:BACKGROUND:Full-mouth scaling (FMS) is claimed by some researchers to be superior to standard scaling and root planing (SRP). The aim of the present study was to evaluate clinical outcomes of two modalities of non-surgical periodontal therapy for patients with chronic periodontitis. METHODS:In a prospective, randomize...

    journal_title:Journal of periodontology

    pub_type: 杂志文章,随机对照试验

    doi:10.1902/jop.2007.070010

    authors: Knöfler GU,Purschwitz RE,Jentsch HF

    更新日期:2007-11-01 00:00:00

  • Microscopic, immunocytochemical, and ultrastructural properties of peri-implant mucosa in humans.

    abstract:BACKGROUND:Microscopic and immunocytochemical studies have demonstrated both similarities and differences between the gingival mucosa and the peri-implant mucosa restored around dental implants. METHODS:This study was performed on 10 samples of peri-implant mucosa from 10 patients who had undergone implant treatment 1...

    journal_title:Journal of periodontology

    pub_type: 杂志文章

    doi:10.1902/jop.2002.73.5.555

    authors: Marchetti C,Farina A,Cornaglia AI

    更新日期:2002-05-01 00:00:00

  • Cementai Tear Related to Rapid Periodontal Breakdown: A Case Report.

    abstract::Cemental tears have been described both in exposed and unexposed cementum. The phenomenon is believed to be elicited by overloading or acute trauma from occlusion. In this case report a patient, with a history of periodontal health, presented with an acute periodontal lesion on the distal aspect of a bridge abutment t...

    journal_title:Journal of periodontology

    pub_type: 杂志文章

    doi:10.1902/jop.1992.63.3.220

    authors: Haney JM,Leknes KN,Lie T,Selvig KA,Wikesjö UME

    更新日期:1992-03-01 00:00:00

  • Guided bone regeneration for dehiscence and fenestration defects on implants using an absorbable polymer barrier.

    abstract:BACKGROUND:Guided bone regeneration (GBR) using a non-absorbable barrier has provided clinicians the ability to place implants in sites compromised by insufficient bone, including immediate extraction sites. Recent evidence suggests that successful GBR outcomes may be possible using bioabsorbable polymer barriers. MET...

    journal_title:Journal of periodontology

    pub_type: 杂志文章

    doi:10.1902/jop.2001.72.2.250

    authors: Rosen PS,Reynolds MA

    更新日期:2001-02-01 00:00:00

  • Periodontal surgery for a patient with paroxysmal nocturnal hemoglobinuria.

    abstract::Paroxysmal nocturnal hemoglobinuria (PNH) is an uncommon blood stem cell disorder. The acquired defect is in the cell membrane of the precursor of the affected clone, which renders erythrocytes, platelets and granulocytes unusually sensitive to the hemolytic effects of complement. It is characterized by chronic hemoly...

    journal_title:Journal of periodontology

    pub_type: 杂志文章

    doi:10.1902/jop.1988.59.2.115

    authors: Cohen CI,Zimmerman DR

    更新日期:1988-02-01 00:00:00

  • Two human hydroxyapatite-coated dental implants retrieved after a 14-year loading period: a histologic and histomorphometric case report.

    abstract:BACKGROUND:Controversy over the long-term clinical effectiveness of hydroxyapatite (HA)-coated dental implants still persists, despite numerous clinical studies documenting high survival rates. Concerns about the degradation of the coating over the years have been raised; it has been speculated that resorption of the H...

    journal_title:Journal of periodontology

    pub_type: 杂志文章

    doi:10.1902/jop.2007.060271

    authors: Iezzi G,Scarano A,Petrone G,Piattelli A

    更新日期:2007-05-01 00:00:00