Question · asked by 1 review

Amoxicillin + metronidazole + SRP vs Supragingival scaling (plus placebo): Cardiovascular events

Population
People with periodontitis and metabolic syndrome (no CVD; primary prevention)
Intervention
Amoxicillin + metronidazole + SRP
Comparison
Supragingival scaling (plus placebo)
Outcome
Cardiovascular events

It is very uncertain whether scaling and root planing (SRP) plus antibiotics (amoxicillin and… changes all cardiovascular events compared with supragingival scaling (plus placebo) (very low certainty).

What each review found

Include earlier review versions
FindingEffectStudiesGRADE certainty
Scaling and root planing (SRP) plus antibiotics (amoxicillin and metronidazole) vs Supragingival scaling (plus placebo)
All cardiovascular events · People with periodontitis and metabolic syndrome (no CVD; primary prevention) · 12 months
It is very uncertain whether scaling and root planing (SRP) plus antibiotics (amoxicillin and… changes all cardiovascular events compared with supragingival scaling (plus placebo) (very low certainty).
Periodontal therapy for primary or secondary prevention of cardiovascular disease in people with periodontitis (2022) · Cochrane All outcomes
Peto OR 7.77 [1.07, 56.1]1 study · 165 participantsVery low

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Periodontal therapy for primary or secondary prevention of cardiovascular disease in people with periodontitis
2022 · Cochrane All outcomes
2021-11Not listedNot assessed
How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.