Question · asked by 1 review

Intensive periodontal treatment (subgingival SRP with or without other periodontal treatment) vs Supra-gingival scaling: Diastolic blood pressure (mmHg), change from baseline

Population
Adults (any age/sex) with chronic periodontitis (>=5 teeth remaining; PPD >4 mm), with or without hypertension
Intervention
Intensive periodontal treatment (subgingival SRP with or without other periodontal treatment)
Comparison
Supra-gingival scaling
Outcome
Diastolic blood pressure (mmHg), change from baseline

Intensive periodontal treatment (subgingival SRP with or without… probably leads to lower change in diastolic blood pressure (DBP, mmHg) compared with supra-gingival scaling (moderate certainty).

What each review found

Include earlier review versions
No studies found 0 · 0%GRADE not reported 0 · 0%Very low 1 · 33.3%Low 1 · 33.3%Moderate 1 · 33.3%High 0 · 0%
FindingEffectStudiesGRADE certainty
Intensive periodontal treatment (subgingival SRP with or without other periodontal treatment) vs Supra-gingival scaling
Change in diastolic blood pressure (DBP, mmHg) · Adults (any age/sex) with chronic periodontitis (>=5 teeth remaining; PPD >4 mm), with or without hypertension · Short term (follow-up 2 months), People diagnosed with periodontitis and hypertension
Intensive periodontal treatment (subgingival SRP with or without… probably leads to lower change in diastolic blood pressure (DBP, mmHg) compared with supra-gingival scaling (moderate certainty).
Effect of periodontal treatments on blood pressure (2021) · Cochrane All outcomes
MD -8.40 [-12.19, -4.61]1 study · 101 participantsModerate
Intensive periodontal treatment (subgingival SRP with or without other periodontal treatment) vs Supra-gingival scaling
Change in diastolic blood pressure (DBP, mmHg) · Adults (any age/sex) with chronic periodontitis (>=5 teeth remaining; PPD >4 mm), with or without hypertension · Short term (follow-up 2-3 months), People diagnosed with periodontitis
Intensive periodontal treatment (subgingival SRP with or without… showed no clear difference in change in diastolic blood pressure (DBP, mmHg) compared with supra-gingival scaling (low certainty).
Effect of periodontal treatments on blood pressure (2021) · Cochrane All outcomes
MD -2.08 [-4.84, 0.68]2 studies · 227 participantsLow
Intensive periodontal treatment (subgingival SRP with or without other periodontal treatment) vs Supra-gingival scaling
Change in diastolic blood pressure (DBP, mmHg) · Adults (any age/sex) with chronic periodontitis (>=5 teeth remaining; PPD >4 mm), with or without hypertension · Long term (follow-up 6 months), People diagnosed with periodontitis
It is very uncertain whether intensive periodontal treatment (subgingival SRP with or without… changes change in diastolic blood pressure (DBP, mmHg) compared with supra-gingival scaling (very low certainty).
Effect of periodontal treatments on blood pressure (2021) · Cochrane All outcomes
MD -4.96 [-13.04, 3.13]2 studies · 227 participantsVery low

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

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Effect of periodontal treatments on blood pressure
2021 · Cochrane All outcomes
2020-11Not listedNot assessed

The same intervention and outcome, asked in another population or against another comparator.

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.