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Each row is one question a systematic review asked: who, what, compared with what, and which outcome, with the effect it found and how certain that is. Words match anywhere in the field.

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793 questions in 32 reviews · Periodontology

current versions
No studies 148 · 18.7%Ungraded 429 · 54.1%Very low 137 · 17.3%Low 53 · 6.7%Moderate 14 · 1.8%High 12 · 1.5%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

QuestionEffectEvidenceStatus / GRADE
Chlorhexidine (CHX) mouthwash (adjunct to mechanical cleaning) vs Blank control (no mouthwash; before-after comparison)
Total bacteria (colony count) · Orthodontic patients (any age) undergoing orthodontic treatment (mostly fixed appliances) · <=3 months (short-term)
The efficacy of mouthwashes on oral microorganisms and gingivitis in patients undergoing orthodontic… (2023)
Colony count of total bacteria were significantly reduced compared to placebos according to two studies [34, 43].2 studiesVery low
Clear aligners (CA) vs Conventional fixed orthodontic appliances (CF)
Plaque accumulation (Plaque Index) · Orthodontic patients undergoing comprehensive treatment (late mixed or permanent dentition, no active caries) · 12 months, Follow-up: 12 months
White spot lesions, plaque accumulation and salivary caries-associated bacteria in clear aligners compared… (2023)
SMD -2.14 [-3.64, -0.64]3 studies · 113 participantsUngraded
Herbal mouthwash vs Blank control
Gingival inflammation-related index · Orthodontic patients · ≤ 3 months
The efficacy of mouthwashes on oral microorganisms and gingivitis in patients undergoing orthodontic… (2023)
CPI was significantly reduced compared to baseline [35]; SBI was significantly reduced while MGI was similar compared to baseline [45]; BOP was significantly reduced compared to blank control [39].3 studiesVery low
Herbal mouthwash vs Blank control
Cariogenic bacteria (Mutans streptococci) · Orthodontic patients · ≤ 3 months
The efficacy of mouthwashes on oral microorganisms and gingivitis in patients undergoing orthodontic… (2023)
Colony count of MS was significantly reduced compared to baseline [48]; another study found an insignificant reduction compared to baseline [51].2 studiesVery low
Intervention NR
Adverse events
A Systematic Review and Meta-Analysis of the Role of Sugar-Free Chewing Gum on Plaque Quantity in the Oral… (2022)
No adverse events reported8 studiesUngraded
Full-mouth scaling (FMS): scaling/root planing (subgingival instrumentation) of all quadrants within 24 hours, without antiseptic vs Quadrant scaling and root planing (control): SRP of each quadrant in separate sessions at least one week apart
Change in clinical attachment level (CAL) · Adults with a clinical diagnosis of (chronic) periodontitis (1999 classification); studies of aggressive… · 6 to 8 months (SoF); similar at 3 to 4 months
Full‐mouth treatment modalities (within 24 hours) for periodontitis in adults (2022) · Cochrane
MD 0.10 [-0.05, 0.26]5 studies · 148 participantsLow
Full-mouth scaling (FMS): scaling/root planing (subgingival instrumentation) of all quadrants within 24 hours, without antiseptic vs Full-mouth disinfection (FMD): scaling/root planing (subgingival instrumentation) of all quadrants within 24 hours plus adjunctive antiseptic (chlorhexidine) treatments (rinsing, pocket irrigation, tongue/tonsil brushing)
Change in clinical attachment level (CAL) · Adults with a clinical diagnosis of (chronic) periodontitis (1999 classification); studies of aggressive… · 6 to 8 months (SoF); 3 to 4 months favoured FMD
Full‐mouth treatment modalities (within 24 hours) for periodontitis in adults (2022) · Cochrane
MD -0.05 [-0.23, 0.13]4 studies · 112 participantsLow
Full-mouth disinfection (FMD): scaling/root planing (subgingival instrumentation) of all quadrants within 24 hours plus adjunctive antiseptic (chlorhexidine) treatments (rinsing, pocket irrigation, tongue/tonsil brushing) vs Quadrant scaling and root planing (control): SRP of each quadrant in separate sessions at least one week apart
Pocket closure (sites with PPD <=4 mm) · Adults with a clinical diagnosis of (chronic) periodontitis (1999 classification); studies of aggressive…
Full‐mouth treatment modalities (within 24 hours) for periodontitis in adults (2022) · Cochrane
Pocket closure (number/proportion of sites with PPD <=4 mm after treatment): 9 studies reported; all showed an increase in closed pockets after treatment; 8 of 9 found no between-group difference; Koshy 2005 found a…9 studiesUngraded
Xylitol sugar-free chewing gum vs No sugar-free gum / no chewing gum (or gum-base control); no chewing
Plaque quantity (plaque index or plaque weight) · Adults and children (predominantly adults; one study in children), with natural dentition · End of study (last reported time point; study durations 4 days to 2 years)
A Systematic Review and Meta-Analysis of the Role of Sugar-Free Chewing Gum on Plaque Quantity in the Oral… (2022)
SMD -0.743 [-1.148, -0.338]7 studiesUngraded
Full-mouth disinfection (FMD): scaling/root planing (subgingival instrumentation) of all quadrants within 24 hours plus adjunctive antiseptic (chlorhexidine) treatments (rinsing, pocket irrigation, tongue/tonsil brushing) vs Quadrant scaling and root planing (control): SRP of each quadrant in separate sessions at least one week apart
Adverse events · Adults with a clinical diagnosis of (chronic) periodontitis (1999 classification); studies of aggressive…
Full‐mouth treatment modalities (within 24 hours) for periodontitis in adults (2022) · Cochrane
13 studies provided adverse-event/participant-reported information; 3 reported an event after FMD or FMS; most important harm was increased body temperature. FMD/chlorhexidine-specific harms reported by Fonseca 2015…13 studiesUngraded
Full-mouth scaling (FMS): scaling/root planing (subgingival instrumentation) of all quadrants within 24 hours, without antiseptic vs Quadrant scaling and root planing (control): SRP of each quadrant in separate sessions at least one week apart
Adverse events · Adults with a clinical diagnosis of (chronic) periodontitis (1999 classification); studies of aggressive…
Full‐mouth treatment modalities (within 24 hours) for periodontitis in adults (2022) · Cochrane
13 studies provided adverse-event/participant-reported information; 3 reported an event after FMD or FMS; most important harm was increased body temperature after treatment. Narrative, not separated by comparison and…13 studiesUngraded
Full-mouth disinfection (FMD): scaling/root planing (subgingival instrumentation) of all quadrants within 24 hours plus adjunctive antiseptic (chlorhexidine) treatments (rinsing, pocket irrigation, tongue/tonsil brushing) vs Quadrant scaling and root planing (control): SRP of each quadrant in separate sessions at least one week apart
Change in probing pocket depth (PPD) · Adults with a clinical diagnosis of (chronic) periodontitis (1999 classification); studies of aggressive… · 6 to 8 months (SoF); similar at 3 to 4 months
Full‐mouth treatment modalities (within 24 hours) for periodontitis in adults (2022) · Cochrane
MD 0.11 [-0.04, 0.27]6 studies · 214 participantsLow
Periodontal treatment (subgingival instrumentation, with or without antimicrobials/surgery) vs No active intervention/usual care
Gingival index (GI) · People with diabetes mellitus (type 1 or type 2, mostly type 2) and periodontitis, at least 16 years of age · 3-4 months
Treatment of periodontitis for glycaemic control in people with diabetes mellitus (2022) · Cochrane
SMD -1.75 [-2.27, -1.24]12 studiesUngraded
Scaling and root planing (SRP) plus antibiotics (amoxicillin and metronidazole) vs Supragingival scaling (plus placebo)
Adverse events due to periodontal therapy · People with periodontitis and metabolic syndrome (no CVD; primary prevention) · 12 months
Periodontal therapy for primary or secondary prevention of cardiovascular disease in people with periodontitis (2022) · Cochrane
Peto OR 0.14 [0.00, 6.90]1 study · 165 participantsVery low
Periodontal treatment (subgingival instrumentation, with or without antimicrobials/surgery) vs No active intervention/usual care
HbA1c (glycated haemoglobin), change · People with diabetes mellitus (type 1 or type 2, mostly type 2) and periodontitis, at least 16 years of age · 3-4 months
Treatment of periodontitis for glycaemic control in people with diabetes mellitus (2022) · Cochrane
MD -0.43 [-0.59, -0.28]30 studies · 2443 participantsModerate
Full-mouth scaling (FMS): scaling/root planing (subgingival instrumentation) of all quadrants within 24 hours, without antiseptic vs Quadrant scaling and root planing (control): SRP of each quadrant in separate sessions at least one week apart
Change in probing pocket depth (PPD) · Adults with a clinical diagnosis of (chronic) periodontitis (1999 classification); studies of aggressive… · 6 to 8 months (SoF); similar at 3 to 4 months
Full‐mouth treatment modalities (within 24 hours) for periodontitis in adults (2022) · Cochrane
MD 0.03 [-0.14, 0.20]5 studies · 148 participantsLow
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
Periodontal therapy for primary or secondary prevention of cardiovascular disease in people with periodontitis (2022) · Cochrane
Peto OR 7.77 [1.07, 56.1]1 study · 165 participantsVery low
Periodontal treatment: scaling and root planing (SRP) plus advice vs Community care: advice only
All CVD-related death · People with cardiovascular disease and chronic periodontitis
Periodontal therapy for primary or secondary prevention of cardiovascular disease in people with periodontitis (2022) · Cochrane
SoF row 'All CVD-related death': Outcome not reported. Results 2.1.2: Not reported.0 studiesNo studies
Periodontal treatment: scaling and root planing (SRP) plus advice vs Community care: advice only
All cardiovascular events · People with cardiovascular disease and chronic periodontitis · 6 to 25 months
Periodontal therapy for primary or secondary prevention of cardiovascular disease in people with periodontitis (2022) · Cochrane
All cardiovascular events (Follow-up: 6 to 25 months): One study of 303 participants assessed this outcome; however, we considered data were unreliable as participants were followed up for different lengths of time,…1 study · 303 participantsVery low
Full-mouth disinfection (FMD): scaling/root planing (subgingival instrumentation) of all quadrants within 24 hours plus adjunctive antiseptic (chlorhexidine) treatments (rinsing, pocket irrigation, tongue/tonsil brushing) vs Quadrant scaling and root planing (control): SRP of each quadrant in separate sessions at least one week apart
Tooth loss · Adults with a clinical diagnosis of (chronic) periodontitis (1999 classification); studies of aggressive…
Full‐mouth treatment modalities (within 24 hours) for periodontitis in adults (2022) · Cochrane
Tooth loss: None of the studies comparing FMD vs control reported tooth loss.0 studiesNo studies
Periodontal treatment (subgingival instrumentation, with or without antimicrobials/surgery) vs No active intervention/usual care
Quality of life indicators · People with diabetes mellitus (type 1 or type 2, mostly type 2) and periodontitis, at least 16 years of age · 3-4 months
Treatment of periodontitis for glycaemic control in people with diabetes mellitus (2022) · Cochrane
Three studies measured QoL. Vergnes 2018: overall GOHAI adjusted MD 7.0 (95% CI 2.4 to 11.6), 79 participants (better oral health-related QoL); no clear change in general SF-36 QoL. D'Aiuto 2018 ADDQoL better in…3 studiesUngraded
Periodontal treatment (subgingival instrumentation, with or without antimicrobials/surgery) vs No active intervention/usual care
Plaque index (PI) / oral hygiene · People with diabetes mellitus (type 1 or type 2, mostly type 2) and periodontitis, at least 16 years of age · 3-4 months
Treatment of periodontitis for glycaemic control in people with diabetes mellitus (2022) · Cochrane
SMD -2.05 [-2.57, -1.53]18 studiesUngraded
Periodontal treatment (subgingival instrumentation, with or without antimicrobials/surgery) vs No active intervention/usual care
Probing pocket depth (PPD/PD) · People with diabetes mellitus (type 1 or type 2, mostly type 2) and periodontitis, at least 16 years of age · 3-4 months
Treatment of periodontitis for glycaemic control in people with diabetes mellitus (2022) · Cochrane
MD -0.56 [-0.72, -0.40]21 studiesUngraded
Scaling and root planing (SRP) plus antibiotics (amoxicillin and metronidazole) vs Supragingival scaling (plus placebo)
All CVD-related death · People with periodontitis and metabolic syndrome (no CVD; primary prevention) · 12 months
Periodontal therapy for primary or secondary prevention of cardiovascular disease in people with periodontitis (2022) · Cochrane
Peto OR 7.48 [0.15, 376.98]1 study · 165 participantsVery low
Sugar-free chewing gum (any polyol: xylitol, sorbitol, or maltitol), chewed regularly vs No sugar-free gum / no chewing gum (or gum-base control); no chewing
Plaque quantity (plaque index or plaque weight) · Adults and children (predominantly adults; one study in children), with natural dentition · End of study (last reported time point; study durations 4 days to 2 years)
A Systematic Review and Meta-Analysis of the Role of Sugar-Free Chewing Gum on Plaque Quantity in the Oral… (2022)
SMD -0.778 [-1.167, -0.390]7 studiesUngraded
Full-mouth scaling (FMS): scaling/root planing (subgingival instrumentation) of all quadrants within 24 hours, without antiseptic vs Quadrant scaling and root planing (control): SRP of each quadrant in separate sessions at least one week apart
Change in bleeding on probing (BOP) · Adults with a clinical diagnosis of (chronic) periodontitis (1999 classification); studies of aggressive… · 6 to 8 months (SoF); similar at 3 to 4 months
Full‐mouth treatment modalities (within 24 hours) for periodontitis in adults (2022) · Cochrane
MD 2.64 [-8.81, 14.09]3 studies · 80 participantsVery low
Periodontal treatment: scaling and root planing (SRP) plus advice vs Community care: advice only
All-cause death · People with cardiovascular disease and chronic periodontitis
Periodontal therapy for primary or secondary prevention of cardiovascular disease in people with periodontitis (2022) · Cochrane
SoF row 'All-cause death': Outcome not reported. Results 2.1.1: Not reported.0 studiesNo studies
Periodontal treatment (subgingival instrumentation, with or without antimicrobials/surgery) vs No active intervention/usual care
Bleeding on probing (BOP) · People with diabetes mellitus (type 1 or type 2, mostly type 2) and periodontitis, at least 16 years of age · 3-4 months
Treatment of periodontitis for glycaemic control in people with diabetes mellitus (2022) · Cochrane
MD -15.56 [-21.77, -9.36]14 studiesUngraded
Full-mouth disinfection (FMD): scaling/root planing (subgingival instrumentation) of all quadrants within 24 hours plus adjunctive antiseptic (chlorhexidine) treatments (rinsing, pocket irrigation, tongue/tonsil brushing) vs Quadrant scaling and root planing (control): SRP of each quadrant in separate sessions at least one week apart
Change in bleeding on probing (BOP) · Adults with a clinical diagnosis of (chronic) periodontitis (1999 classification); studies of aggressive… · 6 to 8 months (SoF); similar at 3 to 4 months
Full‐mouth treatment modalities (within 24 hours) for periodontitis in adults (2022) · Cochrane
MD 9.54 [-2.24, 21.32]4 studies · 92 participantsVery low
Scaling and root planing (SRP) plus antibiotics (amoxicillin and metronidazole) vs Supragingival scaling (plus placebo)
All-cause death · People with periodontitis and metabolic syndrome (no CVD; primary prevention) · 12 months
Periodontal therapy for primary or secondary prevention of cardiovascular disease in people with periodontitis (2022) · Cochrane
Peto OR 7.48 [0.15, 376.98]1 study · 165 participantsVery low
Periodontal treatment: scaling and root planing (SRP) plus advice vs Community care: advice only
Adverse events due to periodontal therapy · People with cardiovascular disease and chronic periodontitis · 6 to 25 months
Periodontal therapy for primary or secondary prevention of cardiovascular disease in people with periodontitis (2022) · Cochrane
Adverse events: because of variable follow-up (6 to 25 months) and almost 90% loss to follow-up by one year, results were not considered useful for analysis; uncertain whether adverse events are more likely with either…1 study · 303 participantsUngraded
Full-mouth scaling (FMS): scaling/root planing (subgingival instrumentation) of all quadrants within 24 hours, without antiseptic vs Full-mouth disinfection (FMD): scaling/root planing (subgingival instrumentation) of all quadrants within 24 hours plus adjunctive antiseptic (chlorhexidine) treatments (rinsing, pocket irrigation, tongue/tonsil brushing)
Change in probing pocket depth (PPD) · Adults with a clinical diagnosis of (chronic) periodontitis (1999 classification); studies of aggressive… · 6 to 8 months (SoF); similar at 3 to 4 months
Full‐mouth treatment modalities (within 24 hours) for periodontitis in adults (2022) · Cochrane
MD -0.11 [-0.30, 0.07]4 studies · 112 participantsLow
Periodontal treatment (subgingival instrumentation, with or without antimicrobials/surgery) vs No active intervention/usual care
Diabetic complications · People with diabetes mellitus (type 1 or type 2, mostly type 2) and periodontitis, at least 16 years of age · 3-4 months
Treatment of periodontitis for glycaemic control in people with diabetes mellitus (2022) · Cochrane
Included studies did not report data on diabetic complications (some reported medication changes only)0 studiesNo studies
Periodontal treatment (subgingival instrumentation, with or without antimicrobials/surgery) vs No active intervention/usual care
Adverse effects of treatment · People with diabetes mellitus (type 1 or type 2, mostly type 2) and periodontitis, at least 16 years of age · 3-4 months
Treatment of periodontitis for glycaemic control in people with diabetes mellitus (2022) · Cochrane
SoF comment: insufficient evidence to determine whether SRP for glycaemic control is associated with any harms; most studies did not evaluate adverse effects. Where reported (e.g. D'Aiuto 2018) serious adverse events…NRUngraded
Sugar-free chewing gum (any polyol: xylitol, sorbitol, or maltitol), chewed regularly vs No sugar-free gum / no chewing gum (or gum-base control); no chewing
Plaque quantity (plaque index or plaque weight) · Adults and children (predominantly adults; one study in children), with natural dentition · End of study (last reported time point; study durations 4 days to 2 years), Sensitivity analysis (pre-post correlation set to 0.95 for the SFG group)
A Systematic Review and Meta-Analysis of the Role of Sugar-Free Chewing Gum on Plaque Quantity in the Oral… (2022)
SMD -1.098 [-1.539, -0.656]7 studiesUngraded
Full-mouth disinfection (FMD): scaling/root planing (subgingival instrumentation) of all quadrants within 24 hours plus adjunctive antiseptic (chlorhexidine) treatments (rinsing, pocket irrigation, tongue/tonsil brushing) vs Quadrant scaling and root planing (control): SRP of each quadrant in separate sessions at least one week apart
Change in clinical attachment level (CAL) · Adults with a clinical diagnosis of (chronic) periodontitis (1999 classification); studies of aggressive… · 6 to 8 months (SoF); similar at 3 to 4 months
Full‐mouth treatment modalities (within 24 hours) for periodontitis in adults (2022) · Cochrane
MD 0.07 [-0.11, 0.24]6 studies · 214 participantsLow
Periodontal treatment: scaling and root planing (SRP) plus advice vs Community care: advice only
Serum high-sensitivity C-reactive protein (hs-CRP) · People with cardiovascular disease and chronic periodontitis · 12 months
Periodontal therapy for primary or secondary prevention of cardiovascular disease in people with periodontitis (2022) · Cochrane
Serum hs-CRP tested at one year; as loss to follow-up was almost 90%, data not considered useful for analysis (no usable estimate).1 study · 37 participantsUngraded
Full-mouth scaling (FMS): scaling/root planing (subgingival instrumentation) of all quadrants within 24 hours, without antiseptic vs Full-mouth disinfection (FMD): scaling/root planing (subgingival instrumentation) of all quadrants within 24 hours plus adjunctive antiseptic (chlorhexidine) treatments (rinsing, pocket irrigation, tongue/tonsil brushing)
Change in bleeding on probing (BOP) · Adults with a clinical diagnosis of (chronic) periodontitis (1999 classification); studies of aggressive… · 6 to 8 months (SoF); similar at 3 to 4 months
Full‐mouth treatment modalities (within 24 hours) for periodontitis in adults (2022) · Cochrane
MD -0.20 [-13.27, 12.87]2 studies · 42 participantsVery low
Scaling and root planing (SRP) plus antibiotics (amoxicillin and metronidazole) vs Supragingival scaling (plus placebo)
C-reactive protein (CRP) · People with periodontitis and metabolic syndrome (no CVD; primary prevention) · 12 months
Periodontal therapy for primary or secondary prevention of cardiovascular disease in people with periodontitis (2022) · Cochrane
beta coefficient -0.002 [-0.19, 0.20]1 studyVery low
Full-mouth scaling (FMS): scaling/root planing (subgingival instrumentation) of all quadrants within 24 hours, without antiseptic vs Full-mouth disinfection (FMD): scaling/root planing (subgingival instrumentation) of all quadrants within 24 hours plus adjunctive antiseptic (chlorhexidine) treatments (rinsing, pocket irrigation, tongue/tonsil brushing)
Tooth loss · Adults with a clinical diagnosis of (chronic) periodontitis (1999 classification); studies of aggressive…
Full‐mouth treatment modalities (within 24 hours) for periodontitis in adults (2022) · Cochrane
Tooth loss: None of the studies comparing FMS vs FMD reported tooth loss.0 studiesNo studies
Periodontal treatment (subgingival instrumentation, with or without antimicrobials/surgery) vs No active intervention/usual care
Cost implications · People with diabetes mellitus (type 1 or type 2, mostly type 2) and periodontitis, at least 16 years of age · 3-4 months
Treatment of periodontitis for glycaemic control in people with diabetes mellitus (2022) · Cochrane
Included studies did not report cost data. A brief economic commentary drew on four external economic evaluations (Smits 2020, Nasseh 2017, Choi 2020, Soloweij-Wedderburn 2017) suggesting potential cost…0 studiesNo studies
Periodontal treatment (subgingival instrumentation, with or without antimicrobials/surgery) vs No active intervention/usual care
Clinical attachment level (CAL) · People with diabetes mellitus (type 1 or type 2, mostly type 2) and periodontitis, at least 16 years of age · 3-4 months
Treatment of periodontitis for glycaemic control in people with diabetes mellitus (2022) · Cochrane
MD -0.48 [-0.65, -0.31]18 studiesUngraded
Scaling and root planing (SRP) plus antibiotics (amoxicillin and metronidazole) vs Supragingival scaling (plus placebo)
Fibrinogen · People with periodontitis and metabolic syndrome (no CVD; primary prevention) · 12 months
Periodontal therapy for primary or secondary prevention of cardiovascular disease in people with periodontitis (2022) · Cochrane
beta coefficient 10.9 [-12.0, 33.8]1 studyVery low
Full-mouth scaling (FMS): scaling/root planing (subgingival instrumentation) of all quadrants within 24 hours, without antiseptic vs Quadrant scaling and root planing (control): SRP of each quadrant in separate sessions at least one week apart
Tooth loss · Adults with a clinical diagnosis of (chronic) periodontitis (1999 classification); studies of aggressive…
Full‐mouth treatment modalities (within 24 hours) for periodontitis in adults (2022) · Cochrane
Tooth loss: None of the studies comparing FMS vs control reported tooth loss.0 studiesNo studies
Full-mouth scaling (FMS): scaling/root planing (subgingival instrumentation) of all quadrants within 24 hours, without antiseptic vs Quadrant scaling and root planing (control): SRP of each quadrant in separate sessions at least one week apart
Pocket closure (sites with PPD <=4 mm) · Adults with a clinical diagnosis of (chronic) periodontitis (1999 classification); studies of aggressive…
Full‐mouth treatment modalities (within 24 hours) for periodontitis in adults (2022) · Cochrane
Pocket closure (sites with PPD <=4 mm after treatment): 9 studies reported; all showed increased closed pockets after treatment; 8 of 9 found no between-group difference; Koshy 2005 found a greater change in both…9 studiesUngraded
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
Effect of periodontal treatments on blood pressure (2021) · Cochrane
MD -8.40 [-12.19, -4.61]1 study · 101 participantsModerate
Periodontal treatment (subgingival SRP with or without other periodontal treatment) vs No treatment (no periodontal treatment)
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 12 months), People diagnosed with periodontitis
Effect of periodontal treatments on blood pressure (2021) · Cochrane
MD -0.2 [-3.02, 2.62]1 study · 168 participantsLow
Periodontal treatment (subgingival SRP with or without other periodontal treatment) vs No treatment (no periodontal treatment)
Clinical attachment level (CAL) · Adults (any age/sex) with chronic periodontitis (>=5 teeth remaining; PPD >4 mm), with or without hypertension · Long term, People diagnosed with periodontitis and other cardiovascular diseases except hypertension
Effect of periodontal treatments on blood pressure (2021) · Cochrane
MD -1.85 [-2.41, -1.29]1 study · 48 participantsUngraded
Intensive periodontal treatment (subgingival SRP with or without other periodontal treatment) vs Supra-gingival scaling
Proportion of participants diagnosed with hypertension at trial completion · Adults (any age/sex) with chronic periodontitis (>=5 teeth remaining; PPD >4 mm), with or without hypertension
Effect of periodontal treatments on blood pressure (2021) · Cochrane
No included study in this comparison reported the proportion of participants diagnosed with hypertension at trial completion.NRNo studies
Intensive periodontal treatment (subgingival SRP with or without other periodontal treatment) vs Supra-gingival scaling
Endothelial function (flow-mediated dilation) · Adults (any age/sex) with chronic periodontitis (>=5 teeth remaining; PPD >4 mm), with or without hypertension · Long term, People diagnosed with periodontitis
Effect of periodontal treatments on blood pressure (2021) · Cochrane
MD 1.48 [0.67, 2.29]1 study · 120 participantsUngraded