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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.

Limit to evidence status or GRADE (optional)

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
Azithromycin + SRP vs SRP
Percentage of closed pockets · Adults with periodontitis (chronic and aggressive) · Intermediate-term (> 3 months to < 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD -2.90 [-13.91, 8.11]1 study · 40 participantsUngraded
Doxycycline + SRP vs SRP
Probing pocket depth · Adults with aggressive periodontitis · Short-term (≤ 3 months)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD 0.10 [-0.29, 0.50]2 studies · 43 participantsUngraded
Doxycycline + SRP vs Metronidazole + SRP
Patient-reported quality of life changes · Adults with aggressive periodontitis · Long-term (≥ 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
Included studies have not reported this outcomeNRNo studies
Clindamycin + SRP vs Doxycycline + SRP
Antimicrobial resistance · Adults with aggressive periodontitis · Long-term (≥ 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
Included studies have not reported this outcomeNRNo studies
Amoxicillin + metronidazole + SRP vs SRP
Probing pocket depth · Adults with periodontitis (chronic and aggressive) · Intermediate-term (> 3 months to < 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD -0.47 [-0.68, -0.26]6 studies · 215 participantsUngraded
Azithromycin + SRP vs SRP
Percentage of bleeding on probing (BOP) · Adults with periodontitis (chronic and aggressive) · Intermediate-term (> 3 months to < 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD -3.32 [-6.23, -0.42]6 studies · 228 participantsUngraded
Doxycycline + SRP vs SRP
Probing pocket depth · Adults with aggressive periodontitis · Long-term (≥ 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD -1.00 [-1.78, -0.22]1 study · 22 participantsVery low
Doxycycline + SRP vs Metronidazole + SRP
Probing pocket depth · Adults with aggressive periodontitis · Intermediate-term (> 3 months to < 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD 0.38 [0.00, 0.76]3 studies · 75 participantsUngraded
Clindamycin + SRP vs Metronidazole + SRP
Probing pocket depth · Adults with aggressive periodontitis · Short-term (≤ 3 months)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD -0.14 [-0.82, 0.54]1 study · 26 participantsUngraded
Amoxicillin + clavulanate + SRP vs SRP
Percentage of bleeding on probing (BOP) · Adults with chronic periodontitis · Long-term (≥ 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD 0.00 [-0.09, 0.09]1 study · 21 participantsVery low
Amoxicillin + metronidazole + SRP vs Clarithromycin + SRP
Clinical attachment level (CAL) · Adults with aggressive periodontitis · Intermediate-term (> 3 months to < 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD 0.00 [-0.26, 0.26]1 study · 46 participantsUngraded
Amoxicillin + clavulanate + SRP vs SRP
Probing pocket depth · Adults with chronic periodontitis · Intermediate-term (> 3 months to < 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD 0.00 [-0.19, 0.19]1 study · 21 participantsUngraded
Doxycycline + SRP vs Metronidazole + SRP
Adverse events · Adults with aggressive periodontitis · Long-term (≥ 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
Included studies have not reported adverse eventsNRNo studies
Doxycycline + SRP vs Metronidazole + SRP
Percentage of bleeding on probing (BOP) · Adults with aggressive periodontitis · Short-term (≤ 3 months)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD -0.05 [-0.22, 0.12]1 study · 22 participantsUngraded
Metronidazole + SRP vs SRP
Percentage of bleeding on probing (BOP) · Adults with periodontitis (chronic and aggressive) · Long-term (≥ 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD -6.90 [-22.10, 8.30]1 study · 22 participantsVery low
Doxycycline + SRP vs SRP
Clinical attachment level (CAL) · Adults with aggressive periodontitis · Intermediate-term (> 3 months to < 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD -0.61 [-1.14, -0.08]3 studies · 65 participantsUngraded
Tetracycline + SRP vs SRP
Probing pocket depth · Adults with aggressive periodontitis · Long-term (≥ 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
Included studies have not reported this outcomeNRNo studies
Clindamycin + SRP vs Doxycycline + SRP
Clinical attachment level (CAL) · Adults with aggressive periodontitis · Long-term (≥ 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD -0.90 [-1.62, -0.18]1 study · 23 participantsVery low
Amoxicillin + metronidazole + SRP vs Clarithromycin + SRP
Clinical attachment level (CAL) · Adults with aggressive periodontitis · Short-term (≤ 3 months)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD -0.60 [-0.86, -0.34]1 study · 46 participantsUngraded
Clindamycin + SRP vs Metronidazole + SRP
Patient-reported quality of life changes · Adults with aggressive periodontitis · Long-term (≥ 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
Included studies have not reported this outcomeNRNo studies
Tetracycline + SRP vs SRP
Clinical attachment level (CAL) · Adults with aggressive periodontitis · Intermediate-term (> 3 months to < 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD -1.90 [-2.17, -1.63]1 study · 26 participantsUngraded
Clindamycin + SRP vs SRP
Clinical attachment level (CAL) · Adults with aggressive periodontitis · Intermediate-term (> 3 months to < 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD -1.30 [-2.14, -0.46]1 study · 21 participantsUngraded
Amoxicillin + metronidazole + SRP vs SRP
Probing pocket depth · Adults with periodontitis (chronic and aggressive) · Short-term (≤ 3 months)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD -0.18 [-0.33, -0.04]15 studies · 562 participantsUngraded
Doxycycline + SRP vs Amoxicillin + metronidazole + SRP
Clinical attachment level (CAL) · Adults with aggressive periodontitis · Intermediate-term (> 3 months to < 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD 0.17 [-1.28, 1.62]1 study · 20 participantsUngraded
Illicit drug use vs People who do not use drugs
DMFT index (dental caries experience) · People who use drugs (PWUD): methamphetamine, heroin, opiate, cannabis and cocaine users
Dental caries and periodontal disease among people who use drugs: a systematic review and meta-analysis. (2020)
OR 4.11 [2.07, 8.15]7 studiesUngraded
Clarithromycin + SRP vs SRP
Clinical attachment level (CAL) · Adults with periodontitis (chronic and aggressive) · Short-term (≤ 3 months)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD -0.65 [-1.20, -0.09]2 studies · 77 participantsUngraded
Tetracycline + SRP vs SRP
Clinical attachment level (CAL) · Adults with aggressive periodontitis · Long-term (≥ 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD -2.30 [-2.50, -2.10]1 study · 26 participantsVery low
Amoxicillin + metronidazole + SRP vs SRP
Percentage of bleeding on probing (BOP) · Adults with periodontitis (chronic and aggressive) · Short-term (≤ 3 months)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD -2.05 [-2.98, -1.11]13 studies · 460 participantsUngraded
Clindamycin + SRP vs Doxycycline + SRP
Clinical attachment level (CAL) · Adults with aggressive periodontitis · Intermediate-term (> 3 months to < 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD -0.40 [-1.15, 0.35]1 study · 23 participantsUngraded
Clindamycin + SRP vs SRP
Percentage of closed pockets · Adults with aggressive periodontitis · Long-term (≥ 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
Included studies have not reported this outcomeNRNo studies
Clindamycin + SRP vs SRP
Percentage of bleeding on probing (BOP) · Adults with aggressive periodontitis · Long-term (≥ 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
Included studies have not reported this outcomeNRNo studies
Metronidazole + SRP vs Amoxicillin + metronidazole + SRP
Clinical attachment level (CAL) · Adults with periodontitis (chronic and aggressive) · Intermediate-term (> 3 months to < 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD 0.06 [-1.06, 1.18]1 study · 22 participantsUngraded
Doxycycline + SRP vs Amoxicillin + metronidazole + SRP
Probing pocket depth · Adults with aggressive periodontitis · Short-term (≤ 3 months)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD 0.14 [-0.12, 0.40]2 studies · 50 participantsUngraded
Amoxicillin + clavulanate + SRP vs Tetracycline + SRP
Adverse events · Adults with aggressive periodontitis
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
The only included trial (Abu Fanas 1991) reported there were no adverse events.1 study · 8 participantsUngraded
Cefixime + SRP vs SRP
Clinical attachment level (CAL) · Adults with chronic periodontitis · Short-term (≤ 3 months)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD -0.19 [-0.77, 0.39]1 study · 60 participantsUngraded
Amoxicillin + clavulanate + SRP vs SRP
Probing pocket depth · Adults with chronic periodontitis · Long-term (≥ 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD 0.10 [-0.17, 0.37]1 study · 21 participantsVery low
Amoxicillin + clavulanate + SRP vs SRP
Clinical attachment level (CAL) · Adults with chronic periodontitis · Intermediate-term (> 3 months to < 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD 0.10 [-0.45, 0.65]1 study · 21 participantsUngraded
Clindamycin + SRP vs SRP
Patient-reported quality of life changes · Adults with aggressive periodontitis · Long-term (≥ 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
Included studies have not reported this outcomeNRNo studies
Metronidazole + SRP vs SRP
Percentage of closed pockets · Adults with periodontitis (chronic and aggressive) · Long-term (≥ 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD -12.20 [-29.23, 4.83]1 study · 22 participantsVery low
Amoxicillin + metronidazole + SRP vs Clarithromycin + SRP
Probing pocket depth · Adults with aggressive periodontitis · Short-term (≤ 3 months)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD -0.20 [-0.35, -0.05]1 study · 46 participantsUngraded
Doxycycline + SRP vs Metronidazole + SRP
Antimicrobial resistance · Adults with aggressive periodontitis · Long-term (≥ 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
Included studies have not reported this outcomeNRNo studies
Levofloxacin + SRP vs SRP
Percentage of bleeding on probing (BOP) · Adults with chronic periodontitis · Short-term (≤ 3 months)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD -1.38 [-3.30, 0.54]2 studies · 131 participantsUngraded
Clarithromycin + SRP vs SRP
Percentage of bleeding on probing (BOP) · Adults with periodontitis (chronic and aggressive) · Intermediate-term (> 3 months to < 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD -4.70 [-8.42, -0.98]1 study · 40 participantsUngraded
Azithromycin + SRP vs SRP
Percentage of closed pockets · Adults with periodontitis (chronic and aggressive) · Long-term (≥ 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD 2.50 [-10.19, 15.19]1 study · 40 participantsVery low
Amoxicillin + clavulanate + SRP vs SRP
Adverse events · Adults with chronic periodontitis · Long-term (≥ 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
Included study reported diarrhoea in 2 participants from both groups.1 study · 21 participantsVery low
Clindamycin + SRP vs Metronidazole + SRP
Clinical attachment level (CAL) · Adults with aggressive periodontitis · Short-term (≤ 3 months)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD 0.40 [-0.22, 1.02]1 study · 26 participantsUngraded
Clindamycin + SRP vs Doxycycline + SRP
Probing pocket depth · Adults with aggressive periodontitis · Long-term (≥ 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD -0.80 [-1.58, -0.02]1 study · 23 participantsVery low
Amoxicillin + metronidazole + SRP vs SRP
Clinical attachment level (CAL) · Adults with periodontitis (chronic and aggressive) · Long-term (≥ 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD -0.47 [-0.90, -0.05]2 studies · 389 participantsVery low
Levofloxacin + SRP vs SRP
Probing pocket depth · Adults with chronic periodontitis · Intermediate-term (> 3 months to < 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD -1.23 [-1.46, -1.00]2 studies · 131 participantsUngraded
Clindamycin + SRP vs SRP
Adverse events · Adults with aggressive periodontitis · Long-term (≥ 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
Included study has not reported adverse eventsNRNo studies