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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
Doxycycline + 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 -0.12 [-0.72, 0.49]2 studies · 49 participantsUngraded
Clindamycin + SRP vs 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
Doxycycline + 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
Doxycycline + SRP vs 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 0.15 [-0.53, 0.83]2 studies · 43 participantsUngraded
Doxycycline + SRP vs 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 -0.43 [-0.88, 0.01]3 studies · 65 participantsUngraded
Azithromycin + SRP vs SRP
Antimicrobial resistance · Adults with periodontitis (chronic and aggressive) · 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
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 -0.04 [-0.35, 0.26]6 studies · 215 participantsUngraded
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 -0.59 [-0.95, -0.23]4 studies · 94 participantsUngraded
Doxycycline + SRP vs 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
Doxycycline + 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
Clindamycin + SRP vs Doxycycline + 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 Amoxicillin + metronidazole + 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 -0.26 [-0.83, 0.31]1 study · 22 participantsUngraded
Metronidazole + 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 0.04 [-0.43, 0.50]4 studies · 108 participantsUngraded
Clindamycin + 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 study has not reported adverse eventsNRNo studies
Metronidazole + SRP vs Amoxicillin + metronidazole + 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 4.46 [-23.48, 32.40]3 studies · 84 participantsUngraded
Doxycycline + SRP vs Metronidazole + SRP
Percentage of bleeding on probing (BOP) · Adults with aggressive periodontitis · Intermediate-term (> 3 months to < 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD -0.07 [-0.29, 0.15]1 study · 22 participantsUngraded
Azithromycin + SRP vs SRP
Patient-reported quality of life changes · Adults with periodontitis (chronic and aggressive) · Long-term (≥ 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
Included studies have not reported this outcomeNRNo studies
Doxycycline + SRP vs Amoxicillin + 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 0.20 [0.06, 0.33]2 studies · 50 participantsUngraded
Amoxicillin + clavulanate + SRP vs SRP
Clinical attachment level (CAL) · Adults with chronic periodontitis · Long-term (≥ 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD 0.10 [-0.51, 0.71]1 study · 21 participantsVery low
Metronidazole + SRP vs SRP
Antimicrobial resistance · Adults with periodontitis (chronic and aggressive) · 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
Probing pocket depth · Adults with chronic periodontitis · Short-term (≤ 3 months)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD -1.09 [-1.33, -0.85]2 studies · 131 participantsUngraded
Moxifloxacin + 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 -3.40 [-3.72, -3.08]1 study · 40 participantsUngraded
Doxycycline + 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
Doxycycline + SRP vs Metronidazole + 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
Metronidazole + SRP vs SRP
Percentage of closed pockets · Adults with periodontitis (chronic and aggressive) · Short-term (≤ 3 months)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD -2.56 [-12.33, 7.22]2 studies · 51 participantsUngraded
Azithromycin + SRP vs SRP
Adverse events · Adults with periodontitis (chronic and aggressive) · Long-term (≥ 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
1 study reported diarrhoea, headache or dizziness, metallic taste, and general unwellness by 4 participants from the intervention group and 3 from the control group. In 1 study none of the participants reported any…2 studies · 110 participantsVery low
Metronidazole + 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 -4.62 [-18.83, 9.58]2 studies · 45 participantsUngraded
Amoxicillin + clavulanate + SRP vs SRP
Probing pocket depth · Adults with chronic periodontitis · Short-term (≤ 3 months)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD 0.20 [-0.02, 0.42]1 study · 21 participantsUngraded
Amoxicillin + metronidazole + SRP vs SRP
Adverse events · Adults with periodontitis (chronic and aggressive) · Long-term (≥ 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
Most common adverse events were mild gastrointestinal disturbances, nausea and vomiting, metallic taste, and diarrhoea in the intervention group. Control group reported adverse events like hypothermia, mild…2 studies · 389 participantsVery low
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 -0.10 [-0.37, 0.16]4 studies · 108 participantsUngraded
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 -1.12 [-2.24, 0.00]3 studies · 71 participantsVery low
Clindamycin + SRP vs Doxycycline + 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
Amoxicillin + clavulanate + 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 0.10 [-0.43, 0.63]1 study · 21 participantsUngraded
Levofloxacin + 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 -1.02 [-1.39, -0.65]2 studies · 131 participantsUngraded
Amoxicillin + clavulanate + 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 -0.10 [-0.19, -0.01]1 study · 21 participantsUngraded
Clindamycin + SRP vs Metronidazole + 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 0.20 [-0.55, 0.95]1 study · 26 participantsVery low
Metronidazole + SRP vs SRP
Patient-reported quality of life changes · Adults with periodontitis (chronic and aggressive) · 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 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 0.10 [-0.60, 0.80]1 study · 26 participantsUngraded
Azithromycin + 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 -3.18 [-7.01, 0.65]6 studies · 216 participantsUngraded
Levofloxacin + SRP vs SRP
Percentage of bleeding on probing (BOP) · Adults with chronic periodontitis · Intermediate-term (> 3 months to < 1 year)
Adjunctive systemic antimicrobials for the non‐surgical treatment of periodontitis (2020) · Cochrane
MD -0.93 [-2.88, 1.02]2 studies · 131 participantsUngraded
Clindamycin + SRP vs Doxycycline + 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
Levofloxacin + 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 -1.25 [-1.51, -0.99]2 studies · 131 participantsUngraded
Metronidazole + SRP vs Amoxicillin + metronidazole + 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 20.85 [3.31, 38.39]1 study · 22 participantsUngraded
Clindamycin + SRP vs Doxycycline + 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 -0.40 [-1.14, 0.34]1 study · 23 participantsUngraded
Doxycycline + SRP vs 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 -0.09 [-0.29, 0.11]1 study · 21 participantsUngraded
Clindamycin + SRP vs Metronidazole + 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 0.20 [-0.38, 0.78]1 study · 26 participantsVery low
Clindamycin + SRP vs Doxycycline + 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 0.50 [-0.26, 1.26]1 study · 23 participantsUngraded
Amoxicillin + clavulanate + SRP vs Tetracycline + 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 -0.40 [-1.11, 0.31]1 study · 8 participantsUngraded
Clindamycin + SRP vs Doxycycline + 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
Metronidazole + SRP vs 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 -0.49 [-1.29, 0.31]4 studies · 94 participantsUngraded