Cochrane · intervention · CD004968
Occlusal interventions for periodontitis in adults
Cochrane Database of Systematic Reviews · 2008 · Cochrane Library
Full textEvery question was extracted from the full review (methods and results), not only its Summary of Findings table.
Questions
12
current version
GRADE rated
0
No studies
8
Included studies
1
as reported
No studies 8 · 66.7%Ungraded 4 · 33.3%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
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.
Review question
| Element | Planned (methods) | Found (results) |
|---|---|---|
| Population | People aged at least 18 years with a clinical diagnosis of periodontitis | Adults with periodontitis; one RCT (Burgett 1992); 50 patients completed the 2 years of the study |
| Intervention | (1) Occlusal adjustment: reshaping the occlusal surfaces of teeth by grinding to create harmonious contact relationships; (2) Bite planes: an appliance designed to stop the upper and lower teeth contacting each other; (3) Splinting: an appliance designed to immobilize and stabilize mobile teeth; (4) Orthodontic therapy in adults: treatment designed to move the tooth to correct a malposition (each as an adjunct to non-surgical and/or surgical periodontal therapy) | Occlusal adjustment as an adjunct to periodontal therapy (n=25) |
| Comparison | Non-surgical and/or surgical periodontal therapy alone; periodontal therapy with a sham (placebo) occlusal intervention; periodontal therapy with a different type of occlusal intervention (head-to-head) | Periodontal therapy alone, no occlusal adjustment (n=25) |
| Outcomes | Primary: tooth loss. Secondary: (1) clinical attachment level change; (2) probing depth change; (3) patient acceptability of treatment and its side effects; (4) adverse effects (thermal sensitivity, over-eruption of treated teeth, TMJ symptoms, poor aesthetics, reduction in oral hygiene standards) | Clinical attachment level change (n=50); probing (pocket) depth change (n=50); tooth loss, patient acceptability and adverse effects not reported |
| Study designs | Randomised controlled clinical trials with a follow-up of 3 months or longer | 1 RCT, parallel-group (Burgett 1992) |
| Timing | Follow-up of 3 months or longer | 2 years |
Search date: 2008-04. Databases: Cochrane Oral Health Group's Trials Register; Cochrane Central Register of Controlled Trials (CENTRAL); MEDLINE; EMBASE
Questions and results
Current version onlyOcclusal adjustment as an adjunct to non-surgical periodontal therapy vs Non-surgical periodontal therapy alone (no occlusal adjustment)
Population: Adults (aged 18 years or older) with a clinical diagnosis of (chronic) periodontitis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Tooth loss Minimum 3 months (planned) | no estimate extracted | 0 studies | No studies |
Probing (pocket) depth change (difference in mean reduction, mm) 2 years | MD 0.04 [-0.19, 0.27] | 1 study · 50 participants | Ungraded |
Patient acceptability of treatment and its side effects Minimum 3 months (planned) | no estimate extracted | 0 studies | No studies |
Adverse effects (e.g. thermal sensitivity, over-eruption, TMJ symptoms, poor aesthetics, reduced oral hygiene) Minimum 3 months (planned) | no estimate extracted | 0 studies | No studies |
Clinical attachment level change (mean gain, mm) 2 years | MD 0.38 [0.04, 0.72] | 1 study · 50 participants | Ungraded |
Occlusal adjustment as an adjunct to surgical periodontal therapy vs Surgical periodontal therapy alone (no occlusal adjustment)
Population: Adults (aged 18 years or older) with a clinical diagnosis of (chronic) periodontitis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Tooth loss Minimum 3 months (planned) | no estimate extracted | 0 studies | No studies |
Adverse effects (e.g. thermal sensitivity, over-eruption, TMJ symptoms, poor aesthetics, reduced oral hygiene) Minimum 3 months (planned) | no estimate extracted | 0 studies | No studies |
Clinical attachment level change (mean gain, mm) 2 years | MD 0.40 [0.05, 0.75] | 1 study · 50 participants | Ungraded |
Patient acceptability of treatment and its side effects Minimum 3 months (planned) | no estimate extracted | 0 studies | No studies |
Probing (pocket) depth change (difference in mean reduction, mm) 2 years | MD 0.01 [-0.20, 0.22] | 1 study · 50 participants | Ungraded |
Occlusal intervention as an adjunct to periodontal therapy vs Sham (placebo) occlusal intervention as an adjunct to periodontal therapy
Population: Adults (aged 18 years or older) with a clinical diagnosis of (chronic) periodontitis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcome NR Minimum 3 months (planned) | no estimate extracted | 0 studies | No studies |
One type of occlusal intervention as an adjunct to periodontal therapy vs A different type of occlusal intervention as an adjunct to periodontal therapy (head-to-head)
Population: Adults (aged 18 years or older) with a clinical diagnosis of (chronic) periodontitis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcome NR Minimum 3 months (planned) | no estimate extracted | 0 studies | No studies |
Occlusal intervention (occlusal adjustment, bite plane, splinting, or orthodontic therapy) as an adjunct to non-surgical periodontal therapy vs Non-surgical periodontal therapy alone (no occlusal intervention)
Population: Adults (aged 18 years or older) with a clinical diagnosis of (chronic) periodontitis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcome NR Minimum 3 months (planned) | no estimate extracted | 0 studies | No studies |
Occlusal intervention (occlusal adjustment, bite plane, splinting, or orthodontic therapy) as an adjunct to surgical periodontal therapy vs Surgical periodontal therapy alone (no occlusal intervention)
Population: Adults (aged 18 years or older) with a clinical diagnosis of (chronic) periodontitis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcome NR Minimum 3 months (planned) | no estimate extracted | 0 studies | No studies |
Occlusal intervention (occlusal adjustment, bite plane, splinting, or orthodontic therapy) as an adjunct to non-surgical and/or surgical periodontal therapy vs Sham (placebo) occlusal intervention as an adjunct to non-surgical and/or surgical periodontal therapy
Population: Adults (aged 18 years or older) with a clinical diagnosis of (chronic) periodontitis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcome NR Minimum 3 months (planned) | no estimate extracted | 0 studies | No studies |
One type of occlusal intervention as an adjunct to non-surgical and/or surgical periodontal therapy vs A different type of occlusal intervention as an adjunct to non-surgical and/or surgical periodontal therapy (head-to-head)
Population: Adults (aged 18 years or older) with a clinical diagnosis of (chronic) periodontitis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcome NR Minimum 3 months (planned) | no estimate extracted | 0 studies | No studies |