Use of the Strength of Recommendation Taxonomy (SORT) to assess full-mouth treatments of chronic periodontitis

Abstract

Previous studies have not resolved whetherscaling and root planing with a full-mouth (with or without antiseptics) or quadrant approach is better for treatment of chronic periodontitis. We identified relevant studies and used Strength of Recommendation Taxonomy (SORT) criteria to critically interpret the results of all relevant studies. A literature search was performed using the PubMed, EMBASE, and Cochrane databases up to July 2015. Selected studies were stratified according to their quality, quantity, and consistency. In total, 377 studies were identified, and 36 articles selected for retrieval were stratified according SORT criteria, as follows: no level 1 studies, 15 level 2 studies, and 21 level 3 studies (which were excluded from subsequent analysis). Among the selected level 2 studies, including seven randomized clinical trials and three systematic reviews, 67% showed no significant difference between scaling and root planing with a full-mouth or quadrant approach. In conclusion, on the basis of the best available data, the strength of evidence is grade B (consistent, lowquality evidence) for full-mouth (with or without antiseptics) and quadrant scaling and root planing for treatment of chronic periodontitis. (J Oral Sci 57, [345][346][347][348][349][350][351][352][353] 2015)

Impact of well-controlled type 2 diabetes mellitus on quality of life of chronic periodontitis patients

“…In fact, patient-oriented outcomes that measure changes in end points that really matter to patients, such as esthetics, QoL, and pain relief, provide better evidence than disease-oriented outcomes such as probing depth reduction. [ 19 ] As CP and DM2 clearly affect the general health of individuals, the use of such questionnaires seems to be of interest to study the consequences of both diseases in terms of well-being and QoL. [ 20 ]…”

Efetividade de dispositivos de liberação local de fármacos adjuvantes à terapia periodontal: uma revisão da literatura

“…Vale salientar que a maioria dos artigos não avaliou o índice de placa e índice gengival (Paolantonio et al, 2008;Javed & Kohli, 2010;Goodson et al, 2012;Faggion et al, 2014;Tabenski et al, 2017;Machtei et al, 2021), talvez porque o foco dos trabalhos fosse avaliar a eficácia do dispositivo na redução da bolsa periodontal que é uma sequela da periodontite. Porém, é importante ressaltar que o sucesso do tratamento periodontal depende da qualidade do controle do biofilme supragengival feito pelo paciente (Canabarro et al, 2015). Estudos anteriores mostraram que a falta deste controle no início do tratamento, ou seja, antes do controle do biofilme subgengival pelo profissional, pode comprometer o sucesso do tratamento da periodontite em médio e longo prazo (Ximénez-Fyvie et al, 2000;Eberhard et al, 2008).…”

Probiotic milk drink as adjuvant therapy for the treatment of periodontitis: a randomized clinical trial with 180 days follow-up

“…It was found that the consumption of probiotic or conventional milk drinks associated with NSPT effectively reduced the pocket depth and gained periodontal attachment. The effectiveness of NSPT in reducing clinical parameters of periodontitis has already been established (Canabarro et al, 2015;Heitz-Mayfield et al, 2002) and is associated with the initial reduction in the number of pathogenic bacteria and the interference in the bacterial composition of the biofilm (Morales et al, 2018). However, pathogen reduction appears to be transient, even when the therapy is combined with antiseptics or antibiotics (Teughels et al, 2013).…”