29 September 2023

• Supportive care to prevent recurrence or progression of peri-implantitis

  This review of whether supportive care is effective in preventing recurrence or progression of peri-implantitis included 15 studies. However none of the included studies was specifically designed to test supportive care regimens so there is a need for new well conducted and reported randomised trials of appropraite size and duration to provide better quality evidence.

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• How clean is your toothbrush?

  This review of the level of toothbrush contamination and the factors affecting contamination in the general population included 15 studies. The findings show that toothbrush contamination occurs after first use and rises with continuing use. However, there is little evidence of significant adverse events from current practices.

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• Oil pulling for oral health

  This review of oil pulling compared to chlorhexidine and other mouthwashes in improving the plaque, gingival and bacteria count parameters included 25 RCTs. However, the studies are modest in size of short duration and all except one study were considered to be at high risk of bias. Consequently the available evidence is of very low certainty and should be interpreted cautiously.

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