Read Summaries of Systematic Reviews

March 25, 2010

Wouldn’t it be nice if you could find all the systematic reviews pertaining to dentistry in one place?  You can!

The American Dental Association (ADA)  Evidence Based Dentistry website includes a database of systematic reviews in oral health. The reviews may be found by searching the site or using the ADA’s drill down topic menu.

Even better, the ADA provides  critical summaries of many of these  systematic reviews.  Critical summaries are brief, concise assessments of a review that are written by ADA Evidence Reviewers.  These reviewers are trained  in the critical appraisal of scientific literature.

Here is a list of the most recently published critical summaries:

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Does Treating Gum Disease Reduce the Incidence of Preterm Birth?

February 4, 2009

Previous research has suggested a link between periodontal disease and premature birth.  Consequently, pregnant woman have been encouraged to undergo periodontal treatment to reduce these risks.

However, recent studies conducted at the Univeristy of North Carolina’s School of Dentistry revealed no significant differences in pregnancy outcomes when study participants received treatment, as compared to those participants who did not.

As a result of these findings, the American Academy of Periodontology (AAP) released a statement calling for additional research to “clarify the potential impact that periodontal disease has on the risk of preterm births“.  The AAP also continues to encourage pregnant women to care for their oral health.

You  may also wish to read what the ADA has to say about this topic.

For information on current studies visit clinicaltrials.gov or browse this list of recent articles as indexed in PubMed.


Learn about the Link Between Heart Disease and Oral Health

January 27, 2009

February is American Heart Month.  What does this have to do with dentistry?  Come to find out, alot! Research suggests a significant link between oral and cardiovascular health.

In particular, periodontal health seems to play a major role.  Read what the American Academy of Periodontology has to say about periodontal disease and the heart.

You may also wish to browse this list of recent reviews pertaining to oral health and the heart:

Antibiotic prophylaxis for preventing endocarditis and infection in joint prosthesis after dental treatment: a review of new trends and recommendations in the literature. Kotze MJ. SADJ : journal of the South African Dental Association 2008 Sep;63(8):440-4. Review.

Antibiotics for the prophylaxis of bacterial endocarditis in dentistry. Oliver R, Roberts GJ, Hooper L, Worthington HV. “Cochrane database of systematic reviews . 2008 Oct 8;(4):CD003813. Review.

A change of heart: the new infective endocarditis prophylaxis guidelines. Daly CG, Currie BJ, Jeyasingham MS, Moulds RF, Smith JA, Strathmore NF, Street AC, Goss AN. Australian dental journal 2008 Sep;53(3):196-200; quiz 297. Review.

Cardiovascular disease and periodontitis: an update on the associations and risk. Persson GR, Persson RE. Journal of clinical periodontology. 2008 Sep;35(8 Suppl):362-79.

Inflammation, C-reactive protein, and atherothrombosis.  Ridker PM, Silvertown JD. Journal of periodontology 2008 Aug;79(8 s):1544-51.

Dental treatment, antibiotic cover and infective endocarditis: a major rethink. Seymour RA. Dental update. 2008 Jul-Aug;35(6):366-8, 370. Review.

The effect of chronic periodontitis on the development of atherosclerosis: review of the literature. Niedzielska I, Janic T, Cierpka S, Swietochowska E. Medical science monitor : international medical journal of experimental and clinical research. 2008 Jul;14(7):RA103-6.

The link between periodontal disease and cardiovascular disease is probably inflammation. Davé S, Van Dyke T. Oral Dis. 2008 Mar;14(2):95-101.

Associations between periodontal diseases and systemic diseases: a review of the inter-relationships and interactions with diabetes, respiratory diseases, cardiovascular diseases and osteoporosis. Kuo LC, Polson AM, Kang T. Public Health. 2008 Apr;122(4):417-33. Epub 2007 Oct 29.15.


Preterm Birth and Oral Health

November 17, 2008

The March of Dimes is celebrating Prematurity Awareness throughout the month of November. The goal of this event is to draw attention to premature birth, which affects more than 530,000 babies each year in the United States.

In the first of what will be an annual Premature Birth Report Card, the nation received a D and not a single state earned an A when the March of Dimes compared actual preterm birth rates to the national Healthy People 2010 objective.

Recent studies have linked maternal periodontal disease to preterm birth.  Furthermore, studies have indicated that the treatment of periodontitis in pregnant mothers can reduce the risk of preterm birth.

For additional information on premature birth and oral health, see this list of internet resources.


Diabetes, TMJ and November

October 31, 2008

November is American Diabetes Month and TMJ Awarness Month.  Here are some resources related to these topics.

Diabetes and Dentistry:

TMJ:


Periodontitis/Diabetes Link

July 2, 2008

Evidence of the link between periodontal disease and diabetes continues to grow, as indicated in a recent article by Robert Finn of Elsevier’s Global Medical News. Diabetes appears to induce periodontal disease or cause it to worsen in some patients, but periodontal disease seems to worsen glycemic control.

Evidence to support this conclusion stems in part from the “Scottsdale Project”.  The project consisted of 18 physicians, dentists, and other independent experts who met in Scottsdale, Arizona in April 2007 to review the strength of evidence for associations among periodontitis, diabetes, and cardiovascular disease. Participants conducted a systematic review of 118 published articles in an attempt to answer eight focused questions. 

Other data comes from analyses of the third National Health and Nutrition Examination Survey.

Read the full article, which contains additional resources, here.

Information on the connection between periodontits and systemic diseases was also discussed in an earlier post on this blog.


Relationship Between Periodontal Disease and Chronic Diseases

June 17, 2008

The association between periodontal diseases and systemic conditions such as heart disease and stroke, and a higher risk of preterm low birth-weight babies, is garnering attention in the media. Similarly, recognition of the threats posed by periodontal diseases to patients with chronic diseases such as diabetes, respiratory diseases and osteoporosis is acknowledged.

The following are some links to recent stories and resources on these topics:


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