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Published on: May 9, 2022
Occlusal interventions for periodontitis in adults
Paul Weston1, Yuhaniz A Yaziz, David R Moles
1Perio Solutions, 2 Ankerage Green, Warndon, Worcester, UK, WR4 0DZ. p.weston1@btconnect.com
The Cochrane Database of Systematic Reviews
|July 23, 2008
Summary
Limited evidence suggests occlusal interventions may improve clinical attachment level in periodontitis patients. However, more high-quality randomized controlled trials are needed to confirm effectiveness and assess other outcomes like tooth loss.
Area of Science:
- Periodontology
- Dental Research
Background:
- Periodontitis is a common oral condition affecting adults.
- Occlusal interventions are sometimes used in periodontal treatment.
- Evidence for their efficacy in periodontitis is currently limited.
Purpose of the Study:
- To evaluate the effectiveness of occlusal interventions in adults with periodontitis.
- To analyze effects on tooth loss, probing depths, clinical attachment level, and patient-centered outcomes.
Main Methods:
- Searched multiple databases (Cochrane, MEDLINE, EMBASE) up to April 2008.
- Included randomized controlled trials (RCTs) with a minimum 3-month follow-up.
- Data extraction and quality assessment were performed independently by two reviewers.
Main Results:
- Only one RCT met the inclusion criteria.
- Occlusal adjustment showed a statistically significant improvement in clinical attachment level (0.38-0.40 mm) in both non-surgical and surgical periodontal therapy groups.
- No significant differences were observed in probing depths; tooth loss and adverse effects were not reported.
Conclusions:
- The current evidence base is insufficient to support or refute the use of occlusal interventions in periodontitis.
- The single included study had limitations regarding bias protection.
- Further well-designed, adequately powered RCTs are necessary to address this clinical question.
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