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Objectives To evaluate the efficacy of probiotics as an adjunctive therapy to scaling and root planning treatment (SRP) in the management of periodontitis. Methods PubMed, Embase, Web of science, SCOPUS and the Cochrane library were systematically searched to identify eligible studies. Stata 12.0 software was used to calculate the weighted mean differences (WMD) and 95% confidential interval (CI). The primary outcomes were clinical attachment level (CAL), probing pocket depth (PPD) and bleeding on probing (BOP). Results Twenty-four randomized controlled trials (RCT) were included in the meta-analysis. The pooled results showed CAL gain (WMD: 0.20, 95% CI 0.09 to 0.31), PPD reduction (WMD: -0.31, 95% CI -0.52 to -0.10) and BOP reduction (WMD: -2.98, 95% CI -4.70 to -1.26) in the SRP+ probiotics group were significantly improved compared to control group at 3 months follow-up, but no significant difference was observed at 6 months. In addition, the probiotics administration could improve Plaque index (WMD: -0.30, 95% CI -0.59 to -0.05) and Gingival index (WMD: -0.46, 95% CI -0.71 to -0.21) at short term. Conclusions The results support the clinical efficacy of probiotics as an adjunctive therapy to SRP in the management of periodontitis at least 3 months follow-up. Within the limits of the evidence, the long-term efficacy needs to further confirm.

Pyogenic granuloma is a reactive tumor-like lesion commonly affecting the oral cavity. Histopathologically, pyogenic granuloma is classified into lobular capillary hemangioma (LCH) and non--LCH. The non-LCH type does not show any such organization and resembles granulation tissue. We report a patient, 41-year-old male, smoker and drinker, without systemic impairment that sought the stomatology center referred to evaluate a lesion in the mouth. Intraoral examination revealed a nodular, smooth, sessile lesion and painless, located on lower gingiva measuring 2.0 x 1.8 x 1.0 cm. Clinical hypothesis diagnostic was any reactive lesions of the oral cavity. Excisional biopsy was performed and the histopathological examination, and the immunohistochemical reaction for α-smooth muscle actin revealed oral fibrous pyogenic granuloma (OFPG). The OFPG treatment involved excision of gingival lesions up to periosteum with thorough scaling and root planning of adjacent teeth to remove all visible sources of irritation.

It is known that atherosclerosis begins in childhood, a behaviour towards oral health care and metabolic control, since an early age, is essential for patients with cardiovascular disease. The aim of this research was to evaluate the effectiveness of periodontal treatment full-mouth scaling and root planning (FMSRP), applied to children without systemic diseases, correlating with periodontal clinical and blood parameters (lipid profile and inflammatory markers).The 29 patients were divided into two groups, group 1 (14) - scaling and rot planning (SRP), group 2 (15) - FMSRP and the follow-up was conducted among 180 days.The results showed a significant improvement in clinical periodontal parameters (p0.05) in both groups. In the analyzed blood parameters there was a greater evidence, with a significant improvement (p0.05), in total cholesterol (TC), triglycerides (TGs), fibrinogen (FGN), and interleukin-6 (IL-6) CONCLUSIONS: Thus, we suggest that both periodontal treatments were effective in children without any systemic diseases.

This aim of this study was to evaluate the clinical effectiveness of Er:YAG laser at a high pulse rate (ER-D1: HOYA continuum, Japan) for scaling of subgingival calculus and root planning. Sixty-one patients with calculus deposition were treated with the Er:YAG laser (panel setting 30–108 mJ/pulse, 30 Hz) using contact tips and the results were then subjected to clinical analysis. Clinical assessments of calculus index, pain, redness, swelling, discomfort, roughness of root surface, efficiency of scaling, PlI, PD, BOP and mobility were made prior to and at 1, 4 weeks and 3 months after treatment. Fifteen of the sixty-one patients were treated during the flap operation. The Er:YAG laser high-pulse-rate irradiation was capable of ablating the calculus on the root surface precisely and effectively. The roughness of root surface after debridement was evaluated to be adequately plane for 41 cases and still rough for 20 cases. BOP and PD were significantly improved throughout the 3-month examination of this study. No negative side effects or influences were observed on the healing of periodontal tissue following Er:YAG laser irradiation during this clinical study. In conclusion, the Er:YAG laser high-pulse-rate irradiation would be a safe and effective, alternative method for root surface treatment in both nonsurgical and surgical periodontal therapy.

Original Article Jeffcoat MK, Hauth JC, Geurs NC, Reddy MS, Cliver SP, Hodgkins PM, Goldenberg RL. Periodontal disease and preterm birth: results of a pilot intervention study. J Periodontol. 2003 Aug;74(8):1214-8. Level of Evidence 2b Purpose To determine the feasibility of an interventional trial during gestation and to determine whether there was a trend for scaling and root planning (SRP), with or without adjunctive systemic metronidazole, to decrease the rate of preterm birth as compared with minimal treatment control (prophylaxis and polish) Source of Funding Information not available Type of Study/Design Randomized controlled trial