Evidence map›Paper›PMID 34246253›Full record

SynthesisBMC oral health2021

Effects of non-surgical periodontal therapy on periodontal clinical data in periodontitis patients with rheumatoid arthritis: a meta-analysis.

Yu Huang, Zheng Zhang, Youli Zheng, Zhulan Zhao, Yang Zhong, Qingyu Zhang, Degeng Xia, Ning Ma, Li Zhang

Abstract readMeta-Analysis
In one paragraph

Synthesis in BMC oral health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Yu Huang *Hospital of Stomatology, Jilin University, 1500th Qinghua Road, Changchun, 130021, Jilin, China.
Zheng Zhang *School of Medicine, Tianjin Stomatological Hospital, Nankai University, Tianjin, 300041, China.
Youli Zheng *Hospital of Stomatology, Tianjin Medical University, Tianjin, 300070, China.
Zhulan ZhaoHospital of Stomatology, Jilin University, 1500th Qinghua Road, Changchun, 130021, Jilin, China.
Yang ZhongHospital of Stomatology, Jilin University, 1500th Qinghua Road, Changchun, 130021, Jilin, China.
Qingyu ZhangHospital of Stomatology, Jilin University, 1500th Qinghua Road, Changchun, 130021, Jilin, China.
Degeng XiaHospital of Stomatology, Jilin University, 1500th Qinghua Road, Changchun, 130021, Jilin, China.
Ning MaHospital of Stomatology, Jilin University, 1500th Qinghua Road, Changchun, 130021, Jilin, China. man@jlu.edu.cn.
Li ZhangHospital of Stomatology, Jilin University, 1500th Qinghua Road, Changchun, 130021, Jilin, China. zhang_li99@jlu.edu.cn.

Funding

Appropriate Health Technology Promotion Project of Jilin, China 2019FP018Natural Science Foundation of Tianjin, China 20JCQNJC00200Science and Technology Foundation of Tianjin Health Commission, China KJ20041Science and Technology Foundation of Tianjin Health Commission, China RC20041Traditional Chinese Medicine Science and Technology Project of Jilin, China 2020129
6 · The paper itself

Abstract

backgroundsTo date, there is still no consensus about the clinical efficacy of non-surgical periodontal therapy in rheumatoid arthritis (RA) patients with periodontitis. Therefore, the aim of this study was to summarize clinical data regarding the efficacy of scaling and root planing (SRP) in patients with RA and periodontitis compared to non-RA periodontitis patients.

methodsWe selected randomized controlled trials (RCTs) that compared periodontal clinical data in RA as compared to non-RA periodontitis patients by searching Embase, PubMed and Cochrane Central Register of Controlled Trials and by manually retrieving from the earliest records to March 8, 2021. The overall effect size of plaque index (PI), gingival index (GI), attachment loss (AL), probing depth (PD) and bleeding on probing (BOP) were calculated by either a fixed or random-effect model, and subgroup analyses were conducted according to the different time points of follow-up. Two investigators extracted the data and assess the accuracy of the obtained results with 95% of Confidence Intervals (CI). Cochrane Collaboration's tool was responsible for the evaluation of the literature quality and the inter-study heterogeneity was evaluated by Q test and I

resultsSeven RCTs including 212 patients eventually met the inclusion criteria for the study. As the primary results, the change of PD was not statistically significant and in the secondary results changes of PI, GI, AL and BOP were also not statistically significant in RA patients with periodontitis compared to non-RA periodontitis patients. In subgroup analysis, a larger BOP reduction at 3 months, PI and AL reduction at 6 months were observed in patients with RA and periodontitis group. The results of sensitivity analyses had no significant effect. No evidence of potential publication bias was tested. There were some limitations due to the small number of eligible RCTs.

conclusionsSRP is equally effective in RA as compared to non-RA periodontitis patients. It suggests RA does not affect the clinical efficacy of non-surgical periodontal therapy. These results could serve evidence-based practice.

Indexed as

Arthritis, RheumatoidChronic PeriodontitisPeriodontitisDental ScalingHumansPeriodontal Attachment LossPeriodontal IndexRoot PlaningMeta-analysisPeriodontitisRheumatoid arthritisScaling and root planing

Identifiers

PMID34246253
PMCPMC8272313

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.