Evidence map›Paper›PMID 36826180›Full record

ReviewDentistry journal2023

Periodontal Management in Periodontally Healthy Orthodontic Patients with Fixed Appliances: An Umbrella Review of Self-Care Instructions and Evidence-Based Recommendations.

Federica Di Spirito, Alessandra Amato, Maria Pia Di Palo, Davide Cannatà, Francesco Giordano, Francesco D'Ambrosio, Stefano Martina

Open access · goldAbstract readReview
In one paragraph

Review in Dentistry journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
6.1field-weighted citation impact, top 3% of its field
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

21 citing papers in PubMed, 28 citations in OpenAlex.

  1. Trial
  2. Dental Splints in Dentoalveolar Trauma: An Overview of Public Healthcare Services in Brazil.Dental traumatology : official publication of International Association for Dental Traumatology · 2026
    Observational
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Review
  12. Article
  13. Screening forInternational journal of environmental research and public health · 2024
    Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Antibiotics in Dentistry: A Narrative Review of the Evidence beyond the Myth.International journal of environmental research and public health · 2023
    Review
  20. Review
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

7 authors at 2 institutions in 1 country.

Federica Di SpiritoDepartment of Medicine, Surgery and Dentistry, University of Salerno, 84081 Salerno, Italy.ORCID 0000-0002-5458-6559
Alessandra AmatoDepartment of Neuroscience, Reproductive Science and Dentistry, University of Naples Federico II, 80138 Naples, Italy.ORCID 0000-0002-8159-9785
Maria Pia Di PaloDepartment of Medicine, Surgery and Dentistry, University of Salerno, 84081 Salerno, Italy.ORCID 0000-0002-5443-8185
Davide CannatàDepartment of Medicine, Surgery and Dentistry, University of Salerno, 84081 Salerno, Italy.
Francesco GiordanoDepartment of Medicine, Surgery and Dentistry, University of Salerno, 84081 Salerno, Italy.ORCID 0000-0002-2399-6395
Francesco D'AmbrosioDepartment of Medicine, Surgery and Dentistry, University of Salerno, 84081 Salerno, Italy.ORCID 0000-0001-6161-9067
Stefano MartinaDepartment of Medicine, Surgery and Dentistry, University of Salerno, 84081 Salerno, Italy.ORCID 0000-0003-3877-1671
University of Salerno · ITUniversity of Naples Federico II · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The present umbrella review aimed to characterize periodontal self-care instructions, prescriptions, and motivational methods; evaluate the associated periodontal outcomes; and provide integrated, evidence-based recommendations for periodontal self-care in periodontally healthy orthodontic patients with fixed appliances. The presently applied study protocol was developed in advance, compliant with the PRISMA statement, and registered on PROSPERO (CRD42022367204). Systematic reviews published in English without date restrictions were electronically searched until 21 November 2022 across the PROSPERO Register and Cochrane Library, Web of Science (Core Collection), Scopus, and MED-LINE/PubMed databases. The study quality assessment was conducted through the AMSTAR 2 tool. Seventeen systematic reviews were included. Powered and manual toothbrushes showed no significant differences in biofilm accumulation, although some evidence revealed significant improvements in inflammatory, bleeding, and periodontal pocket depth values in the short term with powered toothbrushes. Chlorhexidine mouthwashes, but no gels, varnishes, or pastes, controlled better biofilm accumulation and gingival inflammation as adjuncts to toothbrushing, although only for a limited period. Organic products, such as aloe vera and chamomile, proved their antimicrobial properties, and herbal-based mouthwashes seemed comparable to CHX without its side effects. Motivational methods also showed beneficial effects on periodontal biofilm control and inflammation, while no evidence supported probiotics administration.

Indexed as

biofilm controlfixed appliancesgingivitishome-careorthodontic treatmentperiodontal healthperiodontal managementself-care

Identifiers

PMID36826180
PMCPMC9954872
OpenAlexW4319795388

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.