Evidence map›Paper›PMID 40511251›Full record

ArticleJournal of pharmacy & bioallied sciences2025

The Effect of Adjunctive Antimicrobial Therapy on the Clinical Outcomes of Non-Surgical Periodontal Treatment: A Systematic Review.

Kameswari Kondreddy, Aishwarya Mohanty, Vishwa Desai, Gadisetti Lakshmi Surekha, Anas Abdul Khader, Suveet Mathur, Smitha Shetty

Abstract read
In one paragraph

Article in Journal of pharmacy & bioallied sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Macrolide-resistantFrontiers in pediatrics · 2026
    Article
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.

Kameswari KondreddyDepartment of Periodontics, Faculty of Dentistry, AIMST University, Semeling, Bedong, Kedah, Malaysia.
Aishwarya MohantyKalinga Institute of Dental Sciences, KIIT Deemed to be University, Patia, Bhubaneswar, Odisha, India.
Vishwa DesaiDrexel University, 3141 Chestnut Street Philadelphia, PA, USA.
Gadisetti Lakshmi SurekhaDepartment of Peadodontics, Vishnu Dental College, Andhra Pradesh, India.
Anas Abdul KhaderDepartment of Periodontology and Implant Dentistry, College of Dentistry, Qassim University, Kingdom of Saudi Arabia.
Suveet MathurDepartment of Oral and Maxillofacial Surgery, Geetanjali Dental and Research Institute, Udaipur, Rajasthan, India.
Smitha ShettyDepartment of Periodontics, NITTE (Deemed to be University), AB Shetty Memorial Institute of Dental Sciences, Deralakatte, Mangalore, Karnataka, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Nonsurgical periodontal treatment, particularly scaling and root planing (SRP), is essential for managing periodontitis. Adjunctive systemic antibiotics have been proposed to enhance the clinical outcomes of SRP, especially in advanced stages of the disease. This systematic review evaluates the effectiveness of adjunctive systemic antimicrobial therapy on clinical parameters, including probing pocket depth (PPD), clinical attachment level (CAL), and bleeding on probing (BOP). Methods: A systematic search of PubMed was conducted, focusing on randomized controlled trials (RCTs) between 2010 and 2024 that evaluated the use of systemic antibiotics as an adjunct to SRP in patients with stage III/IV periodontitis. The primary outcomes assessed were changes in PPD, CAL, and BOP. Results: Forty-eight studies, including three recent trials, were analyzed. The combination of amoxicillin and metronidazole resulted in significant improvements in clinical outcomes, with notable reductions in PPD and CAL. Two tables summarize these findings. Conclusion: Systemic antibiotics, especially amoxicillin and metronidazole, significantly enhance clinical outcomes when used adjunctively with SRP. Shorter antibiotic regimens may provide similar benefits with fewer side effects.

Indexed as

Antibioticsclinical outcomesperiodontitisscaling and root planingsystemic therapy

Identifiers

PMID40511251
PMCPMC12156591

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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.