Evidence map›Paper›PMID 41531192›Full record

SynthesisJournal of clinical periodontology2026

Clinical Efficacy of Interventions Based on Professional Mechanical Plaque Removal in the Treatment of Dental Biofilm-Induced Gingivitis: A Systematic Review and Meta-Analysis.

Roberto Farina, Anna Simonelli, Leonardo Trombelli, Ren Jie Jacob Chew, Yu-Kang Tu, Philip M Preshaw

Erratum issuedAbstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Journal of clinical periodontology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Roberto FarinaResearch Centre for the Study of Periodontal and Peri-Implant Diseases, University of Ferrara, Ferrara, Italy.ORCID 0000-0002-4621-7809
Anna SimonelliResearch Centre for the Study of Periodontal and Peri-Implant Diseases, University of Ferrara, Ferrara, Italy.ORCID 0000-0003-2332-7332
Leonardo TrombelliResearch Centre for the Study of Periodontal and Peri-Implant Diseases, University of Ferrara, Ferrara, Italy.
Ren Jie Jacob ChewFaculty of Dentistry, National University of Singapore, Singapore, Singapore.ORCID 0000-0003-4407-0134
Yu-Kang TuInstitute of Health Data Analytics and Statistics, College of Public Health, and Health Data Research Center, National Taiwan University, Taipei, Taiwan.
Philip M PreshawSchool of Dentistry, University of Dundee, Dundee, UK.ORCID 0000-0002-7153-4865

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo evaluate the efficacy of professional mechanical plaque removal (PMPR) for treating naturally occurring dental biofilm-induced gingivitis (i) compared to no treatment or oral hygiene instructions (OHI) (FQ1), (ii) when performed through different modalities (FQ2) or (iii) when combined with professionally administered local adjuncts (FQ3). MATERIALS AND

methodsA structured literature search was conducted for randomised or non-randomised controlled trials (RCTs and CTs) assessing gingival inflammation at patient level within 2-6 weeks after treatment in adults with gingivitis.

resultsHeterogeneous evidence shows with low certainty that PMPR has no efficacy in patients continuing with ineffective self-performed oral hygiene regimens but enhances OHI outcomes (FQ1; three RCTs, one CT). Split-mouth RCTs consistently indicated with very low certainty that ultrasonic scaling (US) plus air polishing is as effective but less time consuming than US plus polishing with rubber cup and prophylaxis paste. Furthermore, diode laser shows no adjunctive benefit (FQ2; five RCTs). Although some professionally administered local adjuncts have shown positive outcomes in patients receiving PMPR, their broader clinical application is limited due to unresolved clinical issues and uncertain cost effectiveness (FQ3; two RCTs).

conclusionsOHI should be the first-line treatment for dental biofilm-induced gingivitis. Combination of PMPR and OHI provides an adjunctive benefit over OHI alone. Air polishing may be combined with US to reduce the time for PMPR administration.

Indexed as

BiofilmsDental PlaqueGingivitisDental ProphylaxisDental ScalingHumansLasers, SemiconductorOral HygieneTreatment Outcomedental plaquedental prophylaxisgingival diseasesgingivitis

Identifiers

PMID41531192
PMCPMC12972606

What OpenQuestion holds

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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.