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Table 2 Studies characteristics

From: Efficacy of AZM therapy in patients with gingival overgrowth induced by Cyclosporine A: a systematic review

Study

Chand DH et al. 2004

Nafar M et al. 2003

Mesa FL et al. 2003

Nash et al. 1998

Ramalho et al. 2007

Participants

25 (17 m, 8 f) mean age: 17.5 ± 6.06 ys

25 (16 m, 9 f) mean age: 40 ys (range 15–60)

40 (? m, ? f) mean age: 41.4 ys (range 24–60)

17 (12 m, 5 f) mean age : none specified

20 (f) mean age: 32 ± 3 ys

Setting

Cleveland Clinic Found., Cincinnati Children's Medical Centre

2 medical centres in Teheran

University hospital of Granada

None specified

University Ospital of Sao Jose do Rio Preto

Interventions

A: AZM 500 mg day 1, 250 mg. days 2–5

B: MNZ 45 mg/kg/die, 3 doses daily for 7 days.

(All, during the first visit: SRP + 2 g amoxicillin)

A: AZM 500 mg day 1, 250 mg days 2–5

B: placebo for 5 days.

C:AZM gel 25% for 7 days.

D: placebo for 7 days.

A: MNZ 250 mg 3 times/die for 7 days.

B: AZM 500 mg 2 times/die for 7 days.

C: placebo 3 times/die for 7 days.

A: placebo for 5 days + (after 2 weeks) AZM 500 mg day 1, 250 mg days 2–5

B: AZM 500 mg day 1, 250 mg days 2–5 + (after 2 weeks) placebo for 5 days

A: oral hygiene program

B: oral hygiene program + AZM 500 mg for 3 days

Study Design

Double Blind RCT

Double Blind RCT

Double Blind RCT

Double Blind RCT

RCT

Length

24 weeks

6 weeks

4 weeks

12 weeks

30–60 days

Outcomes measures

Pocket Depth (mean), photographs

Bleeding on Probing, GO index, Plaque Length, Pocket Depth, crown length, stent interdental papilla

Morphometric GO index, serum creatinine and creatinine clearance

Pocket Depth, tooth length, length of the interdental papillae to the cementum enamel junction, questionnaire, photographs

Subjective evaluation of oral hygiene (questionnaire), SOHI, GH index

Results

Baseline GO:

A: 12.87 +/- 0.40 mm

B:13.13 +/- 0.20 mm

After 24 weeks:

A: 11.50 +/- 0.14 mm

B: 12.23 +/- 0.12 mm

Significantly results only for BOP. Insignificant differences between drug and placebo groups for other parameters

Not statistically significant results

Significant improvement in all 3 types of periodontal measurements after assumption of AZM

Significant improvement of SOHI and GH index in patients in AZM group