{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T16:24:37Z","timestamp":1774542277905,"version":"3.50.1"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,5,5]],"date-time":"2021-05-05T00:00:00Z","timestamp":1620172800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dental Hygiene"],"published-print":{"date-parts":[[2022,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To collate the literature evaluating the efficacy of clarithromycin as an adjunct to non\u2010surgical periodontal therapy and conduct meta\u2010analyses for changes in probing pocket depth (PPD) and clinical attachment level (CAL).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Five electronic databases were searched from inception to May 2020 (PubMed, Cochrane CENTRAL, EMBASE via OVID, Web of Science and OpenGrey). Clinical outcomes were extracted, pooled and meta\u2010analyses conducted using mean difference with standard deviations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p><jats:italic>Systemic delivery<\/jats:italic>: 0.65\u00a0mm (95% CI: 0.02 to 1.27\u00a0mm) mean additional PPD reduction was observed at 3\u00a0months and 0.28\u00a0mm (95% CI: \u22120.32 to 0.87\u00a0mm) at 6\u00a0months. 0.41\u00a0mm (95% CI: \u22120.12 to 0.95\u00a0mm) mean additional CAL gain was observed at 3\u00a0months, and 0.16\u00a0mm (95% CI: \u22120.41 to 0.74\u00a0mm) at 6\u00a0months. Increased risk of adverse events was observed; RR: 5.13 (95% CI: 0.63 to 41.98). <jats:italic>Local delivery<\/jats:italic>: 1.01\u00a0mm (95% CI: 0.84 to 1.17\u00a0mm) mean additional PPD reduction was observed at 3\u00a0months, and 1.20\u00a0mm (95% CI: 0.76 to 1.64\u00a0mm) at 6\u00a0months. 0.56\u00a0mm (95% CI: 0.46 to 0.66\u00a0mm) mean additional CAL gain was observed at 3\u00a0months, and 0.83\u00a0mm (95% CI: 0.65 to 1.02\u00a0mm) at 6\u00a0months. No adverse events were observed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The use of locally delivered clarithromycin significantly improves treatment outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/idh.12498","type":"journal-article","created":{"date-parts":[[2021,3,26]],"date-time":"2021-03-26T20:01:12Z","timestamp":1616788872000},"page":"75-86","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Clarithromycin as an adjunct to periodontal therapy: a systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7416-7610","authenticated-orcid":false,"given":"Nasir Zeeshan","family":"Bashir","sequence":"first","affiliation":[{"name":"School of Dentistry University of Birmingham Birmingham 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