Effect of Subgingival Scaling and Root Planing-assisted Occlusal Adjustment Scheme on Periodontitis

Abstract

To assess the effect of subgingival scaling and root planing (SRP)-assisted occlusal adjustment scheme on periodontitis. A total of 90 patients with periodontitis treated from October 2021 to October 2022 were enrolled and assigned into an observation group (n=45) and a control group (n=45) using a random number table. The control and observations group were treated with SRP and SRP combined with occlusal adjustment scheme for 8 consecutive weeks, respectively. Comparisons were performed on clinical efficacy, periodontal indicators [periodontal pocket depth (PD), attachment loss (AL), and bleeding index (BI)] at different time points (4 and 8 weeks after treatment), and inflammatory indicators [transforming growth factor-β (TGF-β), interleukin-6 (IL-6), and tumor necrosis factor-α (TNF-α)] in the gingival crevicular fluid before and 8 weeks after treatment. Compared with before treatment, PD, AL, and BI of traumatic teeth decreased 4 and 8 weeks after treatment (P<0.05). The observation group had lower PD, AL, and BI 4 weeks after treatment, and lower PD 8 weeks after treatment than those of the control group (P<0.05). The occlusal force and occlusal holding time were smaller and shorter in both groups 4 and 8 weeks after treatment in comparison with those before treatment (P<0.05). The TGF-β, IL-6, and TNF-α levels reduced in both groups 8 weeks after treatment compared with those before treatment, and such levels were lower in the observation group 8 weeks after treatment (P<0.05). The SRP-assisted occlusal adjustment scheme can effectively improve the degree and duration of occlusion of patients with periodontitis.