Outcomes of non‐surgical periodontal treatment by dental hygienists in training: impact of site‐ and patient‐level factors

Preshaw, PM; Holliday, Richard; Law, Huong Nai; Heasman, P. A.

doi:10.1111/idh.12032

Cited by 18 publications

(31 citation statements)

References 23 publications

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“…Preshaw et al . indicated that non-smokers tended to have less advanced periodontitis at baseline and better responses to non-surgical periodontal treatment 27 . Smoking is an important risk factor for periodontitis and other factors that influence the PI and BOP.…”

Section: Discussionmentioning

confidence: 99%

Cigarette Smoking Aggravates the Activity of Periodontal Disease by Disrupting Redox Homeostasis- An Observational Study

Chang

Han

Teng

et al. 2018

Sci Rep

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The aim of this study was to evaluate the associations between cigarette use and five salivary oxidative stress biomarkers, copper-zinc superoxide dismutase (Cu/Zn SOD), manganese superoxide dismutase (MnSOD), catalase, thioredoxin-1 (TRX1), and peroxiredoxin-2 (PRX2), to assess the effectiveness of non-surgical periodontal therapy. Materials and Methods: This is an observational study,167 patients diagnosed with periodontitis were recruited. Both saliva samples and clinical measurements (plaque index (PI), bleeding on probing (BOP), and pocket depth (PD)) were taken at baseline and after completing non-surgical periodontal therapy. The Levels of salivary biomarkers were determined using a MILLIPLEX® MAP Human Oxidative Stress Magnetic Bead Panel kit. The overall reductions in PI and BOP were 31.56% and 42.16%, respectively. BOP reduction after treatment in female or male non-smokers was significantly higher than in male former smokers (p < 0.05). After completing non-surgical periodontal therapy, Cu/ZnSOD, MnSOD, catalase, and Prx2 significantly decreased. There was a significant interaction between smoking status and ΔCu/ZnSOD on PI and a significant interaction between smoking status and ΔCatalase on BOP. Conclusions: Cigarette smoking interferes with redox homeostasis in the body, alters antioxidants levels, and influences the periodontal disease activity.

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Section: Discussionmentioning

confidence: 99%

Cigarette Smoking Aggravates the Activity of Periodontal Disease by Disrupting Redox Homeostasis- An Observational Study

Chang

Han

Teng

et al. 2018

Sci Rep

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“…In Preshaw's study, the procedure was performed by ten dental hygienists in training. 40 More experienced and welltrained operators may decrease the chance of residual calculus remaining on root surfaces which may result in better improvement in more severe periodontitis teeth in our study. The frequency of MCP-1 -2518 G genotype has been shown to be significantly lower in female patients with aggressive periodontitis compared to the female healthy group.…”

Section: Discussionmentioning

confidence: 70%

“…In contrast to the study by Preshaw et al, our research showed that more severe baseline parameters were statistically associated with better response to treatment. 40 The possible explanation might be that we performed high quality of nonsurgical periodontal treatment by two well-trained periodontists. In Preshaw's study, the procedure was performed by ten dental hygienists in training.…”

Section: Discussionmentioning

confidence: 99%

Association between monocyte chemoattractant protein-1 -2518 A/G gene polymorphism and the outcome of the nonsurgical periodontal treatment

Chang

Lin

et al. 2018

Journal of the Formosan Medical Association

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“…However, it is well-known that the outcomes of SRP are compromised in tobacco-product users (such as cigarette smokers) than individuals that do not consume tobacco. [6][7][8] One reasoning in this context is that nicotine (a major and addictive constituent in tobacco) reduces the proliferation of fibroblasts, red blood cells, macrophages and increases platelet aggregation, 9 which in turn compromises tissue perfusion and healing due to formation of micro-clot in vessels. 9,10 It has been well documented that intake of smokeless tobacco (ST) products increases the risk of oral-inflammatory disorders such as CP.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of scaling and root planing with and without adjunct probiotic therapy in the treatment of chronic periodontitis amongshammausers and non‐users: A randomized controlled trial

Vohra

Bukhari

Sheikh

et al. 2020

Journal of Periodontology

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Background Effectiveness of scaling and root planing (SRP) with/without adjunct probiotic (Lactobacillus reuteri) treatment towards the reduction in periodontal inflammatory parameters (clinical attachment loss [AL], marginal bone loss [MBL], plaque index [PI], and bleeding on probing [BOP] in shamma users and non‐users [controls] with chronic periodontitis [CP]) remains uninvestigated. The aim of the present randomized controlled trial was to compare the efficacy of SRP with and without adjunct probiotic therapy (PT) in the treatment of CP among shamma users and controls (individuals not using tobacco in any form). Methods The study was conducted in accordance with the Consolidated Standards of Reporting Trials guidelines. Patient demographics were recorded using a questionnaire. Therapeutically, patients were allotted into four groups as follows: 1) group 1: Shamma chewers that underwent SRP alone; 2) group 2: Shamma‐chewers that underwent SRP + PT; 3) group 3: Non‐chewers that underwent SRP alone; and 4) group 4: Non‐chewers that underwent SRP + PT. Periodontal parameters (PI, BOP, PD, clinical AL and mesial and distal MBL) were measured on all teeth except third molars at baseline and at 3‐ and 6‐month follow‐ups. Level of significance was set at P < 0.05. Results In total, 31, 32, 31, and 33 individuals were included in groups 1, 2, 3, and 4, respectively. Among shamma users, there was no significant difference in the scores of PI, BOP, PD, clinical AL and MBL when SRP was performed with/without adjunct PT. Amongst controls, SRP with adjunct PT was more effective in reducing PI (P < 0.05), BOP (P < 0.05) and PD (P < 0.05) at 3‐month follow‐up. There was no significant difference in periodontal parameters at 3‐ and 6‐month follow‐ups in patients that underwent SRP with and without adjunct PT. Conclusions Habitual shamma use compromises the outcome of SRP in patients with CP. Among patients that do not use any form of ST product, SRP is an effective treatment modality for the treatment of CP, and this relationship is independent of use of adjunct PT.

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Outcomes of non‐surgical periodontal treatment by dental hygienists in training: impact of site‐ and patient‐level factors

Abstract: This study supports the benefits of non-surgical therapy in the treatment of chronic periodontitis by dental hygienists in training. Better responses to treatment tend to be observed in non-smokers and in those with less advanced periodontitis at baseline.

Cited by 18 publications

References 23 publications

Cigarette Smoking Aggravates the Activity of Periodontal Disease by Disrupting Redox Homeostasis- An Observational Study

Cigarette Smoking Aggravates the Activity of Periodontal Disease by Disrupting Redox Homeostasis- An Observational Study

Association between monocyte chemoattractant protein-1 -2518 A/G gene polymorphism and the outcome of the nonsurgical periodontal treatment

Effectiveness of scaling and root planing with and without adjunct probiotic therapy in the treatment of chronic periodontitis amongshammausers and non‐users: A randomized controlled trial

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