Periodontal Debridement With Povidone‐Iodine in Periodontal Treatment: Short‐Term Clinical and Biochemical Observations

Zanatta, Guilherme Menegaz; Bittencourt, Sandro; Nociti, Francisco Humberto; Sallum, Enílson Antônio; Sallum, Antônio Wilson; Casati, Márcio Zaffalon

doi:10.1902/jop.2006.050154

Cited by 54 publications

(116 citation statements)

References 33 publications

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“…In the present study, the percentage of sites showing CAL gain of ≥2 mm after 6 months was 68.88% in the test group and 68.12% in control group. These results are similar to those found by Zanatta, et al 30 (2006) and higher than those found by Wennstrom, et al 29 (2005) and Del Peloso Ribeiro, et al 10 (2008).…”

Section: Discussionsupporting

confidence: 91%

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Photodynamic therapy associated with full-mouth ultrasonic debridement in the treatment of severe chronic periodontitis: a randomized-controlled clinical trial

Balata¹,

Andrade²,

Santos³

et al. 2013

J. Appl. Oral Sci.

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Background:Photodynamic therapy (PDT) is a method of microbial reduction which can benefit periodontal treatment in areas of difficult access, such as deep pockets and furcations. The aim of this randomized controlled clinical trial was to evaluate the effects of PDT as an adjunct to full-mouth ultrasonic debridement in the treatment of severe chronic periodontitis. Material and Methods:Twenty-two patients with at least one pocket with a probing depth (PD) of ≥7 mm and one pocket with a PD of ≥5 mm and bleeding on probing (BOP) on each side of the mouth were included, characterizing a split mouth design. The control group underwent full-mouth ultrasonic debridement and the test group received the same treatment associated with PDT. The PDT was performed on only one side of the mouth and the initial step consisted of subgingival irrigation with 0.005% methylene blue dye. Two minutes after applying the photosensitizer, the low power laser - AsGaAl (Photon Lase III - PL7336, DMC, São Carlos -São Paulo, Brazil) was applied (660 nm, 100 mW, 9 J, 90 seconds per site, 320 J/cm2, diameter tip 600 µm).The following clinical parameters were evaluated: plaque index, gingival index, BOP, gingival recession (GR), PD, and clinical attachment level (CAL). All parameters were collected before, 1, 3 and 6 months after treatment.Results:An improvement in BOP, PD and CAL was observed after treatment, in both groups, but without any difference between them. After 6 months, the PD decreased from 5.11±0.56 mm to 2.83±0.47 mm in the test group (p<0.05) and from 5.15±0.46 mm to 2.83±0.40 mm in the control group (p<0.05). The CAL changed, after 6 months, from 5.49±0.76 mm to 3.41±0.84 mm in the test group (p<0.05) and from 5.53±0.54 to 3.39±0.51 mm in the control group (p<0.05).Conclusion:Both approaches resulted in significant clinical improvements in the treatment of severe chronic periodontits, however, the PDT did not provide any additional benefit to those obtained with full-mouth ultrasonic debridement used alone.

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Section: Discussionsupporting

confidence: 91%

“…Thus, the results obtained in the control group were within the range expected from this non-surgical approach 10,29,30 . Six months after full-mouth ultrasonic debridement, PD reduction was 2.03 mm and 4.24 mm for the initially moderate and deep pockets, respectively.…”

Section: Discussionsupporting

confidence: 75%

Photodynamic therapy associated with full-mouth ultrasonic debridement in the treatment of severe chronic periodontitis: a randomized-controlled clinical trial

Balata¹,

Andrade²,

Santos³

et al. 2013

J. Appl. Oral Sci.

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“…However, nonsurgical therapy alone has its own limits and may not be effective to eradicate the pathogenic microorganisms in the periodontal pockets (5,6) . After scaling and root planing the root surface is consistently covered by a smear layer, that contain remnants of calculus, contaminated root cementum, bacteria, bacterial endotoxin, and plaque (7)(8)(9) . The use of laser has been proposed as an adjunct to nonsurgical periodontal therapy by many studies (10) .…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Clinical Effects of a 940nm Diode Laser as Adjunctive Therapy in the Treatment of Periodontal Pockets

Dakhil¹,

Mahmood²

2017

Iraqi dent. j.

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Background: Periodontal diseases are multifactorial, inflammatory diseases that, when left without treatment may results in the destruction of tooth-supporting structures and finally may cause tooth loss. Diode laser therapy as an adjunct to non-surgical periodontal treatment of periodontal pockets has been increasingly encouraged by some researches but experimental proves have not yet supported the use of laser therapy. Aim: The objective of this single controlled clinical study was to assess the effect of a 940-nm diode laser as an adjunct to scaling and root planing (SRP) therapy in the treatment of periodontal pockets. Methods: Fifteen patients in need of periodontal treatment with periodontal pocket ≥ 4 were selected for this split-mouth clinical study. Quadrants were enrolled into either control group treated by conventional scaling and root planning or test group treated by diode laser 940nm as an adjunct with SRP in contralateral quadrants. Baseline data, including plaque index (PI), gingival index (GI), probing pocket depth (PPD) were recorded before the treatment and 3 months post treatment. Results: plaque index (PI), gingival index (GI), probing depth (PD) were significantly reduced after 3 months in both groups. No significant differences were found in reduction mean of PI, GI, PPD. Conclusion:The use of the diode laser as an adjunct to scaling and root planing did not offer any superior clinical benefits over conventional scaling and root planning.

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“…With better oral hygiene, periodontal disease-induced bacteria in oral cavity might decrease, thence, translocation of microorganisms to recently treated periodontal sites from saliva, tonsils and tongue might decline. In other word, effective periodontal therapy consists of professionally administered antimicrobial intervention including mechanical debridement, and well-tolerated antiseptic agents exhibiting high activity against a variety of periodontal pathogens and delivered in ways that simultaneously affect pathogens residing in different oral ecological niches, followed by a maintenance program having a strong anti-infective emphasis [18].…”

Section: Advances In Health Sciences Research Volumementioning

confidence: 99%

“…They might be ineffective due to the limited access and visibility of the hand instruments in subgingival areas [16] or tissue-attaching characteristic of some particular bacteria species [17]. Therefore, the value of using antimicrobial agents such as povidone-iodine (PVP-I) to augment mechanical periodontal debridement should also be well considered [18]. Povidone-iodine is a cheap broad spectrum antiseptic agent frequently used in the therapy of periodontitis [19], especially in Scandinavia (Rosling et al 2001) [20] and Switzerland (Sahrmann et al 2014) [21].…”

Section: Introductionmentioning

confidence: 99%

Povidone-Iodine as Subgingival Irrigation in Chronic Periodontitis Treatment

Nguyen¹,

Phan²

2018

Proceedings of the 11th International Dentistry Scientific Meeting (IDSM 2017)

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Abstract. The objective of this study is to verify the effects of 0.1% povidone-iodine (PVP-I) as subgingival irrigation on chronic periodontitis patients after 4, 6 and 8-week treatment. A clinical trial was conducted on 18 patients from 30 to 65 years old (mean age: 51.1±11.2) with moderate or severe chronic periodontitis at Faculty of Odonto-Stomatology at University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam 2017. Treatments of chronic periodontitis included oral hygiene instruction, scaling and root planing plus 0.1% PVP-I irrigation. Clinical parameters including plaque index (PI), gingival index (GI), bleeding on probing (BOP), pocket depth (PD), clinical attachment loss (CAL) and the bacteria level in subgingival plaque (BANA test) were evaluated at 4-time points: T0 (the initial visit), T4 (4 weeks after the initial visit), T6 (6 weeks after the initial visit) and T8 (8 weeks after the initial visit). The whole mouth (PI, GI, BOP, PD and CAL) parameters and BANA test score showed statistically significant reductions from T0 to T8 (p<0.001). The PD and CAL of moderately deep (PD ≥5mm and <7mm); and deep pockets (PD ≥ 7mm) were significantly decreased from T0 to T8 (p<0.001). The findings from the present study demonstrated that the topical application of 0.1% PVP-I, used as subgingival irrigation along with subgingival root debridement had beneficial influences on chronic periodontitis treatments.

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Periodontal Debridement With Povidone‐Iodine in Periodontal Treatment: Short‐Term Clinical and Biochemical Observations

Abstract: This study provides no evidence that pvp-iodine is effective as an adjunct for one-stage periodontal debridement.

Cited by 54 publications

References 33 publications

Photodynamic therapy associated with full-mouth ultrasonic debridement in the treatment of severe chronic periodontitis: a randomized-controlled clinical trial

Photodynamic therapy associated with full-mouth ultrasonic debridement in the treatment of severe chronic periodontitis: a randomized-controlled clinical trial

Evaluation of Clinical Effects of a 940nm Diode Laser as Adjunctive Therapy in the Treatment of Periodontal Pockets

Povidone-Iodine as Subgingival Irrigation in Chronic Periodontitis Treatment

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