Subgingival ultrasonic instrumentation of residual pockets irrigated with essential oils: a randomized controlled trial

Feng, Hsu Shao; Bernardo, Carlos Cheque; Sonoda, Livia Lie; Hayashi, Fernando; Romito, Giuseppe Alexandre; Lima, Luiz Antônio Pugliesi Alves de; Lotufo, Roberto Fraga Moreira; Pannuti, Cláudio Mendes

doi:10.1111/j.1600-051x.2011.01725.x

Cited by 21 publications

(28 citation statements)

References 45 publications

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“…These results suggest that a combination use of SUI and 7-day mouth wash with EO was effective in reducing subgingival bacterial amount in both shallow and deep pockets. In addition, Feng et al recently have reported that a significantly greater CAL gain and PPD reduction was observed by SUI irrigated with EO compared to that of negative solutions in deep pockets (PPD ≥ 7 mm) [27]. This data imply the clinical efficacy of EO in deep periodontal pockets.…”

Section: Discussionmentioning

confidence: 88%

Microbiological Effect of Essential Oils in Combination with Subgingival Ultrasonic Instrumentation and Mouth Rinsing in Chronic Periodontitis Patients

Morozumi

Kubota

Abe

et al. 2013

International Journal of Dentistry

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Thirty chronic periodontitis patients were randomly assigned to 3 groups: control, saline, and essential oil-containing antiseptic (EO). Subgingival plaque was collected from a total of 90 pockets across all subjects. Subsequently, subgingival ultrasonic instrumentation (SUI) was performed by using EO or saline as the irrigation agent. After continuous mouth rinsing at home with EO or saline for 7 days, subgingival plaques were sampled again. Periodontopathic bacteria were quantified using the modified Invader PLUS assay. The total bacterial count in shallow pockets (probing pocket depth (PPD) = 4-5 mm) was significantly reduced in both saline (P < 0.05) and EO groups (P < 0.01). The total bacterial count (P < 0.05) and Porphyromonas gingivalis (P < 0.01) and Tannerella forsythia (P < 0.05) count in deep pockets (PPD ≥6 mm) were significantly reduced only in the EO group. In comparisons of the change ratio relative to baseline value of total bacteria counts across categories, both the saline and EO groups for PPD 4-5 mm and the EO group for PPD 6 mm showed a significantly low ratio (P < 0.05). The adjunctive use of EO may be effective in reducing subgingival bacterial counts in both shallow and deep pockets. This trial is registered with UMIN Clinical Trials Registry UMIN000007484.

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Section: Discussionmentioning

confidence: 88%

Microbiological Effect of Essential Oils in Combination with Subgingival Ultrasonic Instrumentation and Mouth Rinsing in Chronic Periodontitis Patients

Morozumi

Kubota

Abe

et al. 2013

International Journal of Dentistry

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“…Therefore, controlling an excessive host response and minimizing the tissue destruction can be a milestone for the treatment of periodontitis (Tonetti & Chapple 2011). Essential oils have been considered potential therapeutic agents in periodontal therapy, however, their beneficial effects as an adjunctive treatment option have been underestimated when limiting their use as antimicrobial agents solely (Feng et al, 2011). According to our findings in the present study, some essential oils could be used for the modulation of the host response, since they were able to inhibit an up-regulated gelatinolytic activity at non-antibacterial concentrations against periodontal pathogens.…”

Section: Discussionmentioning

confidence: 99%

Bioinformatical andin vitroapproaches to essential oil-induced matrix metalloproteinase inhibition

Zeidán-Chuliá¹,

Gürsoy²,

Könönen³

et al. 2012

Pharmaceutical Biology

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“…MPT sonrası yapılan yeniden değerlendirmede SD≥5 mm ve aynı zamanda SK (+) olan periodontal cepler rezidü-el cep bölgeleri olarak tanımlandı (13)(14)(15). Rezidüel cep böl-geleri periodontal patojenler için rezervuar görevi yaparak, periodontal hastalıkla ilişkili mikrobiyal floranın tekrar oluş-masına zemin hazırlayabilir (8,14,16).…”

Section: Tartişma Ve Sonuçunclassified

“…Bu yüzden, MPT sonrası rezidüel ceplerin tespiti ve bu ceplerin eliminasyonu periodontal tedavinin başarısında önem taşımaktadır. Rezidüel cepler, MPT'ye ek olarak lokal ve sistemik antimikrobiyallerin kullanımı (13,28), fotodinamik terapi (29), lazerle cep içi dezenfeksiyon işlemi (30) gibi cerrahi olmayan yön-temlerle veya cerrahi periodontal tedavilerle (31,32) elimine edilebilirler. Rezidüel ceplerin tedavisi ile ilgili çalışmala-rın azlığı, bu konuyu araştırmaya açık kılmaktadır.…”

Section: Tartişma Ve Sonuçunclassified

Relationship Between Initial Probing Depth and Residual Pockets Following Mechanical Periodontal Treatment

Meşeli¹,

Kuru²,

Kuru³

2015

MUSBED

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Başlangıç sondalama derinliği ile mekanik periodontal tedavi sonrası rezidüel cep oranı arasındaki ilişki Amaç: Bu çalışmanın amacı, kronik periodontitisli (KP) hastalarda başlangıç sondalama derinliği (BSD) ile mekanik periodontal tedavi (MPT) uygulandıktan sonra rezidüel kalan cep oranı arasındaki ilişkiyi araştırmaktır. Yöntem: Onbir KP'li hastanın BSD 4-9 mm olan (her ikisi de dahil) 1102 adet periodontal cep bölgesi diş kök sayısına (tek/çok) ve BSD'ye göre gruplandırıldı. Hastalara ağız hijyeni eğitimi, diş ve kök yüzeyi temizliği ve kök yüzeyi düzleştirmesi işlemlerini içeren MPT bir hafta arayla 2 seans uygulandı. MPT öncesinde ve 8 hafta sonrasında plak indeksi, gingival indeks, sondalama derinliği (SD), klinik ataşman seviyesi ve sondalamada kanama (SK) klinik parametreleri kaydedildi. MPT sonrası SD≥5 mm ve SK (+) olan bölgeler rezidüel cep bölgesi kabul edildi. Bulgular: Çalışmada MPT sonrası tek köklü dişlerde saptanan cep bölgelerinin %10.89'u, çok köklü dişlerde saptanan cep bölgelerinin %26.59'u rezidüel cep olarak kaldı. Ayrıca BSD ile rezidüel cep olarak kalma oranı arasında pozitif yönlü bir ilişkinin varlığı saptandı (p<0.001). Sonuç: Bu çalışmanın sınırları dahilinde bulgularımız, uygulanan tedavinin KP'li hastalarda klinik periodontal parametreleri iyileştirdiğini ve bu hastalarda BSD arttıkça rezidüel cep oranının da arttığını ve çok köklü dişlerde rezidüel cep olarak kalma ihtimalinin yüksek olduğunu göstermektedir. Anahtar sözcükler: Diş yüzeyi temizliği, kök yüzeyi düzleştirmesi, periodontal cep ABS TRACT Relationship between initial probing depth and residual pockets following mechanical periodontal treatmentObjective: The aim of this study was to evaluate the relationship between initial probing depth (IPD) and the ratio of residual periodontal pocket in chronic periodontitis patients following mechanical periodontal therapy (MPT). Methods: A total of 1102 periodontal pockets with IPD 4-9 mm (both included) in 11 chronic periodontitis (CP) patients were included and grouped according to their IPDs and number of roots (single-/multirooted). MPT consisting of oral hygiene instruction, scaling and root planing was applied in 2 sessions with one-week interval. Plaque index, gingival index, probing depth (PD), clinical attachment levels and bleeding on probing (BoP) were measured before and 8 weeks after MPT. Following MPT, periodontal pockets demonstrating PD≥5 mm and BoP (+) were defined as residual periodontal pockets. Results: Our results showed that 10.89% of the sites from single-rooted teeth and 26.59% of the sites from multi-rooted teeth were remained as residual periodontal pockets. Further, positive correlations were found between IPD and residual periodontal pocket ratio for both single-and multi-rooted teeth (p<0.001). Conclusion:Within limitations of this study, our results suggest that applied treatment had improved the periodontal parameters and the periodontal pockets of multi-rooted teeth in CP patients remained as residual pockets in a high percentage and the deeper IPD th...

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Subgingival ultrasonic instrumentation of residual pockets irrigated with essential oils: a randomized controlled trial

Abstract: The adjunctive use of EOs may promote significant CAL gain and PPD reduction in deep residual pockets.

Cited by 21 publications

References 45 publications

Microbiological Effect of Essential Oils in Combination with Subgingival Ultrasonic Instrumentation and Mouth Rinsing in Chronic Periodontitis Patients

Microbiological Effect of Essential Oils in Combination with Subgingival Ultrasonic Instrumentation and Mouth Rinsing in Chronic Periodontitis Patients

Bioinformatical andin vitroapproaches to essential oil-induced matrix metalloproteinase inhibition

Relationship Between Initial Probing Depth and Residual Pockets Following Mechanical Periodontal Treatment

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