The effect on clinical parameters of periodontal inflammation following non‐surgical periodontal therapy with ultrasonics and chemotherapeutic cooling solutions: a systematic review

Sluijs, Marjolein Van der; Sluijs, E. van der; Weijden, F. van der; Slot, Dagmar Else

doi:10.1111/jcpe.12613

Cited by 16 publications

(15 citation statements)

References 45 publications

(55 reference statements)

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“…The results from the present study corroborate the previous findings regarding the effects of EOs on gingivitis patients 13,26,27,34 . However, Van der Sluijs et al 35 did not observe any additional benefits when the EOs were combined with ultrasonic scaling.…”

Section: Discussionmentioning

confidence: 94%

Salivary arginase activity after mechanical-chemical therapy

Castro

Cortelli

Rodrigues

et al. 2018

Rev. odontol. UNESP

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ResumoIntrodução: Componentes salivares podem ser usados como biomarcadores para diagnóstico e monitoramento de doenças orais. Há evidências de que um potencial biomarcador, arginase, está associado com os processos inflamatórios da doença periodontal, e após o tratamento sua atividade enzimática é reduzida em concordância com a melhora nos parâmetros clínicos. Objetivo: O presente estudo objetivou avaliar a atividade da arginase salivar em pacientes com gengivite e periodontite tratados com procedimentos mecânicos em estágio único combinados ao uso coadjuvante de enxaguatórios com óleos essenciais ou clorexidina, respectivamente. Material e método: Vinte e seis pacientes com gengivite e 16 pacientes com periodontite receberam exame periodontal completo antes e 3 meses após a terapia, em que mensurações de profundidade de sondagem, perda de inserção clínica, índice de placa e índice gengival foram realizadas. Nestas mesmas consultas os níveis de proteína total e a atividade de arginase salivar foram estabelecidos via espectrofotometria. Resultado: Todos os parâmetros clínicos melhoraram, em ambos os grupos, do exame inicial para o de 3 meses (p < 0,05). Adicionalmente, após tratamento para gengivite houve redução da atividade de arginase salivar e do nível de proteína total. Conclusão: Semelhante aos resultados clínicos, ambos os protocolos terapêuticos afetaram positivamente a atividade da arginase salivar; entretanto, estudos futuros são necessários para clarificar seu potencial como biomarcador salivar para o monitoramento periodontal. AbstractIntroduction: Salivary components can be used as biomarkers for diagnosing and monitoring oral diseases. There is evidence that one potential biomarker, arginase, is associated with the inflammatory processes of periodontal disease, and its enzymatic activity is reduced according to the improvement in the clinical parameters after treatment. Objective: The present study aimed to evaluate the salivary arginase activity in gingivitis and periodontitis patients treated with full-mouth mechanical procedures combined with the adjunctive use of essential oils or chlorhexidine mouthwash, respectively. Material and method: Twenty-six gingivitis and 16 periodontitis patients received complete periodontal examinations at the baseline and 3 months after therapy, in which the periodontal probing depth, clinical attachment loss, plaque index, and gingival index measurements were taken. At these same appointments, the salivary total protein level and salivary arginase activity were also established via spectrophotometry. Result: There were improvements in all of the clinical parameters (p < 0.05) evaluated from the baseline to 3 months in both groups. In addition, the salivary arginase activity and total protein levels were reduced after the gingivitis treatment. Conclusion: Similar to the clinical results, both therapeutic protocols positively affected the salivary arginase activity; however, further studies are necessary to clarify its potential as a salivary biomarker for periodont...

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Section: Discussionmentioning

confidence: 94%

Salivary arginase activity after mechanical-chemical therapy

Castro

Cortelli

Rodrigues

et al. 2018

Rev. odontol. UNESP

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“…It has been demonstrated that the core treatment of periodontal disease remains scaling and root planing (SRP), namely the non‐surgical removal of subgingival bacterial deposits . Numerous influential systematic reviews have reported consistent clinical improvement in patients with periodontitis after complete subgingival debridement, which resulted in effectively reducing probing pocket depth (PPD) and in improving the clinical attachment level (CAL) . Non‐surgical periodontal therapy (NSPT) includes manual and ultrasonic instrumentation in conjunction with supragingival plaque control .…”

Section: Introductionmentioning

confidence: 99%

“…reducing probing pocket depth (PPD) and in improving the clinical attachment level (CAL). [3][4][5] Non-surgical periodontal therapy (NSPT) includes manual and ultrasonic instrumentation in conjunction with supragingival plaque control. 6 It must be said that the management of some severe clinical scenarios may still require surgical intervention too.…”

mentioning

confidence: 99%

Clinical and patient‐centered outcomes post non‐surgical periodontal therapy with the use of a non‐injectable anesthetic product: A randomized clinical study

Marconcini

Goulding²,

Oldoini

et al. 2019

J of Invest & Clin Dent

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Aim The aim of this study was to determine the impact of different full‐mouth decontamination (FMD) protocols on the effectiveness of an intrapocket anesthetic gel in periodontal maintenance patients. Methods Patients undergoing the periodontal maintenance program and with the need for FMD participated in this study. Patients were randomly allocated to non‐surgical periodontal therapy (NSPT) with either a preparatory 15‐day decontamination phase, including chlorhexidine mouth rinse and domiciliary hygiene instructions (modified FMD: test group), or without it (FMD: control group). In both groups, NSPT was performed with the aid of a non‐injectable anesthetic gel. Clinical and patient‐related outcomes were recorded during a 6‐month follow‐up period. Results Sixty patients completed the 6‐month study. Both groups experienced relevant clinical improvements after NSPT, but the test group showed a significant change in periodontal parameters already after the initial 15‐day preparatory period, and overall significantly better results in periodontal outcomes when compared with the control group at the last 6‐month follow up: the gingival index was 2.07 ± 1.25 in the control group and 1.13 ± 0.51 in the test group. Less pain and dental‐related anxiety were perceived by patients in the test group showing a 6‐month mean visual analog scale of 2.13 ± 1.25 in the control group and 1.13 ± 0.83 in the test group. Conclusion The present study suggested that the modification of the standard FMD could improve the clinical efficacy of non‐injectable anesthetic, along with patients’ short‐ and mid‐term appreciation and compliance.

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“…A documented benefit of the flowing water is the generation of biophysical forces-namely cavitation and microstreaming. 6 Meticulous subgingival debridement is an inherently time-consuming and difficult procedure, and it requires a great deal of stamina on the part of the operator as well as the patient. Success is highly dependent on the skill of the clinician and the attention to detail in instrumentation.…”

Section: Introductionmentioning

confidence: 99%