Evaluation of the efficacy of subgingival irrigation in patients with moderate-to-severe chronic periodontitis otherwise indicated for periodontal flap surgeries.
Antiplaque
chlorhexidine
gingivitis
mouth rinsing
periodontitis
staining
subgingival home irrigation
Journal
Journal of Indian Society of Periodontology
ISSN: 0972-124X
Titre abrégé: J Indian Soc Periodontol
Pays: India
ID NLM: 101499342
Informations de publication
Date de publication:
Historique:
received:
29
01
2020
revised:
06
04
2020
accepted:
07
04
2020
entrez:
25
8
2020
pubmed:
25
8
2020
medline:
25
8
2020
Statut:
ppublish
Résumé
In certain medically and physically compromised; and terminally ill patients, periodontal surgery may not be feasible. They need special attention and assistance for their daily plaque control regimens for the management and maintenance of periodontal conditions. Subgingival irrigation home care devices with antiplaque agents may serve as useful tools in such specific patient populations. The aim of this study was to evaluate of the efficacy of sub-gingival irrigation in patients with moderate-to-severe chronic periodontitis otherwise indicated for periodontal flap surgeries. Randomized comparative parallel group interventional clinical trial. Forty adults with moderate-to-severe periodontitis, divided inot Group A and B, were subjected to the use of subgingival home irrigations using 0.06% chlorhexidine (CHX) and mouth-rinsing with 15 ml of 0.12% CHX twice daily, respectively after Phase I therapy. Clinical parameters, i.e., gingival index, oral hygiene index simplified, and bleeding on probing scores were assessed at baseline, 2 weeks, 4 weeks, and 12 weeks' postphase I therapy, whereas clinical attachment level (CAL), probing depth (PD), and stain assessment at baseline and 12 weeks following Phase I therapy. Statistical Package for Social Sciences (SPSS Inc., Chicago, IL, USA version 15.0 for Windows). A statistically significant difference was seen with the use of 0.06% CHX irrigations in PD ( The adjunctive use of subgingival home irrigations using 0.06% CHX has a promising potential to maintain the oral health and results in lesser staining compared to CHX mouth rinsing. The regimen may further obviate the need of periodontal surgery in medically compromised subjects.
Sections du résumé
BACKGROUND
BACKGROUND
In certain medically and physically compromised; and terminally ill patients, periodontal surgery may not be feasible. They need special attention and assistance for their daily plaque control regimens for the management and maintenance of periodontal conditions. Subgingival irrigation home care devices with antiplaque agents may serve as useful tools in such specific patient populations.
AIMS
OBJECTIVE
The aim of this study was to evaluate of the efficacy of sub-gingival irrigation in patients with moderate-to-severe chronic periodontitis otherwise indicated for periodontal flap surgeries.
SETTINGS AND DESIGN
METHODS
Randomized comparative parallel group interventional clinical trial.
MATERIALS AND METHODS
METHODS
Forty adults with moderate-to-severe periodontitis, divided inot Group A and B, were subjected to the use of subgingival home irrigations using 0.06% chlorhexidine (CHX) and mouth-rinsing with 15 ml of 0.12% CHX twice daily, respectively after Phase I therapy. Clinical parameters, i.e., gingival index, oral hygiene index simplified, and bleeding on probing scores were assessed at baseline, 2 weeks, 4 weeks, and 12 weeks' postphase I therapy, whereas clinical attachment level (CAL), probing depth (PD), and stain assessment at baseline and 12 weeks following Phase I therapy.
STATISTICAL ANALYSIS USED
METHODS
Statistical Package for Social Sciences (SPSS Inc., Chicago, IL, USA version 15.0 for Windows).
RESULTS
RESULTS
A statistically significant difference was seen with the use of 0.06% CHX irrigations in PD (
CONCLUSION
CONCLUSIONS
The adjunctive use of subgingival home irrigations using 0.06% CHX has a promising potential to maintain the oral health and results in lesser staining compared to CHX mouth rinsing. The regimen may further obviate the need of periodontal surgery in medically compromised subjects.
Identifiants
pubmed: 32831508
doi: 10.4103/jisp.jisp_54_20
pii: JISP-24-348
pmc: PMC7418546
doi:
Types de publication
Journal Article
Langues
eng
Pagination
348-353Informations de copyright
Copyright: © 2020 Indian Society of Periodontology.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
Références
Periodontol 2000. 2006;40:77-93
pubmed: 16398686
Periodontol 2000. 2008;48:42-53
pubmed: 18715355
J Clin Periodontol. 1987 Nov;14(10):573-80
pubmed: 3320099
J Clin Periodontol. 2000 Feb;27(2):134-43
pubmed: 10703660
J Periodontol. 1990 Nov;61(11):663-9
pubmed: 2254831
J Clin Periodontol. 1986 Nov;13(10):957-64
pubmed: 3540026
J Periodontol. 1965 May-Jun;36:193-7
pubmed: 14296929
J Clin Periodontol. 2000 Nov;27(11):854-9
pubmed: 11073329
J Clin Periodontol. 1980 Aug;7(4):300-8
pubmed: 6936408
J Periodontol. 1990 Jul;61(7):427-33
pubmed: 2388139
J Clin Periodontol. 1986 Jan;13(1):39-44
pubmed: 3003166
J Periodontol. 2005 Nov;76(11):2015-27
pubmed: 16274324
J Periodontol. 1988 Mar;59(3):155-63
pubmed: 3162980
J Am Dent Assoc. 2006 Nov;137 Suppl:16S-21S
pubmed: 17035671
J Indian Soc Periodontol. 2017 Jul-Aug;21(4):296-302
pubmed: 29456304
J Clin Periodontol. 1981 Jun;8(3):189-202
pubmed: 6947985
Adv Dent Res. 1997 Apr;11(1):160-7
pubmed: 9524452
J Clin Periodontol. 1985 Sep;12(8):630-8
pubmed: 3863836
J Dent Hyg. 1989 Jun;63(5):222-5, 241
pubmed: 2698916
J Periodontol. 1990 Feb;61(2):112-7
pubmed: 2313527
J Periodontol. 1989 Jun;60(6):310-5
pubmed: 2674395
J Periodontol. 1989 May;60(5):243-7
pubmed: 2786959
J Periodontol. 1992 May;63(5):469-72
pubmed: 1527691
Periodontol 2000. 2004;36:98-120
pubmed: 15330945
J Clin Periodontol. 1982 Jan;9(1):66-74
pubmed: 6949928
J Periodontol. 1986 May;57(5):305-10
pubmed: 3457944