Clinical outcomes following periodontal surgery and root surface decontamination by erythritol-based air polishing. A randomized, controlled, clinical pilot study

被引:6
作者
Cosgarea, Raluca [1 ,2 ,3 ]
Jepsen, Soren [1 ]
Fimmers, Rolf [4 ]
Bodea, Aura [5 ]
Eick, Sigrun [6 ]
Sculean, Anton [6 ]
机构
[1] Univ Bonn, Dept Periodontol Operat & Prevent Dent, Welschnonnenstr 17, D-53111 Bonn, Germany
[2] Univ Iuliu Hatieganu, Dept Prosthet Dent, Str Clinicilor 32, Cluj Napoca 400006, Romania
[3] Philipps Univ Marburg, Dept Periodontol & Peri Implant Dis, Georg Voigt Str 3, D-35033 Marburg, Germany
[4] Univ Bonn, Inst Med Biometry Informat & Epidemiol, Venusberg Campus 1, D-53127 Bonn, Germany
[5] Periodontal Private Practice Periodontol, Gheorghe Doja Str 9, Cluj Napoca 400068, Romania
[6] Univ Bern, Dept Periodontol, Freiburgstr 7, CH-3010 Bern, Switzerland
关键词
Surgical periodontal treatment; Air polishing; Supra-alveolar defects; Erythritol; Root surface decontamination; SIMPLIFIED PAPILLA PRESERVATION; ACCESS FLAP SURGERY; HEALING FOLLOWING TREATMENT; SUBGINGIVAL PLAQUE REMOVAL; ALVEOLAR-TYPE DEFECTS; TOOTH LOSS; INTRABONY DEFECTS; TREATED PATIENTS; CEMENTUM; THERAPY;
D O I
10.1007/s00784-020-03533-9
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Aim To evaluate the outcomes following surgical periodontal treatment and root surface decontamination by means of air polishing using an erythritol powder or conventional mechanical root debridement. Material and methods Thirty systemically healthy patients (44.38 +/- 8.2 years old, 11 smokers, 19 women) diagnosed with periodontitis stages III-IV were included. Each patient, with one single-rooted tooth, with one probing pocket depth (PD) >= 6 mm associated with horizontal bone loss, was treated by means of simplified papilla preservation flap (SPPF) and randomized to either test treatment (careful removal of the calculus with the tip of a blade, air polishing of the root surfaces with erythritol) or to the control group (scaling and root planing with hand curettes, ultrasonic instruments). PD, clinical attachment (CAL), bone sounding (BS), and radiographic bone level (BL) were evaluated at baseline and 12 months postsurgically. Results Twenty-seven patients completed the 12-month follow-up (test:n= 14, control:n= 13). In both groups, statistically significant improvements were obtained (p< 0.05, mean CAL gain/PD reduction: test, 2.50 +/- 1.60 mm/3.00 +/- 0.96 mm; control, 2.85 +/- 1.21 mm/3.38 +/- 1.12 mm). No statistically significant differences were observed between the groups for any of the investigated parameters (p< 0.05). Conclusion Within their limits, the present results indicate that the use of air polishing with an erythritol powder during periodontal surgery may represent a valuable minimally invasive adjunct following calculus removal by means of hand and ultrasonic instruments or a valuable alternative to these, for root surfaces without calculus.
引用
收藏
页码:627 / 635
页数:9
相关论文
共 38 条
[1]   BACTERIAL INVASION IN ROOT CEMENTUM AND RADICULAR DENTIN OF PERIODONTALLY DISEASED TEETH IN HUMANS - A RESERVOIR OF PERIODONTOPATHIC BACTERIA [J].
ADRIAENS, PA ;
DEBOEVER, JA ;
LOESCHE, WJ .
JOURNAL OF PERIODONTOLOGY, 1988, 59 (04) :222-230
[2]   NEW ATTACHMENT IN MONKEYS WITH EXPERIMENTAL PERIODONTITIS WITH AND WITHOUT REMOVAL OF THE CEMENTUM [J].
BLOMLOF, L ;
LINDSKOG, S ;
APPELGREN, R ;
JONSSON, B ;
WEINTRAUB, A ;
HAMMARSTROM, L .
JOURNAL OF CLINICAL PERIODONTOLOGY, 1987, 14 (03) :136-143
[3]  
Cortellini P, 1999, INT J PERIODONT REST, V19, P589
[4]   The simplified papilla preservation flap in the regenerative treatment of deep intrabony defects: Clinical outcomes and postoperative morbidity [J].
Cortellini, P ;
Tonetti, MS ;
Lang, NP ;
Suvan, JE ;
Zucchelli, G ;
Vangsted, T ;
Silvestri, M ;
Rossi, R ;
McClain, P ;
Fonzar, A ;
Dubravec, D ;
Adriaens, P .
JOURNAL OF PERIODONTOLOGY, 2001, 72 (12) :1702-1712
[5]   Loss of molars in periodontally treated patients: results 10years and more after active periodontal therapy [J].
Dannewitz, Bettina ;
Zeidler, Anna ;
Huesing, Johannes ;
Saure, Daniel ;
Pfefferle, Thorsten ;
Eickholz, Peter ;
Pretzl, Bernadette .
JOURNAL OF CLINICAL PERIODONTOLOGY, 2016, 43 (01) :53-62
[6]   Treatment of Supra-Alveolar-Type Defects by a Simplified Papilla Preservation Technique for Access Flap Surgery With or Without Enamel Matrix Proteins [J].
Di Tullio, Marcella ;
Femminella, Beatrice ;
Pilloni, Andrea ;
Romano, Luigi ;
D'Arcangelo, Camillo ;
De Ninis, Paolo ;
Paolantonio, Michele .
JOURNAL OF PERIODONTOLOGY, 2013, 84 (08) :1100-1110
[7]  
Draenert ME, 2013, AM J DENT, V26, P21
[8]   Randomized Controlled Trial Assessing Efficacy and Safety of Glycine Powder Air Polishing in Moderate-to-Deep Periodontal Pockets [J].
Flemmig, Thomas F. ;
Arushanov, Daniyel ;
Daubert, Diane ;
Rothen, Marilynn ;
Mueller, Gregory ;
Leroux, Brian G. .
JOURNAL OF PERIODONTOLOGY, 2012, 83 (04) :444-452
[9]   Surgical treatment of the residual periodontal pocket [J].
Graziani, Filippo ;
Karapetsa, Dimitra ;
Mardas, Nikolaos ;
Leow, Natalie ;
Donos, Nikolaos .
PERIODONTOLOGY 2000, 2018, 76 (01) :150-163
[10]   Clinical performance of access flap surgery in the treatment of the intrabony defect. A systematic review and meta-analysis of randomized clinical trials [J].
Graziani, Filippo ;
Gennai, Stefano ;
Cei, Silvia ;
Cairo, Francesco ;
Baggiani, Angelo ;
Miccoli, Mario ;
Gabriele, Mario ;
Tonetti, Maurizio .
JOURNAL OF CLINICAL PERIODONTOLOGY, 2012, 39 (02) :145-156