Rotary Instrument in Non-Surgical Treatment of Chronic Periodontal Disease: Clinic Randomized Study

Objective: The aim of this study is to compare the efficacy of rotary instruments vs hand scalers in non-surgical periodontal therapy, studying the variation of periodontal health indexes. Materials and Methods: Forty patients (age between 30 and 70 years) with advanced chronic periodontitis, that were recruited for the study, were divided into two groups; control group and test group. Control patients were treated with hand scalers while test group patients were treated with rotary instruments. Periodontal indexes were evaluated at baseline and after 3 months. Results: Nonsignificant differences were found at 12 weeks follow up for all the parameters between test and control groups. Conclusions: Within their limits, the results indicate that different instruments can be effective in removing calculus and endotoxins. This requisite is mandatory for a proper periodontal healing. The reasons for clinicians to use diamond-coated instruments are related to a faster procedure, and the clinical evidence of a smooth root surface. The clinicians’ ability remains one of the most important variables that could affect periodontal therapy.

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Prospected Randomized Study of Two Y Devices in Continuous Ambulatory Peritoneal Dialysis (CAPD)

Peritoneal Dialysis International ◽

10.1177/089686088900900305 ◽

1989 ◽

Vol 9 (3) ◽

pp. 165-168 ◽

Cited By ~ 23

Author(s):

Giusto Viglino ◽

Adolfo Colombo ◽

Antonio Scalamogna ◽

Pier L. Cavalli ◽

Luisella Guerra ◽

...

Keyword(s):

Peritoneal Dialysis ◽

Continuous Ambulatory Peritoneal Dialysis ◽

Dwell Time ◽

Randomized Study ◽

Test Group ◽

Control Group ◽

Safety And Efficacy

To evaluate acceptability, safety, and efficacy of a y set with two short branches (TAs) filled with electrolytic chloroxidizer solution during the dwell time, 60 patients were randomly allocated to be treated with the traditional y set (TCs) or with the T AS. Twenty-three were new patients whereas the remaining 37 were patients already on continuous ambulatory peritoneal dialysis (CAPD) with the TCs. The follow-up was 416.5 months in the control group and 387.4 months in the test group. During the study period there were 6 peritonitis episodes in each group with an incidence of 1 episode every 69.4 patient-months in the control group and 1 episode every 64.6 patient-months in the test group. Twenty-four patients (80%) in the control group and 27 (90%) in the test group were free from peritonitis. The probability to remain free from peritonitis was respectively 87% and 83% in the test group and in control group after 12 months, 70% and 78% after 21 months. seventy -nine percent of the patients who used both systems preferred the T AS for better handling, lower encumbrance, and major safety. One patient preferred the TCs, three patients did not find any differences between the two devices.

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C – reactive protein in saliva of non-smoking patients with periodontitis (a pilot study)

Journal of Health Sciences ◽

10.17532/jhsci.2021.1327 ◽

2021 ◽

Author(s):

Zerina Hadžić ◽

Ivan Puhar

Keyword(s):

Pilot Study ◽

Test Group ◽

Periodontal Therapy ◽

Control Group ◽

C Reactive Protein ◽

Inflammatory Biomarker ◽

Reactive Protein ◽

Before And After ◽

Oral Hygiene Instructions ◽

And Control

Introduction: C-reactive Protein (CRP) as an inflammatory biomarker can be easily determined in saliva, but the values of salivary CRP in periodontitis are not well-studied. The aim of this study was to analyze and determine the values of salivary CRP in non-smokers with periodontitis stage 3 or 4 before and after supragingival and subgingival full-mouth periodontal therapy.Methods: Standard periodontal parameters and saliva samples were collected in 12 non-smoking patients. Patients in the test group (n = 6) underwent supragingival and subgingival full-mouth periodontal therapy, and the control group (n = 6) received only supragingival full-mouth therapy. Both groups received the same oral hygiene instructions in addition to therapy. After 3 months, re-registration of periodontal parameters and re-sampling of saliva for analysis of salivary CRP were done for both groups.Results: Statistical analysis revealed large differences in the values of clinical periodontal parameters and CRP levels in the test group after therapy. Values of salivary CRP in the test and control groups were lower 3 months the therapy; however, the results were not statistically significant. The correlation of clinical periodontal parameters and salivary CRP varied in both groups.Conclusion: Our pilot study reveals decreased concentrations of salivary C-reactive protein in non-smoking patients following non-surgical periodontal therapy. Further studies are needed to prove the reliability of salivary CRP as a biomarker for periodontitis.

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Efficacy of nano-carbonate apatite dentifrice in relief from dentin hypersensitivity following non-surgical periodontal therapy: A randomized controlled trial

10.21203/rs.2.16742/v1 ◽

2019 ◽

Author(s):

Pei-Hui Ding ◽

Anna Dai ◽

Hua-Jiao Hu ◽

Jia-Ping Huang ◽

Jia-Mei Liu ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Controlled Trial ◽

Test Group ◽

Periodontal Therapy ◽

Control Group ◽

Carbonate Apatite ◽

Dentine Hypersensitivity ◽

Randomized Controlled ◽

At Home

Abstract Background: Dentine hypersensitivity (DH) could occur or intensify after non-surgical periodontal therapy because of the exposure of dentine tubules. It has been demonstrated that nano-sized particles could seal these the dentine tubules. This randomized controlled trial aimed to investigate the efficacy of dentifrice containing nano-carbonate apatite (n-CAP) in reducing dentine hypersensitivity (DH) after non-surgical periodontal therapy. Methods: 48 periodontitis patients with DH were included in this clinical trial. After non-surgical periodontal therapy, patients included were randomized to test and control group and the respective dentifrices were applied at chairside, after which they were instructed to brush teeth with the allocated dentifrices twice a day at home. Periodontal parameters were recorded at baseline and the last follow-up. DH was measured by air-blast test and recorded by visual analogue scale (VAS) and Schiff sensitivity scale at baseline, after polishing (0 week) and 2/4/6 weeks. Results: 45 participants completed the follow-up. Periodontal parameters were improved and comparable between groups. Significant reduction in DH was observed in both groups at all time-points compared to baseline in terms of VAS and Schiff score. The test group achieved significantly greater relief from hypersensitivity compared with the control group after 4-week at-home use (for VAS, test group: 0.66 ± 0.68 versus control group: 0.84 ± 0.78, p = 0.005; for Schiff score, test group: 0.69 ± 0.71 versus control group: 0.97 ± 0.77, p < 0.001). Conclusions: Home-use of n-CAP based dentifrice provided a significantly better alleviation of DH following non-surgical periodontal therapy after 4 weeks compared to the control product. Trail registration: Chinese Clinical Trials Registry (No. ChiCTR-IPR-17011678, http://www.chictr.org.cn/, registered 16 June, 2017)

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Efficacy of Subgingival Air Polishing in Patients with Aggressive Periodontitis

Balkan Journal of Dental Medicine ◽

10.1515/bjdm-2016-0024 ◽

2016 ◽

Vol 20 (3) ◽

pp. 149-154

Author(s):

N. Trtić ◽

A. Bošnjak ◽

R. Arbutina ◽

Ž. Kojić ◽

V. Veselinović

Keyword(s):

Soft Tissue ◽

Alveolar Bone ◽

Test Group ◽

Aggressive Periodontitis ◽

Root Surface ◽

Control Group ◽

Periodontal Tissue ◽

Air Polishing ◽

Short Period ◽

And Control

Summary Background: Aggressive periodontitis is one of the most severe forms of periodontal disease, resulting in the destruction of junctional epithelium and alveolar bone around teeth in a very short period of time. The early diagnosis of aggressive periodontitis and timely therapy is of outmost importance in controlling the progress of the disease.Application of the techniques of subgingival air polishing of periodontal pockets (pflow) with glycine powder has contributed to reduce damage to the root surface of the teeth and surrounding soft tissue.Aim: The goal of this paper was to determine the effectiveness of two different types of subgingival air polishing therapy for the periodontal tissue status at the patients with aggressive periodontitis.Methods and materials: the study included 46 patients of both sexes diagnosed with aggressive peridontitis. The patients were divided into two groups: test group (PFLOW), and control group (sonic SRP). The size of the destruction of periodontal tissue was estimated by CAL and assessment of oral hygiene and gingival inflammation was performed using FMPS and FMBS.Results: Monitored indexes values in both groups were reduced.Conclusion: Subgingival air polishing showed equally good results as the SRP, while pflow was more advantageous with respect to patients acceptability, time usability and safety for the soft tissue.

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Wenxin Keli versus Sotalol for Paroxysmal Atrial Fibrillation Caused by Hyperthyroidism: A Prospective, Open Label, and Randomized Study

Evidence-based Complementary and Alternative Medicine ◽

10.1155/2015/101904 ◽

2015 ◽

Vol 2015 ◽

pp. 1-9 ◽

Cited By ~ 7

Author(s):

Zhaowei Meng ◽

Jian Tan ◽

Qing He ◽

Mei Zhu ◽

Xue Li ◽

...

Keyword(s):

Atrial Fibrillation ◽

Paroxysmal Atrial Fibrillation ◽

Randomized Study ◽

Rank Test ◽

Antithyroid Drugs ◽

Control Group ◽

Open Label ◽

Log Rank Test ◽

And Control

We aimed to compare effectiveness of Wenxin Keli (WK) and sotalol in assisting sinus rhythm (SR) restoration from paroxysmal atrial fibrillation (PAF) caused by hyperthyroidism, as well as in maintaining SR. We randomly prescribed WK (18 g tid) or sotalol (80 mg bid) to 91 or 89 patients. Since it was not ethical not to give patients antiarrhythmia drugs, no control group was set. Antithyroid drugs were given to 90 patients (45 in WK group, 45 in sotalol group);131I was given to 90 patients (46 in WK group, 44 in sotalol group). Three months later, SR was obtained in 83/91 or 80/89 cases from WK or sotalol groups(P=0.762). By another analysis, SR was obtained in 86/90 or 77/90 cases from131I or ATD groups(P=0.022). Then, we randomly assigned the successfully SR-reverted patients into three groups: WK, sotalol, and control (no antiarrhythmia drug was given) groups. After twelve-month follow-up, PAF recurrence happened in 1/54, 2/54, and 9/55 cases, respectively. Log-Rank test showed significant higher PAF recurrent rate in control patients than either treatment(P=0.06). We demonstrated the same efficacies of WK and sotalol to assist SR reversion from hyperthyroidism-caused PAF. We also showed that either drug could maintain SR in such patients.

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Effects of Nonsurgical Periodontal Therapy on Clinical Response, Microbiological Profile, and Glycemic Control in Malaysian Subjects with Type 1 Diabetes

The Scientific World JOURNAL ◽

10.1155/2014/232535 ◽

2014 ◽

Vol 2014 ◽

pp. 1-7 ◽

Cited By ~ 2

Author(s):

Samira Mukhtar Buzinin ◽

Aied Mohammed Alabsi ◽

Alexander Tong Boon Tan ◽

Vui King Vincent-Chong ◽

Dasan Swaminathan

Keyword(s):

Diabetes Mellitus ◽

Type 1 Diabetes ◽

Periodontal Disease ◽

Test Group ◽

Periodontal Therapy ◽

Control Group ◽

Chronic Periodontal Disease ◽

Nonsurgical Periodontal Therapy ◽

Significant Difference

The association between diabetes mellitus and chronic periodontal disease has long been established. Most of the researches linking these two very common chronic diseases were based on type 2 diabetes mellitus and chronic periodontal disease. However, this study was conducted to investigate the association between type 1 diabetes and chronic periodontal disease in Malaysian subjects. Forty-one Malaysian subjects, of which 20 subjects were type 1 diabetics and with chronic periodontal disease (test group) and 21 subjects with only chronic periodontal disease (control group), were included in the study. Periodontal parameters and plaque samples for microbiological evaluation were done at baseline, 2 and 3 months after nonsurgical periodontal therapy. Blood samples were taken from only the test group and evaluated for HbA1c at baseline and 3 months after periodontal therapy. There were no statistically significant difference in periodontal parameters between groups (P>0.05) and no significant improvement in the level of HbA1c in the test group. Microbiological studies indicated that there were significant reductions in the levels of the tested pathogens in both groups. The results of our study were similar to the findings of several other studies that had been done previously.

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Efficacy of nano-carbonate apatite dentifrice in relief from dentin hypersensitivity following non-surgical periodontal therapy: A randomized controlled trial

10.21203/rs.2.16742/v2 ◽

2020 ◽

Author(s):

Pei-Hui Ding ◽

Anna Dai ◽

Hua-Jiao Hu ◽

Jia-Ping Huang ◽

Jia-Mei Liu ◽

...

Keyword(s):

Randomized Controlled Trial ◽

Controlled Trial ◽

Test Group ◽

Periodontal Therapy ◽

Control Group ◽

Dentin Hypersensitivity ◽

Carbonate Apatite ◽

Dentine Hypersensitivity ◽

Randomized Controlled

Abstract Background: Dentine hypersensitivity (DH) could occur or intensify after non-surgical periodontal therapy because of the exposure of dentine tubules, but currently no gold standard exists to treat DH. It has been demonstrated that nano-sized particles presented potential for dentine tubules blocking and remineralization. This randomized controlled trial aimed to investigate the efficacy of dentifrice containing nano-carbonate apatite (n-CAP) in reducing dentine hypersensitivity (DH) after non-surgical periodontal therapy. Methods: 48 periodontitis patients with DH were included in this clinical trial. After non-surgical periodontal therapy, patients included were randomized to test and control group and the respective dentifrices were applied at chairside, after which they were instructed to brush teeth with the allocated dentifrices twice a day at home. Periodontal parameters were recorded at baseline and the last follow-up. DH was measured by air-blast test and recorded by visual analogue scale (VAS) and Schiff sensitivity scale at baseline, after polishing (0 week) and 2/4/6 weeks. Results: 45 participants completed the follow-up. Periodontal parameters were improved and comparable between groups. Significant reduction in DH was observed in both groups at all time-points compared to baseline in terms of VAS and Schiff score. The test group achieved significantly greater relief from hypersensitivity compared with the control group after 4-week at-home use (for change of VAS, test group: 2.27 ± 2.47 versus control group: 1.68 ± 2.24, p = 0.036; for change of Schiff, test group: 0.94 ± 0.92 versus control group: 0.61 ± 0.83, p < 0.001). The 6-week results showed borderline significance between groups in terms of change of Schiff (p = 0.027) and no significance in terms of change of VAS (p = 0.256). Conclusions: Home-use of n-CAP based dentifrice had some benefit on alleviation of DH following non-surgical periodontal therapy after 4 weeks compared to the control product. Trial registration: Chinese Clinical Trials Registry (No. ChiCTR-IPR-17011678, http://www.chictr.org.cn/, registered 16 June, 2017) Keywords: dentin hypersensitivity; dentifrices; randomized controlled trial; periodontitis

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Comparison of two treatment modalities for treatment of dentinal hypersensitivity following periodontal therapy.

Journal of Indian Dental Association ◽

10.33882/jida.13.6.24784 ◽

2019 ◽

pp. 14-21

Author(s):

Kevin Saraiya ◽

Deepk Dave ◽

Kesha Vaghani

Keyword(s):

Cold Water ◽

Test Group ◽

Periodontal Therapy ◽

Treatment Modalities ◽

Control Group ◽

Group Comparison ◽

Air Blast ◽

Vas Score ◽

Dentinal Hypersensitivity

Brief Background To evaluate and compare efficacy of 1.23% Acidulated Phosphate Fluoride (APF) gel with iontophoresis and topically applied calcium sodium phosphosillicate in the treatment of dentinal hypersensitivity. Materials and Methods In this clinical study, a total of 72 participants with dentinal hypersensitivity (DH) after periodontal treatment were included. 36 participants were assigned to the test group, treated with 1.23% APF gel iontophoresis and 36 participants were in the control group, treated with topical application of calcium sodium phosphosillicate. The VAS score was measured using tactile, air blast and cold-water test at baseline, 2 weeks and 2 months. Results Inter group comparison showed, statistically significant reduction in difference from baseline to 2 weeks follow-up and baseline to 2 months follow-up in VAS score in test group as compared to control group (p<0.001) except for difference from baseline to 2 weeks in air blast test where test and control group showed same reduction. Difference from 2 weeks to 2 months showed no statistically significant reduction in both groups. Intra group comparison showed, statistically significant reduction in baseline to 2 weeks and baseline to 2 months in both groups and from 2 weeks to 2 months no statistically significant reduction in VAS score in both groups. Summary and Conclusions Within the limitation of the study, it can be concluded that iontophoresis with 1.23% APF gel is more effective. Key Words: 1.23 % APF gel;Calcium Sodium Phosphosilicate;Chronic periodontitis; Dentinal hypersensitivity, Periodontal therapy; VAS score

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Comparative Analysis of the Therapeutic Effect of Disinfectant and Non-disinfectant on the Separation of the Labia Minora in Infants

Journal of Clinical and Nursing Research ◽

10.26689/jcnr.v5i6.2720 ◽

2021 ◽

Vol 5 (6) ◽

pp. 159-165

Author(s):

Qiqi Chen ◽

Guangyan Lin ◽

Jun Xiong ◽

Ping Wei

Keyword(s):

Urinary Tract Infection ◽

Urinary Tract ◽

Tract Infection ◽

Test Group ◽

Control Group ◽

Labia Minora ◽

Significant Difference ◽

And Control ◽

Experimental Group

Objective: To compare the effects of the use and non-use of a disinfectant on the outcomes of separation of the labia minora in infants. Methods: The patients were randomly divided into an experimental group with 24 cases and a control group with 25 cases. In the control group, 1% iodophor was used to clean and disinfect the large and small labia and the surrounding skin, while normal saline was used in the experimental group. Other procedures such as the surgery and nursing method were the same in both groups. Results: There were no symptoms of urinary tract infection such as redness of the vulva, swelling, pain, and abnormal urination in the test group and control group after three days of follow-up, and no recurrence was seen at one month of follow-up. There was no statistically significant difference between the two groups (P > 0.05). Conclusion: Use or non-use of a disinfectant to clean the urethral opening before separation of the labia minora has no significant effect on the outcomes, and does not cause postoperative urinary tract infection symptoms. Moreover, non-use of a disinfectant can prevent local irritation and reduce the economic burden on the patients.

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Comparative Clinical Study Using Short and Conventional Implants in Bilateral Jaw Posteriors

Brazilian Dental Journal ◽

10.1590/0103-6440202003204 ◽

2020 ◽

Vol 31 (4) ◽

pp. 368-373

Author(s):

Carlos Henrique Sardenberg Pereira ◽

Anna Carolina Britto de Macedo Sardenberg Pereira ◽

Carlos Eduardo Francischone

Keyword(s):

Test Group ◽

Clinical Results ◽

Control Group ◽

Crown Length ◽

Short Implants ◽

Comparative Clinical Study ◽

Bone Level ◽

Implant Crown ◽

And Control

Abstract The aim of this study was to clinically and radiographically compare extra short and standards implants. Forty-two implants were installed in 10 selected patients. They received prosthetic loading only after the conventional waiting time for osseointegration and the prostheses were made ferulized. Radiographic shots were performed to evaluate vertical and horizontal bone losses at times T1 (prosthetic installation), T2 (6 months follow-up) and T3 (12 months follow-up). Biological parameters such as bone level around the implants (CBL) were evaluated, CBL alteration (CBLC), total crown length (TCL) and implant/crown ratio (ICR) were digitally calculated. All implants included in the study were submitted to the analysis of the implant stability quotient (ISQ) at the time of implant installation (T0) and at 12 months of prosthetic function (T3). Data were statistically tested. The ICR was higher in the test group than in the control group (p<0.0001). The CBL measurements at the beginning of the study were 0.21±0.19 mm and 0.32±0.38 mm and at 12 months 0.65±0.24 mm and 0.87±0.34 mm, respectively in the test and control groups. CBLCs and CBL were similar at all times (p>0.05). No correlation was found between CBLC and ICR parameters, as well as between ISQ and implant length. We may conclude that standards and extra short implants can provide similar clinical results in prosthetic rehabilitation of the atrophic jaw over 12 months of follow-up.

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