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Antimicrobial irrigation of deep pockets to supplement oral hygiene instruction and root debridement
Author(s) -
MacAlpine Robert,
Magnusson Ingyar,
Kiger Robert,
Crigger Max,
Garrett Steven,
Egelberg Jan
Publication year - 1985
Publication title -
journal of clinical periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.456
H-Index - 151
eISSN - 1600-051X
pISSN - 0303-6979
DOI - 10.1111/j.1600-051x.1985.tb01390.x
Subject(s) - saline , chlorhexidine , debridement (dental) , medicine , gingival and periodontal pocket , dentistry , irrigation , tetracycline , therapeutic irrigation , periodontitis , surgery , antibiotics , biology , microbiology and biotechnology , agronomy
64 sites with probing pocket depth 6 mm from 11 patients were treated with plaque control instruction and one episode of root planing. Subsequently, selected sites in each patient were irrigated with either chlorhexidine, tetracycline, saline or served as non‐irrigated control sites. Irrigation immediately followed instrumentation, and was repealed every 2 weeks for 24 weeks. Healing was monitored at 8, 16, and 24 weeks clinically and at 7, 15, and 23 weeks with subgingival washings for determination of % as well as total number of spirochetes. The following changes were apparent from comparing pooled site means al 24 weeks with pre‐treatment data: (1) bleeding sites decreased from 62 of 64 sites initially to 22 of 64 at 24 weeks; (2) spirochetes decreased from 34% to 2%; (3) probing pocket depths decreased from 7.6 to 4.7 mm; (4) probing attachment levels showed a gain of 1.2 mm. The improvement of the chlorhexidine and tetracycline irrigated sites was similar to that of the saltne irrigated and non‐irrigated control sites. Thus, biweekly chlorhexidine, tetracycline or saline irrigation of deep pockets did not appear to augment the effects of non‐surgical periodontal therapy.