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Effects of full‐mouth scaling on the periodontal health of Indigenous Australians: a randomized controlled trial
Author(s) -
Kapellas Kostas,
Do Loc G.,
Mark Bartold P.,
Skilton Michael R.,
MapleBrown Louise J.,
O'Dea Kerin,
Brown Alex,
Celermajer David S.,
Slade Gary D.,
Jamieson Lisa M.
Publication year - 2013
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/jcpe.12152
Subject(s) - randomized controlled trial , indigenous , medicine , oral health , periodontitis , dentistry , periodontal disease , scaling and root planing , chronic periodontitis , biology , ecology
Background Simplified periodontal therapy might be a pragmatic strategy for public health programmes targeting Indigenous Australian adults. The objective of this randomized controlled trial was to evaluate oral health effects of single‐visit, non‐surgical periodontal therapy compared to no treatment. Methods This parallel‐group, randomized, open label clinical trial enrolled 273 Indigenous Australians aged ≥18 years with periodontitis. Intervention participants received full‐mouth periodontal scaling and root planing during a single visit while the control group received no treatment. Endpoints were summary variables derived from clinical assessments of probing depth, clinical attachment loss, plaque, calculus and gingival bleeding before treatment and 3 months later. Results Endpoints could be calculated for 169 participants with follow‐up data. Compared to the control group, there were statistically significant reductions in extent of shallow pockets: PD ≥4 mm (mean difference −2.86, [95% CI −5.01 to −0.71], p = 0.009) and gingival bleeding (mean difference −0.25, [95% CI −0.43 to −0.08], p = 0.005) but not deeper pockets PD ≥5 mm (mean difference −0.48, [95% CI −1.78 to 0.82], p = 0.468) or plaque scores. Conclusions Periodontal therapy produced improvements in shallow periodontal pockets and measures of gingival bleeding in these Indigenous Australians.