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Oral hygiene reinforcement in the simplified periodontal treatment of 1 hour
Author(s) -
Apatzidou Danae A.,
Zygogianni Penelope,
Sakellari Dimitra,
Konstantinidis Antonis
Publication year - 2014
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.12200
Subject(s) - medicine , treponema denticola , debridement (dental) , oral hygiene , dentistry , porphyromonas gingivalis , tannerella forsythia , dental plaque , gingivitis , bleeding on probing , chronic periodontitis , periodontitis , pathology , honeysuckle , alternative medicine , traditional chinese medicine
Aim To compare the clinical and microbiological outcome of the 1‐h ultrasonic debridement of chronic periodontitis patients ( CPP ) with and without frequent sessions of oral hygiene reinforcement. Methods Clinical measurements and subgingival plaque were collected from 44 CPP at baseline, 3‐ and 6‐months. The control group received a single session of 1‐h full‐mouth ultrasonic debridement, while oral hygiene instructions ( OHI ) were reiterated over four visits. In the test group, OHI were limited in the 1‐h treatment session. At 3‐months, both groups received additional debridement and OHI . The “Checkerboard” DNA ‐ DNA hybridization technique quantified Porphyromonas gingivalis, Tannerella forsythia and Treponema denticola in plaque. Results At three months, smaller reductions in plaque and bleeding indices, and in P. gingivalis numbers were noted in the test group, while these differences disappeared at six months. After the 3‐month re‐treatment visit, the test group presented with a greater probing pocket depth ( PPD ) reduction. Plaque negatively affected PPD in a similar manner after both treatment approaches. Conclusions Lack of oral hygiene reinforcement in the 1‐h full‐mouth debridement resulted in higher plaque and bleeding scores and numbers of P. gingivalis at three months; professional removal of dental biofilm every three months is beneficial in subjects with compromised plaque control.