Open AccessClinical and patient‐centered outcomes post non‐surgical periodontal therapy with the use of a non‐injectable anesthetic product: A randomized clinical study
Author(s) -
Marconcini Simone,
Goulding Marilyn,
Oldoini Giacomo,
Attanasio Chiara,
Giammarinaro Enrica,
Genovesi Annamaria
Publication year - 2019
Publication title -
journal of investigative and clinical dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.599
H-Index - 21
eISSN - 2041-1626
pISSN - 2041-1618
DOI - 10.1111/jicd.12446
Subject(s) - medicine , dentistry , anesthetic , oral hygiene , visual analogue scale , randomized controlled trial , chlorhexidine , clinical trial , topical anesthetic , dental prophylaxis , anesthesia , surgery
Aim The aim of this study was to determine the impact of different full‐mouth decontamination (FMD) protocols on the effectiveness of an intrapocket anesthetic gel in periodontal maintenance patients. Methods Patients undergoing the periodontal maintenance program and with the need for FMD participated in this study. Patients were randomly allocated to non‐surgical periodontal therapy (NSPT) with either a preparatory 15‐day decontamination phase, including chlorhexidine mouth rinse and domiciliary hygiene instructions (modified FMD: test group), or without it (FMD: control group). In both groups, NSPT was performed with the aid of a non‐injectable anesthetic gel. Clinical and patient‐related outcomes were recorded during a 6‐month follow‐up period. Results Sixty patients completed the 6‐month study. Both groups experienced relevant clinical improvements after NSPT, but the test group showed a significant change in periodontal parameters already after the initial 15‐day preparatory period, and overall significantly better results in periodontal outcomes when compared with the control group at the last 6‐month follow up: the gingival index was 2.07 ± 1.25 in the control group and 1.13 ± 0.51 in the test group. Less pain and dental‐related anxiety were perceived by patients in the test group showing a 6‐month mean visual analog scale of 2.13 ± 1.25 in the control group and 1.13 ± 0.83 in the test group. Conclusion The present study suggested that the modification of the standard FMD could improve the clinical efficacy of non‐injectable anesthetic, along with patients’ short‐ and mid‐term appreciation and compliance.