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Relative Influence of Scaling and Root Planing and Occlusal Adjustment on Sulcular Fluid Flow
Author(s) -
Hakkarainen Kristiina
Publication year - 1986
Publication title -
journal of periodontology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.036
H-Index - 156
eISSN - 1943-3670
pISSN - 0022-3492
DOI - 10.1902/jop.1986.57.11.681
Subject(s) - dentistry , scaling and root planing , medicine , orthodontics , gingival and periodontal pocket , oral hygiene , molar , periodontitis , chronic periodontitis
The aim of the investigation was to clarify the effects of the resolving of inflammation on one hand and the removal of occlusal trauma on the other hand on the rate of sulcular fluid flow (SFF) from deep periodontal pockets. Forty‐seven adult patients having at least one tooth with an inflamed >5 mm periodontal pocket and elevated mobility associated with occlusal trauma were selected for the study. After oral hygiene instruction and supragingival scaling, the rate of sulcular fluid flow of the test teeth was recorded on Day 0. After the baseline recording, each patient was randomly assigned to either Group A or Group B. The test teeth of Group A were subjected to subgingival scaling and root planing under local anesthesia, and the test teeth of Group B were subjected to occlusal adjustment. On Day 14 sulcular fluid flow was recorded for both groups, after which Group A received occlusal adjustment and group B received scaling and root planing. On Day 28 the sulcular fluid flow recordings were repeated for both groups. The mean flow rates of both Group A and Group B decreased significantly ( P < 0.05) from Day 0 to Day 28. When the occlusal interference was eliminated 2 weeks after scaling and root planing (Group A), no additional decrease in sulcular fluid flow was observed. When the occlusal interference was eliminated before scaling and root planing (Group B), the reduction in sulcular fluid flow remained statistically insignificant through the first 2week observation period. For the incisors and canines, a significant ( P < 0.05) reduction in SFF was measured after scaling and root planing of the occlusally adjusted teeth (Group B). It was concluded that occlusal interferences do not affect the quality of sulcular fluid flow.