Comparison between scaling-root-planing (SRP) and SRP/photodynamic therapy: six-month study

<p>Abstract</p> <p>Introduction</p> <p>The purpose of this long-term clinical study was to examine the additional efficacy of photodynamic therapy (PDT) to scaling and root planing (SRP) in patients with chronic periodontal disease.</p> <p>Methods</p>...

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Main Authors: Berakdar Mohammad, Callaway Angelika, Fakhr Eddin Mohammad, Roß Armin, Willershausen Brita
Format: Article
Language:English
Published: BMC 2012-04-01
Series:Head & Face Medicine
Subjects:
Online Access:http://www.head-face-med.com/content/8/1/12
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author Berakdar Mohammad
Callaway Angelika
Fakhr Eddin Mohammad
Roß Armin
Willershausen Brita
author_facet Berakdar Mohammad
Callaway Angelika
Fakhr Eddin Mohammad
Roß Armin
Willershausen Brita
author_sort Berakdar Mohammad
collection DOAJ
description <p>Abstract</p> <p>Introduction</p> <p>The purpose of this long-term clinical study was to examine the additional efficacy of photodynamic therapy (PDT) to scaling and root planing (SRP) in patients with chronic periodontal disease.</p> <p>Methods</p> <p>A total of 22 patients (mean age: 59.3 ± 11.7 years) with chronic periodontal disease and four teeth with probing depth ≥ 5 mm were enrolled in the study. Inclusion criteria were: no systemic disease, no smoking, no pregnancy and no long-term medication. Beside the anamnesis, the following clinical parameters were assessed at baseline (one week before therapy), and one, three and six months after the therapy: bleeding on probing (BOP), plaque index (PI) probing depth (PD), and clinical attachment loss. All measurements were done by the same examiner with a fixed periodontal probe (PCP 12, Hu-Friedy) at six measurements/tooth. In each patient, two teeth were treated with SRP alone and two teeth with SRP and PDT (Periowave, Ondine Biopharma, Vancouver, Canada). The nonparametric Wilcoxon test for paired samples was used for comparison of the effect of the two treatments (p ≤ 0.05).</p> <p>Results</p> <p>After both types of treatment, the number of teeth positive for BOP declined. At baseline, the CAL measured 7.2 ± 1.2 mm (SRP) or 8.1 ± 1.3 mm (SRP/PDT); one, three and six months after both types of treatment an improvement was observed. At baseline, the probing depth was 5.9 ± 0.8 mm (SRP) or 6.4 ± 0.8 mm (SRP/PDT); after six months, an improvement of 2.4 ± 0.6 mm (SRP) or 2.9 ± 0.8 mm (SRP/PDT) was found. The greater reduction of the PD, achieved by a combination of SRP/PDT, was statistically significant after six months (p = 0.007).</p> <p>Conclusion</p> <p>This clinical study demonstrates that SRP in combination with PDT seems to be effective and is therefore suitable as an adjuvant therapy to the mechanical conditioning of the periodontal pockets in patients with chronic periodontal diseases.</p>
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spelling doaj.art-66997e6db64947d280a2253a59d1f32d2022-12-21T21:19:53ZengBMCHead & Face Medicine1746-160X2012-04-01811210.1186/1746-160X-8-12Comparison between scaling-root-planing (SRP) and SRP/photodynamic therapy: six-month studyBerakdar MohammadCallaway AngelikaFakhr Eddin MohammadRoß ArminWillershausen Brita<p>Abstract</p> <p>Introduction</p> <p>The purpose of this long-term clinical study was to examine the additional efficacy of photodynamic therapy (PDT) to scaling and root planing (SRP) in patients with chronic periodontal disease.</p> <p>Methods</p> <p>A total of 22 patients (mean age: 59.3 ± 11.7 years) with chronic periodontal disease and four teeth with probing depth ≥ 5 mm were enrolled in the study. Inclusion criteria were: no systemic disease, no smoking, no pregnancy and no long-term medication. Beside the anamnesis, the following clinical parameters were assessed at baseline (one week before therapy), and one, three and six months after the therapy: bleeding on probing (BOP), plaque index (PI) probing depth (PD), and clinical attachment loss. All measurements were done by the same examiner with a fixed periodontal probe (PCP 12, Hu-Friedy) at six measurements/tooth. In each patient, two teeth were treated with SRP alone and two teeth with SRP and PDT (Periowave, Ondine Biopharma, Vancouver, Canada). The nonparametric Wilcoxon test for paired samples was used for comparison of the effect of the two treatments (p ≤ 0.05).</p> <p>Results</p> <p>After both types of treatment, the number of teeth positive for BOP declined. At baseline, the CAL measured 7.2 ± 1.2 mm (SRP) or 8.1 ± 1.3 mm (SRP/PDT); one, three and six months after both types of treatment an improvement was observed. At baseline, the probing depth was 5.9 ± 0.8 mm (SRP) or 6.4 ± 0.8 mm (SRP/PDT); after six months, an improvement of 2.4 ± 0.6 mm (SRP) or 2.9 ± 0.8 mm (SRP/PDT) was found. The greater reduction of the PD, achieved by a combination of SRP/PDT, was statistically significant after six months (p = 0.007).</p> <p>Conclusion</p> <p>This clinical study demonstrates that SRP in combination with PDT seems to be effective and is therefore suitable as an adjuvant therapy to the mechanical conditioning of the periodontal pockets in patients with chronic periodontal diseases.</p>http://www.head-face-med.com/content/8/1/12Chronic periodontitisSplit mouth designPhotodynamic therapyScaling and root planing
spellingShingle Berakdar Mohammad
Callaway Angelika
Fakhr Eddin Mohammad
Roß Armin
Willershausen Brita
Comparison between scaling-root-planing (SRP) and SRP/photodynamic therapy: six-month study
Head & Face Medicine
Chronic periodontitis
Split mouth design
Photodynamic therapy
Scaling and root planing
title Comparison between scaling-root-planing (SRP) and SRP/photodynamic therapy: six-month study
title_full Comparison between scaling-root-planing (SRP) and SRP/photodynamic therapy: six-month study
title_fullStr Comparison between scaling-root-planing (SRP) and SRP/photodynamic therapy: six-month study
title_full_unstemmed Comparison between scaling-root-planing (SRP) and SRP/photodynamic therapy: six-month study
title_short Comparison between scaling-root-planing (SRP) and SRP/photodynamic therapy: six-month study
title_sort comparison between scaling root planing srp and srp photodynamic therapy six month study
topic Chronic periodontitis
Split mouth design
Photodynamic therapy
Scaling and root planing
url http://www.head-face-med.com/content/8/1/12
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