Subgingival air polishing with trehalose powder during supportive periodontal therapy: use of a conical shaped tip during a randomized clinical trial
Abstract Background This study investigated clinical parameters using a new air-polishing device compared to sonic scaling for subgingival biofilm removal during supportive periodontal therapy. The aim was to evaluate noninferiority of air-polishing compared to sonic scaling in deeper periodontal po...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-03-01
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| Series: | BMC Oral Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12903-022-02109-1 |
| _version_ | 1818773664608288768 |
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| author | Anne Brigitte Kruse Benjamin Jochen Wölki Johan Peter Woelber Eberhard Frisch Kirstin Vach Petra Ratka-Krüger |
| author_facet | Anne Brigitte Kruse Benjamin Jochen Wölki Johan Peter Woelber Eberhard Frisch Kirstin Vach Petra Ratka-Krüger |
| author_sort | Anne Brigitte Kruse |
| collection | DOAJ |
| description | Abstract Background This study investigated clinical parameters using a new air-polishing device compared to sonic scaling for subgingival biofilm removal during supportive periodontal therapy. The aim was to evaluate noninferiority of air-polishing compared to sonic scaling in deeper periodontal pockets with respect to pocket depth (PD). Methods In 44 participants, 2 single-rooted teeth [(PD) ≥ 5 mm] were treated using a split-mouth design. While a new air polishing device with a conical shaped tip was used for the experimental group, sonic scaling was performed in the control group. PD, clinical attachment level (CAL), and bleeding on probing (BOP) were recorded at baseline, (T0) after 3 months (T1) and 6 months (T2). Pain perception was rated using a visual analog scale (VAS; 0 = no pain, 100 = maximum pain). Results PD and CAL decreased significantly for both groups, while no intergroup differences were found (PD [mean, mm] control T0 5.96, T2 4.75; experimental T0 5.96, T2 4.8; intergroup p = 0.998; CAL [mean, mm] control T0 7.38, T2 5.84; experimental T0 7.28, T2 6.34; intergroup p = 0.368). For BOP, no intergroup differences were found from T0 to T2 (reduction control 42.5%; experimental 46.5% p = 0.398). Pain perception was significantly lower for air polishing (VAS [mean, mm] control 28.8, experimental 12.56; p = 0.006). Conclusion None of the two treatment procedures showed inferior clinical effects with regard to PD, CAL and BOP with air polishing being more comfortable to patients. Trial registration The study was registered in an international trial register on August 14/08/2019, before the start of recruitment (German Clinical Trial Register number DRKS00017844). |
| first_indexed | 2024-12-18T10:28:51Z |
| format | Article |
| id | doaj.art-e0a2ab59723d496496676d6d5c4f5442 |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-12-18T10:28:51Z |
| publishDate | 2022-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-e0a2ab59723d496496676d6d5c4f54422022-12-21T21:10:56ZengBMCBMC Oral Health1472-68312022-03-0122111010.1186/s12903-022-02109-1Subgingival air polishing with trehalose powder during supportive periodontal therapy: use of a conical shaped tip during a randomized clinical trialAnne Brigitte Kruse0Benjamin Jochen Wölki1Johan Peter Woelber2Eberhard Frisch3Kirstin Vach4Petra Ratka-Krüger5Faculty of Medicine and Medical Center, Department of Operative Dentistry and Periodontology, University of FreiburgFaculty of Medicine and Medical Center, Department of Operative Dentistry and Periodontology, University of FreiburgFaculty of Medicine and Medical Center, Department of Operative Dentistry and Periodontology, University of FreiburgFaculty of Medicine and Medical Center, Department of Operative Dentistry and Periodontology, University of FreiburgFaculty of Medicine and Medical Center, Institute of Medical Biometry and Statistics, University of FreiburgFaculty of Medicine and Medical Center, Department of Operative Dentistry and Periodontology, University of FreiburgAbstract Background This study investigated clinical parameters using a new air-polishing device compared to sonic scaling for subgingival biofilm removal during supportive periodontal therapy. The aim was to evaluate noninferiority of air-polishing compared to sonic scaling in deeper periodontal pockets with respect to pocket depth (PD). Methods In 44 participants, 2 single-rooted teeth [(PD) ≥ 5 mm] were treated using a split-mouth design. While a new air polishing device with a conical shaped tip was used for the experimental group, sonic scaling was performed in the control group. PD, clinical attachment level (CAL), and bleeding on probing (BOP) were recorded at baseline, (T0) after 3 months (T1) and 6 months (T2). Pain perception was rated using a visual analog scale (VAS; 0 = no pain, 100 = maximum pain). Results PD and CAL decreased significantly for both groups, while no intergroup differences were found (PD [mean, mm] control T0 5.96, T2 4.75; experimental T0 5.96, T2 4.8; intergroup p = 0.998; CAL [mean, mm] control T0 7.38, T2 5.84; experimental T0 7.28, T2 6.34; intergroup p = 0.368). For BOP, no intergroup differences were found from T0 to T2 (reduction control 42.5%; experimental 46.5% p = 0.398). Pain perception was significantly lower for air polishing (VAS [mean, mm] control 28.8, experimental 12.56; p = 0.006). Conclusion None of the two treatment procedures showed inferior clinical effects with regard to PD, CAL and BOP with air polishing being more comfortable to patients. Trial registration The study was registered in an international trial register on August 14/08/2019, before the start of recruitment (German Clinical Trial Register number DRKS00017844).https://doi.org/10.1186/s12903-022-02109-1Air polishingSubgingival biofilm removalSubgingival instrumentationSupportive periodontal therapyTrehalose |
| spellingShingle | Anne Brigitte Kruse Benjamin Jochen Wölki Johan Peter Woelber Eberhard Frisch Kirstin Vach Petra Ratka-Krüger Subgingival air polishing with trehalose powder during supportive periodontal therapy: use of a conical shaped tip during a randomized clinical trial BMC Oral Health Air polishing Subgingival biofilm removal Subgingival instrumentation Supportive periodontal therapy Trehalose |
| title | Subgingival air polishing with trehalose powder during supportive periodontal therapy: use of a conical shaped tip during a randomized clinical trial |
| title_full | Subgingival air polishing with trehalose powder during supportive periodontal therapy: use of a conical shaped tip during a randomized clinical trial |
| title_fullStr | Subgingival air polishing with trehalose powder during supportive periodontal therapy: use of a conical shaped tip during a randomized clinical trial |
| title_full_unstemmed | Subgingival air polishing with trehalose powder during supportive periodontal therapy: use of a conical shaped tip during a randomized clinical trial |
| title_short | Subgingival air polishing with trehalose powder during supportive periodontal therapy: use of a conical shaped tip during a randomized clinical trial |
| title_sort | subgingival air polishing with trehalose powder during supportive periodontal therapy use of a conical shaped tip during a randomized clinical trial |
| topic | Air polishing Subgingival biofilm removal Subgingival instrumentation Supportive periodontal therapy Trehalose |
| url | https://doi.org/10.1186/s12903-022-02109-1 |
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