Comparison of nonsurgical periodontal therapy with oral hygiene instruction alone for chronic periodontitis

We evaluated changes in clinical variables and microbiological profiles of periodontopathogens among 56 patients with moderate to severe CP who were randomly assigned to oral hygiene instruction (OHI; n = 28) or nonsurgical periodontal treatment (NSPT; n = 28). Periodontal variables were assessed an...

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Main Authors: Asad, M., Aziz, A.W.A., Raman, R.P.C., Himratul-Aznita, W.H., Ali, T.B.T., Chinna, K., Vaithilingam, R.D.
Format: Article
Language:English
Published: Nihon University School of Dentistry 2017
Subjects:
Online Access:http://eprints.um.edu.my/17150/1/59_16-0298_%281%29.pdf
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author Asad, M.
Aziz, A.W.A.
Raman, R.P.C.
Himratul-Aznita, W.H.
Ali, T.B.T.
Chinna, K.
Vaithilingam, R.D.
author_facet Asad, M.
Aziz, A.W.A.
Raman, R.P.C.
Himratul-Aznita, W.H.
Ali, T.B.T.
Chinna, K.
Vaithilingam, R.D.
author_sort Asad, M.
collection UM
description We evaluated changes in clinical variables and microbiological profiles of periodontopathogens among 56 patients with moderate to severe CP who were randomly assigned to oral hygiene instruction (OHI; n = 28) or nonsurgical periodontal treatment (NSPT; n = 28). Periodontal variables were assessed and subgingival plaque samples were obtained from deep pockets (≥5 mm) at baseline and 3 months after treatment. Real-time polymerase chain reaction was used to quantify Actinobacillus actinomycetemcomitans, Tannerella forsythia, Porphyromonas gingivalis, and Prevotella intermedia. All clinical variables significantly improved in both groups. Improvements in gingival bleeding index (GBI), probing pocket depth (PPD), and periodontal attachment loss (PAL) were significantly greater at 3 months after treatment in the NSPT group. At baseline, the prevalences of all pathogens were high. Significant reductions in microbial count were observed for A. actinomycetemcomitans and T. forsythia (P ≤ 0.05) in the NSPT group. None of the improvements in clinical variables was associated with changes in microbiological profiles. At 3 months after treatment, NSPT was associated with significantly greater improvements in GBI, PPD, and PAL as compared with OHI. A. actinomycetemcomitans and T. forsythia counts were significantly lower in the NSPT group.
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spelling um.eprints-171502017-08-25T04:40:03Z http://eprints.um.edu.my/17150/ Comparison of nonsurgical periodontal therapy with oral hygiene instruction alone for chronic periodontitis Asad, M. Aziz, A.W.A. Raman, R.P.C. Himratul-Aznita, W.H. Ali, T.B.T. Chinna, K. Vaithilingam, R.D. RK Dentistry We evaluated changes in clinical variables and microbiological profiles of periodontopathogens among 56 patients with moderate to severe CP who were randomly assigned to oral hygiene instruction (OHI; n = 28) or nonsurgical periodontal treatment (NSPT; n = 28). Periodontal variables were assessed and subgingival plaque samples were obtained from deep pockets (≥5 mm) at baseline and 3 months after treatment. Real-time polymerase chain reaction was used to quantify Actinobacillus actinomycetemcomitans, Tannerella forsythia, Porphyromonas gingivalis, and Prevotella intermedia. All clinical variables significantly improved in both groups. Improvements in gingival bleeding index (GBI), probing pocket depth (PPD), and periodontal attachment loss (PAL) were significantly greater at 3 months after treatment in the NSPT group. At baseline, the prevalences of all pathogens were high. Significant reductions in microbial count were observed for A. actinomycetemcomitans and T. forsythia (P ≤ 0.05) in the NSPT group. None of the improvements in clinical variables was associated with changes in microbiological profiles. At 3 months after treatment, NSPT was associated with significantly greater improvements in GBI, PPD, and PAL as compared with OHI. A. actinomycetemcomitans and T. forsythia counts were significantly lower in the NSPT group. Nihon University School of Dentistry 2017 Article PeerReviewed application/pdf en http://eprints.um.edu.my/17150/1/59_16-0298_%281%29.pdf Asad, M. and Aziz, A.W.A. and Raman, R.P.C. and Himratul-Aznita, W.H. and Ali, T.B.T. and Chinna, K. and Vaithilingam, R.D. (2017) Comparison of nonsurgical periodontal therapy with oral hygiene instruction alone for chronic periodontitis. Journal of Oral Science, 59 (1). pp. 111-120. ISSN 1343-4934, DOI https://doi.org/10.2334/josnusd.16-0298 <https://doi.org/10.2334/josnusd.16-0298>. https://www.jstage.jst.go.jp/article/josnusd/59/1/5916-0298/article doi: 10.2334/josnusd.16-0298
spellingShingle RK Dentistry
Asad, M.
Aziz, A.W.A.
Raman, R.P.C.
Himratul-Aznita, W.H.
Ali, T.B.T.
Chinna, K.
Vaithilingam, R.D.
Comparison of nonsurgical periodontal therapy with oral hygiene instruction alone for chronic periodontitis
title Comparison of nonsurgical periodontal therapy with oral hygiene instruction alone for chronic periodontitis
title_full Comparison of nonsurgical periodontal therapy with oral hygiene instruction alone for chronic periodontitis
title_fullStr Comparison of nonsurgical periodontal therapy with oral hygiene instruction alone for chronic periodontitis
title_full_unstemmed Comparison of nonsurgical periodontal therapy with oral hygiene instruction alone for chronic periodontitis
title_short Comparison of nonsurgical periodontal therapy with oral hygiene instruction alone for chronic periodontitis
title_sort comparison of nonsurgical periodontal therapy with oral hygiene instruction alone for chronic periodontitis
topic RK Dentistry
url http://eprints.um.edu.my/17150/1/59_16-0298_%281%29.pdf
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