Airflowing as an adjunctive treatment for periodontitis: A randomized controlled trial.

IF 4.2 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of periodontology Pub Date : 2024-06-03 DOI:10.1002/JPER.24-0099
Salem Alsuwaidi, Aisha Almatrooshi, Maanas Shah, Abeer Hakam, Andrew Tawse-Smith, Nabeel H M Alsabeeha, Momen A Atieh
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Abstract

Backgound: The aim of this randomized controlled trial was to assess clinical and patient-reported outcomes of subgingival instrumentation (SI) with adjunctive use of erythritol airflowing (EAF) compared to SI alone in the treatment of periodontitis.

Methods: Twenty-six participants with Stage III/IV periodontitis requiring nonsurgical periodontal treatment were randomly allocated into two treatment groups: SI with EAF or SI alone. Clinical parameters of percentage of probing pocket depths (PPDs) of ≥5 mm, full mouth bleeding and plaque scores (FMBS and FMPS), and PPD values were recorded at baseline, and at 3 and 6 months posttreatment. A visual analogue scale was used to evaluate postoperative participants' perception of pain, swelling, bleeding, bruising, and root sensitivity. The impact of periodontal treatment on quality of life was assessed using the General Oral Health Assessment Index (GOHAI) at six months.

Results: A total of 26 participants with Stage III/IV periodontitis completed the 6-month follow-up. SI with or without EAF resulted in a statistically significant reductions in the FMBS, FMPS, PPDs, and percentage of PPDs of ≥5 mm at the 3- and 6-month follow-up visits. There was no statistically significant difference between the two treatment groups for any time interval. Participants receiving SI/EAF exhibited a higher reduction in FMBS compared to those in SI alone group at 3 (SI/EAF: 19.4 ± 11.9, SI alone: 30.1 ± 20.5; P = 0.12) and 6 months (SI/EAF: 14.3 ± 9.6, SI alone: 24.5 ± 18.2; P = 0.09). A lower percentage of sites with deep PPDs (≥5 mm) was also noted amongst participants in the SI/EAF group compared to SI alone at 3 months (SI/EAF: 14.3 ± 14.1, SI alone: 19.2 ± 20.3; P = 0.48) and 6 months (SI/EAF: 8.3 ± 10.0, SI alone: 15.4 ± 17.4; P = 0.22). Patient-reported outcomes showed no significant differences between the two treatment groups, except in the psychosocial domain of the GOHAI at 6 months favoring the SI/EAF group (P = 0.03).

Conclusions: Within the limitations of the study, the adjunctive use of EAF in addition to SI in the treatment of Stage III/IV periodontitis did not result in a significant improvement in clinical parameters. Limited improvement in the QoL with EAF could be achieved.

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气流作为牙周炎的辅助治疗方法:随机对照试验
背景:这项随机对照试验的目的是评估龈下器械治疗(SI)与单独使用赤藓糖醇气流(EAF)治疗牙周炎相比的临床和患者报告结果:26名患有III/IV期牙周炎、需要进行非手术牙周治疗的患者被随机分配到两个治疗组:SI联合EAF或单独SI。在基线、治疗后 3 个月和 6 个月记录探诊袋深度(PPD)≥5 毫米的百分比、全口出血和牙菌斑评分(FMBS 和 FMPS)以及 PPD 值等临床参数。采用视觉模拟量表评估术后参与者对疼痛、肿胀、出血、瘀伤和牙根敏感性的感受。使用口腔健康综合评估指数(GOHAI)评估牙周治疗对6个月后生活质量的影响:共有 26 名 III/IV 期牙周炎患者完成了为期 6 个月的随访。在 3 个月和 6 个月的随访中,无论是否使用 EAF,SI 都能显著降低 FMBS、FMPS、PPD 和 PPD ≥5 mm 的百分比。在任何时间间隔内,两个治疗组之间的差异均无统计学意义。在 3 个月(SI/EAF:19.4 ± 11.9,单用 SI:30.1 ± 20.5;P = 0.12)和 6 个月(SI/EAF:14.3 ± 9.6,单用 SI:24.5 ± 18.2;P = 0.09)时,接受 SI/EAF 治疗的参与者与单用 SI 治疗组的参与者相比,FMBS 的减少幅度更大。在 3 个月时(SI/EAF:14.3 ± 14.1,SI 单独:19.2 ± 20.3;P = 0.48)和 6 个月时(SI/EAF:8.3 ± 10.0,SI 单独:15.4 ± 17.4;P = 0.22),SI/EAF 组与 SI 单独组相比,深部 PPD(≥5 mm)的部位比例也较低。患者报告的结果显示,除了在6个月时GOHAI的心理社会领域有利于SI/EAF组(P = 0.03)外,两个治疗组之间没有显著差异:在研究的局限性范围内,在治疗III/IV期牙周炎时,除SI外辅助使用EAF并不能显著改善临床参数。在使用 EAF 的同时,患者的生活质量也得到了有限的改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of periodontology
Journal of periodontology 医学-牙科与口腔外科
CiteScore
9.10
自引率
7.00%
发文量
290
审稿时长
3-8 weeks
期刊介绍: The Journal of Periodontology publishes articles relevant to the science and practice of periodontics and related areas.
期刊最新文献
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