Applying nano-HA in addition to scaling and root planing increases clinical attachment gain
Yükleniyor...
Dosyalar
Tarih
2022
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
The Korean Academy of Periodontology
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Purpose: This study evaluated the efficacy of treating periodontitis using subgingival nano-hydroxyapatite powder with an air abrasion device (NHAPA) combined with scaling and root planing (SRP). Methods: A total of 28 patients with stage III periodontitis (grade B) were included in this study, although 1 was lost during follow-up and 3 used antibiotics. The patients were divided into a test group and a control group. All patients first received whole-mouth SRP using hand instruments, and a split-mouth approach was used for the second treatment. In the test group, the teeth were treated with NHAPA for 15 seconds at 70% power per pocket. Subgingival plaque samples were obtained from the 2 deepest pockets at the test and control sites before treatment (baseline) and 3 months after treatment. The full-mouth plaque index (PI), gingival index (GI), papillary bleeding index (PRI), bleeding on probing (BOP), probing depth (PD) and clinical attachment level (CAL) were recorded at baseline and at 1- and 3-month post-treatment. Real-time polymerase chain reaction was used to determine the colonisation of Treponema denticola (Td), Porphyromonas,gingivalis(Pg), and Aggrega Odder actinomycelemcomitans in the subgingival plaque. Results: From baseline to the first month, the test group showed significantly larger changes in BOP and CAL (43.705%+/- 27.495% and 1.160 +/- 0.747 mm, respectively) than the control group (36.311%+/- 27.599% and 0.947 +/- 0.635 mm, respectively). Periodontal parameters had improved in both groups at 3 months. The reductions of PI, GI, BOP, PD, and CAL in the test group at 3 months were greater and statistically significant. The total bacterial count and Td and Pg species had decreased significantly by the third month in both groups (P<0.05). Conclusions: Applying NHAPA in addition to SRP improves clinical periodontal parameters more than SRP alone. Subgingival NHAPA may encourage clot adhesion to tooth surfaces by increasing surface wettability.
Açıklama
This study was supported by Bolu Abant Izzet Baysal University Scientific Research Center (Project No. 2020.06.05.1443).
Anahtar Kelimeler
Anaerobic Bacteria, Hydroxyapatites, Periodontal Debridement, Subgingival Plaque Removal, Chronic Periodontitis, Nonsurgical Treatment
Kaynak
Jorunal of Periodontal and Implant Science
WoS Q Değeri
Q4
Scopus Q Değeri
Q3
Cilt
52
Sayı
2
Künye
Uysal, Ö., Ustaoğlu, G., Behçet, M., Albayrak, Ö., & Tunalı, M. (2022). Applying nano-HA in addition to scaling and root planing increases clinical attachment gain. Journal of Periodontal & Implant Science, 52(2), 116.
