Influence of Tooth-Brushing on Early Healing after Access Flap Surgery: A Randomized Controlled Preliminary Study
In the present study, the clinical outcomes obtained using three different protocols of post-operative plaque control for the 4 weeks after surgery were compared. Thirty healthy subjects, presenting at least one periodontal pocket requiring resective surgery, were selected and randomly distributed t...
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doaj-3789e23ccc8f4e70af5b5c5fe3a670922021-06-01T01:35:09ZengMDPI AGMaterials1996-19442021-05-01142933293310.3390/ma14112933Influence of Tooth-Brushing on Early Healing after Access Flap Surgery: A Randomized Controlled Preliminary StudyCarlo Bertoldi0Luigi Generali1Pierpaolo Cortellini2Michele Lalla3Sofia Luppi4Aldo Tomasi5Davide Zaffe6Roberta Salvatori7Stefania Bergamini8Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance, University of Modena and Reggio Emilia, 41124 Modena, ItalyDepartment of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance, University of Modena and Reggio Emilia, 41124 Modena, ItalyThe European Research Group on Periodontology (ERGOPerio), 3855 Brienz-Bern, SwitzerlandDepartment of Economics Marco Biagi, University of Modena and Reggio Emilia, 41121 Modena, ItalyIndependent Researcher, 41124 Modena, ItalyDepartment of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance, University of Modena and Reggio Emilia, 41124 Modena, ItalyDepartment of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, 41125 Modena, ItalyBiomaterials Laboratory, Department of Medical and Surgical Sciences of Children and Adults, University of Modena and Reggio Emilia, 41124 Modena, ItalyDepartment of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance, University of Modena and Reggio Emilia, 41124 Modena, ItalyIn the present study, the clinical outcomes obtained using three different protocols of post-operative plaque control for the 4 weeks after surgery were compared. Thirty healthy subjects, presenting at least one periodontal pocket requiring resective surgery, were selected and randomly distributed to three different groups corresponding to respective post-surgical protocols: (A) toothbrushes + chlorhexidine + anti-discoloration system (ADS + CHX); (B) toothbrushes + chlorhexidine (CHX); (C) only toothbrushes. The full-mouth plaque score (FMPS), full-mouth bleeding score (FMBS), probing pocket depth (PPD), recession depth (REC), clinical attachment level (CAL), and bleeding on probing (BoP) were measured in six aspects per tooth (mesio-buccal (MB), buccal (B), disto-buccal (DB), disto-lingual (DL), lingual (L), and mesio-lingual (ML)) at baseline, 3 months, and 6 months after surgery. FMPS and FMBS did not significantly change (<i>p</i> > 0.05), whereas PPD and CAL significantly decreased, and REC significantly increased in all groups during the study (<i>p</i> < 0.05). Clinical results were satisfactory in all cases, with no significant differences between groups 3 months after surgery. Six months after surgery, only PPD-MB was significantly different in the three groups (<i>p</i> < 0.05). Nevertheless, this value was not clinically relevant because the value of PPD-B (about 2 mm) in group C was physiologic. The mechanical plaque control was proven to be fundamental and sufficient in all the six aspects per tooth to guarantee an excellent clinical outcome without the need of chemical plaque control.https://www.mdpi.com/1996-1944/14/11/2933periodontal supportive therapychlorhexidineoral ecosystemchemical plaque controlmechanical plaque controlperiodontal index |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Carlo Bertoldi Luigi Generali Pierpaolo Cortellini Michele Lalla Sofia Luppi Aldo Tomasi Davide Zaffe Roberta Salvatori Stefania Bergamini |
spellingShingle |
Carlo Bertoldi Luigi Generali Pierpaolo Cortellini Michele Lalla Sofia Luppi Aldo Tomasi Davide Zaffe Roberta Salvatori Stefania Bergamini Influence of Tooth-Brushing on Early Healing after Access Flap Surgery: A Randomized Controlled Preliminary Study Materials periodontal supportive therapy chlorhexidine oral ecosystem chemical plaque control mechanical plaque control periodontal index |
author_facet |
Carlo Bertoldi Luigi Generali Pierpaolo Cortellini Michele Lalla Sofia Luppi Aldo Tomasi Davide Zaffe Roberta Salvatori Stefania Bergamini |
author_sort |
Carlo Bertoldi |
title |
Influence of Tooth-Brushing on Early Healing after Access Flap Surgery: A Randomized Controlled Preliminary Study |
title_short |
Influence of Tooth-Brushing on Early Healing after Access Flap Surgery: A Randomized Controlled Preliminary Study |
title_full |
Influence of Tooth-Brushing on Early Healing after Access Flap Surgery: A Randomized Controlled Preliminary Study |
title_fullStr |
Influence of Tooth-Brushing on Early Healing after Access Flap Surgery: A Randomized Controlled Preliminary Study |
title_full_unstemmed |
Influence of Tooth-Brushing on Early Healing after Access Flap Surgery: A Randomized Controlled Preliminary Study |
title_sort |
influence of tooth-brushing on early healing after access flap surgery: a randomized controlled preliminary study |
publisher |
MDPI AG |
series |
Materials |
issn |
1996-1944 |
publishDate |
2021-05-01 |
description |
In the present study, the clinical outcomes obtained using three different protocols of post-operative plaque control for the 4 weeks after surgery were compared. Thirty healthy subjects, presenting at least one periodontal pocket requiring resective surgery, were selected and randomly distributed to three different groups corresponding to respective post-surgical protocols: (A) toothbrushes + chlorhexidine + anti-discoloration system (ADS + CHX); (B) toothbrushes + chlorhexidine (CHX); (C) only toothbrushes. The full-mouth plaque score (FMPS), full-mouth bleeding score (FMBS), probing pocket depth (PPD), recession depth (REC), clinical attachment level (CAL), and bleeding on probing (BoP) were measured in six aspects per tooth (mesio-buccal (MB), buccal (B), disto-buccal (DB), disto-lingual (DL), lingual (L), and mesio-lingual (ML)) at baseline, 3 months, and 6 months after surgery. FMPS and FMBS did not significantly change (<i>p</i> > 0.05), whereas PPD and CAL significantly decreased, and REC significantly increased in all groups during the study (<i>p</i> < 0.05). Clinical results were satisfactory in all cases, with no significant differences between groups 3 months after surgery. Six months after surgery, only PPD-MB was significantly different in the three groups (<i>p</i> < 0.05). Nevertheless, this value was not clinically relevant because the value of PPD-B (about 2 mm) in group C was physiologic. The mechanical plaque control was proven to be fundamental and sufficient in all the six aspects per tooth to guarantee an excellent clinical outcome without the need of chemical plaque control. |
topic |
periodontal supportive therapy chlorhexidine oral ecosystem chemical plaque control mechanical plaque control periodontal index |
url |
https://www.mdpi.com/1996-1944/14/11/2933 |
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