The Use of a Disclosing Agent During Resective Periodontal Surgery for Improved Removal of Biofilm

A total removal of the bacterial deposits is one of the main challenges of periodontal therapy. A surgical approach is sometimes required in order to allow a correct access to the areas not thoroughly reached during the initial therapy. The present study focuses on the surgical scaling effectiveness...

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Autores principales: Montevecchi, Marco, Checchi, Vittorio, Gatto, Maria Rosaria, Klein, Sascha, Checchi, Luigi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Bentham Open 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3282890/
https://www.ncbi.nlm.nih.gov/pubmed/22371815
http://dx.doi.org/10.2174/1874210601206010046
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author Montevecchi, Marco
Checchi, Vittorio
Gatto, Maria Rosaria
Klein, Sascha
Checchi, Luigi
author_facet Montevecchi, Marco
Checchi, Vittorio
Gatto, Maria Rosaria
Klein, Sascha
Checchi, Luigi
author_sort Montevecchi, Marco
collection PubMed
description A total removal of the bacterial deposits is one of the main challenges of periodontal therapy. A surgical approach is sometimes required in order to allow a correct access to the areas not thoroughly reached during the initial therapy. The present study focuses on the surgical scaling effectiveness in root deposits removal; the potential support of a disclosing agent during this procedure is also evaluated. Forty surgical periodontal patients were randomly divided between surgeries where the operator was informed about a final examination of the residual root deposits and surgeries where the operator was not informed. Straight after scaling procedures a supervisor recorded the O’Leary Plaque Index of the exposed roots by mean of a disclosing agent and the percentage of teeth with residual biofilm. After the stained deposits removal, a second chromatic examination was performed and new data were collected. Mann-Whitney U-test and Wilcoxon test for paired samples were used for comparisons respectively between the two surgery groups and the first and the second chromatic examination; one-sided p-value was set at 0.05. At first examination no significant differences between the two groups were observed regarding Plaque Index (p=0.24) and percentages of teeth with residual biofilm (p=0.07). The 100% removal of roots deposits was never achieved during the study but a significant reduction of 80% of root deposits was observed between first and second examination (p=0.0001). Since root deposits removal during periodontal surgery resulted always suboptimal, the use of a disclosing agent during this procedure could be a useful and practical aid.
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spelling pubmed-32828902012-02-27 The Use of a Disclosing Agent During Resective Periodontal Surgery for Improved Removal of Biofilm Montevecchi, Marco Checchi, Vittorio Gatto, Maria Rosaria Klein, Sascha Checchi, Luigi Open Dent J Article A total removal of the bacterial deposits is one of the main challenges of periodontal therapy. A surgical approach is sometimes required in order to allow a correct access to the areas not thoroughly reached during the initial therapy. The present study focuses on the surgical scaling effectiveness in root deposits removal; the potential support of a disclosing agent during this procedure is also evaluated. Forty surgical periodontal patients were randomly divided between surgeries where the operator was informed about a final examination of the residual root deposits and surgeries where the operator was not informed. Straight after scaling procedures a supervisor recorded the O’Leary Plaque Index of the exposed roots by mean of a disclosing agent and the percentage of teeth with residual biofilm. After the stained deposits removal, a second chromatic examination was performed and new data were collected. Mann-Whitney U-test and Wilcoxon test for paired samples were used for comparisons respectively between the two surgery groups and the first and the second chromatic examination; one-sided p-value was set at 0.05. At first examination no significant differences between the two groups were observed regarding Plaque Index (p=0.24) and percentages of teeth with residual biofilm (p=0.07). The 100% removal of roots deposits was never achieved during the study but a significant reduction of 80% of root deposits was observed between first and second examination (p=0.0001). Since root deposits removal during periodontal surgery resulted always suboptimal, the use of a disclosing agent during this procedure could be a useful and practical aid. Bentham Open 2012-02-06 /pmc/articles/PMC3282890/ /pubmed/22371815 http://dx.doi.org/10.2174/1874210601206010046 Text en © Montevecchi et al.; Licensee Bentham Open. http://creativecommons.org/licenses/by-nc/3.0/ This is an open access article licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
spellingShingle Article
Montevecchi, Marco
Checchi, Vittorio
Gatto, Maria Rosaria
Klein, Sascha
Checchi, Luigi
The Use of a Disclosing Agent During Resective Periodontal Surgery for Improved Removal of Biofilm
title The Use of a Disclosing Agent During Resective Periodontal Surgery for Improved Removal of Biofilm
title_full The Use of a Disclosing Agent During Resective Periodontal Surgery for Improved Removal of Biofilm
title_fullStr The Use of a Disclosing Agent During Resective Periodontal Surgery for Improved Removal of Biofilm
title_full_unstemmed The Use of a Disclosing Agent During Resective Periodontal Surgery for Improved Removal of Biofilm
title_short The Use of a Disclosing Agent During Resective Periodontal Surgery for Improved Removal of Biofilm
title_sort use of a disclosing agent during resective periodontal surgery for improved removal of biofilm
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3282890/
https://www.ncbi.nlm.nih.gov/pubmed/22371815
http://dx.doi.org/10.2174/1874210601206010046
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