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Influence of local anesthesia on the outcomes of non-surgical periodontal treatment

BACKGROUND: There is limited evidence of the effects of local anesthesia (LA) on outcomes of non-surgical periodontal treatment (NSPT), in particular among the Chinese. This retrospective cohort study aimed to evaluate the effects of LA on short-term treatment outcomes of NSPT and to determine under...

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Autores principales: Shi, Shu-Wen, Jiao, Jian, Zhang, Li, Lu, Rui-Fang, Meng, Huan-Xin, Cao, Zhan-Qiang, Shi, Dong, Song, Yi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7462207/
https://www.ncbi.nlm.nih.gov/pubmed/32826453
http://dx.doi.org/10.1097/CM9.0000000000000903
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author Shi, Shu-Wen
Jiao, Jian
Zhang, Li
Lu, Rui-Fang
Meng, Huan-Xin
Cao, Zhan-Qiang
Shi, Dong
Song, Yi
author_facet Shi, Shu-Wen
Jiao, Jian
Zhang, Li
Lu, Rui-Fang
Meng, Huan-Xin
Cao, Zhan-Qiang
Shi, Dong
Song, Yi
author_sort Shi, Shu-Wen
collection PubMed
description BACKGROUND: There is limited evidence of the effects of local anesthesia (LA) on outcomes of non-surgical periodontal treatment (NSPT), in particular among the Chinese. This retrospective cohort study aimed to evaluate the effects of LA on short-term treatment outcomes of NSPT and to determine under what circumstances LA should be prescribed to improve these outcomes. METHODS: Data from periodontal examinations of 3980 patients were used. The data were from 3-month re-evaluation records of an electronic periodontal charting record system in the Department of Periodontology of Peking University School and Hospital of Stomatology from June 2008 to January 2015. Descriptive analyses included changes in probing depth (PD) and the Mazza bleeding index (BI). Two-level (patient and tooth) logistic regression models and three-level (patient, tooth, and site) linear regression models were constructed to analyze the influence of LA on PD for all teeth/sites and teeth/sites with an initial PD ≥ 5 mm. Decreases in PD and BI at sites under LA using the initial PD were also compared. RESULTS: A significantly higher mean decrease in PD after NSPT was found in the LA group than in the no local anesthesia (NLA) group (0.98 vs. 0.54 mm, t = 24.12, P < 0.001). A significantly higher probability of decreases was found in the LA group in BI (percentages of teeth with BI > 1 and BI > 2) for all teeth (16.7% vs. 13.8%, t = 3.75, P < 0.001; 34.7% vs. 28.1%, t = 6.73, P < 0.001) and PD for teeth with PD ≥ 5 mm (32.3% vs. 17.3%, t = 28.48, P < 0.001). The difference in PD between the LA and NLA groups increased as the initial PD increased. The difference between the two groups was 0.12 to 0.22 mm for sites with a baseline PD < 7 mm; however, it increased to 0.41 to 1.37 mm for sites with a baseline PD ≥ 7 mm. CONCLUSIONS: LA improved the decrease in PD after NSPT. Root debridement at sites with initial PD ≥ 7 mm should be performed under routine LA.
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spelling pubmed-74622072020-09-16 Influence of local anesthesia on the outcomes of non-surgical periodontal treatment Shi, Shu-Wen Jiao, Jian Zhang, Li Lu, Rui-Fang Meng, Huan-Xin Cao, Zhan-Qiang Shi, Dong Song, Yi Chin Med J (Engl) Original Articles BACKGROUND: There is limited evidence of the effects of local anesthesia (LA) on outcomes of non-surgical periodontal treatment (NSPT), in particular among the Chinese. This retrospective cohort study aimed to evaluate the effects of LA on short-term treatment outcomes of NSPT and to determine under what circumstances LA should be prescribed to improve these outcomes. METHODS: Data from periodontal examinations of 3980 patients were used. The data were from 3-month re-evaluation records of an electronic periodontal charting record system in the Department of Periodontology of Peking University School and Hospital of Stomatology from June 2008 to January 2015. Descriptive analyses included changes in probing depth (PD) and the Mazza bleeding index (BI). Two-level (patient and tooth) logistic regression models and three-level (patient, tooth, and site) linear regression models were constructed to analyze the influence of LA on PD for all teeth/sites and teeth/sites with an initial PD ≥ 5 mm. Decreases in PD and BI at sites under LA using the initial PD were also compared. RESULTS: A significantly higher mean decrease in PD after NSPT was found in the LA group than in the no local anesthesia (NLA) group (0.98 vs. 0.54 mm, t = 24.12, P < 0.001). A significantly higher probability of decreases was found in the LA group in BI (percentages of teeth with BI > 1 and BI > 2) for all teeth (16.7% vs. 13.8%, t = 3.75, P < 0.001; 34.7% vs. 28.1%, t = 6.73, P < 0.001) and PD for teeth with PD ≥ 5 mm (32.3% vs. 17.3%, t = 28.48, P < 0.001). The difference in PD between the LA and NLA groups increased as the initial PD increased. The difference between the two groups was 0.12 to 0.22 mm for sites with a baseline PD < 7 mm; however, it increased to 0.41 to 1.37 mm for sites with a baseline PD ≥ 7 mm. CONCLUSIONS: LA improved the decrease in PD after NSPT. Root debridement at sites with initial PD ≥ 7 mm should be performed under routine LA. Lippincott Williams & Wilkins 2020-08-20 2020-07-07 /pmc/articles/PMC7462207/ /pubmed/32826453 http://dx.doi.org/10.1097/CM9.0000000000000903 Text en Copyright © 2020 The Chinese Medical Association, produced by Wolters Kluwer, Inc. under the CC-BY-NC-ND license. http://creativecommons.org/licenses/by-nc-nd/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0
spellingShingle Original Articles
Shi, Shu-Wen
Jiao, Jian
Zhang, Li
Lu, Rui-Fang
Meng, Huan-Xin
Cao, Zhan-Qiang
Shi, Dong
Song, Yi
Influence of local anesthesia on the outcomes of non-surgical periodontal treatment
title Influence of local anesthesia on the outcomes of non-surgical periodontal treatment
title_full Influence of local anesthesia on the outcomes of non-surgical periodontal treatment
title_fullStr Influence of local anesthesia on the outcomes of non-surgical periodontal treatment
title_full_unstemmed Influence of local anesthesia on the outcomes of non-surgical periodontal treatment
title_short Influence of local anesthesia on the outcomes of non-surgical periodontal treatment
title_sort influence of local anesthesia on the outcomes of non-surgical periodontal treatment
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7462207/
https://www.ncbi.nlm.nih.gov/pubmed/32826453
http://dx.doi.org/10.1097/CM9.0000000000000903
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