Clinical evaluation of a novel protocol for supportive periodontal care: A randomized controlled clinical trial.

Autor: Stähli A; Department of Periodontology, University of Bern, Bern, Switzerland., Ferrari J; Department of Periodontology, University of Bern, Bern, Switzerland., Schatzmann AS; Department of Periodontology, University of Bern, Bern, Switzerland., Weigel LD; Department of Periodontology, University of Bern, Bern, Switzerland., Roccuzzo A; Department of Periodontology, University of Bern, Bern, Switzerland., Imber JC; Department of Periodontology, University of Bern, Bern, Switzerland., Duong HY; Department of Periodontology, University of Bern, Bern, Switzerland., Eick S; Department of Periodontology, University of Bern, Bern, Switzerland., Lang NP; Department of Periodontology, University of Bern, Bern, Switzerland., Salvi GE; Department of Periodontology, University of Bern, Bern, Switzerland., Sculean A; Department of Periodontology, University of Bern, Bern, Switzerland.
Jazyk: angličtina
Zdroj: Journal of periodontology [J Periodontol] 2024 Nov; Vol. 95 (11), pp. 1025-1034. Date of Electronic Publication: 2024 Jan 31.
DOI: 10.1002/JPER.23-0527
Abstrakt: Background: The aim of this study was to compare the clinical efficacy and the patient perception of subgingival debridement with either guided biofilm management (GBM) or conventional scaling and root planing (SRP) during supportive periodontal care (SPC).
Methods: Forty-one patients in SPC were randomly assigned to either treatment with GBM or SRP every 6 months. The primary outcome was the percentage of bleeding on probing (BoP) at 1 year. Moreover, pocket probing depths (PPD), recession, and furcation involvements were also measured. Full-mouth and specific site analyzes were performed at baseline, 6 and 12 months of SPC. Patient comfort was evaluated using a visual analogue scale (VAS) at 12 months.
Results: At 1 year, mean BoP percentage decreased from 12.2% to 9.0% (p = 0.191) and from 14.7% to 7.9% (p = 0.004) for the GBM and SRP groups, respectively. Furcation involved multirooted teeth but no through-and-through lesions were significantly fewer in the GBM than in the SRP group after 12 months (p = 0.015). The remaining parameters showed slight improvement in both groups without any statistically significant differences between the two groups after 1 year. Pain evaluation as patient reported outcome measures (pain evaluation) was in favor (p = 0.347) of the SRP group, while overall satisfaction was similar for both groups. Treatment time was not statistically significantly different between the two groups (p = 0.188).
Conclusion: In well-maintained SPC patients, SRP protocols resulted in significant clinical improvements in terms of BoP; however, for the other clinical improvements, similar efficacy for both GBM and SRP was observed.
(© 2024 The Authors. Journal of Periodontology published by Wiley Periodicals LLC on behalf of American Academy of Periodontology.)
Databáze: MEDLINE
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