Clinical and microbiological effects of mechanical instrumentation and local antimicrobials during periodontal supportive therapy in aggressive periodontitis patients: smoker versus non-smoker patients

Autor: Alessandro Cucchi, Roberto Farina, Leonardo Trombelli, Maria Elena Guarnelli
Rok vydání: 2010
Předmět:
Zdroj: Journal of Clinical Periodontology. 37:998-1004
ISSN: 0303-6979
1600-051X
DOI: 10.1111/j.1600-051x.2010.01623.x
Popis: Guarnelli ME, Farina R, Cucchi A, Trombelli L. Clinical and microbiological effects of mechanical instrumentation and local antimicrobials during periodontal supportive therapy in aggressive periodontitis patients: smoker versus non-smoker patients. J Clin Periodontol 2010; 37: 998–1004. doi: 10.1111/j.1600-051X.2010.01623.x. Abstract Aim: To compare the clinical and microbiological effects of ultrasonic mechanical instrumentation (UMI) associated to home-care use of amine fluoride/stannous fluoride (AmF/SnF2)-containing mouthrinse and toothpaste in smoker and non-smoker patients affected by generalized aggressive periodontitis (G-AgP) during a recall session of supportive periodontal therapy (SPT). Material and Methods: Thirteen smokers and 25 non-smokers G-AgP patients enrolled in an SPT programme received a single session of UMI associated with home-care use of AmF/SnF2-containing mouthrinse and toothpaste. Clinical and microbiological parameters were assessed pre-treatment, at 6 and 12 weeks post-treatment. Results: In both groups, UMI plus AmF/SnF2-implemented oral hygiene use determined a significant decrease of total bacterial counts, with non-smokers exhibiting a lower count compared with smokers at 12 weeks. No significant differences were observed between smokers and non-smokers in the counts of total pathogens and red complex species at each observation interval. Clinically, a significant reduction of supragingival plaque, gingival inflammation and probing pocket depth was similarly observed in both groups. Conclusions: A combined mechanical/chemical plaque control approach based on UMI and the use of AmF/SnF2 agents resulted in the reduction of supragingival plaque deposits, gingival inflammation and subgingival periodontal pathogens in G-AgP patients during SPT, with no substantial difference between smokers and non-smokers.
Databáze: OpenAIRE