|
1
|
Preshaw PM, Ide M, Bissett SM, Holliday R, Lansdowne N, Pickering K, Taylor JA, Levonian AM, Pleasance C, Guarnelli ME, Simonelli A, Fabbri C, Farina R, Panagakos FS, Trombelli L. No benefit of an adjunctive phototherapy protocol in treatment of periodontitis: A split-mouth randomized controlled trial. J Clin Periodontol 2021; 48:1093-1102. [PMID: 33817809 DOI: 10.1111/jcpe.13465] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2020] [Revised: 03/12/2021] [Accepted: 03/19/2021] [Indexed: 11/29/2022]
Abstract
AIM To assess the efficacy of a commercially available adjunctive phototherapy protocol ("Perio-1") in treatment of periodontitis. MATERIALS AND METHODS In an examiner-blind, randomized, controlled, split-mouth, multicentre study, 60 periodontitis patients received root surface debridement (RSD) in sextants either alone (control sextants) or with the adjunctive phototherapy protocol (test sextants). Re-evaluation was performed at 6, 12 and 24 weeks. RESULTS No statistically significant differences in mean (± standard deviation) clinical attachment level (CAL) change from baseline to week 24 were observed between test (-1.00 ± 1.16 mm) and control sextants (-0.87 ± 0.79 mm) at sites with probing pocket depths (PPDs) ≥5 mm ("deep sites") at baseline (p = .212). Comparisons between test and control sextants for all other parameters (CAL change at all sites, PPD change at deep sites/all sites, bleeding on probing, plaque scores), and for all change intervals, failed to identify any statistically significant differences. CONCLUSIONS The phototherapy protocol did not provide any additional clinical benefits over those achieved by RSD alone. (German Clinical Trials Register DRKS00011229).
Collapse
Affiliation(s)
- Philip M Preshaw
- School of Dental Sciences, Newcastle University, Newcastle upon Tyne, UK.,School of Dentistry, University of Dundee, Dundee, UK
| | - Mark Ide
- Faculty of Dentistry Oral and Craniofacial Sciences, King's College London, London, UK
| | - Susan M Bissett
- School of Dental Sciences, Newcastle University, Newcastle upon Tyne, UK
| | - Richard Holliday
- School of Dental Sciences, Newcastle University, Newcastle upon Tyne, UK
| | - Nichola Lansdowne
- School of Dental Sciences, Newcastle University, Newcastle upon Tyne, UK
| | | | - Judy A Taylor
- Faculty of Dentistry Oral and Craniofacial Sciences, King's College London, London, UK
| | - Ana M Levonian
- Faculty of Dentistry Oral and Craniofacial Sciences, King's College London, London, UK
| | - Christine Pleasance
- Faculty of Dentistry Oral and Craniofacial Sciences, King's College London, London, UK
| | - Maria Elena Guarnelli
- Research Centre for the Study of Periodontal and Peri-implant Diseases, University of Ferrara, Ferrara, Italy
| | - Anna Simonelli
- Research Centre for the Study of Periodontal and Peri-implant Diseases, University of Ferrara, Ferrara, Italy
| | - Chiara Fabbri
- Research Centre for the Study of Periodontal and Peri-implant Diseases, University of Ferrara, Ferrara, Italy
| | - Roberto Farina
- Research Centre for the Study of Periodontal and Peri-implant Diseases, University of Ferrara, Ferrara, Italy
| | | | - Leonardo Trombelli
- Research Centre for the Study of Periodontal and Peri-implant Diseases, University of Ferrara, Ferrara, Italy
| |
Collapse
|
|
2
|
Abstract
UNLABELLED Implant-retained prostheses need to be re-evaluated on a regular basis. This should include review of the effectiveness of oral hygiene procedures to maintain soft tissue health, evaluation of the integrity and function of the prosthetic superstructure and comparison of radiographic bone levels at appropriate intervals. CLINICAL RELEVANCE All dental care professionals need to be aware of the maintenance care requirements of patients treated with dental implants. With the increase in numbers of patients treated there will be greater demands to provide this care in general practices.
Collapse
Affiliation(s)
- Richard M Palmer
- Dentistry and Periodontology, King's College London, Floor 25, Guy's Hospital Tower, London
| | | |
Collapse
|