salicylates and Periodontal-Pocket

Topics: Anti-Infective Agents, Local; Chlorhexidine; Dental Implants; Dental Plaque; Drug Combinations; Gingivitis; Humans; Mouthwashes; Oils, Volatile; Oral Hygiene; Periodontal Attachment Loss; Periodontal Diseases; Periodontal Index; Periodontal Pocket; Salicylates; Terpenes

The use of chlorhexidine and povidone iodine solutions applied as a coolant during ultrasonic root debridement for the treatment of chronic periodontitis has been described. Hitherto, this application has not yet been extensively investigated for essential oil solutions. The goal was to clinically explore this and to compare to water irrigation.. Thirty-five chronic periodontitis patients participated in a single-blind randomized controlled clinical study. Patients were randomly allocated to the control group (n=18) or test group (n=17) receiving oral hygiene instructions and ultrasonic root debridement using water as a coolant, respectively, a pure essential oil solution. Oral hygiene was reinforced if necessary at each occasion, and clinical parameters were collected at baseline and after 1 and 3 months.. Significant pocket reduction (control, 1.02 mm; test, 0.89 mm) and clinical attachment gain (control and test, 0.48 mm) were shown in both groups. However, there were no significant differences between the groups at any point in time for any of the parameters.. Essential oil solutions do not offer a clinical benefit over water when used as a coolant during ultrasonic root debridement for the treatment of chronic periodontitis.

Topics: Adult; Aged; Anti-Infective Agents, Local; Cariostatic Agents; Chronic Periodontitis; Cryotherapy; Dental Plaque; Dental Plaque Index; Diamines; Drug Combinations; Female; Fluorides; Follow-Up Studies; Gingival Hemorrhage; Humans; Male; Middle Aged; Oils, Volatile; Periodontal Attachment Loss; Periodontal Index; Periodontal Pocket; Root Planing; Salicylates; Single-Blind Method; Terpenes; Therapeutic Irrigation; Toothbrushing; Toothpastes; Ultrasonic Therapy; Water

This 3-month double-blind randomized placebo-controlled study evaluated the clinical and microbial effects of an essential oil mouth rinse used as an adjunct to mechanical plaque control by patients in supportive periodontal care.. Fifty patients were randomly allocated to an essential oil group (Listerine(®) Coolmint; Johnson & Johnson, New Brunswick, NJ, USA) or placebo group to rinse twice per day as an adjunct to mechanical plaque control. At baseline and after 3 months, plaque index (PI), gingivitis index (GI), probing pocket depth, bleeding on probing (BoP) and clinical attachment level were registered. Subgingival plaque samples were collected for the detection and quantification of Aggregatibacter actinomycetemcomitans, Porphyromonas gingivalis, Tannerella forsythia, Treponema denticola, Micromonas micros, Prevotella intermedia, Fusobacterium genus and Streptococcus mutans by means of real-time PCR (qPCR). Patient's compliance, satisfaction and side effects were registered.. Twenty-three patients in the essential oil group (mean age: 57) and 21 in the placebo group (mean age: 55) with acceptable oral hygiene at intake (mean PI <1.5 on a scale of 5) adhered to the study protocol. Gingivitis index, PI and BoP significantly reduced over time (P ≤ 0.029); however, between group analyses revealed no significant differences. There was no significant change over time neither in detection frequency nor load for any of the microbiota. Daily rinsing with an essential oil rinse was found safe and perceived beneficial by the patients.. Patients in supportive periodontal care who are fairly compliant with oral hygiene may not benefit from additional mouth rinsing using an essential oil solution.

Topics: Adult; Aged; Aged, 80 and over; Aggregatibacter actinomycetemcomitans; Anti-Infective Agents, Local; Bacteroides; Dental Plaque; Double-Blind Method; Drug Combinations; Female; Follow-Up Studies; Fusobacterium; Gingival Hemorrhage; Humans; Male; Middle Aged; Mouthwashes; Oils, Volatile; Patient Satisfaction; Peptostreptococcus; Periodontal Attachment Loss; Periodontal Diseases; Periodontal Pocket; Placebos; Porphyromonas gingivalis; Prevotella intermedia; Salicylates; Streptococcus mutans; Terpenes; Treatment Outcome; Treponema denticola

To evaluate the clinical efficacy of subgingival ultrasonic instrumentation irrigated with essential oils (EOs) of residual periodontal pockets.. Sixty-four individuals with chronic periodontitis were invited to participate in this randomized, double-blind, parallel, and placebo-controlled clinical trial. All subjects received non-surgical periodontal therapy. After re-evaluation (baseline), residual pockets (pocket depth ≥5 mm) received test (ultrasonic instrumentation irrigated with EOs) or control therapy (ultrasonic instrumentation irrigated with negative control). Probing pocket depth (PPD), gingival recession (R), clinical attachment level (CAL), bleeding on probing (BOP), and plaque were assessed at baseline and after 4, 12, and 24 weeks. Differences between groups and changes over the course of time were analysed according to a generalized linear model.. There was a significant reduction in PPD and BOP, as well as a significant CAL gain in the two groups (p<0.001). Nevertheless, there were no differences between the groups at any time of the study. When only initially deep pockets (PPD ≥7 mm) were analysed, a significantly greater CAL gain (p=0.03) and PPD reduction (p=0.01) was observed in the test group.. The adjunctive use of EOs may promote significant CAL gain and PPD reduction in deep residual pockets.

Topics: Adult; Anti-Infective Agents, Local; Chronic Periodontitis; Cyclohexanols; Dental Plaque; Double-Blind Method; Drug Combinations; Ethanol; Eucalyptol; Eucalyptus; Female; Follow-Up Studies; Gingival Hemorrhage; Gingival Recession; Humans; Male; Menthol; Middle Aged; Monoterpenes; Oils, Volatile; Periodontal Attachment Loss; Periodontal Pocket; Placebos; Salicylates; Subgingival Curettage; Terpenes; Therapeutic Irrigation; Thymol; Treatment Outcome; Ultrasonic Therapy

To study the effectiveness of using the drug Cholisal as part of the conservative treatment of chronic periodontitis.. We selected 100 patients aged 35 to 65 years of both sexes with a diagnosis of moderate chronic periodontitis in the acute phase with a periodontal pocket depth of 3.5-5 mm. Depending on the tactics of conservative treatment of CGP, patients were divided into two groups of 50 people. In the main group, in addition to standard treatment, the dental gel Cholisal was used, and in the control group, therapy was standard. 10 days after professional hygiene, patients in both groups were examined and underwent an index assessment of the condition of periodontal tissues and adherence to treatment.. In patients of the control group, 10 days from the start of treatment, the depth of periodontal pockets in the control group decreased slightly from 4.7±0.28 mm to 4.2±0.21 mm (. The use of the drug Cholisal in the conservative treatment of chronic periodontitis has shown convincing positive dynamics in both subjective and objective assessments, which suggests its effective use.. Изучить эффективность применения препарата Холисал в составе консервативного лечения хронического пародонтита.. Отобраны 100 пациентов в возрасте от 35 до 65 лет обоих полов с диагнозом хронического пародонтита средней тяжести в фазе обострения с глубиной пародонтальных карманов 3,5—5 мм. В зависимости от тактики консервативного лечения пародонтита пациенты были разделены на две группы по 50 человек. В основной группе дополнительно к стандартному лечению применяли стоматологический гель Холисал, а в контрольной группе терапия была стандартной. Через 10 дней после проведения профессиональной гигиены пациенты обеих групп подвергались осмотру и проведению индексной оценки состояния тканей пародонта, приверженности лечению.. У пациентов контрольной группы через 10 дней от начала лечения глубина пародонтальных карманов в контроле снизилась незначительно — с 4,7±0,28 до 4,2±0,21 мм (. Использование препарата Холисал при консервативном лечении хронического пародонтита показало убедительную положительную динамику как по субъективным, так и по объективным оценкам, что позволяет говорить об его эффективном применении.

Topics: Chronic Periodontitis; Conservative Treatment; Dental Plaque Index; Dental Scaling; Female; Humans; Male; Periodontal Pocket; Salicylates