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Clinical benefits of subgingival chlorhexidine varnish application as an adjunct to same-day full-mouth root planing: a pilot study

Jan Cosyn UGent, Iris Wyn, Tim De Rouck UGent and Mehran Moradi Sabzevar (2006) JOURNAL OF PERIODONTOLOGY. 77(6). p.1074-1079
abstract
Background: Although scaling and root planing are considered the therapeutic standard for periodontitis, weakly responding sites often occur. To improve treatment outcome, several chemomechanical treatment concepts have been developed. Recently, the clinical surplus value of a highly concentrated chlorhexidine varnish has been shown when used as an adjunct to sequential scaling and root planing. The aim of this study was to explore the clinical effects of a treatment strategy for chronic periodontitis based on a combination of same-day full-mouth root planing and subgingival chlorhexidine varnish administration. Methods: A randomized, controlled, single-blind, parallel trial was conducted on 12 chronic periodontitis patients. The control group received oral hygiene instructions and same-day full-mouth root planing. The test group received the same instructions and treatment; however, all pockets were additionally disinfected using a chlorhexidine varnish. Clinical response parameters were recorded at baseline and subsequently after 1 and 3 months. Results: Both treatment strategies showed significant reductions in probing depth at both follow-up visits in comparison with baseline levels (P <= 0.029). Yet, at 3 months, initially diseased sites of the test group showed significant additional pocket reductions between 0.70 and 1.37 mm (P <= 0.021). Furthermore, a significant additive clinical attachment gain of 1.17 mm (P = 0.049) for initially deep pockets (>= 7 mm) was found favoring the test group. Conclusion: These preliminary findings suggest that the outcome of same-day full-mouth root planing may benefit from the subgingival administration of a highly concentrated chlorhexidine varnish.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
keyword
clinical study, chlorhexidine, dental scaling, periodontitis, root planing, MUTANS STREPTOCOCCI, DENTAL PLAQUE, PERIODONTAL TREATMENT, DISINFECTION, FISSURES, THERAPY, SINGLE, TEETH
journal title
JOURNAL OF PERIODONTOLOGY
J. Periodont.
volume
77
issue
6
pages
1074 - 1079
Web of Science type
Article
Web of Science id
000241879100020
JCR category
DENTISTRY, ORAL SURGERY & MEDICINE
JCR impact factor
1.703 (2006)
JCR rank
16/49 (2006)
JCR quartile
2 (2006)
ISSN
0022-3492
DOI
10.1902/jop.2006.050220
language
English
UGent publication?
no
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
855245
handle
http://hdl.handle.net/1854/LU-855245
date created
2010-02-08 11:50:44
date last changed
2012-10-23 13:23:26
@article{855245,
  abstract     = {Background: Although scaling and root planing are considered the therapeutic standard for periodontitis, weakly responding sites often occur. To improve treatment outcome, several chemomechanical treatment concepts have been developed. Recently, the clinical surplus value of a highly concentrated chlorhexidine varnish has been shown when used as an adjunct to sequential scaling and root planing. The aim of this study was to explore the clinical effects of a treatment strategy for chronic periodontitis based on a combination of same-day full-mouth root planing and subgingival chlorhexidine varnish administration. 
Methods: A randomized, controlled, single-blind, parallel trial was conducted on 12 chronic periodontitis patients. The control group received oral hygiene instructions and same-day full-mouth root planing. The test group received the same instructions and treatment; however, all pockets were additionally disinfected using a chlorhexidine varnish. Clinical response parameters were recorded at baseline and subsequently after 1 and 3 months. 
Results: Both treatment strategies showed significant reductions in probing depth at both follow-up visits in comparison with baseline levels (P {\textlangle}= 0.029). Yet, at 3 months, initially diseased sites of the test group showed significant additional pocket reductions between 0.70 and 1.37 mm (P {\textlangle}= 0.021). Furthermore, a significant additive clinical attachment gain of 1.17 mm (P = 0.049) for initially deep pockets ({\textrangle}= 7 mm) was found favoring the test group. 
Conclusion: These preliminary findings suggest that the outcome of same-day full-mouth root planing may benefit from the subgingival administration of a highly concentrated chlorhexidine varnish.},
  author       = {Cosyn, Jan and Wyn, Iris and De Rouck, Tim and Sabzevar, Mehran Moradi},
  issn         = {0022-3492},
  journal      = {JOURNAL OF PERIODONTOLOGY},
  keyword      = {clinical study,chlorhexidine,dental scaling,periodontitis,root planing,MUTANS STREPTOCOCCI,DENTAL PLAQUE,PERIODONTAL TREATMENT,DISINFECTION,FISSURES,THERAPY,SINGLE,TEETH},
  language     = {eng},
  number       = {6},
  pages        = {1074--1079},
  title        = {Clinical benefits of subgingival chlorhexidine varnish application as an adjunct to same-day full-mouth root planing: a pilot study},
  url          = {http://dx.doi.org/10.1902/jop.2006.050220},
  volume       = {77},
  year         = {2006},
}

Chicago
Cosyn, Jan, Iris Wyn, Tim De Rouck, and Mehran Moradi Sabzevar. 2006. “Clinical Benefits of Subgingival Chlorhexidine Varnish Application as an Adjunct to Same-day Full-mouth Root Planing: a Pilot Study.” Journal of Periodontology 77 (6): 1074–1079.
APA
Cosyn, J., Wyn, I., De Rouck, T., & Sabzevar, M. M. (2006). Clinical benefits of subgingival chlorhexidine varnish application as an adjunct to same-day full-mouth root planing: a pilot study. JOURNAL OF PERIODONTOLOGY, 77(6), 1074–1079.
Vancouver
1.
Cosyn J, Wyn I, De Rouck T, Sabzevar MM. Clinical benefits of subgingival chlorhexidine varnish application as an adjunct to same-day full-mouth root planing: a pilot study. JOURNAL OF PERIODONTOLOGY. 2006;77(6):1074–9.
MLA
Cosyn, Jan, Iris Wyn, Tim De Rouck, et al. “Clinical Benefits of Subgingival Chlorhexidine Varnish Application as an Adjunct to Same-day Full-mouth Root Planing: a Pilot Study.” JOURNAL OF PERIODONTOLOGY 77.6 (2006): 1074–1079. Print.