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

(2006) JOURNAL OF PERIODONTOLOGY. 77(6). p.1074-1079
Author
Organization
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.
Keywords
clinical study, chlorhexidine, dental scaling, periodontitis, root planing, MUTANS STREPTOCOCCI, DENTAL PLAQUE, PERIODONTAL TREATMENT, DISINFECTION, FISSURES, THERAPY, SINGLE, TEETH

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Citation

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MLA
Cosyn, Jan 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.
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.
Chicago author-date
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.
Chicago author-date (all authors)
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.
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.
IEEE
[1]
J. Cosyn, I. Wyn, T. De Rouck, and M. M. Sabzevar, “Clinical benefits of subgingival chlorhexidine varnish application as an adjunct to same-day full-mouth root planing: a pilot study,” JOURNAL OF PERIODONTOLOGY, vol. 77, no. 6, pp. 1074–1079, 2006.
@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 <= 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.},
  author       = {Cosyn, Jan and Wyn, Iris and De Rouck, Tim and Sabzevar, Mehran Moradi},
  issn         = {0022-3492},
  journal      = {JOURNAL OF PERIODONTOLOGY},
  keywords     = {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},
}

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