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Subgingival chlorhexidine varnish administration as an adjunct to same-day full-mouth root planing, I: clinical observations

(2007) JOURNAL OF PERIODONTOLOGY. 78(3). p.430-437
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Abstract
Background: Chemo-mechanical treatment concepts have been developed to improve the outcome of non-surgical periodontal therapy. Recently, the clinical additive value of a supersaturated chlorhexidine varnish was shown when used as an adjunct to staged scaling and root planing. The aim of this study was to investigate 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 33 non-smoking 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 disinfected using a chlorhexidine varnish. Clinical response parameters were recorded at baseline and after 1, 3, and 6 months. Results: Both groups showed significant reductions in probing depth following therapy (P < 0.001). There was no significant difference in full-mouth probing depth between the groups at any examination point. However, when a site-specific comparison was made, additive effects were found in the test group; an extra pocket reduction of 0.93 mm (P = 0.044) for initially deep pockets ( >= 7 mm) was found at study termination. Additive clinical attachment gains seemed to be temporary. Impermanent extra pocket reductions and clinical attachment gains were found for initially medium-deep pockets (4 to 6 mm). Conclusion: The outcome of same-day full-mouth root planing may benefit from the subgingival administration of a highly concentrated chlorhexidine varnish, at least in terms of pocket reduction in initially deep sites ( >= 7 mm).
Keywords
clinical study, chlorhexidine, dental scaling, periodontitis, root planing, varnish, IMPLEMENTED TREATMENT STRATEGY, SURGICAL PERIODONTAL THERAPY, CHRONIC ADULT PERIODONTITIS, BACTERIAL INVASION, MUTANS STREPTOCOCCI, DENTAL PLAQUE, ANTIMICROBIAL IRRIGATION, RADICULAR DENTIN, RISK INDICATORS, DEEP POCKETS

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Citation

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MLA
Cosyn, Jan et al. “Subgingival Chlorhexidine Varnish Administration as an Adjunct to Same-day Full-mouth Root Planing, I: Clinical Observations.” JOURNAL OF PERIODONTOLOGY 78.3 (2007): 430–437. Print.
APA
Cosyn, J., Wyn, I., De Rouck, T., & Sabzevar, M. M. (2007). Subgingival chlorhexidine varnish administration as an adjunct to same-day full-mouth root planing, I: clinical observations. JOURNAL OF PERIODONTOLOGY, 78(3), 430–437.
Chicago author-date
Cosyn, Jan, Iris Wyn, Tim De Rouck, and Mehran Moradi Sabzevar. 2007. “Subgingival Chlorhexidine Varnish Administration as an Adjunct to Same-day Full-mouth Root Planing, I: Clinical Observations.” Journal of Periodontology 78 (3): 430–437.
Chicago author-date (all authors)
Cosyn, Jan, Iris Wyn, Tim De Rouck, and Mehran Moradi Sabzevar. 2007. “Subgingival Chlorhexidine Varnish Administration as an Adjunct to Same-day Full-mouth Root Planing, I: Clinical Observations.” Journal of Periodontology 78 (3): 430–437.
Vancouver
1.
Cosyn J, Wyn I, De Rouck T, Sabzevar MM. Subgingival chlorhexidine varnish administration as an adjunct to same-day full-mouth root planing, I: clinical observations. JOURNAL OF PERIODONTOLOGY. 2007;78(3):430–7.
IEEE
[1]
J. Cosyn, I. Wyn, T. De Rouck, and M. M. Sabzevar, “Subgingival chlorhexidine varnish administration as an adjunct to same-day full-mouth root planing, I: clinical observations,” JOURNAL OF PERIODONTOLOGY, vol. 78, no. 3, pp. 430–437, 2007.
@article{855290,
  abstract     = {Background: Chemo-mechanical treatment concepts have been developed to improve the outcome of non-surgical periodontal therapy. Recently, the clinical additive value of a supersaturated chlorhexidine varnish was shown when used as an adjunct to staged scaling and root planing. The aim of this study was to investigate 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 33 non-smoking 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 disinfected using a chlorhexidine varnish. Clinical response parameters were recorded at baseline and after 1, 3, and 6 months. 
Results: Both groups showed significant reductions in probing depth following therapy (P < 0.001). There was no significant difference in full-mouth probing depth between the groups at any examination point. However, when a site-specific comparison was made, additive effects were found in the test group; an extra pocket reduction of 0.93 mm (P = 0.044) for initially deep pockets ( >= 7 mm) was found at study termination. Additive clinical attachment gains seemed to be temporary. Impermanent extra pocket reductions and clinical attachment gains were found for initially medium-deep pockets (4 to 6 mm). 
Conclusion: The outcome of same-day full-mouth root planing may benefit from the subgingival administration of a highly concentrated chlorhexidine varnish, at least in terms of pocket reduction in initially deep sites ( >= 7 mm).},
  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,varnish,IMPLEMENTED TREATMENT STRATEGY,SURGICAL PERIODONTAL THERAPY,CHRONIC ADULT PERIODONTITIS,BACTERIAL INVASION,MUTANS STREPTOCOCCI,DENTAL PLAQUE,ANTIMICROBIAL IRRIGATION,RADICULAR DENTIN,RISK INDICATORS,DEEP POCKETS},
  language     = {eng},
  number       = {3},
  pages        = {430--437},
  title        = {Subgingival chlorhexidine varnish administration as an adjunct to same-day full-mouth root planing, I: clinical observations},
  url          = {http://dx.doi.org/10.1902/jop.2007.060221},
  volume       = {78},
  year         = {2007},
}

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