Clinical and patient-centered outcomes post non-surgical periodontal therapy with the use of a non-injectable anesthetic product: A randomized clinical study

Q1 Medicine

Journal of Investigative and Clinical Dentistry Pub Date : 2019-07-28 DOI:10.1111/jicd.12446

Simone Marconcini, Marilyn Goulding, Giacomo Oldoini, Chiara Attanasio, Enrica Giammarinaro, Annamaria Genovesi

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引用次数: 5

Abstract

Aim

The aim of this study was to determine the impact of different full-mouth decontamination (FMD) protocols on the effectiveness of an intrapocket anesthetic gel in periodontal maintenance patients.

Methods

Patients undergoing the periodontal maintenance program and with the need for FMD participated in this study. Patients were randomly allocated to non-surgical periodontal therapy (NSPT) with either a preparatory 15-day decontamination phase, including chlorhexidine mouth rinse and domiciliary hygiene instructions (modified FMD: test group), or without it (FMD: control group). In both groups, NSPT was performed with the aid of a non-injectable anesthetic gel. Clinical and patient-related outcomes were recorded during a 6-month follow-up period.

Results

Sixty patients completed the 6-month study. Both groups experienced relevant clinical improvements after NSPT, but the test group showed a significant change in periodontal parameters already after the initial 15-day preparatory period, and overall significantly better results in periodontal outcomes when compared with the control group at the last 6-month follow up: the gingival index was 2.07 ± 1.25 in the control group and 1.13 ± 0.51 in the test group. Less pain and dental-related anxiety were perceived by patients in the test group showing a 6-month mean visual analog scale of 2.13 ± 1.25 in the control group and 1.13 ± 0.83 in the test group.

Conclusion

The present study suggested that the modification of the standard FMD could improve the clinical efficacy of non-injectable anesthetic, along with patients’ short- and mid-term appreciation and compliance.

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临床和以患者为中心的非手术牙周治疗后使用非注射麻醉剂的结果:一项随机临床研究

摘要目的本研究的目的是确定不同的全口去污(FMD)方案对牙周维持患者包内麻醉凝胶有效性的影响。方法对正在进行牙周维护计划并需要FMD的患者进行研究。患者被随机分配到非手术牙周治疗组(NSPT)，其中包括15天的预备去污阶段，包括洗必泰漱口水和住所卫生指导(改良FMD:试验组)，或不进行(FMD:对照组)。在两组中，NSPT都是在非注射麻醉凝胶的帮助下进行的。在6个月的随访期间记录临床和患者相关的结果。60例患者完成了为期6个月的研究。两组在NSPT后均有相应的临床改善，但试验组在最初的15天准备期后牙周参数已经发生了显著变化，并且在最后6个月的随访中，牙周结果总体上明显优于对照组:对照组的牙龈指数为2.07±1.25，试验组为1.13±0.51。试验组患者的疼痛感和牙齿相关焦虑减轻，对照组6个月平均视觉模拟量表为2.13±1.25，试验组为1.13±0.83。结论标准FMD的修改可提高非注射麻醉剂的临床疗效，提高患者对非注射麻醉剂的短期和中期评价和依从性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Investigative and Clinical Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.90

自引率

0.00%

发文量

期刊介绍： Journal of Investigative and Clinical Dentistry (JICD) aims to publish quality, peer reviewed original research and topical reviews on all aspects of investigative and clinical dentistry and craniofacial research, including molecular studies related to oral health and disease. Although international in outlook, the Editor especially encourages papers from the Asia Pacific. The journal also aims to provide clinicians, scientists and students of dentistry with a knowledge transfer platform for rapid publication of reports through an international journal, which will be available free online until 2012. Its scope, therefore, is broad, inclusive and international, but with a particular focus on Asia Pacific. The Editor welcomes manuscripts in the following key thematic areas in oral and maxillofacial sciences: Community Dentistry and Oral Epidemiology, Conservative Dentistry, Dental Biomaterials, Dental Pedagogy, Endodontics and Traumatology, Implant Dentistry, Oral Biosciences, Oral and Maxillofacial Surgery, Oral Medicine, Oral Pathology and Oral Microbiology, Orthodontics, Oral Radiology, Oral Rehabilitation, Paedodontics, Periodontology and Periodontal Medicine.