scholarly journals Efficacy of alternative or additional methods to professional mechanical plaque removal during supportive periodontal therapy: A systematic review and meta‐analysis

2020 ◽  
Vol 47 (S22) ◽  
pp. 144-154 ◽  
Author(s):  
Leonardo Trombelli ◽  
Roberto Farina ◽  
Alexander Pollard ◽  
Nicholas Claydon ◽  
Giovanni Franceschetti ◽  
...  
2018 ◽  
Vol 68 (4) ◽  
pp. 207-220 ◽  
Author(s):  
Maria Luisa S. Souto ◽  
Emanuel S. Rovai ◽  
Juliana A. Ganhito ◽  
Marinella Holzhausen ◽  
Leandro Chambrone ◽  
...  

Author(s):  
Sonja H. M. Derman ◽  
Eva-Maria Lantwin ◽  
Anna Greta Barbe ◽  
Michael J. Noack

Abstract Objectives Pain is affecting acceptance of supportive periodontal therapy and primary periodontitis prevention. Our objective was to evaluate the efficacy of a 1-week pre-treatment use of dentinal-hypersensitivity-reducing mouth-rinses (DHM) in periodontal maintenance (SPT) or dental prophylaxis patients. Material and methods One hundred fifty-five participants attending for professional mechanical plaque removal (PMPR) were randomly assigned to use a mouth-rinse twice daily for 1 week prior to their next PMPR. Rinses were containing either potassium oxalate (n = 52), arginine (n = 52), or herbal extracts (n = 51). At baseline and reassessment, procedural pain was assessed by visual analogue scale (VAS) and verbal rating scale (VRS). Self-reported efficacy was documented. Results No inter-group differences were estimated between both test groups and the control for baseline and reassessment means (VAS, VRS). In the SPT group, VAS reduction and self-reported efficacy were found (p < 0.05). Conclusion The 1-week use of DHM failed to show a predictable effect on discomfort during PMPR overall. Around 20% of the patients showed a quantifiable benefit from both test mouth-rinses, whereas more than 50% reported a subjective pain reduction. Focusing patients undergoing supportive periodontal therapy, quantifiable effects were found for both test groups. From a patient’s point of view, DHM might be a suitable adjunct to enhance procedural comfort, especially in patients with a history of periodontitis. Clinical relevance The 1-week use of the dentinal-hypersensitivity-reducing mouth-rinses prior to professional-mechanical-plaque-removal showed to be a suitable adjunct to enhance procedural comfort during instrumentation, especially in patients undergoing supportive periodontal therapy. Registration number: DRKS00010811


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