Surgical periodontal therapy with and without initial scaling and root planing in the management of chronic periodontitis: a randomized clinical trial

Affiliations

07 January 2014

-

doi: 10.1111/jcpe.12259


Abstract

Aim: To compare the outcomes of surgical periodontal therapy with and without initial scaling and root planing.

Methods: Twenty-four patients with severe chronic periodontitis were enrolled in this pilot, randomized controlled clinical trial. Patients were equally allocated into two treatment groups: Control group was treated with scaling and root planing, re-evaluation, followed by Modified Widman Flap surgery and test group received similar surgery without scaling and root planing. Clinical attachment level, probing depth and bleeding on probing were recorded. Standardized radiographs were analysed for linear bone change from baseline to 6 months. Wound fluid inflammatory biomarkers were also assessed.

Results: Both groups exhibited statistically significant improvement in clinical attachment level and probing depth at 3 and 6 months compared to baseline. A statistically significant difference in probing depth reduction was found between the two groups at 3 and 6 months in favour of the control group. No statistically significant differences in biomarkers were detected between the groups.

Conclusions: Combined scaling and root planing and surgery yielded greater probing depth reduction as compared to periodontal surgery without initial scaling and root planing.

Keywords: initial therapy; modified Widman Flap; periodontal surgery; periodontal therapy; periodontitis; scaling and root planing; wound healing.


Similar articles

Effect of scaling and root planing on interleukin-1β, interleukin-8 and MMP-8 levels in gingival crevicular fluid from chronic periodontitis patients.

Konopka L, Pietrzak A, Brzezińska-Błaszczyk E.J Periodontal Res. 2012 Dec;47(6):681-8. doi: 10.1111/j.1600-0765.2012.01480.x. Epub 2012 Apr 18.PMID: 22510045

The effect of long-term aspirin intake on the outcome of non-surgical periodontal therapy in smokers: a double-blind, randomized pilot study.

Shiloah J, Bland PS, Scarbecz M, Patters MR, Stein SH, Tipton DA.J Periodontal Res. 2014 Feb;49(1):102-9. doi: 10.1111/jre.12085. Epub 2013 Apr 18.PMID: 23594239 Clinical Trial.

The effectiveness of scaling and root planing with adjunctive time-release minocycline using an open and closed approach for the treatment of periodontitis.

Zingale J, Harpenau L, Bruce G, Chambers D, Lundergan W.Gen Dent. 2012 Jul-Aug;60(4):300-5.PMID: 22782041 Clinical Trial.

Clinical effect of azithromycin as an adjunct to non-surgical treatment of chronic periodontitis: a meta-analysis of randomized controlled clinical trials.

Zhang Z, Zheng Y, Bian X.J Periodontal Res. 2016 Jun;51(3):275-83. doi: 10.1111/jre.12319. Epub 2015 Sep 12.PMID: 26362529 Review.

Effectiveness of metronidazole as an adjunct to scaling and root planing in the treatment of chronic periodontitis: a systematic review and meta-analysis.

Sgolastra F, Severino M, Petrucci A, Gatto R, Monaco A.J Periodontal Res. 2014 Feb;49(1):10-9. doi: 10.1111/jre.12089. Epub 2013 May 14.PMID: 23668676 Review.


Cited by

Hydrogels for Oral Tissue Engineering: Challenges and Opportunities.

Chen A, Deng S, Lai J, Li J, Chen W, Varma SN, Zhang J, Lei C, Liu C, Huang L.Molecules. 2023 May 7;28(9):3946. doi: 10.3390/molecules28093946.PMID: 37175356 Free PMC article. Review.

Clinical, immunological, and microbiological analysis of the association between periodontitis and COVID-19: a case-control study.

Bemquerer LM, Oliveira SR, de Arruda JAA, Costa FPD, Miguita L, Bemquerer ALM, de Sena ACVP, de Souza AF, Mendes DF, Schneider AH, Azevedo MCS, Travassos DV, Garlet GP, Cunha FQ, de Aguiar RS, de Souza RP, Gomez RS, Spahr A, Obregon-Miano F, Abreu LG, Costa FO, Silva TA.Odontology. 2023 Apr 14:1-13. doi: 10.1007/s10266-023-00811-2. Online ahead of print.PMID: 37058199 Free PMC article.

Ultrasound Imaging of the Periodontium Complex: A Reliability Study.

Figueredo CA, Le LH, Nguyen KC, La TG, Lou EHM, Kaipatur NR, Lai H, Gibson MP, Flores-Mir C, Major PW, Almeida FT.Int J Dent. 2023 Feb 16;2023:5494429. doi: 10.1155/2023/5494429. eCollection 2023.PMID: 36845629 Free PMC article.

Advances of Hydrogel Therapy in Periodontal Regeneration-A Materials Perspective Review.

Li M, Lv J, Yang Y, Cheng G, Guo S, Liu C, Ding Y.Gels. 2022 Sep 30;8(10):624. doi: 10.3390/gels8100624.PMID: 36286125 Free PMC article. Review.

Non-surgical treatment of mild to moderate peri-implantitis using an oscillating chitosan brush or a titanium curette-A randomized multicentre controlled clinical trial.

Khan SN, Koldsland OC, Roos-Jansåker AM, Wohlfahrt JC, Verket A, Mdala I, Magnusson A, Salvesen E, Hjortsjö C.Clin Oral Implants Res. 2022 Dec;33(12):1254-1264. doi: 10.1111/clr.14007. Epub 2022 Oct 18.PMID: 36207993 Free PMC article. Clinical Trial.


KMEL References