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Effectiveness of scaling and root planning with and without adjunct antimicrobial photodynamic therapy in the treatment of chronic periodontitis among cigarette-smokers and never-smokers: A randomized controlled clinical trial.
- Source :
-
Photodiagnosis and photodynamic therapy [Photodiagnosis Photodyn Ther] 2019 Mar; Vol. 25, pp. 247-252. Date of Electronic Publication: 2019 Jan 06. - Publication Year :
- 2019
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Abstract
- Objective: The aim of the present short-term randomized clinical trial was to assess the efficacy of scaling and root planing (SRP) with and without adjunct antimicrobial photodynamic therapy (aPDT) in the treatment of chronic periodontitis (CP) among cigarette-smokers and never-smokers.<br />Materials and Methods: Demographic information was collected using a questionnaire. Cigarette-smokers (group-1) and never-smokers (group-2) with CP were included. Treatment wise, these individuals were divided into two subgroups as follows: (a) SRP alone and (b) SRP with adjunct aPDT. Periodontal parameters (plaque index [PI], bleeding on probing [BOP], clinical attachment loss [AL] and probing pocket depth≥4 mm [PD] were measured at baseline and at 1 month and 3 months' follow-up. Group comparisons were done using the Kruskall-Wallis test.<br />Results: Eighty-three male patients with CP (Group-1: 42 cigarette-smokers and; Group-2: 41 never-smokers) were included. In group-1, individuals that received SRP alone and SRP with adjunct aPDT had a mean history of cigarette smoking of 11.7 ± 0.3 and 12.5 ± 0.4 pack years. At baseline, PI, BOP, PD and clinical AL were comparable among all individuals in groups 1 and 2. At 1 month and 3 months' follow-up, PI (P < 0.05), PD (P < 0.05) and clinical AL (P < 0.05) were higher among all individuals in group-1 compared with group-2. In Group-2, PI, BOP, PD and clinical AL were comparable among all individuals at 1 month and 3 months' follow-up.<br />Conclusion: Outcomes of SRP with or without aPDT for the treatment of CP are compromised in cigarette-smokers. Among never-smokers with CP, outcomes of SRP with or without aPDT are comparable. The significance of aPDT in this regard remains questionable.<br /> (Copyright © 2019 Elsevier B.V. All rights reserved.)
- Subjects :
- Adult
Chronic Periodontitis drug therapy
Combined Modality Therapy
Humans
Male
Methylene Blue therapeutic use
Middle Aged
Periodontal Index
Photosensitizing Agents therapeutic use
Root Planing methods
Saudi Arabia
Single-Blind Method
Socioeconomic Factors
Chronic Periodontitis therapy
Dental Scaling methods
Photochemotherapy methods
Smokers
Subjects
Details
- Language :
- English
- ISSN :
- 1873-1597
- Volume :
- 25
- Database :
- MEDLINE
- Journal :
- Photodiagnosis and photodynamic therapy
- Publication Type :
- Academic Journal
- Accession number :
- 30625398
- Full Text :
- https://doi.org/10.1016/j.pdpdt.2019.01.006