
pmid: 16512765
Background: The aim of the present study was to evaluate the clinical effects of one‐stage periodontal debridement with an ultrasonic instrument, associated with 0.5% povidone (pvp)‐iodine irrigation in patients with chronic periodontitis.Methods: Forty‐five patients were randomly assigned into three groups: the control group (CG) received quadrant root planing at 1‐week intervals over four consecutive sessions; the periodontal debridement plus pvp‐iodine group (PD‐PIG) received a 45‐minute full‐mouth debridement with an ultrasonic instrument, associated with 0.5% pvp‐iodine irrigation; and the periodontal debridement group (PDG) received a 45‐minute full‐mouth periodontal debridement with an ultrasonic instrument, associated with NaCl irrigation.Results: At the 3‐month evaluation, the mean probing depth (PD) reduction in CG was 2.51 ± 0.52 mm, 2.53 ± 0.50 mm in PD‐PIG, and 2.58 ± 0.60 mm in PDG (P <0.05). The clinical attachment level (CAL) analysis showed a statistically significant gain in all groups compared to baseline (1.87 ± 0.56 mm [CG], 1.94 ± 0.70 mm [PD‐PIG], and 1.99 ± 0.92 mm [PDG]). Intergroup analysis of PD and CAL at 1 and 3 months showed no differences (P >0.05). The N‐benzoyl‐L‐arginine‐p‐nitroanilide (BAPNA) test showed a significant reduction in trypsin activity only during the first month (P <0.05); at 3 months there were no differences compared to baseline (P = 0.80).Conclusion: This study provides no evidence that pvp‐iodine is effective as an adjunct for one‐stage periodontal debridement.
Adult, Male, Analysis of Variance, Ultrasonic Therapy, Dental Plaque, Benzoylarginine Nitroanilide, Middle Aged, Statistics, Nonparametric, Treatment Outcome, Chronic Disease, Anti-Infective Agents, Local, Dental Scaling, Humans, Female, Single-Blind Method, Prospective Studies, Periodontal Index, Periodontitis, Povidone-Iodine, Aged
Adult, Male, Analysis of Variance, Ultrasonic Therapy, Dental Plaque, Benzoylarginine Nitroanilide, Middle Aged, Statistics, Nonparametric, Treatment Outcome, Chronic Disease, Anti-Infective Agents, Local, Dental Scaling, Humans, Female, Single-Blind Method, Prospective Studies, Periodontal Index, Periodontitis, Povidone-Iodine, Aged
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