The effects of scaling and root planing plus home oral hygiene maintenance in Stage I/II periodontitis population: A 24‐week randomized clinical trial.

Objectives: To compare the effects of powered and manual toothbrushing following scaling and root planing on bleeding on probing and other clinical indicators of periodontitis. Materials and Methods: This was a randomized, examiner‐blind, parallel‐design, 24‐week clinical study. Eligible subjects we...

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Publicado en:International Journal of Dental Hygiene Vol. 22; no. 3; pp. 727 - 736
Autores principales: Jenkins, Wendy, Starke, E. Michelle, Nelson, Melissa, Milleman, Kimberly, Milleman, Jeffery, Ward, Marilyn
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Wiley-Blackwell Aug2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2024
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/idh.12783
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        atl: The effects of scaling and root planing plus home oral hygiene maintenance in Stage I/II periodontitis population: A 24‐week randomized clinical trial.
      aug:
        au:
          Jenkins, Wendy
          Starke, E. Michelle
          Nelson, Melissa
          Milleman, Kimberly
          Milleman, Jeffery
          Ward, Marilyn
        affil: Philips Oral Healthcare, Bothell Washington,, USA
      sug:
        subj:
          Periodontitis Therapy
          Dental Scaling
          Root Planing
          Oral Hygiene
          Home Environment
          Treatment Outcomes
          Toothbrushing Methods
          Patient Safety
          Hemorrhage Prevention and Control
          Dental Plaque Prevention and Control
          Human
          Randomized Controlled Trials
          Random Assignment
          Single-Blind Studies
          Adolescence
          Adult
          Middle Age
          Aged
          United States
          Descriptive Statistics
          Confidence Intervals
          One-Way Analysis of Variance
          Data Analysis Software
          Chi Square Test
          Analysis of Covariance
          Male
          Female
          Funding Source
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Objectives: To compare the effects of powered and manual toothbrushing following scaling and root planing on bleeding on probing and other clinical indicators of periodontitis. Materials and Methods: This was a randomized, examiner‐blind, parallel‐design, 24‐week clinical study. Eligible subjects were 18–75 years of age with Stage I or II periodontitis. All subjects received scaling and root planing (SRP) within 28 days of enrollment. Thereafter, subjects were randomized to twice daily at‐home use of either a powered toothbrush (PTB) or a manual toothbrush (MTB). Randomization was balanced for gender and periodontitis stage. No other oral hygiene aids were permitted. Subjects were evaluated every 4 weeks for the following measures: bleeding on probing (BOP), surface plaque (MPI), probing pocket depth (PPD) and clinical attachment level until Week 24. Results: Of 328 randomized subjects, 299 subjects completed the study. For BOP at Week 24, the Least Squares (LS) Mean, standard error (SE) reduction from baseline was 0.24 (0.01) for the PTB group and 0.02 (0.01) for the MTB group, resulting in a statistically significant treatment difference of 0.22 (0.01), p‐value < 0.0001. There were also concomitant reductions in MPI and PPD at Week 24, resulting in statistically significant (p‐value < 0.0001) LS Mean (SE) treatment differences of 0.86 (0.04) and 0.24 (0.01), for MPI and PPD, respectively. Conclusion: When combined with SRP, daily home oral hygiene maintenance including a powered toothbrush significantly reduced clinical symptoms of periodontitis and surface plaque levels compared to a manual toothbrush in a Stage I/II periodontitis population. (ClinicalTrials.gov Identifier: NCT04254770).
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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