Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312-773X (Online)
Issue: 2009, Volume 15, book 2
Subject Collection: Medicine
Online date: October 8, 2009,
SUBGINGIVAL IRRIGATIONS WITH POVIDONE-IODINE AS ADJUNCTIVE TREATMENT OF CHRONIC PERIODONTITIS
Kamen Kotsilkov, Denislav Emilov, Christina Popova
Department of Periodontology, Faculty of Dental Medicine, Medical University of Sofia, Bulgaria
BACKGROUND: Successful prevention and treatment of periodontitis is contingent upon effective control of the periodontopathic microbiota. Periodontal pathogens reside in deep subgingival sites but also colonize supragingival plaque, tongue dorsum and other oral sites. Antimicrobial agents administered systemically or locally can help suppress periodontal pathogens in periodontal sites and in the entire mouth.
MATERIALS AND METODS: Thirty patients with generalized severe chronic periodontitis with 567 periodontal pockets e”5mm were included in the presented study. The mechanical periodontal treatment was performed with ultrasonic device P5 Newtron in four visits. Subgingival irrigation of the periodontal pockets in the right two quadrants (split-mouth study) were performed with 10% povidone-iodine solutions. Full mouth periodontal status evaluation was recorded again on the last visit.
RESULTS: The results from this study show significant improvement of the clinical parameters of periodontitis in all treated patients and in almost all periodontal sites. In the regions treated with subgingival irrigation with 10% povidone-iodine solution superior reduction of the probing depth, more attachment gain and better reduction of the gingival inflammation were recorded in comparison with regions treated with SRP only.
CONCLUSION: This study demonstrates positive effect of the subgingival irrigations with 10% povidone-iodine in cases of severe chronic periodontitis. This results are rationale for future studies on the effectiveness of the iodophore solutions in the treatment of the disease and on the clinical significance of the investigated treatment.
Key words: chronic periodontitis, adjunctive antimicrobial therapy, povidone-iodine.
Page: 84-88; FULL TEXT PDF (1382 KB)
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