dc.date.accessioned | 2024-03-21T18:24:35Z | |
dc.date.available | 2024-03-21T18:24:35Z | |
dc.date.created | 2023-11-02T23:33:03Z | |
dc.date.issued | 2023 | |
dc.identifier.citation | Ferrarotti, Francesco Baima, Giacomo Rendinelli, Martina Citterio, Filippo Mariani, Giulia Maria Mussano, Federico Romano, Federica Romandini, Mario Aimetti, Mario . Pocket closure after repeated subgingival instrumentation: a stress test to the EFP guideline for stage III-IV periodontitis. Clinical Oral Investigations. 2023 | |
dc.identifier.uri | http://hdl.handle.net/10852/109951 | |
dc.description.abstract | Abstract
Objectives
To study the effects of one or two repeated subgingival instrumentations (RSI) in achieving the endpoints of therapy (EoT) in open pockets [residual probing pocket depth (PPD) ≥ 6 mm and PPD 4–5 mm with bleeding on probing (BoP)] after steps I-II of therapy.
Materials and methods
Twenty-five patients (3,552 total sites; 1,450 open pockets) with stage III-IV periodontitis received steps I-II of periodontal therapy and were re-evaluated after 4–6 weeks (T1). Residual pockets received RSI at T1 and at 3 months (T2). EoT (PPD < 4 or PPD < 6 BoP-) rate at T1, T2 and 6 months (T3) was computed. The number of needed surgeries and treatment costs were calculated.
Results
At T1, 67.6% of open pockets achieved EoT. At residual PPD ≥ 6 mm at T1 ( n = 172), one and two RSI resulted in 33.1% and 45.9% of EoT at T2 and T3, respectively. At residual PPD 4–5 mm with BoP at T1 ( n = 298), one and two RSI resulted in 66.8% and 72.1% of EoT at T2 and T3, respectively. PPD at T1 predicted EoT after RSI in both cases, while tooth type only in residual PPD 4–5 mm BoP + . At T1, mean number of surgeries per patient and associated costs were significantly higher than after one/two RSI.
Conclusions
RSI may achieve EoT in residual PPD 4–5 mm BoP + and PPD ≥ 6 mm in a considerable number of cases.
Clinical relevance
These findings may support the administration of one/two cycles of RSI prior to surgical approach.
Protocol registration
ClinicalTrials.gov identification number: NCT04826926. | |
dc.language | EN | |
dc.rights | Attribution 4.0 International | |
dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | |
dc.title | Pocket closure after repeated subgingival instrumentation: a stress test to the EFP guideline for stage III-IV periodontitis | |
dc.title.alternative | ENEngelskEnglishPocket closure after repeated subgingival instrumentation: a stress test to the EFP guideline for stage III-IV periodontitis | |
dc.type | Journal article | |
dc.creator.author | Ferrarotti, Francesco | |
dc.creator.author | Baima, Giacomo | |
dc.creator.author | Rendinelli, Martina | |
dc.creator.author | Citterio, Filippo | |
dc.creator.author | Mariani, Giulia Maria | |
dc.creator.author | Mussano, Federico | |
dc.creator.author | Romano, Federica | |
dc.creator.author | Romandini, Mario | |
dc.creator.author | Aimetti, Mario | |
cristin.unitcode | 185,16,17,54 | |
cristin.unitname | Periodonti | |
cristin.ispublished | true | |
cristin.fulltext | original | |
cristin.qualitycode | 1 | |
dc.identifier.cristin | 2191680 | |
dc.identifier.bibliographiccitation | info:ofi/fmt:kev:mtx:ctx&ctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Clinical Oral Investigations&rft.volume=&rft.spage=&rft.date=2023 | |
dc.identifier.jtitle | Clinical Oral Investigations | |
dc.identifier.volume | 27 | |
dc.identifier.issue | 11 | |
dc.identifier.startpage | 6701 | |
dc.identifier.endpage | 6708 | |
dc.identifier.doi | https://doi.org/10.1007/s00784-023-05279-6 | |
dc.type.document | Tidsskriftartikkel | |
dc.type.peerreviewed | Peer reviewed | |
dc.source.issn | 1432-6981 | |
dc.type.version | PublishedVersion | |