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Evaluation of the Effect of Subgingival Placement of Chlorhexidine Chips as an Adjunct to Scaling and Root Planing

  • Autores: Juliana Carvalho, M. John Novak, Luis F. Mota
  • Localización: Journal of periodontology, ISSN 0022-3492, Vol. 78, Nº. 6, 2007, págs. 997-1001
  • Idioma: inglés
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  • Resumen
    • Background: The purpose of this 9-month study was to compare the effect of scaling and root planing alone (control) to that of scaling and root planing plus application of chlorhexidine chips (test).

      Methods: Twenty-six subjects having two non-adjacent sites in non-molar teeth with probing depth ≥5 mm and bleeding on probing participated in this split-mouth trial. At baseline, the patients received full-mouth scaling and root planing followed by placement of chlorhexidine chips secured by cyanoacrylate at test sites and placement of cyanoacrylate alone at control sites. Test sites still ≥5 mm deep at 3 and 6 months were retreated with renewed chlorhexidine chip application. Recordings of bleeding on probing, probing depths, and clinical attachment levels were performed at baseline, after 6 weeks, and after 3, 6, and 9 months.

      Results: Improvements of bleeding scores, probing depths and clinical attachment levels were observed for both test and control sites at 6 weeks compared to baseline. Subsequently, all three measurements remained comparatively stable throughout the study. No differences in improvements were found comparing test and control sites.

      Conclusion: This study failed to observe any adjunctive effect of subgingival placement of chlorhexidine chips after scaling and root planing.


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