Povidone-Iodine Used as an Adjunct to Non-Surgical Treatment of Furcation Involvements

• Autores: Antonio Wilson Sallum, Marcio Zaffalon Casati, Erica del Peloso Ribeiro, Sandro Bittencourt, Gláucia María Bovi Ambrosano, Francisco H. Nociti Jr., Enilson Antonio Sallum
• Localización: Journal of periodontology, ISSN 0022-3492, Vol. 77, Nº. 2, 2006, págs. 211-217
• Idioma: inglés
• Texto completo no disponible (Saber más ...)
• Resumen

  • Povidone-Iodine Used as an Adjunct to Non-Surgical Treatment of Furcation Involvements Érica Del Peloso Ribeiro,* Sandro Bittencourt,* Glaucia Maria Bovi Ambrosano,† Francisco H. Nociti Jr.,* Enilson A. Sallum,* Antônio W. Sallum,* and Márcio Zaffalon Casati* *Department of Prosthodontics and Periodontics, Division of Periodontics, School of Dentistry at Piracicaba, University of Campinas, São Paulo, Brazil.

    †Department of Social Dentistry, Division of Biostatistics, School of Dentistry at Piracicaba, University of Campinas.

    Correspondence: Dr. Márcio Zaffalon Casati., Department of Prosthodontics and Periodontics, School of Dentistry at Piracicaba, University of Campinas, Avenida Limeira 901, Areião 13414-903 Piracicaba, São Paulo, Brazil. Fax: 55-19-3412-5301; e-mail: casati@fop.unicamp.br.

    Background: The aim of this clinical trial was to evaluate the effect of topically applied povidone-iodine (polyvinylpyrrolidone and iodine [PVP-I]) used as an adjunct to non-surgical therapy of furcation involvements.

    Methods: Forty-four patients presenting at least one Class II furcation involvement that bled on probing with probing depth (PD) ≥5 mm were recruited. Patients were stratified into two treatment groups: 1) subgingival instrumentation by an ultrasonic device using PVP-I (10%) as the cooling liquid (test); and 2) identical treatment using distilled water as the cooling liquid (control). The following clinical outcomes were evaluated: plaque index, bleeding on probing (BOP), position of the gingival margin, relative attachment level (RAL), PD, and relative horizontal attachment level (RHAL). The N-benzoyl-L-arginine-p-nitroanilide (BAPNA) test was used to analyze the trypsin-like activity in dental biofilm. The clinical and biochemical parameters were evaluated at baseline and 1, 3, and 6 months after therapy.

    Results: Both groups had similar means of PD reduction and RAL and RHAL gain. At 6 months, these variables were, respectively, 2.31, 1.17, and 1.00 mm in the control group and 2.31, 1.23, and 1.02 mm in the test group. There was also no difference between groups regarding the number of furcation sites presenting RAL gain ≥2 mm. The results of the BAPNA test failed to demonstrate significant differences between groups.

    Conclusion: Non-surgical therapy can effectively treat Class II furcation involvements, and the use of topically applied PVP-I as an adjunct to subgingival instrumentation does not provide additional benefits.

    KEYWORDS: Clinical trials, controlled, furcation defects, periodontitis, povidone-iodine Cited by Vanessa H. Luchesi, Suzana P. Pimentel, Maria F. Kolbe, Fernanda V. Ribeiro, Renato C. Casarin, Francisco H. Nociti, Enilson A. Sallum and Marcio Z. Casati. (2013) Photodynamic therapy in the treatment of class II furcation: a randomized controlled clinical trial. Journal of Clinical Periodontology, n/a-n/a.

    Online publication date: 1-Jun-2013.

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    Abstract | Full Text | PDF (362 KB) | PDF Plus (252 KB) Åsa Leonhardt, Christina Bergström, Lena Krok and Giuseppe Cardaropoli. (2007) Microbiological effect of the use of an ultrasonic device and iodine irrigation in patients with severe chronic periodontal disease: A randomized controlled clinical study. Acta Odontologica Scandinavica 65, 52-59.

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