A Novel Piezoelectric-Assisted Non-Surgical Periodontal Treatment: A Prospective Case Series

The purpose of this study was to evaluate the clinical efficacy of a non-surgical periodontal treatment using a piezoelectric power-driven device with a novel insert. Plaque index (PlI), bleeding on probing (BoP), probing depth (PD), recession depth (Rec) and clinical attachment level (CAL) were ass...

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Bibliographic Details
Published in:Dentistry journal 2023-07, Vol.11 (7), p.178
Main Authors: Rotundo, Roberto, Marini, Lorenzo, Carere, Mauro, Trezza, Cinzia, Marras, Giovanni, Nieri, Michele, Pilloni, Andrea
Format: Article
Language:English
Subjects:
Analysis
Biofilms
Chewing
Discomfort
Disease prevention
Gum disease
Hypersensitivity
Local anesthesia
Mastication
Mouth
Oral hygiene
Patients
periodontal debridement
periodontal diseases
Periodontitis
Piezoelectricity
Plaque index
root planing
Statistical analysis
Surgery
Teeth
therapeutics
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Summary:The purpose of this study was to evaluate the clinical efficacy of a non-surgical periodontal treatment using a piezoelectric power-driven device with a novel insert. Plaque index (PlI), bleeding on probing (BoP), probing depth (PD), recession depth (Rec) and clinical attachment level (CAL) were assessed at 6 weeks, 3 months and 6 months. Furthermore, tooth mobility and furcation involvement were recorded and chewing discomfort and dental hypersensitivity were evaluated. Eighteen stage I to IV periodontitis patients providing 437 teeth and 2622 sites in total were analyzed. At six weeks, CAL gain (0.4; < 0.0001), PD reduction (0.4; < 0.0001) and Rec increase (0.1; = 0.0029) were statistically significant. Similarly, the mean number of sites with PD > 4 mm and absence of BoP significantly decreased between baseline and 6 weeks (-12.7; < 0.0001). At this time point, the patient's chewing discomfort was also significantly diminished (1.4; = 0.0172). Conversely, no statistically significant changes were observed between 6 weeks and 3 months and between 3 months and 6 months for any of the clinical variables evaluated. In conclusion, within the limitation of this study, mechanical piezo-assisted non-surgical periodontal treatment in conjunction with an innovative tip resulted significantly efficacious to reduce pathological periodontal pockets, to gain clinical attachment and to reduce gingival inflammation.
ISSN:2304-6767
2304-6767
DOI:10.3390/dj11070178