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Effects of post-surgical cleansing protocols on early plaque control in periodontal and/or periimplant wound healing.
J Clin Periodontol 2004; 31(11):1012-8JC

Abstract

OBJECTIVE

The aim of this RCT was to evaluate early wound healing following specific post-surgical care protocols.

MATERIAL AND METHODS

Following periodontal flap surgery, 60 patients were randomly assigned to follow one of two post-surgical protocols. Subjects smoking >20 cigarettes per day were excluded. Patients following the control protocol rinsed twice daily for 1 min with 0.1% of chlorhexidine (CHX) for 4 weeks. In addition to CHX rinsing, patients assigned to the test protocol applied CHX locally using a special very soft surgical toothbrush (Chirugia) from days 3 to 14, and a soft toothbrush (Ultrasuave) from days 14 to 28, twice daily. Baseline measurements included gingival crevicular fluid (GCF) flow rate, probing depth, probing attachment level, presence of bleeding on probing and full-mouth plaque score. Measurements were repeated at 1, 2 and 4 weeks after surgery.

RESULTS

Both post-surgical protocols resulted in successful wound healing and optimal wound closure at 4 weeks. There were no statistical differences in the GCF flow rate between test and control protocols. There was a lower incidence of recession of > or =2 mm following the test protocol.

CONCLUSION

The use of specific post-surgical cleansing protocols including the introduction of mechanical cleansing at day 3, using local application of CHX in addition to daily rinsing with CHX may be recommended.

Authors+Show Affiliations

School of Dental Medicine, University of Berne, Berne, Switzerland.No affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15491319

Citation

Heitz, F, et al. "Effects of Post-surgical Cleansing Protocols On Early Plaque Control in Periodontal And/or Periimplant Wound Healing." Journal of Clinical Periodontology, vol. 31, no. 11, 2004, pp. 1012-8.
Heitz F, Heitz-Mayfield LJ, Lang NP. Effects of post-surgical cleansing protocols on early plaque control in periodontal and/or periimplant wound healing. J Clin Periodontol. 2004;31(11):1012-8.
Heitz, F., Heitz-Mayfield, L. J., & Lang, N. P. (2004). Effects of post-surgical cleansing protocols on early plaque control in periodontal and/or periimplant wound healing. Journal of Clinical Periodontology, 31(11), pp. 1012-8.
Heitz F, Heitz-Mayfield LJ, Lang NP. Effects of Post-surgical Cleansing Protocols On Early Plaque Control in Periodontal And/or Periimplant Wound Healing. J Clin Periodontol. 2004;31(11):1012-8. PubMed PMID: 15491319.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of post-surgical cleansing protocols on early plaque control in periodontal and/or periimplant wound healing. AU - Heitz,F, AU - Heitz-Mayfield,L J A, AU - Lang,N P, PY - 2004/10/20/pubmed PY - 2004/12/16/medline PY - 2004/10/20/entrez SP - 1012 EP - 8 JF - Journal of clinical periodontology JO - J. Clin. Periodontol. VL - 31 IS - 11 N2 - OBJECTIVE: The aim of this RCT was to evaluate early wound healing following specific post-surgical care protocols. MATERIAL AND METHODS: Following periodontal flap surgery, 60 patients were randomly assigned to follow one of two post-surgical protocols. Subjects smoking >20 cigarettes per day were excluded. Patients following the control protocol rinsed twice daily for 1 min with 0.1% of chlorhexidine (CHX) for 4 weeks. In addition to CHX rinsing, patients assigned to the test protocol applied CHX locally using a special very soft surgical toothbrush (Chirugia) from days 3 to 14, and a soft toothbrush (Ultrasuave) from days 14 to 28, twice daily. Baseline measurements included gingival crevicular fluid (GCF) flow rate, probing depth, probing attachment level, presence of bleeding on probing and full-mouth plaque score. Measurements were repeated at 1, 2 and 4 weeks after surgery. RESULTS: Both post-surgical protocols resulted in successful wound healing and optimal wound closure at 4 weeks. There were no statistical differences in the GCF flow rate between test and control protocols. There was a lower incidence of recession of > or =2 mm following the test protocol. CONCLUSION: The use of specific post-surgical cleansing protocols including the introduction of mechanical cleansing at day 3, using local application of CHX in addition to daily rinsing with CHX may be recommended. SN - 0303-6979 UR - https://www.unboundmedicine.com/medline/citation/15491319/Effects_of_post_surgical_cleansing_protocols_on_early_plaque_control_in_periodontal_and/or_periimplant_wound_healing_ L2 - https://doi.org/10.1111/j.1600-051X.2004.00606.x DB - PRIME DP - Unbound Medicine ER -