AI Article Synopsis
- - The study aimed to compare a new treatment method called Guided Biofilm Therapy (GBT) using erythritol-powder air-polishing and ultrasonic removal against traditional ultrasonic debridement and rubber cup polishing in patients with gingivitis, focusing on time and comfort.
- - Patients were evaluated over 12 months, with results showing GBT provided lower levels of bleeding on probing (BoP) and plaque index (PI) at 4 months, while also saving significant treatment time (24.5% and 25.1% at 3 and 6 months, respectively).
- - Overall, both treatments were effective, but GBT was found to be more comfortable and preferred by a greater number of patients, highlighting its advantages in
Article Abstract
Objective: To evaluate the advantages of a novel protocol involving full-mouth erythritol-powder air-polishing followed by ultrasonic calculus removal in the maintenance of patients treated for gingivitis, with a focus on time and comfort.
Methods: Systemically healthy patients with gingivitis were selected. Following a split-mouth design, quadrants 1-4 and 2-3 were randomly allocated to receive air-polishing followed by ultrasonic calculus removal following a protocol known as Guided Biofilm Therapy (GBT) or traditional full-mouth ultrasonic debridement followed by polishing with a rubber cup and prophylactic paste (US + P). Bleeding on probing (BoP) and the plaque index (PI) were collected at baseline (T0), 2 weeks (T1), 4 weeks (T2), 3 months (T3), and 6 months (T4) and 12 months (T5). Following the same randomization, prophylactic therapy was provided at 3 months (T3) and 6 months (T4). Clinical parameters, treatment time and patient comfort and satisfaction were evaluated.
Results: A total of 41 patients were selected, 39 completed the study. The clinical parameters were clinically satisfactory for both treatments at every time. At 4 months after treatment, GBT maintained significantly lower BoP and PI. GBT protocol required a significantly lower treatment time, especially at T3 and T4, when it saved 24.5% and 25.1% of the time, respectively. Both treatments were rated positively by most patients. However, GBT was perceived as more comfortable, and a higher number of patients preferred it.
Conclusion: No significant difference was observed between GBT and conventional ultrasonic debridement and rubber cup polishing in terms of BoP and PI levels. The GBT protocol allowed less time expenditure and higher patients' perceived comfort.
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| http://dx.doi.org/10.1111/idh.12812 | DOI Listing |
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