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Effect of interproximal home oral hygiene on clinical parameters and inflammatory biomarkers in patients receiving periodontal maintenance.

Authors :
Moore, Grace C.
Smith, Kevin T.
Christiansen, Mary M.
Anderson, Laura
Moravec, Lisa J.
Okano, David K.
Samson, Kaeli K.
Ramer‐Tait, Amanda
Beede, Kristin
Reinhardt, Richard A.
Killeen, Amy C.
Source :
Journal of Periodontology; Jul2023, Vol. 94 Issue 7, p848-857, 10p
Publication Year :
2023

Abstract

Background: The purpose of this 6‐week, single‐blinded, randomized clinical trial was to determine if the use of an interproximal brush, with or without a tracking device, is more effective than an oral irrigator in improving interproximal probing depth (PD), clinical attachment level (CAL), plaque index (PI), gingival index (GI), bleeding on probing (BOP), and inflammatory markers. Methods: Seventy‐six patients with Stages III–IV, Grade B periodontitis and a 5–7 mm posterior interproximal PD with BOP were randomized: (1) interproximal brush alone (IB; n = 26), (2) interproximal brush with tracking device (TD; n = 23), (3) oral irrigator (OI; n = 27). Participants used devices once daily for 6 weeks. Clinical measurements (PD, CAL, PI, BOP, GI) and gingival crevicular fluid (GCF) samples were collected at baseline and 6 weeks. Results: All groups showed a significant reduction in PD and CAL (≥1.1 mm, p < 0.0001) and improvement in BOP (≥56%, p < 0.0001) and GI (≥82%, p < 0.001) at the experimental site with no differences among groups. The IB and IB+TD groups showed a significant reduction in PI (≥0.9, p ≤ 0.01). Interleukin (IL)‐1β was reduced in all groups (p = 0.006), but IB+TB more than OI (p ≤ 0.05). IL‐10 was reduced among all groups (p = 0.01), while interferon‐gamma significantly increased (p = 0.01) in all groups. Conclusions: IB and OI improved clinical parameters of PD and CAL and reduced inflammatory markers (BOP, GI, GCF IL‐1β). IB had better interproximal plaque reduction. Tracking did not significantly improve clinical parameters compared with the IB and OI groups, suggesting future modifications are needed. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
00223492
Volume :
94
Issue :
7
Database :
Supplemental Index
Journal :
Journal of Periodontology
Publication Type :
Academic Journal
Accession number :
166735214
Full Text :
https://doi.org/10.1002/JPER.22-0631