Título:
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Clinical comparison of instrumentation systems for periodontal debridement: a randomized clinical trial
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Autor/a:
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Puglisi, Rosario; Santos, Antonio; Pujol, Angels; Ferrari, Marco; Nart Molina, José; Pascual La Rocca, Andres Matteo
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Notas:
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Objective: To compare clinical efficacy, chairside time, and post-treatment hypersensitivity of four instruments used for subgingival periodontal debridement. Materials & Methods: Seventeen patients with stage II and III periodontitis were enrolled in this randomized clinical trial using a split-mouth design. Quadrants were randomly divided into four treatment groups: Group A: Gracey curettes-Hu-Friedy®; Group B: piezoelectric ultrasonic (Satelec®) with No.1S insert; Group C: diamond burs 40µm (Intensiv Perioset®); and Group D: piezosurgery ultrasonic (Mectron®) with PP1 insert. Clinical outcomes, chairside time, and hypersensitivity were assessed at 1, 2, 4, and 8 weeks after treatment. The primary outcome variable was improvement in clinical attachment level. Results: At 8 weeks post-treatment, Gracey curettes, piezoelectric ultrasonic (Satelec®), and piezosurgery ultrasonic (Mectron®) were statistically more effective than diamond burs in increasing attachment level and reducing probing pocket depth. Comparison of piezoelectric ultrasonic (Satelec®) and piezosurgery ultrasonic (Mectron®) with the other instruments showed a statistical difference (p<0.001) in chairside time. Regarding post-treatment hypersensitivity, no statistical differences were observed in any of the groups. Conclusions: Gracey curettes, piezoelectric ultrasonic (Satelec®), and piezosurgery ultrasonic (Mectron®) were clinically more effective than diamond burs 40 µm. The ultrasonic instruments showed a significant reduction in chairside time. |
Materia(s):
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-Teràpia periodontal no quirúrgica -Descamació -Desbridament subgingival -Curetes periodontals -Ultrasons -Piezoquirurgia -Terapia periodontal no quirúrgica -Raspado -Desbridamiento subgingival -Curetas periodontales -Ultrasonidos -Piezocirugía -Non-surgical periodontal therapy -Scaling -Subgingival debridement -Periodontal curettes -Ultrasonic -Piezosurgery -616.3 |
Derechos:
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© 2021 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
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Tipo de documento:
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Artículo Artículo - Versión aceptada |
Editor:
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John Wiley & Sons
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