Chronic Periodontitis Clinical Trial
Official title:
Comparison Between Two Non-surgical Periodontal Treatment Procedures With and Without Interdental Hygiene Devices in Periodontitis Patients: a Longitudinal Prospective Controlled Clinical Trial
Periodontitis is treated by regularly clearance of the disease-causing biofilm through
domestic care and dental measures (Petersilka et al., 2002, Herrera et al., 2008). Healthy
gums have intact papillae occluding the interdental area. Successful brushing cleans these
areas; the prophylaxis of gingivitis for such patients does therefore not require special
aids. In contrast, initial attachment loss as a result of inflammation or restorative therapy
leads to additional cleaning needs, since the normal brush is not able to clean interdental
areas as successful as vestibular and oral surfaces (Dörfer and Staehle, 2010).
It can be said that interdental brushes are the most effective tools for cleaning interdental
spaces (Salzer et al., 2015). Compared with a toothbrush, they are the only tool showing
better results of plaque removal and reduction of gingivitis (Slot et al., 2008). Therefore
their use should not be restricted to older people with already reduced interdental papillae.
A big advantage is that interdental brushes are generally easy to use. If brush sizes are
chosen correctly, insertion and multiple forward and backward movement is sufficient to
obtain com- plete cleaning of the interproximal surfaces. Additional cleaning by other means
such as dental floss is not always necessary because interdental brushes clean approximal and
subgingival surfaces sufficiently, providing the size was chosen correctly (Dörfer and
Staehle, 2010).
Due to the above mentioned coherences and associations, this study includes the hypothesis
that patients with periodontitis would benefit from the instruction and motivation of
interdental brushes within the active periodontitis therapy in comparison to a periodontitis
therapy without the instructed domestic interdental hygiene by a stronger reduction of
clinical inflammatory characteristics (Salzer et al., 2015). The corresponding
Zero-Hypothesis says that no difference would be found between both groups.
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