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Article

Influence of Tooth-Brushing on Early Healing after Access Flap Surgery: A Randomized Controlled Preliminary Study

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Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance, University of Modena and Reggio Emilia, 41124 Modena, Italy
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The European Research Group on Periodontology (ERGOPerio), 3855 Brienz-Bern, Switzerland
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Department of Economics Marco Biagi, University of Modena and Reggio Emilia, 41121 Modena, Italy
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Independent Researcher, 41124 Modena, Italy
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Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, 41125 Modena, Italy
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Biomaterials Laboratory, Department of Medical and Surgical Sciences of Children and Adults, University of Modena and Reggio Emilia, 41124 Modena, Italy
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Authors to whom correspondence should be addressed.
Academic Editor: Georgios Romanos
Materials 2021, 14(11), 2933; https://doi.org/10.3390/ma14112933
Received: 23 April 2021 / Revised: 21 May 2021 / Accepted: 26 May 2021 / Published: 29 May 2021
(This article belongs to the Special Issue Advances in Periodontics and Restorative Dental Materials)
In the present study, the clinical outcomes obtained using three different protocols of post-operative plaque control for the 4 weeks after surgery were compared. Thirty healthy subjects, presenting at least one periodontal pocket requiring resective surgery, were selected and randomly distributed to three different groups corresponding to respective post-surgical protocols: (A) toothbrushes + chlorhexidine + anti-discoloration system (ADS + CHX); (B) toothbrushes + chlorhexidine (CHX); (C) only toothbrushes. The full-mouth plaque score (FMPS), full-mouth bleeding score (FMBS), probing pocket depth (PPD), recession depth (REC), clinical attachment level (CAL), and bleeding on probing (BoP) were measured in six aspects per tooth (mesio-buccal (MB), buccal (B), disto-buccal (DB), disto-lingual (DL), lingual (L), and mesio-lingual (ML)) at baseline, 3 months, and 6 months after surgery. FMPS and FMBS did not significantly change (p > 0.05), whereas PPD and CAL significantly decreased, and REC significantly increased in all groups during the study (p < 0.05). Clinical results were satisfactory in all cases, with no significant differences between groups 3 months after surgery. Six months after surgery, only PPD-MB was significantly different in the three groups (p < 0.05). Nevertheless, this value was not clinically relevant because the value of PPD-B (about 2 mm) in group C was physiologic. The mechanical plaque control was proven to be fundamental and sufficient in all the six aspects per tooth to guarantee an excellent clinical outcome without the need of chemical plaque control. View Full-Text
Keywords: periodontal supportive therapy; chlorhexidine; oral ecosystem; chemical plaque control; mechanical plaque control; periodontal index periodontal supportive therapy; chlorhexidine; oral ecosystem; chemical plaque control; mechanical plaque control; periodontal index
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MDPI and ACS Style

Bertoldi, C.; Generali, L.; Cortellini, P.; Lalla, M.; Luppi, S.; Tomasi, A.; Zaffe, D.; Salvatori, R.; Bergamini, S. Influence of Tooth-Brushing on Early Healing after Access Flap Surgery: A Randomized Controlled Preliminary Study. Materials 2021, 14, 2933. https://doi.org/10.3390/ma14112933

AMA Style

Bertoldi C, Generali L, Cortellini P, Lalla M, Luppi S, Tomasi A, Zaffe D, Salvatori R, Bergamini S. Influence of Tooth-Brushing on Early Healing after Access Flap Surgery: A Randomized Controlled Preliminary Study. Materials. 2021; 14(11):2933. https://doi.org/10.3390/ma14112933

Chicago/Turabian Style

Bertoldi, Carlo, Luigi Generali, Pierpaolo Cortellini, Michele Lalla, Sofia Luppi, Aldo Tomasi, Davide Zaffe, Roberta Salvatori, and Stefania Bergamini. 2021. "Influence of Tooth-Brushing on Early Healing after Access Flap Surgery: A Randomized Controlled Preliminary Study" Materials 14, no. 11: 2933. https://doi.org/10.3390/ma14112933

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