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Article

Microbiological and Clinical Evaluation of the Efficacy of a Chemical Desiccant Agent in Non-Surgical Periodontal Treatment: A Randomized Controlled Clinical Trial

by
Alessia Pardo
1,
Gabriele Brancato
1,
Annarita Signoriello
1,*,
Elena Messina
1,*,
Giovanni Corrocher
1,
Valentina Bellopede
2,
Gloria Burlacchini
3,
Caterina Signoretto
3 and
Giorgio Lombardo
1
1
Dentistry and Maxillofacial Surgery Unit, Department of Surgery, Dentistry, Pediatrics and Gynecology (DIPSCOMI), University of Verona, Piazzale L.A. Scuro, 10, 37134 Verona, Italy
2
G.B Rossi, Integrated University Hospital of Verona, Piazzale L.A. Scuro, 37134 Verona, Italy
3
Diagnostic and Public Health Department, University of Verona, 37134 Verona, Italy
*
Authors to whom correspondence should be addressed.
Antibiotics 2025, 14(10), 1050; https://doi.org/10.3390/antibiotics14101050
Submission received: 8 September 2025 / Revised: 11 October 2025 / Accepted: 17 October 2025 / Published: 20 October 2025
(This article belongs to the Special Issue Antibacterial and Antibiofilm Properties of Biomaterial)

Abstract

Background: This randomized clinical trial compared the effects of topical irrigation with a desiccant agent (HybenX Oral Tissue Decontaminant, HBX) combined with full-mouth ultrasonic debridement as well as scaling and root planing (FMUD-SRP) versus conventional non-surgical periodontal therapy (US-SRP). Methods: Three quadrants per patient with probing pocket depth (PPD) ≥ 5 mm were randomly assigned to (i) the control group (US-SRP only), (ii) test group 1 (HBX + US-SRP at baseline, HBX 1T (one time)), or (ii) test group 2 (HBX + US-SRP across three sessions, HBX 3T (three times)). Clinical parameters included probing pocket depth (PPD), bleeding on probing (BOP), plaque index (PI), gingival recession (REC), and Clinical Attachment Level (CAL), recorded at baseline (Tbase), 45 days (T45d), and 90 days (T90d). Microbiological sampling was conducted for all sites at Tbase, T45d, and T90d to assess periodontal pathogens. HBX-treated sites received gel application for 60 s, followed by a saline rinse and US-SRP. Results: Significant differences were found between groups in PPD (p = 0.04) and CAL (p = 0.02) at T45d versus Tbase, while BOP, PI, and REC showed no significant inter-group differences at T45d. The HBX 3T group demonstrated greater pathogen reduction compared to the control and HBX 1T groups, except for one bacterial species. Conclusions: All treatments improved clinical and microbiological parameters. Even if single and triple applications of HBX showed similar clinical results, the repeated application achieved greater bacterial reduction.
Keywords: desiccant agent; periodontopathogens bacteria; non-surgical therapy; randomized clinical trial desiccant agent; periodontopathogens bacteria; non-surgical therapy; randomized clinical trial

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MDPI and ACS Style

Pardo, A.; Brancato, G.; Signoriello, A.; Messina, E.; Corrocher, G.; Bellopede, V.; Burlacchini, G.; Signoretto, C.; Lombardo, G. Microbiological and Clinical Evaluation of the Efficacy of a Chemical Desiccant Agent in Non-Surgical Periodontal Treatment: A Randomized Controlled Clinical Trial. Antibiotics 2025, 14, 1050. https://doi.org/10.3390/antibiotics14101050

AMA Style

Pardo A, Brancato G, Signoriello A, Messina E, Corrocher G, Bellopede V, Burlacchini G, Signoretto C, Lombardo G. Microbiological and Clinical Evaluation of the Efficacy of a Chemical Desiccant Agent in Non-Surgical Periodontal Treatment: A Randomized Controlled Clinical Trial. Antibiotics. 2025; 14(10):1050. https://doi.org/10.3390/antibiotics14101050

Chicago/Turabian Style

Pardo, Alessia, Gabriele Brancato, Annarita Signoriello, Elena Messina, Giovanni Corrocher, Valentina Bellopede, Gloria Burlacchini, Caterina Signoretto, and Giorgio Lombardo. 2025. "Microbiological and Clinical Evaluation of the Efficacy of a Chemical Desiccant Agent in Non-Surgical Periodontal Treatment: A Randomized Controlled Clinical Trial" Antibiotics 14, no. 10: 1050. https://doi.org/10.3390/antibiotics14101050

APA Style

Pardo, A., Brancato, G., Signoriello, A., Messina, E., Corrocher, G., Bellopede, V., Burlacchini, G., Signoretto, C., & Lombardo, G. (2025). Microbiological and Clinical Evaluation of the Efficacy of a Chemical Desiccant Agent in Non-Surgical Periodontal Treatment: A Randomized Controlled Clinical Trial. Antibiotics, 14(10), 1050. https://doi.org/10.3390/antibiotics14101050

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