Search Results (3)

Background/Objectives: The colour changes related to inflammation have yet to be quantified despite the fact that the intensification of gingival colour is one of the cardinal signs of gingival inflammation. We aimed to (1) assess the effect of periodontal treatment on gingival colour according to biotype and initial degree of inflammatory severity and (2) identify the relationship between the plaque index and gingival colour and compare the colour of moderately or severely inflamed gums to the colour of gums with mild inflammation. Methods: Forty-three participants with visual signs of inflammation were included in the study. CIELAB colour coordinates were measured using a spectrophotometer at the distal papilla, free gingival margin, middle zone of the attached gingiva, and mucogingival line proximate to the maxillary central incisor pre-treatment and four weeks post treatment with periodontal debridement. Each participant’s gingival biotype, plaque and gingival indices, age, and gender were also recorded. Results: The biotype and plaque index were both found to influence the colour of inflamed gums, albeit only the a* coordinate in two of the zones examined (the distal papilla and free gingival margin). Statistically significant differences were also found between the a* coordinates of participants with and without plaque at the distal papilla and the free gingival margin. The severity of inflammation also influenced the L* coordinates of gingival colour (p < 0.001) in all participants in all four zones examined. Periodontal treatment only affected the L* coordinate of gingival colour at the distal papilla and the free gingival margin. Conclusions: When gingival inflammation occurs, participants with thin biotype and plaque have redder gums, and moderately or severely inflamed gingiva have a visually perceptible darker colour. Periodontal treatment significantly increases the lightness of the distal papilla and the free gingival margin. Further, periodontal treatment creates a perceptible colour change in all zones under study, which is not dependent on either the patient’s biotype or initial severity of inflammation. Clinical Significance. Digital spectrophotometric analysis provides a valuable technological enhancement to quantify gingival colour and record changes in gingival colour during the course of periodontal treatment. Regardless of the initial severity of gingival inflammation, a perceptible increase in the L* coordinate (gums become visibly lighter) can be expected after periodontal treatment. Regardless of the initial severity of inflammation, a perceptible increase in the L* coordinate can be expected (gums become visibly lighter) after treatment. Full article

Objectives: The aim of this study was to describe the structure and assess the efficacy of a patient-centered framework for managing periodontitis, utilizing the Bioperio^® protocol, a standardized treatment approach incorporating both clinical and extra-clinical phases. Methods: Patients diagnosed with periodontitis were included in this multicenter, single-arm, clinical observational study with a 3-month follow-up. All patients were treated following the Bioperio^® protocol, involving professional supra-gingival scaling, oral hygiene instructions, and scaling and root planing following a full-mouth approach. In Stage III/IV periodontitis cases, enamel matrix derivatives (EMD) were applied in periodontal pockets > 5 mm. Monthly recalls were performed until the 3-month follow-up. Results: In total, 663 patients were enrolled, with 76.4% being diagnosed with Stage II/III periodontitis. At 3 months, all clinical periodontal parameters improved regardless of the initial stage of periodontitis, achieving pocket closure in 75.4% of cases and patient resolution in 91.3% of the sample. Stages I/II showed significantly improved outcomes compared to Stage IV. The adjunct of EMDproved beneficial, especially in stage III patients, increasing pocket closure by 15% and doubling the odds of patient resolution. No adverse effects of the treatment protocol were observed throughout the study. Conclusions: The Bioperio^® protocol appears to be a safe and effective therapeutic approach for the management of patients affected by periodontitis. Combining a stepwise approach for clinical phases with tailored oral hygiene instructions and motivational sessions offers a comprehensive strategy that may enhance outcomes for patients with periodontitis. Full article

The gold standard in the non-surgical treatment of periodontitis is scaling and root planing (SRP). In recent years, the use of autogenous platelet concentrates has spread over many specialties in dentistry and, thus, has also been gaining popularity in periodontal treatment. Its two main fractions are platelet-rich plasma (PRP) and platelet-rich fibrin (PRF), which, since 2014, can also be used via injection as injectable platelet-rich fibrin (i-PRF). The authors conducted a comprehensive systematic review in accordance with the PRISMA 2020 guidelines. It involved searching PubMed, Embase, Scopus, and Google Scholar databases using the phrases (“Root Planing” OR “Subgingival Curettage” OR “Periodontal Debridement”) AND (“Platelet-Rich Plasma”). Based on the authors’ inclusion and exclusion criteria, 12 results were included in the review, out of 1170 total results. The objective of this review was to ascertain the impact of utilizing PRP and i-PRF in SRP. The results revealed that both the incorporation of PRP and i-PRF were found to be significantly associated with are duction in gingival pocket depth and again in clinical attachment level; however, i-PRF demonstrated superiority in improving clinical parameters. Furthermore, i-PRF demonstrated notable bactericidal efficacy against Porphyromonas gingivalis. On the other hand, PRP proved inferior to an Nd:YAG laser in clinical parameter improvement; however, it demonstrated significant efficiency as well. This literature review led the authors to the conclusion that autologous platelet concentrates might be competent agents for improving the therapeutic outcomes of SRP. Full article