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DOI :10.17096/jiufd.40993   IUP :10.17096/jiufd.40993    Full Text (PDF)

RELATIONSHIPS BETWEEN INITIAL PROBING DEPTH AND CHANGES IN THE CLINICAL PARAMETERS FOLLOWING NON-SURGICAL PERIODONTAL TREATMENT IN CHRONIC PERIODONTITIS

Süleyman Emre Meseli, Bahar Kuru, Leyla Kuru

Purpose: The aim of this study was to evaluate the relationship between initial probing depth (IPD) and changes in clinical parameters following non-surgical periodontal treatment (NPT) in chronic periodontitis patients. 

Subjects and Methods: A total of 1672 periodontal pockets having 3mm≤IPD≤9mm of depth in 15 chronic periodontitis patients were included. NPT consisting of oral hygiene instructions, scaling and root planing was applied in two sessions. Probing depth (PD), clinical attachment level, gingival recessions (GR) were measured before and eight weeks after treatment. Pocket sites were grouped according to their IPD and root number as single- or multi-rooted teeth. 

Results: Other than the sites having 3 mm IPD, PD reduction and GR increase were significant in all groups (p<0.001). Attachment gains (AG) were significant in all single-rooted teeth (p<0.001) again except those having IPD=3mm. However, AG was significant in multi-rooted teeth having only 7mm≤IPD≤9mm (p<0.05). Positive correlations were observed between IPD and PD reduction, GR increase and AG in single-rooted teeth (p<0.001). Furthermore, positive correlations were found between IPD and PD reduction and GR increase in multi-rooted teeth (p<0.001), but there was no correlation between IPD and AG. 

Conclusion: NPT may lead to positive association between IPD and PD reduction as well as GR increase, which is independent from tooth root anatomy.

Keywords: Chronic periodontitis, dental scaling, periodontal pocket, root planning, periodontology
DOI :10.17096/jiufd.40993   IUP :10.17096/jiufd.40993    Full Text (PDF)

Kronik Periodontitisin Cerrahi olmayan Periodontal Tedavisi Sonrasında Klinik Parametrelerdeki Değişikliklerin Başlangıç Sondalama Derinliği ile İlişkileri

Süleyman Emre Meseli, Bahar Kuru, Leyla Kuru

Amaç: Bu çalışmanın amacı, kronik periodontitisli hastalarda başlangıç sondalama derinliği (BSD) ile mekanik periodontal tedavi (MPT) sonrasında ölçülen klinik parametrelerde izlenen değişimler arasındaki ilişkileri değerlendirmektir. 

Bireyler ve Yöntem: Kronik periodontitisli 15 hastanın derinlikleri 3mm≤BSD≤9mm arasında olan toplam 1672 periodontal cep bölgesi çalışmaya dahil edildi. Hastalara ağız hijyeni eğitimi, diş ve kök yüzeyi temizliği ve kök yüzeyi düzleştirmesini içeren MPT 2 seans uygulandı. Başlangıçta ve 8 hafta sonra sondalama derinliği (SD), klinik ataşman seviyesi ve dişeti çekilmesi (DEÇ) ölçüldü. Cep bölgeleri tek ve çok köklü dişlerde BSD’ye göre gruplandırıldı. 

Bulgular: BSD 3mm olan bölgeler haricindeki bütün gruplarda, başlangıç değerlerine göre tedavi sonrasında SD’de saptanan azalma ve DEÇ’deki artış istatistiksel olarak anlamlıydı (p<0.001). Tek köklü dişlerde BSD 3mm olan bölgeler dışında kalan bütün gruplarda anlamlı ataşman kazancı (AK) gözlenirken (p<0.001), çok köklü dişlerde sadece 7mm≤BSD≤9mm olan ceplerde anlamlı kazanç vardı (p<0.05). Korelasyon analizinde; tek köklü dişlerde BSD ile SD’deki azalma, DEÇ’deki artış ve AK arasındaki pozitif ilişkinin anlamlı olduğu belirlendi (p<0.001). Çok köklü dişlerde BSD ile SD’de azalma ve DEÇ’de artış arasında pozitif ilişki görülürken (p<0.001), AK ile arasında anlamlı bir ilişki saptanmadı. 

Sonuç: MPT sonrasında BSD ile SD azalması ve DEÇ artışı arasında diş kök sayısından bağımsız olan pozitif yönde anlamlı bir ilişki mevcuttur.

Keywords: Diş yüzeyi temizliği, kronik periodontitis, kök yüzeyi düzleştirme, periodontal cep, periodontoloji

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References

  • Kinane DF, Attstrom R, European Workshop in Periodontology group B. Advances in the pathogenesis of periodontitis. Group b consensus report of the fifth european workshop in periodontology. J Clin Periodontol 2005;32 Suppl 6:130-131. google scholar
  • Darveau RP, Tanner A, Page RC. The microbial challenge in periodontitis. Periodontol 2000 1997;14:12-32. google scholar
  • Dentino A, Lee S, Mailhot J, Hefti AF. Principles of periodontology. Periodontol 2000 2013;61(1):16-53. google scholar
  • Armitage GC. Development of a classification system for periodontal diseases and conditions. Ann Periodontol 1999;4(1):1-6. google scholar
  • Claffey N, Polyzois I, Ziaka P. An overview of nonsurgical and surgical therapy. Periodontol 2000 2004;36:35-44. google scholar
  • Ishikawa I, Baehni P. Nonsurgical periodontal therapy--where do we stand now? Periodontol 2000 2004;36:9-13. google scholar
  • Yilmaz S, Efeoglu E, Noyan U, Kuru B, Kilic AR, Kuru L. The evolution of clinical periodontal therapy. J Marmara Univ Dent Fac 1994;2(1):414-423. google scholar
  • Badersten A, Nilveus R, Egelberg J. Effect of nonsurgical periodontal therapy. I. Moderately advanced periodontitis. J Clin Periodontol 1981;8(1):57-72. google scholar
  • Aljateeli M, Koticha T, Bashutski J, Sugai JV, Braun TM, Giannobile WV, Wang HL. Surgical periodontal therapy with and without initial scaling and root planing in the management of chronic periodontitis: A randomized clinical trial. J Clin Periodontol 2014;41(7):693-700. google scholar
  • Magnusson I, Lindhe J, Yoneyama T, Liljenberg B. Recolonization of a subgingival microbiota following scaling in deep pockets. J Clin Periodontol 1984;11(3):193-207. google scholar
  • Mousques T, Listgarten MA, Phillips RW. Effect of scaling and root planing on the composition of the human subgingival microbial flora. J Periodontal Res 1980;15(2):144-151. google scholar
  • Segelnick SL, Weinberg MA. Reevaluation of initial therapy: When is the appropriate time? J Periodontol 2006;77(9):1598-1601. google scholar
  • Mousques T, Listgarten MA, Stoller NH. Effect of sampling on the composition of the human subgingival microbial flora. J Periodontal Res 1980;15(2):137-143. google scholar
  • Drisko CH. Nonsurgical periodontal therapy. Periodontol 2000 2001;25:77-88. google scholar
  • Suvan JE. Effectiveness of mechanical nonsurgical pocket therapy. Periodontol 2000 2005;37:48-71. google scholar
  • Van der Weijden GA, Timmerman MF. A systematic review on the clinical efficacy of subgingival debridement in the treatment of chronic periodontitis. J Clin Periodontol 2002;29 Suppl 3:55-71; discussion 90-51. google scholar
  • Claffey N, Loos B, Gantes B, Martin M, Egelberg J. Probing depth at re-evaluation following initial periodontal therapy to indicate the initial response to treatment. J Clin Periodontol 1989;16(4):229-233. google scholar
  • Cobb CM. Clinical significance of non-surgical periodontal therapy: An evidence-based perspective of scaling and root planing. J Clin Periodontol 2002;29 Suppl 2:6-16. google scholar
  • Sanz I, Alonso B, Carasol M, Herrera D, Sanz M. Nonsurgical treatment of periodontitis. J Evid Based Dent Pract 2012;12(3 Suppl):76-86. google scholar
  • Tunkel J, Heinecke A, Flemmig TF. A systematic review of efficacy of machine-driven and manual subgingival debridement in the treatment of chronic periodontitis. J Clin Periodontol google scholar
  • ;29 Suppl 3:72-81; discussion 90-71. google scholar
  • Drisko CL. Scaling and root planing without overinstrumentation: Hand versus power-driven scalers. Curr Opin Periodontol 1993, 78-88. google scholar
  • Silness J, Loe H. Periodontal disease in pregnancy. Ii. Correlation between oral hygiene and periodontal condtion. Acta Odontol Scand 1964;22:121-135. google scholar
  • Loe H, Silness J. Periodontal disease in pregnancy. I. Prevalence and severity. Acta Odontol Scand 1963;21:533-551. google scholar
  • Albandar JM, Rams TE. Global epidemiology of periodontal diseases: An overview. Periodontol 2000 2002;29:7-10. google scholar
  • Oliver RC, Brown LJ, Loe H. Periodontal treatment needs. Periodontol 2000 1993;2:150-160. google scholar
  • Caula AL, Lira-Junior R, Tinoco EM, Fischer RG. The effect of periodontal therapy on cardiovascular risk markers: A 6-month randomized clinical trial. J Clin Periodontol 2014;41(9):875-882. google scholar
  • Jeffcoat MK, Jeffcoat RL, Gladowski PA, Bramson JB, Blum JJ. Impact of periodontal therapy on general health: Evidence from insurance data for five systemic conditions. Am J Prev Med 2014;47(2):166-174. google scholar
  • Cobb CM. Non-surgical pocket therapy: Mechanical. Ann Periodontol 1996;1(1):443-490. google scholar
  • Drisko CL. Periodontal debridement: Still the treatment of choice. J Evid Based Dent Pract 2014;14 Suppl:33-41 e31. google scholar
  • Haffajee AD, Cugini MA, Dibart S, Smith C, Kent RL, Jr., Socransky SS. The effect of srp on the clinical and microbiological parameters of periodontal diseases. J Clin Periodontol 1997;24(5):324-334. google scholar
  • Lavanchy DL, Bickel M, Baehni PC. The effect of plaque control after scaling and root planing on the subgingival microflora in human periodontitis. J Clin Periodontol 1987;14(5):295-299. google scholar
  • Badersten A, Nilveus R, Egelberg J. Effect of nonsurgical periodontal therapy (viii). Probing attachment changes related to clinical characteristics. J Clin Periodontol 1987;14(7):425-432. google scholar
  • Loos B, Nylund K, Claffey N, Egelberg J. Clinical effects of root debridement in molar and non-molar teeth. A 2-year follow-up. J Clin Periodontol 1989;16(8):498-504. google scholar
  • Miremadi SR BH, Steyaert H, Princen K, Cosyn J. . A randomized controlled trial comparing surgical dna non-surgical periodontal therapy: A 3-year clinical and cost-effectiveness analysis. J Clin Periodontol 2015;42(8):748-755. google scholar
  • Adriaens PA, Adriaens LM. Effects of nonsurgical periodontal therapy on hard and soft tissues. Periodontol 2000 2004;36:121-145. google scholar
  • Caton JG, Zander HA. The attachment between tooth and gingival tissues after periodic root planing and soft tissue curettage. J Periodontol 1979;50(9):462-466. google scholar
  • Caton J, Nyman S, Zander H. Histometric evaluation of periodontal surgery. Ii. Connective tissue attachment levels after four regenerative procedures. J Clin Periodontol 1980;7(3):224-231. google scholar

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APA

Meseli, S.E., Kuru, B., & Kuru, L. (2017). RELATIONSHIPS BETWEEN INITIAL PROBING DEPTH AND CHANGES IN THE CLINICAL PARAMETERS FOLLOWING NON-SURGICAL PERIODONTAL TREATMENT IN CHRONIC PERIODONTITIS. European Oral Research, 51(3), 11-17. https://doi.org/10.17096/jiufd.40993


AMA

Meseli S E, Kuru B, Kuru L. RELATIONSHIPS BETWEEN INITIAL PROBING DEPTH AND CHANGES IN THE CLINICAL PARAMETERS FOLLOWING NON-SURGICAL PERIODONTAL TREATMENT IN CHRONIC PERIODONTITIS. European Oral Research. 2017;51(3):11-17. https://doi.org/10.17096/jiufd.40993


ABNT

Meseli, S.E.; Kuru, B.; Kuru, L. RELATIONSHIPS BETWEEN INITIAL PROBING DEPTH AND CHANGES IN THE CLINICAL PARAMETERS FOLLOWING NON-SURGICAL PERIODONTAL TREATMENT IN CHRONIC PERIODONTITIS. European Oral Research, [Publisher Location], v. 51, n. 3, p. 11-17, 2017.


Chicago: Author-Date Style

Meseli, Süleyman Emre, and Bahar Kuru and Leyla Kuru. 2017. “RELATIONSHIPS BETWEEN INITIAL PROBING DEPTH AND CHANGES IN THE CLINICAL PARAMETERS FOLLOWING NON-SURGICAL PERIODONTAL TREATMENT IN CHRONIC PERIODONTITIS.” European Oral Research 51, no. 3: 11-17. https://doi.org/10.17096/jiufd.40993


Chicago: Humanities Style

Meseli, Süleyman Emre, and Bahar Kuru and Leyla Kuru. “RELATIONSHIPS BETWEEN INITIAL PROBING DEPTH AND CHANGES IN THE CLINICAL PARAMETERS FOLLOWING NON-SURGICAL PERIODONTAL TREATMENT IN CHRONIC PERIODONTITIS.” European Oral Research 51, no. 3 (Apr. 2025): 11-17. https://doi.org/10.17096/jiufd.40993


Harvard: Australian Style

Meseli, SE & Kuru, B & Kuru, L 2017, 'RELATIONSHIPS BETWEEN INITIAL PROBING DEPTH AND CHANGES IN THE CLINICAL PARAMETERS FOLLOWING NON-SURGICAL PERIODONTAL TREATMENT IN CHRONIC PERIODONTITIS', European Oral Research, vol. 51, no. 3, pp. 11-17, viewed 2 Apr. 2025, https://doi.org/10.17096/jiufd.40993


Harvard: Author-Date Style

Meseli, S.E. and Kuru, B. and Kuru, L. (2017) ‘RELATIONSHIPS BETWEEN INITIAL PROBING DEPTH AND CHANGES IN THE CLINICAL PARAMETERS FOLLOWING NON-SURGICAL PERIODONTAL TREATMENT IN CHRONIC PERIODONTITIS’, European Oral Research, 51(3), pp. 11-17. https://doi.org/10.17096/jiufd.40993 (2 Apr. 2025).


MLA

Meseli, Süleyman Emre, and Bahar Kuru and Leyla Kuru. “RELATIONSHIPS BETWEEN INITIAL PROBING DEPTH AND CHANGES IN THE CLINICAL PARAMETERS FOLLOWING NON-SURGICAL PERIODONTAL TREATMENT IN CHRONIC PERIODONTITIS.” European Oral Research, vol. 51, no. 3, 2017, pp. 11-17. [Database Container], https://doi.org/10.17096/jiufd.40993


Vancouver

Meseli SE, Kuru B, Kuru L. RELATIONSHIPS BETWEEN INITIAL PROBING DEPTH AND CHANGES IN THE CLINICAL PARAMETERS FOLLOWING NON-SURGICAL PERIODONTAL TREATMENT IN CHRONIC PERIODONTITIS. European Oral Research [Internet]. 2 Apr. 2025 [cited 2 Apr. 2025];51(3):11-17. Available from: https://doi.org/10.17096/jiufd.40993 doi: 10.17096/jiufd.40993


ISNAD

Meseli, SüleymanEmre - Kuru, Bahar - Kuru, Leyla. “RELATIONSHIPS BETWEEN INITIAL PROBING DEPTH AND CHANGES IN THE CLINICAL PARAMETERS FOLLOWING NON-SURGICAL PERIODONTAL TREATMENT IN CHRONIC PERIODONTITIS”. European Oral Research 51/3 (Apr. 2025): 11-17. https://doi.org/10.17096/jiufd.40993



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Submitted12.08.2016
Accepted22.09.2016

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