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2019, Number 4

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Rev ADM 2019; 76 (4)

In vitro evaluation of root surfaces treated with non-surgical periodontal therapy and root biomodification

González-Facio P, Díaz-Alfaro L, Morales HD, Rodríguez-Pulido JI, Solano VG

Language: Spanish
References: 18
Page: 214-218
PDF size: 289.41 Kb.


ABSTRACT

Introduction: The use of chemical agents in the root surface during the periodontal hygienic phase has the advantages of eliminating irritating factors, preventing bacterial accumulation and promoting wound healing. The objective of the present study was to evaluate the radicular surface of dental organs with advanced chronic periodontitis treated by non-surgical periodontal therapy with EDTA and CO2 laser. Material and methods: Forty dental organs of patients with advanced chronic periodontitis indicated for extraction were evaluated, which were performed scraping and root planing, with the use of 24% EDTA, CO2 laser with energy of 1, 1.5 and 2 Watt, to later evaluate the radicular surface by means of a scanning electron microscope. Results: The treatment of scaling and root planing showed a regular surface, but with marks of striae with a covering of dentine rubble, the samples treated with 24% EDTA show opening of the dentinal tubules, with defined edges and a seemingly wide diameter and, the dental organs treated with CO2 laser with different power powers showed multiple changes in their surface, with an opening of dentinal tubules in their majority. Conclusion: The opening of the dentinal tubules was presented in the experimental groups treated with a root biomodifier.


REFERENCES

  1. Cortellini P, Pini-Prato GC. Coronally advanced flap and combination therapy for root coverage. Clinical strategies based on scientific evidence. Periodontol 2000. 2012; 59 (1): 158-184.

  2. Polson AM, Frederick GT, Ladenheim S, Hanes PJ. Production of a root surface smear layer by instrumentation and its removal by citric acid. J Periodontol. 1984; 55 (8): 443-446.

  3. Corley JM, Killoy WJ. Stability of citric acid solutions during a five month period. J Periodontol. 1981; 53 (6): 390-392.

  4. Nightingale SH, Sheridan P. Root surface demineralization in periodontal therapy: subject review. J Periodontol. 1982; 53 (10): 611-666.

  5. Golub LM, Goodson JM, Lee HM, Vidal AM, McNamara TF, Ramamurthy NS. Tetracyclines inhibit tissue collagenases. Effects of ingested low-dose and local delivery systems. J Periodontol. 1985; 56 (11 Suppl): 93-97.

  6. Hennequin M, Douillard Y. Effects of citric acid treatment on the Ca, P and Mg contents of human dental roots. J Clin Periodontol. 1995; 22 (7): 550-557.

  7. Blomlöf J, Blomlöf L, Lindskog S. Effect of different concentrations of EDTA on smear removal and collagen exposure in periodontitis-affected root surfaces. J Clin Periodontol. 1997; 24 (8): 534-537.

  8. Dilsiz A, Aydin T, Canakci V, Cicek Y. Root surface biomodification with Nd:YAG Laser for treatment of gingival recession with Subepithelial connective tissue grafts. Photomed Laser Surg. 2010; 28 (3): 337-343.

  9. Liu X, Mao M, Ma T. The effect of EDTA root conditioning on periodontal surgery outcome: A meta-analysis. Quintessence Int. 2016; 47 (10): 883-841.

  10. Prasad SS, Radharani C, Varma S, Kumar SV, Sinha S, Bijle MN. Effects of citric acid and EDTA on periodontally involved root surfaces: a SEM study. J Contemp Dent Pract. 2012; 13 (4): 446-451.

  11. Maloney WJ, Weinberg MA. Implementation of the American Society of Anesthesiologists Physical Status Classification System in Periodontal Practice. J Periodontol. 2008; 79 (7): 1124-1126.

  12. Armitage GC. Development of a Classification System for Periodontal Diseases and Conditions. Ann Periodontol. 1999; 4 (1): 1-6.

  13. Adriaens PA, De Boever JA, Loesche WJ. Bacterial invasion in root cementum and radicular dentin of periodontally diseased teeth in humans. A reservoir of periodontopathic bacteria. J Periodontol. 1988; 59 (4): 222-230.

  14. Guzmán-Tovar R, Rodríguez-Franco NI, Martínez-Sandoval G, Llamosa-Cáñez L, Rodríguez-Pulido JI. Terapia fotodinámica como adyuvante en el tratamiento periodontal no quirúrgico: evaluación clínica. Rev ADM. 2016; 73 (6): 303-309.

  15. Morillo LM, Rodríguez JI. Ozonoterapia como adyuvante en el tratamiento periodontal no quirúrgico. Revisión de la literatura. Rev Mex Periodontol. 2015; VI (3): 136-142.

  16. Blomlöf L, Bergman E, Forsgärdh Ä, Foss L, Larsson A, Sjöberg B et al. A clinical study of root surface conditioning with an EDTA Gel. I. Nonsurgical periodontal treatment. Int J Periodontics Rest Dent. 2000; 20 (6): 560-565.

  17. Everett JD, Rossmann JA, Kerns DG, Al-Hashimi I. Laser assisted non-surgical periodontal therapy: a doublé blind, randomized clinical trial. Open Dent J. 2017; 11: 79-90.

  18. Crespi R, Barone A, Covani U. Histologic evaluation of three methods or periodontal root surface treatment in humans. J Periodontology. 2005; 76 (3): 476-481.




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