Journal of Periodontal and Implant Science

Korean Academy of Periodontology (대한치주과학회)
권호 표지
DOI QR코드

DOI QR Code

Clinical and microbiological effects of the supplementary use of an erythritol powder air-polishing device in non-surgical periodontal therapy: a randomized clinical trial

  • Park, Eon-Jeong (Department of Periodontology and Institute of Translational Dental Sciences, Pusan National University School of Dentistry) ;
  • Kwon, Eun-Young (Dental Clinic Center, Pusan National University Hospital) ;
  • Kim, Hyun-Joo (Department of Periodontology and Dental Research Institute, Pusan National University Dental Hospital) ;
  • Lee, Ju-Youn (Department of Periodontology and Institute of Translational Dental Sciences, Pusan National University School of Dentistry) ;
  • Choi, Jeomil (Department of Periodontology and Institute of Translational Dental Sciences, Pusan National University School of Dentistry) ;
  • Joo, Ji-Young (Department of Periodontology and Institute of Translational Dental Sciences, Pusan National University School of Dentistry)
  • Received : 2018.07.27
  • Accepted : 2018.08.27
  • Published : 2018.10.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study was undertaken to evaluate the clinical and microbiological effects of an erythritol powder air-polishing device (EPAP) as a supplement to scaling and root planing (SRP) therapy in patients with moderate chronic periodontitis. Methods: Clinical and microbiological evaluations were performed at 21 sites treated with SRP (control) and 21 sites treated with SRP+EPAP (test). All examinations were performed before treatment, 1 month after treatment, and 3 months after treatment. Results: There were no significant clinical differences between the test group and the control group. Microbiological analysis revealed that the relative expression level of Porphyromonas gingivalis was significantly lower in the test group than in the control group at 1 month after treatment. Clinical and microbiological results showed improvements at 1 month compared to baseline; in contrast, the results at 3 months after treatment were worse than those at 1 month after treatment. Conclusions: In this study, both SRP and SRP+EPAP were clinically and microbiologically effective as non-surgical periodontal treatments. In particular, the SRP+EPAP group showed an antimicrobial effect on P. gingivalis, a keystone bacterium associated with the onset of chronic periodontitis, in a short-term period. Periodic periodontal therapy, at intervals of at least every 3 months, is important for sustaining the microbiological effects of this treatment.

Keywords

References

  1. Matuliene G, Pjetursson BE, Salvi GE, Schmidlin K, Bragger U, Zwahlen M, et al. Influence of residual pockets on progression of periodontitis and tooth loss: results after 11 years of maintenance. J Clin Periodontol 2008;35:685-95. https://doi.org/10.1111/j.1600-051X.2008.01245.x
  2. Rosling B, Serino G, Hellstrom MK, Socransky SS, Lindhe J. Longitudinal periodontal tissue alterations during supportive therapy. Findings from subjects with normal and high susceptibility to periodontal disease. J Clin Periodontol 2001;28:241-9. https://doi.org/10.1034/j.1600-051x.2001.028003241.x
  3. Wilson TG Jr. Supportive periodontal treatment introduction--definition, extent of need, therapeutic objectives, frequency and efficacy. Periodontol 2000 1996;12:11-5. https://doi.org/10.1111/j.1600-0757.1996.tb00074.x
  4. Lindhe J, Westfelt E, Nyman S, Socransky SS, Haffajee AD. Long-term effect of surgical/non-surgical treatment of periodontal disease. J Clin Periodontol 1984;11:448-58. https://doi.org/10.1111/j.1600-051X.1984.tb01344.x
  5. Zappa U, Smith B, Simona C, Graf H, Case D, Kim W. Root substance removal by scaling and root planing. J Periodontol 1991;62:750-4. https://doi.org/10.1902/jop.1991.62.12.750
  6. Vastardis S, Yukna RA, Rice DA, Mercante D. Root surface removal and resultant surface texture with diamond-coated ultrasonic inserts: an in vitro and SEM study. J Clin Periodontol 2005;32:467-73. https://doi.org/10.1111/j.1600-051X.2005.00705.x
  7. Axtelius B, Soderfeldt B, Edwardsson S, Attstrom R. Therapy-resistant periodontitis (II). Compliance and general and dental health experiences. J Clin Periodontol 1997;24:646-53. https://doi.org/10.1111/j.1600-051X.1997.tb00243.x
  8. Croft LK, Nunn ME, Crawford LC, Holbrook TE, McGuire MK, Kerger MM, et al. Patient preference for ultrasonic or hand instruments in periodontal maintenance. Int J Periodontics Restorative Dent 2003;23:567-73.
  9. Rabbani GM, Ash MM Jr, Caffesse RG. The effectiveness of subgingival scaling and root planing in calculus removal. J Periodontol 1981;52:119-23. https://doi.org/10.1902/jop.1981.52.3.119
  10. Eaton KA, Kieser JB, Davies RM. The removal of root surface deposits. J Clin Periodontol 1985;12:141-52. https://doi.org/10.1111/j.1600-051X.1985.tb01373.x
  11. Fleischer HC, Mellonig JT, Brayer WK, Gray JL, Barnett JD. Scaling and root planing efficacy in multirooted teeth. J Periodontol 1989;60:402-9. https://doi.org/10.1902/jop.1989.60.7.402
  12. Greenstein G. Periodontal response to mechanical non-surgical therapy: a review. J Periodontol 1992;63:118-30. https://doi.org/10.1902/jop.1992.63.2.118
  13. Moene R, Decaillet F, Andersen E, Mombelli A. Subgingival plaque removal using a new air-polishing device. J Periodontol 2010;81:79-88. https://doi.org/10.1902/jop.2009.090394
  14. Wennstrom JL, Dahlen G, Ramberg P. Subgingival debridement of periodontal pockets by air polishing in comparison with ultrasonic instrumentation during maintenance therapy. J Clin Periodontol 2011;38:820-7. https://doi.org/10.1111/j.1600-051X.2011.01751.x
  15. Kontturi-Narhi V, Markkanen S, Markkanen H. Effects of air polishing on dental plaque removal and hard tissues as evaluated by scanning electron microscopy. J Periodontol 1990;61:334-8. https://doi.org/10.1902/jop.1990.61.6.334
  16. Lubow RM, Cooley RL. Effect of air-powder abrasive instrument on restorative materials. J Prosthet Dent 1986;55:462-5. https://doi.org/10.1016/0022-3913(86)90177-0
  17. Petersilka GJ, Bell M, Haberlein I, Mehl A, Hickel R, Flemmig TF. In vitro evaluation of novel low abrasive air polishing powders. J Clin Periodontol 2003;30:9-13. https://doi.org/10.1034/j.1600-051X.2003.300102.x
  18. Petersilka GJ, Steinmann D, Haberlein I, Heinecke A, Flemmig TF. Subgingival plaque removal in buccal and lingual sites using a novel low abrasive air-polishing powder. J Clin Periodontol 2003;30:328-33. https://doi.org/10.1034/j.1600-051X.2003.00290.x
  19. Flemmig TF, Arushanov D, Daubert D, Rothen M, Mueller G, Leroux BG. Randomized controlled trial assessing efficacy and safety of glycine powder air polishing in moderate-to-deep periodontal pockets. J Periodontol 2012;83:444-52. https://doi.org/10.1902/jop.2011.110367
  20. Wennstrom JL, Dahlen G, Ramberg P. Subgingival debridement of periodontal pockets by air polishing in comparison with ultrasonic instrumentation during maintenance therapy. J Clin Periodontol 2011;38:820-7. https://doi.org/10.1111/j.1600-051X.2011.01751.x
  21. Hagi TT, Hofmanner P, Salvi GE, Ramseier CA, Sculean A. Clinical outcomes following subgingival application of a novel erythritol powder by means of air polishing in supportive periodontal therapy: a randomized, controlled clinical study. Quintessence Int 2013;44:753-61.
  22. Munro IC, Berndt WO, Borzelleca JF, Flamm G, Lynch BS, Kennepohl E, et al. Erythritol: an interpretive summary of biochemical, metabolic, toxicological and clinical data. Food Chem Toxicol 1998;36:1139-74. https://doi.org/10.1016/S0278-6915(98)00091-X
  23. Hashino E, Kuboniwa M, Alghamdi SA, Yamaguchi M, Yamamoto R, Cho H, et al. Erythritol alters microstructure and metabolomic profiles of biofilm composed of Streptococcus gordonii and Porphyromonas gingivalis. Mol Oral Microbiol 2013;28:435-51. https://doi.org/10.1111/omi.12037
  24. Hagi TT, Hofmanner P, Eick S, Donnet M, Salvi GE, Sculean A, et al. The effects of erythritol air-polishing powder on microbiologic and clinical outcomes during supportive periodontal therapy: six-month results of a randomized controlled clinical trial. Quintessence Int 2015;46:31-41.
  25. Pfaffl MW. A new mathematical model for relative quantification in real-time RT-PCR. Nucleic Acids Res 2001;29:e45. https://doi.org/10.1093/nar/29.9.e45
  26. Hajishengallis G. Porphyromonas gingivalis-host interactions: open war or intelligent guerilla tactics? Microbes Infect 2009;11:637-45. https://doi.org/10.1016/j.micinf.2009.03.009
  27. Hajishengallis G, Darveau RP, Curtis MA. The keystone-pathogen hypothesis. Nat Rev Microbiol 2012;10:717-25. https://doi.org/10.1038/nrmicro2873
  28. Evans RT, Klausen B, Sojar HT, Bedi GS, Sfintescu C, Ramamurthy NS, et al. Immunization with Porphyromonas (Bacteroides) gingivalis fimbriae protects against periodontal destruction. Infect Immun 1992;60:2926-35.
  29. Persson GR, Engel D, Whitney C, Darveau R, Weinberg A, Brunsvold M, et al. Immunization against Porphyromonas gingivalis inhibits progression of experimental periodontitis in nonhuman primates. Infect Immun 1994;62:1026-31.
  30. Petersilka G, Panitz W, Weresch R, Eichinger M, Kem U. Air emphysema in periodontal therapy: a case series and critical literature overview. Parodontol 2010;21:165-75.

Cited by

  1. SEM Analysis of Enamel Abrasion after Air Polishing Treatment with Erythritol, Glycine and Sodium Bicarbonate vol.9, pp.9, 2018, https://doi.org/10.3390/coatings9090549
  2. Adjunctive air-polishing with erythritol in nonsurgical periodontal therapy: a randomized clinical trial vol.20, pp.1, 2020, https://doi.org/10.1186/s12903-020-01363-5
  3. Bio-Inspired Systems in Nonsurgical Periodontal Therapy to Reduce Contaminated Aerosol during COVID-19: A Comprehensive and Bibliometric Review vol.9, pp.12, 2018, https://doi.org/10.3390/jcm9123914
  4. Use of air polishing for supra- and subgingival biofilm removal for treatment of residual periodontal pockets and supportive periodontal care: a systematic review vol.25, pp.3, 2018, https://doi.org/10.1007/s00784-020-03762-y
  5. Clinical outcomes of using erythritol powder by means of air polishing with ultrasonic debridement in the treatment of initial periodontal pockets in hand of dental students: A split‐mouth, ran vol.19, pp.3, 2018, https://doi.org/10.1111/idh.12519
  6. Novel Approach to Dental Biofilm Management through Guided Biofilm Therapy (GBT): A Review vol.9, pp.9, 2018, https://doi.org/10.3390/microorganisms9091966
  7. Comparison of three full‐mouth concepts for the non‐surgical treatment of stage III and IV periodontitis: A randomized controlled trial vol.48, pp.12, 2018, https://doi.org/10.1111/jcpe.13548