Keestra Johan A J, Coucke Wim, Quirynen Marc
Department of Periodontology, School of Dentistry, Oral Pathology & Maxillo-facial Surgery, Faculty of Medicine, Catholic University Leuven, Leuven, Belgium.
J Clin Periodontol. 2014 Feb;41(2):157-63. doi: 10.1111/jcpe.12199. Epub 2013 Dec 11.
To compare the clinical benefit of a periodontal dressing applied after a one-stage full-mouth disinfection (OSFMD) in patients with chronic periodontitis up to 3 months after therapy.
This randomized, controlled split-mouth study included 24 patients. After OSFMD, a test and a control side were selected by means of a computer-generated randomization list. Test sides received a periodontal dressing (Coepak(®) ) for 7 days and the control sides received no periodontal dressing. After 7 days the periodontal dressing was removed and the pain experience was recorded. After 3 months, the clinical periodontal parameters were recorded.
The periodontal dressing group showed a significant (p < 0.05) additional pocket depth reduction and additional clinical attachment gain for the moderate pockets of single- and multi-rooted teeth compared with the control group. A significant (p < 0.05) lower percentage of sites with probing pocket depth ≥5 mm were shown for the periodontal dressing group compared with the control group (2.7 ± 16.3% versus 4.8 ± 21.4%). The pain intensity was significantly reduced when using a periodontal dressing (5.13 ± 0.89 versus 3.42 ± 1.27).
The use of a periodontal dressing for 7 days after a OSFMD offers an additional short-term clinical improvement and lowers the pain intensity.
比较在慢性牙周炎患者中，一期全口消毒（OSFMD）后应用牙周敷料至治疗后3个月的临床益处。
这项随机、对照的半口研究纳入了24名患者。在OSFMD后，通过计算机生成的随机列表选择试验侧和对照侧。试验侧接受牙周敷料（Coepak®）7天，对照侧不接受牙周敷料。7天后去除牙周敷料并记录疼痛体验。3个月后，记录临床牙周参数。
与对照组相比，牙周敷料组单根牙和多根牙中度牙周袋的牙周袋深度有显著额外降低（p < 0.05），临床附着有显著额外增加。与对照组相比，牙周敷料组探诊牙周袋深度≥5 mm的部位百分比显著更低（p < 0.05）（2.7 ± 16.3% 对 4.8 ± 21.4%）。使用牙周敷料时疼痛强度显著降低（5.13 ± 0.89对3.42 ± 1.27）。
在OSFMD后使用牙周敷料7天可带来额外的短期临床改善并降低疼痛强度。
