Pini-Prato Giovanpaolo, Magnani Cristina, Rotundo Roberto
Int J Periodontics Restorative Dent. 2016 Jan-Feb;36(1):55-63. doi: 10.11607/prd.2557.
The aim of this preliminary study was to show the treatment effect of the biofilm decontamination approach on acute periodontal abscesses. Clinical cases showing acute periodontitis were treated using an oral tissue decontaminant material that contains a concentrated aqueous mixture of hydroxybenzenesulfonic and hydroxymethoxybenzene acids and sulfuric acid. The material was positioned into the pocket on the root surface and left in the site for 30 seconds. No instrumentation was performed before the treatment. No systemic or local antibiotics were used in any of the cases. A questionnaire was used for each patient to record the pain/discomfort felt when the material was administered. All of the treated cases healed well and very rapidly. The infections were quickly resolved without complications, and the pockets associated with marginal tissue recession were also reduced. The momentary pain upon introduction of the material was generally well tolerated in the nonsurgically treated cases, and it completely disappeared after a few seconds. The biofilm decontamination approach seems to be a very promising technique for the treatment of acute periodontal abscess. The local application of this material avoids the use of systemic or local antibiotics.
这项初步研究的目的是展示生物膜去污方法对急性牙周脓肿的治疗效果。对表现为急性牙周炎的临床病例，使用一种口腔组织去污材料进行治疗，该材料含有羟基苯磺酸、羟基甲氧基苯甲酸和硫酸的浓缩水性混合物。将该材料放置在牙根表面的牙周袋内，并在该部位留置30秒。治疗前未进行器械操作。所有病例均未使用全身或局部抗生素。使用问卷记录每位患者在使用该材料时所感受到的疼痛/不适。所有治疗病例愈合良好且迅速。感染迅速得到解决，无并发症，与边缘组织退缩相关的牙周袋也减小。在非手术治疗的病例中，使用该材料时的瞬间疼痛通常耐受性良好，几秒钟后疼痛完全消失。生物膜去污方法似乎是一种治疗急性牙周脓肿非常有前景的技术。该材料的局部应用避免了全身或局部抗生素的使用。
