Vukelic Mirjana Gojkov, Hadzic Sanja, Pasic Enes, Jahic Indira Mujic, Muharemovic Arma, Zoronjic Anisa
Department of Periodontology and Oral Medicine, School of Dental Medicine with Dental Clinical Center, University of Sarajevo, Bosnia and Herzegovina.
Mater Sociomed. 2024;36(4):305-309. doi: 10.5455/msm.2024.36.305-309.
Non-surgical periodontal therapy, including mechanical debridement and root planning, is the gold standard in the treatment of periodontal diseases. The most commonly used instruments for non-surgical therapy are sonic/ultrasonic devices and manual instruments such as curettes.
This study evaluates the clinical effectiveness and patient experience of non-surgical periodontal therapy using the Vector® Paro Pro ultrasonic device, emphasizing its impact on periodontal indices and patient comfort.
Fifty patients with gingivitis, periodontitis, or peri-implantitis participated. Baseline data, including Plaque Index (PI), Gingival Index (GI), Papillary Bleeding Index (PBI), Probing Depth (PD), and Clinical Attachment Loss (CAL), were recorded. Patients underwent treatment using the Vector® Paro Pro system. Evaluations were conducted at baseline, two weeks, and one month post-therapy. Statistical analyses utilized repeated measures ANOVA and paired t-tests, with a significance threshold of p<0.05. Patient experience was assessed via a questionnaire.
All periodontal indices showed significant improvement post-therapy. The mean PI decreased from 1.18±0.12 to 0.52±0.08 after two weeks and 0.44±0.09 after one month (p<0.001). Significant reductions were observed in PBI (from 1.68±0.10 to 0.46±0.09) and PD (>4 mm pockets: from 5.55±0.19 to 3.65±0.45; p<0.001). CAL improved significantly (from 0.80±0.18 to 0.70±0.16 after one month; p<0.001). Patient-reported outcomes revealed that 98% experienced no pain during therapy.
The Vector® Paro Pro ultrasonic device demonstrated significant clinical improvements in periodontal health, particularly in bleeding reduction and deep pocket management. Its hydroxyapatite-enhanced fluid effectively polished root surfaces and reduced post-therapeutic sensitivity. Patients reported minimal discomfort, underscoring the device's potential as a comfortable, efficient alternative for non-surgical periodontal therapy. Further studies with longer follow-up periods are recommended to confirm these findings.
非手术牙周治疗，包括机械清创和根面平整，是牙周疾病治疗的金标准。非手术治疗最常用的器械是声波/超声波设备和手动器械，如刮治器。
本研究评估使用Vector® Paro Pro超声波设备进行非手术牙周治疗的临床效果和患者体验，重点关注其对牙周指标和患者舒适度的影响。
50例患有牙龈炎、牙周炎或种植体周围炎的患者参与研究。记录基线数据，包括菌斑指数（PI）、牙龈指数（GI）、龈乳头出血指数（PBI）、探诊深度（PD）和临床附着丧失（CAL）。患者使用Vector® Paro Pro系统进行治疗。在基线、治疗后两周和一个月进行评估。统计分析采用重复测量方差分析和配对t检验，显著性阈值为p<0.05。通过问卷评估患者体验。
所有牙周指标在治疗后均有显著改善。PI均值在两周后从1.18±0.12降至0.52±0.08，在一个月后降至0.44±0.09（p<0.001）。PBI显著降低（从1.68±0.10降至0.46±0.09），PD也显著降低（>4mm的牙周袋：从5.55±0.19降至3.65±0.45；p<0.001）。CAL有显著改善（一个月后从0.80±0.18降至0.70±0.16；p<0.001）。患者报告的结果显示，98%的患者在治疗期间没有疼痛。
Vector® Paro Pro超声波设备在牙周健康方面显示出显著的临床改善，特别是在减少出血和管理深牙周袋方面。其羟基磷灰石增强液有效地抛光了根面并降低了治疗后的敏感性。患者报告的不适感最小，这突出了该设备作为非手术牙周治疗舒适、高效替代方案的潜力。建议进行更长随访期的进一步研究以证实这些发现。
