System Maintenance Notice

Please note that maintenance work is scheduled between 4 AM and 5 AM - CET. During this time, you may experience reduced performance. Thanks for your patience.

Publications

Journal Article Meta-Analysis Systematic Review Ppublish 6 citations

PubMed: 38706227 DOI: 10.1111/jcpe.13985

Change in clinical parameters after subgingival instrumentation for the treatment of periodontitis and timing of periodontal re-evaluation: A systematic review and meta-analysis.

J Clin Periodontol 52(1):137-158

Authors: Lucrezia PaternĂ² Holtzman, Nicola Alberto Valente, Gianluca Vittorini Orgeas, Luca Copes, Nicola Discepoli, Marco Clementini

Affiliations

  • Department of Periodontology and Prosthodontics, George Eastman Dental Hospital, Policlinico Universitario Umberto I, Rome, Italy.
  • Division of Periodontology, School of Dental Medicine, Department of Surgical Sciences, Faculty of Medicine, UniversitĂ  degli Studi di Cagliari, Cagliari, Italy.
  • Department of Periodontology, UniversitĂ  Cattolica del Sacro Cuore School of Dentistry, Rome, Italy.
  • Department of Periodontology, Vita-Salute San Raffaele University, Milan, Italy.
  • Department of Medical Biotechnologies, Unit of Periodontology, University of Siena, Siena, Italy.
  • UniCamillus-Saint Camillus International University of Health Sciences, Rome, Italy.

Abstract

AIM

To evaluate the changes in periodontal parameters (reduction in probing pocket depth [PPD], gain in clinical attachment level [CAL] and reduction in full-mouth bleeding on probing [BoP]) after subgingival instrumentation of periodontal pockets at different time points in systemically healthy patients suffering from periodontitis.

MATERIALS AND METHODS

Four databases were searched for RCTs that carried out subgingival instrumentation in periodontal pockets and evaluated PPD at a minimum of two consecutive time points other than baseline. The analysis was conducted for both all pocket depths and stratified for initially shallow (4-5 mm) and deep (≥6 mm) pockets and data were extracted for various time points, 1-2, 3-4 and 5-6 months. Weighted mean effects (WMEs) were calculated with 95% confidence interval (CI) and predictive intervals were calculated.

RESULTS

Twenty-nine RCTs were identified, and all of them were included in the meta-analysis. The results showed that for both shallow and deep pockets there was a small though clinically meaningful change between 1- to 2-month and 3- to 4-month time points and between these and 5-6 months.

CONCLUSIONS

In systemically healthy patients, the greater part of reduction in PPD and gain in CAL occurs within the first 1-2 months after subgingival instrumentation. However, additional benefits in terms of pocket depth reduction occur beyond these early time points.

MeSH

Periodontal Pocket, Periodontics, Therapeutics, Periodontitis

Cited by