Abstract
Periodontitis is an irreversible oral disease causing the destruction of tooth-supporting tissues. In addition to scaling and root planing (SRP) procedures, patients should achieve a correct domiciliary oral hygiene in order to maintain a healthy status. The aim of the present study was to evaluate the efficacy of different toothpastes in reducing gingival bleeding in periodontal patients. In addition to a professional treatment of SRP, 80 patients were randomly divided into four groups according to the toothpaste assigned for the daily domiciliary use using an electric toothbrush: Group 1 (Biorepair Gum Protection), Group 2 (Biorepair Plus Parodontgel), Group 3 (Biorepair Peribioma PRO), and Group 4 (Meridol Gum Protection) (control group). After baseline (T0), patients were visited after 15 days (T1), 3 months (T2), and 6 months (T3). At each appointment, the following periodontal indexes were assessed: bleeding on probing (BoP), full-mouth bleeding score (FMBS), and modified sulcus bleeding index (mSBI). All the experimental toothpastes caused an immediate significant modification of the three clinical indexes measured, except for the control product. Biorepair Peribioma PRO, with its paraprobiotic content, was also the only toothpaste causing a prolonged effect, reducing BoP even at T3. Accordingly, both hyaluronic acid and lactoferrin appear as reliable supports for the domiciliary management of periodontal disease. In spite of this, paraprobiotics are likely to show the most important benefit thanks to their immunomodulating mechanism of action.
Highlights
No significant intragroup differences were assessed between T1 and T3 in any group, except in Group 3 where bleeding on probing (BoP) further decreased at the last time considered
In case this condition should occur, the conventional treatment for periodontal patients is based on a mechanical therapy which is aimed at removing plaque/calculus and smoothing infected dental roots surfaces [4]
On the basis of this consideration, a correct oral hygiene routine appears to be a fundamental preventive procedure, both to avoid the onset of periodontitis as well as to avoid a relapse when the pathology is under control
Summary
Periodontal disease is a degenerative, multifactorial, and irreversible inflammatory condition that regards tooth-supporting tissues [1,2]. Considering the multifactorial etiology, biofilm accumulation does not represent the only factor related to periodontitis, despite its main role; other risk conditions are represented by smoke, leukocyte deficits, immunosuppression, diabetes, and alteration of cytokines production [3]. Interventions aimed at removing dental plaque have the most important role [2]. Scaling and root planing (SRP) is the non-surgical gold standard therapy that respectively consists of the elimination of dental plaque/calculus and in smoothing contaminated dental roots [4]
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