Abstract
ObjectivesEvaluation of the safety and efficacy of a topical lidocaine gel 2% (LG) during scaling and root planing (SRP) and professional mechanical plaque removal (PMPR).Materials and methodsThe anesthetic effects as well as unwanted effects of LG prior to or during SRP and PMPR were evaluated in an observational, non-randomized, non-interventional study design. A total of 385 treatments were recorded in 68 study centers all over Germany. Rating of the anesthetic effect of LG by treating personnel and patients using a four-item verbal rating scale (VRS), tolerability, safety (adverse effects), and need for additional local injection anesthesia (ALI).ResultsIn SRP as well as in PMPR, application of LG allowed a sufficiently pain-free therapy in more than 90% of the patients as stated on the VRS (SRP: 97.8%, PMPR: 93.75%). Overall, ALI was needed in only 4.23% of the patients treated (SRP: 5.3%, PMPR: 2.62%). One adverse effect occurred within the observation.ConclusionsApplication of LG may offer a safe and effective way to achieve pain-free therapy in periodontal patients.Clinical relevancePatient compliance is key to the success of periodontal maintenance therapy. Effective and safe pain control during various kinds of periodontal therapy might increase patient compliance and therefore contribute to the long-term treatment success, among other factors. With regard to the patients observed in this study, 47% had previously received periodontal maintenance therapy and were therefore familiar with the treatment and the associated pain.
Highlights
Severe periodontitis was the sixth most prevalent disease condition in the world in 2010, affecting 743 million people worldwide [1]
Consensus reports of the 11th European Workshop on Periodontology have affirmed the necessity for supportive periodontal therapy regimens for periodontitis patients [4, 5]
Other indications given for at least five patients were measuring of pocket depth (n = 15, 4.18%), periodontal maintenance therapy (PMT) (n = 8, 2.23%), cleaning of dental implants (n = 6, 1.67%), and calculus removal (n = 5, 1.39%)
Summary
Severe periodontitis was the sixth most prevalent disease condition in the world in 2010, affecting 743 million people worldwide [1]. Even though the results of the Fifth German Oral Health Study [2] showed a significant decrease in periodontal disease in Germany, it is still widespread: 51.6% of the young adults (aged 35–44) and 64.6% of the younger elderly (aged 65 to 74) suffered from periodontitis. The Studies of Health in Pomerania (SHIP) revealed an Marburg, Germany 3 Medical-Scientific Department, Chemische Fabrik Kreussler & Co. GmbH, Rheingaustrasse 87-93, 65203 Wiesbaden, Germany improvement of periodontal conditions together with an increasing number of present teeth, thereby implying a growing need for treatment of moderately diseased teeth [3]. The success of preventive measures and periodontal therapy depends on patient compliance among other factors
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