Optimization of the supporting periodontal therapy at patients of risk group with dental implants

Abstract

Relevance. Against the background of an increase in the number of established dental implants, there is an increase in the number of cases of inflammation of the surrounding tissues – mucositis and periimplantitis, which occupy the first place among all complications of dental implantation. Materials and methods . To assess the effectiveness of supportive periodontal therapy (SPT), depending on the method individual hygiene of an oral cavity (IHOC) and professional hygiene of an oral cavity (PHOC), 85 patients aged 24-52 with primary and moderate generalized periodontitis in remission with dental implants examined. SPT for patients in the first and third groups was conducted under the Guided Biofilm Therapy (GBT) protocol, the II group – according to the “classic” protocol. In the first group, patients brushed their teeth with a manual toothbrush (TB) in the II group – power toothbrush with oscillating-rotating movements (Oral-B Vitality), in the III group – power toothbrush with technology of rotational-return movements with pulsation and feedback by means of a mobile application (Oral-B Genius). Indices were evaluated: Silness-Loe (S-L), API, PBI, PMA, pain by visual analogue scale (VAS), duration of ongoing manipulations, two questionnaires of patients in the dynamics. Results. With comparable baseline data, there was no negative dynamics in the second group, and in the first and third – positive dynamics throughout the observation period, with statistically significant superiority in the third group. Lower time costs of the doctor, a more comfortable perception of the patient of the procedure itself and the absence of hyperesthesia after it are noted in GBT groups. Conclusion. The SPT complex, which includes GBT and the use of a power toothbrush with the technology of rotationalreturn movements with pulsation and feedback, shows high clinical efficacy in patients at risk with dental implants.