The effects of erythritol air-polishing powder on microbiologic and clinical outcomes during supportive periodontal therapy: Six-month results of a randomized controlled clinical trial.

Hägi, Tobias; Hofmänner, Petra; Eick, Sigrun; Donnet, Marcel; Salvi, Giovanni Edoardo; Sculean, Anton; Ramseier, Christoph Andreas (2015). The effects of erythritol air-polishing powder on microbiologic and clinical outcomes during supportive periodontal therapy: Six-month results of a randomized controlled clinical trial. Quintessence international, 46(1), pp. 31-41. Quintessenz Verlags-GmbH 10.3290/j.qi.a32817

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OBJECTIVES

To characterize the physical characteristics of a new low abrasive erythritol powder (EPAP) and to evaluate its influence on the clinical and microbiologic parameters over a period of 6 months in patients undergoing supportive periodontal therapy (SPT).

METHOD AND MATERIALS

Prior to the clinical application, the particle size and abrasion level of EPAP were compared to glycine air-polishing powder (GPAP) ex vivo. Subsequently, 40 chronic periodontitis patients previously enrolled in SPT were randomly assigned into two groups for the treatment with subgingival EPAP or repeated scaling and root planing (SRP). At baseline (BL), bleeding on probing positive (BOP+) sites with probing pocket depth (PPD) of ≥ 4 mm but no detectable calculus were defined as study sites. During SPT, these sites were either treated by EPAP or SRP at BL, 3, and 6 months (3M, 6M). When indicated, additional SRP was provided. Plaque Index, BOP, PPD, clinical attachment level (CAL), and subgingival plaque were evaluated at BL and 6M.

RESULTS

EPAP yielded lower abrasiveness and smaller particle sizes when compared to GPAP. In 38 patients completing the study, EPAP and SRP resulted in significant reductions of BOP% (EPAP, 40.45%; SRP, 42.53%), PPD (EPAP, -0.67; SRP, -0.68), and increase of CAL (EPAP, 0.48; SRP, 0.61) while at 6M no statistically significant between-group differences were observed (P > .05). Microbiologic evaluation revealed minor shifts in the composition of the subgingival biofilm without influence on periodontopathogenic bacteria.

CONCLUSION

The subgingival use of EPAP by means of an air-polishing device may be considered safe and may lead to comparable clinical and microbiologic outcomes to those obtained with SRP.

CLINICAL RELEVANCE

The subgingival use of EPAP appears to represent a promising modality for the removal of subgingival biofilm during SPT.

Item Type:	Journal Article (Original Article)
Division/Institute:	04 Faculty of Medicine > School of Dental Medicine > Department of Periodontology 04 Faculty of Medicine > School of Dental Medicine > Periodontics Research
UniBE Contributor:	Hägi, Tobias Thomas, Hofmänner, Petra, Eick, Sigrun, Salvi, Giovanni Edoardo, Sculean, Anton, Ramseier, Christoph Andreas
Subjects:	600 Technology > 610 Medicine & health
ISSN:	0033-6572
Publisher:	Quintessenz Verlags-GmbH
Language:	English
Submitter:	Eveline Carmen Schuler
Date Deposited:	29 Oct 2015 12:49
Last Modified:	02 Mar 2023 23:26
Publisher DOI:	10.3290/j.qi.a32817
PubMed ID:	25262675
Uncontrolled Keywords:	air polishing, bleeding on probing, erythritol, hard tissue loss, supportive periodontal therapy
URI:	https://boris.unibe.ch/id/eprint/72324