IJCRR - 6(11), June, 2014
COMPARATIVE CLINICAL EVALUATION OF REDUCTION IN TOOTH MOBILITY USING PERIOTEST® IN LOWER ANTERIOR TEETH POST PHAS - I THERAPY IN PATIENTS WITH MILD TO MODERATE GINGIVITIS: A RANDOMIZED CONTROLLED TRIAL
Author: Kunal A. Banavali, Pradeep Chitnis, Ketaki Upadhye, Bhoomi Kotak
Background: The Periotest® method is a technique for the objective assessment of tooth mobility. The aim of this study was to determine the reduction in tooth mobility following phase I therapy (scaling and root planning) in individuals aged 18-30 years using Periotest®. Materials and Methods: Initial scoring of tooth mobility was done using Periotest® followed by phase-I therapy which included scaling and root planning using ultrasonic scalers and hand instruments. The second scoring was done 14 days following phase-I therapy and instructions in oral hygiene. Patients with presence of grade I mobility with lower anterior teeth, no bone loss radiographically, no periodontal pocket and absence of pulpal pathology and severe occlusal interferences in the teeth to be treated were included in the study. Result: A significant increase in the proportion of teeth with zero mobility was observed 14 days following completion of the nonsurgical phase-I therapy. The tooth mobility pre scaling and root planning was 10-18 Periotest value (13.40±2.207) and tooth mobility post scaling and root planning after 14 days was -8-7 Periotest value (1.9000±5.319). Statistical analysis was carried out using paired T-test; the p value was statistically significant (p?0.005). Conclusion: From the above study we can conclude that abnormal tooth mobility decreased following the hygienic phase of periodontal treatment (scaling, root planing, polishing and oral hygiene instruction) using Periotest® method as objective method for measurement of tooth mobility.
Keywords: Periotest, gingivitis, oral hygiene
Kunal A. Banavali, Pradeep Chitnis, Ketaki Upadhye, Bhoomi Kotak. COMPARATIVE CLINICAL EVALUATION OF REDUCTION IN TOOTH MOBILITY USING PERIOTEST® IN LOWER ANTERIOR TEETH POST PHAS - I THERAPY IN PATIENTS WITH MILD TO MODERATE GINGIVITIS: A RANDOMIZED CONTROLLED TRIAL International Journal of Current Research and Review. 6(11), June, 87-90
1. Ramfjord, S. P., and Ash, M. M., Jr.: Significance of occlusion in the etiology and treatment of early, moderate and advanced Periodontitis. J Periodontol 52: 511, 1981.
2. Lindhe, J., and Nyman, S.: The role of occlusion in periodontal disease and the biological rationale for splinting in treatment of Periodontitis. Oral Sci Rev 10: 11, 1977.
3. Fehr, C, and Mühlemann, H. R.: Objective Erfassung der Wirkungeiner internen Parodontal Therapie ("Biostimulin"). Parodontologie 4: 152, 1956.
4. Wüst, B. P., Rateitschak, K. H., and Mühlemann, H. R.: Der Einfluss der lokalen parodontal Behandlung auf die Zahnlocherung und der Entzündungsgrad des Zahnfleisches. Helv Odontol Acta 4: 58, 1960.
5. Kegel, W., Selipsky, H., and Phillips, C: The effect of splinting on tooth mobility. I. During initial therapy. J Clin Periodontol. 6: 45, 1979.
6. Lindhe, J., and Nyman, S.: The effect of plaque control and surgical pocket elimination on the establishment and maintenance of periodontal health. A longitudinal study of periodontal therapy in cases of advanced disease. J Clin Periodontol 2: 67, 1975.
7. Rosling, B., Nyman, S., and Lindhe, J.: The effect of systematic plaque control on bone regeneration in infrabony pockets. J Clin Periodontol 3: 38, 1976.
8. Rateitschak, K. H.: The therapeutic effect of local treatment on periodontal disease assessed upon evaluation of different diagnostic criteria. I. Changes in tooth mobility. J Periodontol 34: 540, 1963
9. Wust, B. P., Rateitschak, K. and Muhlemann, H. R.: Influence of local periodontal treatment on tooth mobility and gingival inflammation. D. Abs., 6:270, 1961.
10. Persson, R.: Assessment of tooth mobility using small loads. II. Effect of oral hygiene procedures. J Clin Periodontol 7: 506, 1980.