Adjunctive Local Sodium Hypochlorite Gel in Non Surgical Periodontal Debridement

Clinical Effects of Adjunctive Local Sodium Hypochlorite Gel in Minimally Invasive Non Surgical Debridement (MINSD) of Periodontal Pockets. A 6-month Randomized Controlled Clinical Trial

The aim of this study was to assess the efficacy of minimally invasive nonsurgical debridement (MINSD) of periodontal pockets with or without local amino acid buffered sodium hypochlorite (NaOCl) gel application after 6 months follow-up.

Forty periodontal compromised patients were randomly allocated in two groups. Periodontal pockets > 5 mm in patients of test group were treated by MINSD and NaOCl gel application, meanwhile in patients of control group MINSD alone was performed. Full-mouth plaque score (FMPS) , Full-mouth bleeding score (FMBS), probing depth (PD), clinical attachment level (CAL) and gingival recession (GR) were assessed at baseline and after 6 months follow-up.

Inclusion Criteria:

• Patients diagnosed with periodontitis;
• Age > 18 years old;
• Patients with at least 10 teeth for arch;
• Presence at least of two teeth with PD > 5 mm for quadrant;
• Single-rooted and multi-rooted teeth;

Exclusion Criteria:

• Patients with systemic diseases;
• Pregnant or lactating;
• Tobacco smokers (> 10 cigarettes/day);
• Previous periodontal treatment in the last 2 years;
• Prolonged antibiotic treatment or anti-inflammatory treatment within 6 months prior to periodontal therapy;
• Furcation involvement;
• Acute periodontal or endodontic abscess;
• Third molars