title: The effect of professional and home subgingival irrigation with antimicrobial agents on gingivitis and early periodontitis.
abstract: The purpose of this investigation was to study the effect of a professionally applied subgingival antimicrobial agent (stannous fluoride) delivered at periodontal prophylaxis, combined with home personal subgingival delivery of an antimicrobial agent (iodine) on patients with gingivitis and early periodontitis. A control group of 32 individuals was instructed to use dental floss and a sulcular toothbrushing method as a regular oral hygiene regimen. The test group of 42 subjects received professional subgingival irrigation with a 1.64% stannous fluoride solution delivered after scaling. These subjects were also instructed in the home subgingival delivery of an iodine solution along with the use of dental floss and sulcular toothbrushing. Subjects were clinically evaluated at baseline and again after eight weeks. Individuals in the test group, when compared to the control group, had a significantly lower gingival index score at eight weeks. In addition, the test group had significantly lower bleeding and gingival index scores at eight weeks when compared to baseline. Professional subgingival irrigation with stannous fluoride, when combined with home subgingival delivery of an iodine solution, was effective in improving gingival health for patients with gingivitis and early periodontitis.
authors.forename: L F
authors.initials: LF
authors.lastname: Wolff
authors.forename: M B
authors.initials: MB
authors.lastname: Bakdash
authors.forename: B L
authors.initials: BL
authors.lastname: Pilhlstrom
authors.forename: C L
authors.initials: CL
authors.lastname: Bandt
authors.forename: D M
authors.initials: DM
authors.lastname: Aeppli
mesh_terms: D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000008:administration & dosage*; D003742:Dental Devices, Home Care; D005260:Female; D005891:Gingivitis / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010518:Periodontitis / Q000628:therapy*; D007507:Therapeutic Irrigation
chemical_list: D000900:Anti-Bacterial Agents