Applying nano-HA in addition to scaling and root planing increases clinical attachment gain

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dc.authoridTunali, Mustafa/0000-0002-1251-3431
dc.authoridUstaoglu, Gulbahar/0000-0002-4205-861X
dc.authoridAlbayrak, Onder/0000-0001-5918-3858
dc.contributor.authorUysal, Ozge
dc.contributor.authorUstaoglu, Gulbahar
dc.contributor.authorBehcet, Mustafa
dc.contributor.authorAlbayrak, Onder
dc.contributor.authorTunali, Mustafa
dc.date.accessioned2025-01-27T21:00:23Z
dc.date.available2025-01-27T21:00:23Z
dc.date.issued2022
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractPurpose: This study evaluated the efficacy of treating periodontitis using subgingival nano-hydroxyapatite powder with an air abrasion device (NHAPA) combined with scaling and root planing (SRP). Methods: A total of 28 patients with stage III periodontitis (grade B) were included in this study, although 1 was lost during follow-up and 3 used antibiotics. The patients were divided into a test group and a control group. All patients first received whole-mouth SRP using hand instruments, and a split-mouth approach was used for the second treatment. In the test group, the teeth were treated with NHAPA for 15 seconds at 70% power per pocket. Subgingival plaque samples were obtained from the 2 deepest pockets at the test and control sites before treatment (baseline) and 3 months after treatment. The full-mouth plaque index (PI), gingival index (GI), papillary bleeding index (PRI), bleeding on probing (BOP), probing depth (PD) and clinical attachment level (CAL) were recorded at baseline and at 1- and 3-month post-treatment. Real-time polymerase chain reaction was used to determine the colonisation of Treponema denticola (Td), Porphyromonas,gingivalis(Pg), and Aggrega Odder actinomycelemcomitans in the subgingival plaque. Results: From baseline to the first month, the test group showed significantly larger changes in BOP and CAL (43.705%+/- 27.495% and 1.160 +/- 0.747 mm, respectively) than the control group (36.311%+/- 27.599% and 0.947 +/- 0.635 mm, respectively). Periodontal parameters had improved in both groups at 3 months. The reductions of PI, GI, BOP, PD, and CAL in the test group at 3 months were greater and statistically significant. The total bacterial count and Td and Pg species had decreased significantly by the third month in both groups (P<0.05). Conclusions: Applying NHAPA in addition to SRP improves clinical periodontal parameters more than SRP alone. Subgingival NHAPA may encourage clot adhesion to tooth surfaces by increasing surface wettability.
dc.description.sponsorshipBolu Abant Izzet Baysal University Scientific Research Center [2020.06.05.1443]
dc.description.sponsorshipThis study was supported by Bolu Abant Izzet Baysal University Scientific Research Center (Project No. 2020.06.05.1443).
dc.identifier.doi10.5051/jpis.2102080104
dc.identifier.endpage126
dc.identifier.issn2093-2278
dc.identifier.issn2093-2286
dc.identifier.issue2
dc.identifier.pmid35505573
dc.identifier.scopus2-s2.0-85132666308
dc.identifier.scopusqualityQ2
dc.identifier.startpage116
dc.identifier.urihttps://doi.org/10.5051/jpis.2102080104
dc.identifier.urihttps://hdl.handle.net/20.500.12428/27012
dc.identifier.volume52
dc.identifier.wosWOS:000797190000003
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherKorean Acad Periodontology
dc.relation.ispartofJournal of Periodontal and Implant Science
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20250125
dc.subjectAnaerobic bacteria
dc.subjectHydroxyapatites
dc.subjectPeriodontal debridement
dc.subjectPeriodontitis
dc.subjectReal-time polymerase chain reaction
dc.titleApplying nano-HA in addition to scaling and root planing increases clinical attachment gain
dc.typeArticle

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