Abstract
Background: Periodontal dressings have recently become an important research topic in periodontal treatment. Periodontal dressings have also proven effective in supporting non-surgical mechanical therapy for short-term clinical outcomes. Objective: This study evaluated the effects of two types of periodontal dressings, with and without zinc oxide, on non-surgical periodontal treatment.
Materials and Methods: This randomized controlled trial, with a split-mouth design, was conducted on 31 patients with stage II-III periodontitis (AAP/EFP 2017). After scaling and root planing, two types of periodontal dressings were applied in opposite sextant regions. Clinical periodontal indices were assessed at baseline and 1 week, 1 month, 3 months, and 6 months after treatment. Radiographs were obtained at baseline and 6 months after treatment.
Results: After treatment, the plaque index (PlI), bleeding on probing index (BOP), probing pocket depth (PPD), and clinical attachment level (CAL) in both groups were significantly reduced compared with baseline values. The periodontal dressing without zinc oxide showed higher effects than periodontal dressing with zinc oxide in terms of changes in the gingival index (GI), PPD, and CAL.
Conclusion: Periodontal dressings, especially without zinc oxide, support clinical improvement in stage II-III periodontitis through non-surgical therapy.
| Published | 2025-05-09 | |
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| Issue | Vol. 15 No. 2 (2025) | |
| Section | Original Articles | |
| DOI | 10.34071/jmp.2025.2.19 | |
| Keywords | periodontitis, non-surgical periodontal treatment, periodontal dressing |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2025 Hue Journal of Medicine and Pharmacy
Mehrotra N, Singh S. Periodontitis: StatPearls Publishing, Treasure Island (FL); 2023 2023.
Ryan ME. Nonsurgical approaches for the treatment of periodontal diseases. Dental Clinics of North America. 2005;49(3):616.
Genovesi AM, Ricci M, Marchisio O, Covani U. Periodontal dressing may influence the clinical outcome of non-surgical periodontal treatment: a split-mouth study. Int J Dent Hyg. 2012;10(4):284-9.
Hameed M, Malik A, Shaukat M, Khalid B, Zia ul I, Umar M. Effect of periodontal dressing on the clinical outcomes of non-surgical periodontal treatments; A randomized controlled trial. The Professional Medical Journal. 2023;30:68-74.
Keestra JA, Coucke W, Quirynen M. One-stage full-mouth disinfection combined with a periodontal dressing: a randomized controlled clinical trial. J Clin Periodontol. 2014;41(2):157-63.
Monje A, Kramp AR, Criado E, Suarez-Lopez Del Amo F, Garaicoa-Pazmino C, Gargallo-Albiol J, et al. Effect of periodontal dressing on non-surgical periodontal treatment outcomes: a systematic review. International journal of dental hygiene. 2016;14(3):161-7.
Sigusch BW, Pfitzner A, Nietzsch T, Glockmann E. Periodontal dressing (Vocopac) influences outcomes in a two-step treatment procedure. J Clin Periodontol. 2005;32(4):401-5.
Gholami L, Ansari-Moghadam S, Sadeghi F, Arbabi-Kalati F, Barati I. Clinical and cytotoxic comparison of two periodontal dressings after periodontal flap surgery. World Journal of Dentistry. 2019;10(1):7, 8, 12.
Newman PS, Addy M. A comparison of a periodontal dressing and chlorhexidine gluconate mouthwash after the internal bevelled flap procedure. Journal of periodontology. 1978;49(11):578.
Papapanou PN, Sanz M, Buduneli N, Dietrich T, Feres M, Fine DH, et al. Periodontitis: Consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018;89 Suppl 1:S173-S82.
Teeuw WJ, Coelho L, Silva A, van der Palen CJ, Lessmann FG, van der Velden U, et al. Validation of a dental image analyzer tool to measure alveolar bone loss in periodontitis patients. J Periodontal Res. 2009;44(1):94-102.
Reddy BN, Bali S, Aggarwal P, Nautiyal A. Clinical Evaluation and Comparison Between Commercially Available Non-Eugenol, Light Cure and Cellulose Based Periodontal Dressings: A Cross–Over Study. Journal of Pharmaceutical Negative Results. 2022;13(7):987.
Petelin M, Pavlica Z, Batista U, Štiblar-Martinčič D, Skalerič U. Effects of periodontal dressings on fibroblasts and gingival wound healing in dogs. Acta Veterinaria Hungarica. 2004;52(1):33-46.
Hokari T, Morozumi T, Komatsu Y, Shimizu T, Yoshino T, Tanaka M, et al. Effects of antimicrobial photodynamic therapy and local administration of minocycline on clinical, microbiological, and inflammatory markers of periodontal pockets: A pilot study. International Journal of Dentistry and Oral Science. 2018;2018(1):8.
Komara I, Winata EA, Susanto A, Hendiani I. Periodontal tray application of chlorine dioxide gel as an adjunct to scaling and root planing in the treatment of chronic periodontitis. The Saudi Dental Journal. 2020;32(4):198.