Biolife - Scientific Publisher

Biolife - Scientific Publisher

Eur J Musculoskel Dis 2021 Gen-Apr;10(1):1-7


ARTICLE

MODIFIED ORAL HYGIENE PROTOCOLS TO PREVENT PERIODONTAL DISEASES. ROLE OF LASERS AND PHASE CONTRAST MICROSCOPES IN PERIODONTAL MAINTENANCE THERAPY

G. Caccianiga1, P. Erba2, G. Caccianiga2 and P. Caccianiga1*

1School of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy;
2Private Practicioner, Bergamo, Italy

*Correspondence to:
Paolo Caccianiga, DDS
School of Medicine and Surgery,
University of Milano-Bicocca,
20900 Monza, Italy
e-mail: p.caccianiga@campus.unimib.it

Received: 22 October 2020
Accepted: 05 January 2021

Copyright:
Biolife-Publisher.it © 2021

ISSN: 2038-4106

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Disclosure: All authors report no conflicts of interest relevant to this article.

ABSTRACT

The purpose of this research was to assess how the application of the oral irrigator modifies the bacterial flora using a phase contrast microscope in patients affected by chronic periodontitis and treated with laser and strictly home care protocol. 60 patients were included in periodontal maintenance therapy (PMT), with specific home oral hygiene instructions (sonic toothbrush plus oral irrigators, at least twice a day). Phase contrast-phase microscopic examinations displayed the existence of non-mobile (i.e., not pathologic) bacterial flora in all patients. They were then randomly divided into two groups, A and B. After professional oral hygiene, group A stops using an oral irrigator at home. After the professional oral hygiene, patients of group B were motivated to continue their oral hygiene protocol at home. After three months, the patients underwent a second microscopic analysis of bacterial plaque. In the Group A patients, 90% of cases had a pathogenic bacterial flora change. 100% of the patients in group B showed
non-mobile bacteria on phase contrast microscopic analysis, whereas group A showed mobile bacteria. This research demonstrates that oral irrigator in home hygiene protocol plays a role in the long-term maintenance of non-pathogenic bacterial flora in periodontal patients.

KEYWORDS: bacterial flora, oral irrigator, diode laser, hydrogen peroxide, oral hygiene, oral irrigator, phase contrast microscopy, photodynamic therapy, sonic toothbrush

 

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