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ePaper created 2018-04-10, 12:30:21 | version 1.38.0
| industry Treatment of periodontal and peri-implant inflammation Dr Vincenzo Iorio-Siciliano, Italy Literature The elimination of biofilm is the key factor in the treat- ment of periodontal and peri-implant inflammation. Periodontitis, peri-implant mucositis, and peri-implan- titis represent bacterial inflammation with comparable symptoms. The clinical signs for all three are similar and include positive bleeding on probing, redness, oedem- atous tissue, suppuration and probing pocket depths of more than 4 mm. The cause of these similarly progressing infections is bacterial plaque, a biofilm rich of pathogenic bacteria. As a consequence, effective elimination of this biofilm is a fundamental prerequisite for the successful treatment of these diseases. Treatment possibilities Various methods (e.g. curettes, ultrasound, airflow) are available for the mechanical removal of biofilm. Complete elimination of the biofilm, however, is not always achiev- able by mechanical debridement alone. PERISOLV® (REGEDENT) is a new antibacterial cleaning gel based on chloramines, which can be used in addition to mechanical cleaning in the treatment of periodontitis, peri-implant mucositis and peri-implantitis. The gel penetrates and softens the bio- film and, owing to its antiseptic properties, eliminates the pathogenic bacteria after only a few seconds.1, 2 PERISOLV® is a two-component preparation con- sisting of a 0.95 % sodium hypochlorite (NaOCl) and an amino acid solution. Before use, the two components are mixed. The sodium hypochlorite and the amino ac- ids form short-lived chloramines (N-carboxy anhydride, NCA) as antibacterial and anti-inflammatory active in- gredients. PERISOLV® thus has an antimicrobial effect while also softening the concrements on the tooth or im- plant surface. This favours a less abrasive mechanical debridement of the root surface.3 Fig. 1 Fig. 2 Fig. 3 Fig. 4 Fig. 5 Fig. 6 Fig. 7 Fig. 1: A pocket depth of 5 mm with bleeding on probing was noted. Fig. 2: A Class II furcation defect was recorded. Fig. 3: PERISOLV® was applied into the furcation defect. Fig. 4: Subgingival scaling was performed. Fig. 5: Root planing was done. Fig. 6: A pocket depth of 4 mm at the buccal site was reported at the six-month follow-up. Fig. 7: The Class II furcation defect was reduced to a Class I furcation defect. 34 1 2018