SavedAdd your journal

Journals / Meandros Medical And Dental Journal / 2026 / Volume: 27 Issue: 2

Comparison of Current Subgingival Debridement Methods: Clinical Trial with 6 Months Follow-Up

Selcen Özcan Bulut(Niğde Ömer Halisdemir Üniversitesi Diş Hekimliği Fakültesi)0000-0003-4984-9817
Şafak Necati Dönertaş(NİĞDE ÖMER HALİSDEMİR ÜNİVERSİTESİ)0000-0002-8291-6500
Nihan Özel Erçel(MERSIN UNIVERSITY)0000-0001-8506-7623
Pages
—
Publication Date
2026-06-24
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The use of plaque disclosing agents to visualize biofilm appears to offer advantages during therapy.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: This study aimed to compare the clinical efficacy, aesthetic outcomes, and perceived pain levels of current subgingival debridement methods used in the treatment of Stage I-II periodontitis.
📊
Key Findings & Data:Materials and Methods: Ninety patients (52 females, 38 males) diagnosed with mild to moderate periodontitis (Stage I–II) were randomly assigned to one of three treatment groups: Conventional Therapy (CT), involving Gracey curettes and sonic scalers followed polishing; Guided Biofilm Therapy (GBT); and Plaque-Disclosed Conventional Therapy (PDCT).
💡
Conclusion & Impact:The use of plaque disclosing agents to visualize biofilm appears to offer advantages during therapy.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Guided Biofilm Therapy · Periodontal Health · periodontitis

Abstract

Objective: This study aimed to compare the clinical efficacy, aesthetic outcomes, and perceived pain levels of current subgingival debridement methods used in the treatment of Stage I-II periodontitis. Materials and Methods: Ninety patients (52 females, 38 males) diagnosed with mild to moderate periodontitis (Stage I–II) were randomly assigned to one of three treatment groups: Conventional Therapy (CT), involving Gracey curettes and sonic scalers followed polishing; Guided Biofilm Therapy (GBT); and Plaque-Disclosed Conventional Therapy (PDCT). Each patient received non-surgical periodontal treatment with the goal of achieving periodontal health (defined as probing depth <4 mm and bleeding on probing <10%). Periodontal parameters including Gingival Index (GI), Plaque Index (PI), Bleeding on Probing (BOP), Probing Pocket Depth (PPD), aesthetic scores, and pain levels during treatment were recorded at baseline, 1, 3, and 6 months. Results: All treatment groups showed statistically significant improvements in GI, PI, BOP, and PPD at each follow-up time point compared to baseline (p<0.001). Aesthetic scores increased progressively over time in all groups, with the GBT group demonstrating significantly higher scores at 1. month (p=0.042). At the 6-month follow-up, the GBT group had the lowest mean GI, while the CT group had the highest. Significant differences among groups were observed in PI, PPD, and aesthetic scores across the follow-up period. No significant differences were found between the PDCT and GBT groups regarding periodontal parameters at 6 months (p>0.05). All three methods were comparably effective in achieving the desired periodontal health status. There were no statistically significant differences in pain perception among the groups during treatment. Conclusion: Current non-surgical periodontal treatment methods provide similar clinical outcomes in the management of mild-moderate periodontitis when monitored over 6 months. GBT may be preferred for patients with greater aesthetic concerns. The use of plaque disclosing agents to visualize biofilm appears to offer advantages during therapy.

🔖

Cite This Article

Bulut, S. Ö., Dönertaş, Ş. N., Erçel, N. Ö. (2026). Comparison of Current Subgingival Debridement Methods: Clinical Trial with 6 Months Follow-Up. Meandros Medical And Dental Journal, Volume: 27 Issue: 2. https://doi.org/10.69601/meandrosmdj.1708692

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (23)

  1. Shrivastava D, Natoli V, Srivastava KC, Alzoubi IA, Nagy AI, Hamza MO, et al. Novel approach to dental biofilm management through guided biofilm therapy (GBT): A review. Microorganisms 2021;9:1966.
  2. Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. Journal of periodontology 2018;89:S159-S72.
  3. Kurtzman GM, Debbie Zafiropoulos E. Guided Biofilm Therapy: Why and How of Oral Biofilm Management.
  4. Trombelli L, Farina R. A review of factors influencing the incidence and severity of plaque-induced gingivitis. Minerva stomatologica 2013;62:207-34.
  5. Chapple IL, Bouchard P, Cagetti MG, Campus G, Carra MC, Cocco F, et al. Interaction of lifestyle, behaviour or systemic diseases with dental caries and periodontal diseases: consensus report of group 2 of the joint EFP/ORCA workshop on the boundaries between caries and periodontal diseases. Journal of clinical periodontology 2017;44:S39-S51.
  6. Genco RJ, Borgnakke WS. Risk factors for periodontal disease. Periodontology 2000 2013;62:59-94.
  7. Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. J Periodontol 2018;89 Suppl 1:S159-s72.
  8. Sanz M, Herrera D, Kebschull M, Chapple I, Jepsen S, Beglundh T, et al. Treatment of stage I-III periodontitis-The EFP S3 level clinical practice guideline. J Clin Periodontol 2020;47 Suppl 22:4-60.
  9. Kwon T, Lamster IB, Levin L. Current concepts in the management of periodontitis. International dental journal 2021;71:462-76.
  10. Zhang J, Liu J, Li J, Chen B, Li H, Yan F. The clinical efficacy of subgingival debridement by ultrasonic instrumentation compared with subgingival air polishing during periodontal maintenance: a systematic review. Journal of Evidence Based Dental Practice 2019;19:101314.
  11. Wennström JL, Dahlén G, Ramberg P. Subgingival debridement of periodontal pockets by air polishing in comparison with ultrasonic instrumentation during maintenance therapy. Journal of clinical periodontology 2011;38:820-7.
  12. Vouros I, Antonoglou GN, Anoixiadou S, Kalfas S. A novel biofilm removal approach (guided biofilm therapy) utilizing erythritol air‐polishing and ultrasonic piezo instrumentation: a randomized controlled trial. International journal of dental hygiene 2022;20:381-90.
  13. Cyris M, Festerling J, Kahl M, Springer C, Dörfer CE, Graetz C. Guided biofilm therapy versus conventional protocol—clinical outcomes in non-surgical periodontal therapy. BMC Oral Health 2024;24:1105.
  14. Goodson JM, Haffajee AD, Socransky SS, Kent R, Teles R, Hasturk H, et al. Control of periodontal infections: a randomized controlled trial I. The primary outcome attachment gain and pocket depth reduction at treated sites. J Clin Periodontol 2012;39:526-36.
  15. Graetz C, Dörfer CE, Kahl M, Kocher T, Fawzy El-Sayed K, Wiebe JF, et al. Retention of questionable and hopeless teeth in compliant patients treated for aggressive periodontitis. J Clin Periodontol 2011;38:707-14.
  16. Löe H. The gingival index, the plaque index and the retention index systems. The Journal of Periodontology 1967;38:610-6.
  17. Johnson EW. Visual analog scale (VAS). LWW; 2001. p 717.
  18. Graziani F, Karapetsa D, Alonso B, Herrera D. Nonsurgical and surgical treatment of periodontitis: how many options for one disease? Periodontology 2000 2017;75:152-88.
  19. Tonetti MS, Sanz M. Implementation of the new classification of periodontal diseases: Decision‐making algorithms for clinical practice and education. Journal of clinical periodontology 2019;46:398-405.
  20. Smiley CJ, Tracy SL, Abt E, Michalowicz BS, John MT, Gunsolley J, et al. Systematic review and meta-analysis on the nonsurgical treatment of chronic periodontitis by means of scaling and root planing with or without adjuncts. The Journal of the American Dental Association 2015;146:508-24. e5.
  21. Cobb CM. Clinical significance of non‐surgical periodontal therapy: an evidence‐based perspective of scaling and root planing. Journal of clinical periodontology 2002;29:22-32.
  22. Van der Weijden G, Timmerman M. A systematic review on the clinical efficacy of subgingival debridement in the treatment of chronic periodontitis. Journal of clinical periodontology 2002;29:55-71.
  23. Mensi M, Sordillo A, Marchetti S, Calza S, Scotti E. Clinical Comparison of Guided Biofilm Therapy and Scaling and Root Planing in the Active Phase of Periodontitis Management. European Journal of Dentistry 2024.