Abstract
It was previously reported that pocket irrigation in combination with mechanical debridements such as scaling and root planing could be a useful therapy for the improvement of gingival conditions of severe adult periodontitis. In this study, the effect of irrigation with dilute solution of an anti-inflammatory agent, Acess® A solution, on gingival recession following pocket curettage was examined in patients with severe adult periodontitis. Pockets were irrigated with Acess® A solution four times at one-week intervals by using a pulsating water-jet device, then changes in clinical parameters were evaluated in comparison with those of patients undergoing pocket curettage alone or irrigation in combination with pocked curettage for three months. As a result, irrigation as a supplement to pocket curettage tended to facilitate clinical improvements in comparison with pocket curettage alone. Especially, decrease of gingival recession and gain of clinical attachment level were significantly obtained by irrigation in combination with pocket curettage at least on a short term basis.
Therefore, it was concluded that irrigation with Acess® A solution as a supplement to pocket curettage could enhance the prevention of gingival recession in the early stage of treatment of patients with severe adult periodontitis. Thus the pocket irrigation system in conjunction with mechanical debridement could be a useful therapy for severe adult periodontitis.
