Andrea Butera1, Carolina Maiorani1, Valentino Natoli2, Ambra Bruni3, Carmen Coscione4, Gaia Magliano5, Giulia Giacobbo6, Alessia Morelli7, Sara Moressa4, Andrea Scribante8. 1. Unit of Dental Hygiene, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy. 2. DDS, Private Dental Practice, 72015 Fasano, Italy. 3. Free Lancer, 03100 Frosinone, Italy. 4. Free Lancer, 10121 Turin, Italy. 5. Free Lancer, 31100 Treviso, Italy. 6. Free Lancer, 20019 Milan, Italy. 7. Free Lancer, 61121 Pesaro, Italy. 8. Unit of Orthodontics and Pediatric Dentistry, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy.
Abstract
BACKGROUND: On 30 January 2020, a public health emergency of international concern was declared as a result of the new COVID-19 disease, caused by the SARS-CoV-2 virus. This virus is transmitted by air and, therefore, clinical practices with the production of contaminant aerosols are highly at risk. The purpose of this review was to assess the effectiveness of bio-inspired systems, as adjuvants to nonsurgical periodontal therapy, in order to formulate bio-inspired protocols aimed at restoring optimal condition, reducing bacteremia and aerosols generation. METHODS: A comprehensive and bibliometric review of articles published in English. Research of clinical trials (RCTs) were included with participants with chronic or aggressive periodontal disease, that have compared benefits for nonsurgical periodontal therapy (NSPT). RESULTS: Seventy-four articles have been included. For probing depth (PPD) there was a statically significant improvement in laser, probiotic, chlorhexidine groups, such as gain in clinical attachment level (CAL). Bleeding on probing (BOP) reduction was statistically significant only for probiotic and chlorhexidine groups. There were changes in microbiological and immunological parameters. CONCLUSIONS: The use of bio-inspired systems in nonsurgical periodontal treatment may be useful in reducing risk of bacteremia and aerosol generation, improving clinical, microbiological and immunological parameters, of fundamental importance in a context of global pandemic, where the reduction of bacterial load in aerosols becomes a pivotal point of clinical practice, but other clinical trials are necessary to achieve statistical validity.
BACKGROUND: On 30 January 2020, a public health emergency of international concern was declared as a result of the new COVID-19 disease, caused by the SARS-CoV-2 virus. This virus is transmitted by air and, therefore, clinical practices with the production of contaminant aerosols are highly at risk. The purpose of this review was to assess the effectiveness of bio-inspired systems, as adjuvants to nonsurgical periodontal therapy, in order to formulate bio-inspired protocols aimed at restoring optimal condition, reducing bacteremia and aerosols generation. METHODS: A comprehensive and bibliometric review of articles published in English. Research of clinical trials (RCTs) were included with participants with chronic or aggressive periodontal disease, that have compared benefits for nonsurgical periodontal therapy (NSPT). RESULTS: Seventy-four articles have been included. For probing depth (PPD) there was a statically significant improvement in laser, probiotic, chlorhexidine groups, such as gain in clinical attachment level (CAL). Bleeding on probing (BOP) reduction was statistically significant only for probiotic and chlorhexidine groups. There were changes in microbiological and immunological parameters. CONCLUSIONS: The use of bio-inspired systems in nonsurgical periodontal treatment may be useful in reducing risk of bacteremia and aerosol generation, improving clinical, microbiological and immunological parameters, of fundamental importance in a context of global pandemic, where the reduction of bacterial load in aerosols becomes a pivotal point of clinical practice, but other clinical trials are necessary to achieve statistical validity.
Authors: Andrej Thurzo; Wanda Urbanová; Iveta Waczulíková; Veronika Kurilová; Bela Mriňáková; Helena Kosnáčová; Branislav Gális; Ivan Varga; Marek Matajs; Bohuslav Novák Journal: Int J Environ Res Public Health Date: 2022-06-23 Impact factor: 4.614
Authors: Syed Nahid Basheer; Thilla Sekar Vinothkumar; Nassreen Hassan Mohammad Albar; Mohmed Isaqali Karobari; Apathsakayan Renugalakshmi; Ahmed Bokhari; Syed Wali Peeran; Syed Ali Peeran; Loai Mohammed Alhadri; Santosh Kumar Tadakamadla Journal: Int J Environ Res Public Health Date: 2022-02-11 Impact factor: 3.390