{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T11:25:18Z","timestamp":1740137118274,"version":"3.37.3"},"reference-count":34,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,4,30]],"date-time":"2018-04-30T00:00:00Z","timestamp":1525046400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Clinic for Periodontology Groningen, The Netherlands"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dental Hygiene"],"published-print":{"date-parts":[[2018,11]]},"abstract":"Abstract<\/jats:title>Objectives<\/jats:title>To evaluate in patients with untreated adult periodontitis, the effect of treatment with a novel pocket irrigator\/evacuator device (IED<\/jats:styled-content>) compared to conventional subgingival debridement (CPT<\/jats:styled-content>), both provided during the initial phase of active periodontal therapy.<\/jats:p><\/jats:sec>Methods<\/jats:title>This study was an examiner\u2010blind, randomized controlled clinical trial using a split\u2010mouth design. Systemically healthy patients with adult periodontitis were selected. Full\u2010mouth probing pocket depth (PPD<\/jats:styled-content>), gingival bleeding on pocket probing scores (BOPP<\/jats:styled-content>), gingival recession (REC<\/jats:styled-content>) and dental plaque (PI<\/jats:styled-content>) were assessed at baseline. All participants received oral hygiene instructions and supragingival prophylaxis including polishing. In 2 randomly assigned contra\u2010lateral quadrants, approximal sites were irrigated with the IED<\/jats:styled-content>, whereas in the other quadrants, CPT<\/jats:styled-content> was provided. The CPT<\/jats:styled-content> consisted of subgingival debridement using ultrasonic devices followed by the use of hand instruments. At 3\u00a0months post\u2010treatment, the clinical parameters were re\u2010assessed.<\/jats:p><\/jats:sec>Results<\/jats:title>Twenty\u2010five patients met the inclusion criteria and were willing to participate. At 3\u00a0months post\u2010treatment, the PPD<\/jats:styled-content> and BOPP<\/jats:styled-content> had significantly improved for both treatment modalities. Pockets of \u22655\u00a0mm reduced by 0.64\u00a0mm in the IED<\/jats:styled-content> group (P<\/jats:italic>\u00a0<\u00a0.001), compared to a reduction of 0.82\u00a0mm for the CPT<\/jats:styled-content> group (P<\/jats:italic>\u00a0<\u00a0.001). With respect to the primary outcome parameter (PPD<\/jats:styled-content>) and BI<\/jats:styled-content>, the results with the IED<\/jats:styled-content> were less pronounced. Between the test and control groups, no significant differences were observed for REC<\/jats:styled-content> and PI<\/jats:styled-content>.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Oral hygiene instructions, supragingival prophylaxis and subgingival lavage with the IED<\/jats:styled-content> resulted in a significant reduction in PPD<\/jats:styled-content> and BOPP<\/jats:styled-content>. However, the effect does not reach the results of CPT<\/jats:styled-content> which included the subgingival use of ultrasonic and hand instruments.<\/jats:p><\/jats:sec>","DOI":"10.1111\/idh.12344","type":"journal-article","created":{"date-parts":[[2018,4,30]],"date-time":"2018-04-30T15:20:10Z","timestamp":1525101610000},"page":"559-568","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Adult periodontitis treated with a new device for subgingival lavage\u2014a randomized controlled clinical trial using a split\u2010mouth design"],"prefix":"10.1111","volume":"16","author":[{"given":"L. J.","family":"Van Dijk","sequence":"first","affiliation":[{"name":"Clinic for Periodontology Groningen The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. 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