Professional Subgingival Irrigation

1. Introduction to professional irrigation

A. description of the Sub-irrigation. Professional irrigation technology is in the office washing pockets performance or dentist, dental hygienist, using one of three systems:

1. Blunt tip irrigation cannula, which is attached to the manual syringe (Fig. 27-9)

2. The ultrasound unit is equipped reservoir (Fig. 27-10)

3. Specialized pneumatic lug that connects to the dental Department of the airline

B. objective Subgingival irrigation. The purpose of the above gum irrigation is a violation and cultivation of bacteria and their products from periodontal pockets.

C. Irrigant Solutions. Solutions used for subgingival irrigation include chlorhexidine

gluconate, povidone-iodine and water, fluoride, tetracycline, or Listerine.

Chlorhexidine gluconate and essential oils mouthrinses can be used at full strength.

Povidone-iodine can be cultivated as one part povidone-iodine nine parts water.

Fluoride is bred as one part fluoride to one part water.

2. The efficiency of professional Subgingival irrigation

A. Professional Applications

1. The status of professional subgingival irrigation periodontitis treatment remains controversial [27,28].

2. In the office subgingival irrigation with antimicrobial agent has been shown to have only limited or no beneficial effect on non-surgical periodontal instruments alone.

a. Some studies indicate that irrigation is not enhance the therapeutic effect is achieved non-surgical periodontal instruments alone [29-34].

B. Other studies found that the minimum improvement. However, after 6 months there were no significant differences between irrigation against conservative periodontal instruments relative to depth or inflammatory condition [35-39]. 3. Not long substantivity antimicrobial drug in the periodontal pocket, due to the continuous flow of gingival crevicular fluid from his pocket, and in the presence of serum and proteins in your pocket. Essentially antimicrobial agent, for example, chlorhexidine gluconate, should be stored in a pocket and slowly available during a certain period of time to intervene with the overpopulation of the bacteria in your pocket.

B. Conclusions Regarding Professional Irrigation. A document outlining positions [40] on the role of supragingival and subgingival irrigation in the treatment of periodontal disease concludes:

1. currently there is not enough evidence to show that the technology of irrigation normally should be used as an additional office procedures.

2. "However, according to preliminary data using high concentrations [35,38] and long-lasting or more applications [29,32,33,38,41,42] antimicrobials has shown some promise for improving the state of parodont. Therefore, more research is needed to determine the potential of subgingival irrigation as a complement to the treatment of periodontium" [40].

C. irrigation technology, made up of periodontal instruments may reduce the incidence of bacteremia, and to reduce the number of microorganisms in aerosols. ..