Skip to main content

Advertisement

SpringerLink
Log in

Effect of an oily calcium hydroxide suspension on early wound healing after nonsurgical periodontal therapy

  • Original Article
  • Published:
Clinical Oral Investigations Aims and scope Submit manuscript

Abstract

The purpose of the present study was to evaluate clinically the effect of an oily calcium hydroxide suspension on early wound healing after nonsurgical periodontal therapy. A total of 19 patients with chronic periodontitis were enrolled in the study. Each subject had three sites in each of two contra-lateral jaw quadrants with a probing pocket depth (PPD) of ≥5 mm and bleeding on probing (BoP+). All teeth received scaling and root planing under local anesthesia followed by irrigation with sterile saline. An oily calcium hydroxide suspension (Osteoinductal) was applied subgingivally to the test sites at random. All sites were reexamined after 1, 2 [gingival index (GI) and BoP], and 3 weeks (GI, BoP, and PPD). Treatment success was defined as no signs of GI (GI=0), no BoP (BoP−), and pocket closure (PPD≤4 mm). At all three different points in time, there were improvements in both GI and BoP at the control and test sites, which were in favor of the test therapy (p<0.05). For PPD change, no differences were found between the test and the control sites. The results of the study suggest that the topical application of an oily calcium hydroxide suspension (Osteoinductal), after nonsurgical periodontal therapy, improves early periodontal wound healing.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Badersten A, Nilveus R, Egelberg J (1984) Effect of nonsurgical periodontal therapy. II. Severly advanced periodontitis. J Clin Periodontol 11:63–76

    Article  PubMed  Google Scholar 

  2. Biagini G, Checci L, Miccoli MC, Vasi V, Castaldini C (1988) Root curettage and gingival repair in periodontitis. J Periodontol 59:124–129

    PubMed  Google Scholar 

  3. Boretti G, Zappa U, Graf H, Case D (1995) Short-term effects of phase I therapy on crevicular cell populations. J Periodontol 66:235–240

    PubMed  Google Scholar 

  4. Bystrom A, Claesson R, Sundqvist G (1985) The antibacterial effect of camphorated paramonochlorophenol, camphorated phenol and calcium hydroxide in the treatment of infected root canals. Endod Dent Traumatol 1:170–175

    Article  PubMed  Google Scholar 

  5. Claffey N, Egelberg J (1994) Clinical indicators of probing attachment loss following initial periodontal treatment. J Clin Periodontol 21:670–679

    Article  PubMed  Google Scholar 

  6. Claffey N, Loos B, Gantes B, Martin M, Heins P, Egelberg J (1988) The relative effects of therapy and periodontal disease on loss of probing attachment after root debridement. J Clin Periodontol 15:163–169

    Article  PubMed  Google Scholar 

  7. Cvek M, Hollender L, Nord CE (1976) Treatment of nonvital permanent incisors with calcium hydroxide. VI. A clinical, microbiological, and radiological evaluation of treatment in one setting of teeth with mature and immature root. Odontol Revy 27:93–108

    PubMed  Google Scholar 

  8. Dietz G, Bartolmes P, Dietz GH Jr, Roecher W (1998) Calcium hydroxide and bone regeneration. Odontological aspects of induced osteogenesis in experiment and clinical practice. Byblos, Munich

    Google Scholar 

  9. Egelberg J, Claffey N (1994) Effect of initial periodontal treatment. Periodontal re-evaluation. The scientific way. Munksgaard, Copenhagen

    Google Scholar 

  10. Filippi A, Irnich G, Kirschner H, Pohl Y (2000) Lokale Beeinflussbarkeit der Wundheilung nach Osteotomie dritter Molaren. Quintessenz 51:847–856

    Google Scholar 

  11. Fillipi A (2001) Wundheilung und Heilungsstörungen nach Entfernung dritter Molaren. Schweiz Monatsschr Zahnmed 7:847–856

    Google Scholar 

  12. Fleischer HC, Mellonig JT, Brayer Wk, Gray JL, Barnett JD (1989) Scaling and root planing efficacy in multirooted teeth. J Clin Periodontol 60:402–409

    Google Scholar 

  13. Gleissner C, Magrian K, Gleissner M, Willershausen B (2000) Effect of a dentifrice containing oil and salt on gingivitis. J Dent Res 79:428 (Abstract)

    Google Scholar 

  14. Gutierrez MA, Mellonig JT, Cochran DL (2003) Evaluation of enamel matrix derivative as an adjunct to non-surgical periodontal therapy. J Clin Periodontol 30:739–745

    Article  PubMed  Google Scholar 

  15. Ito T, Shibukawa Y, Amano H, Kawai H, Yamada S (2002) Effect of calcium hydroxide paste on bone formation. J Dent Res 81:128 (Abstract)

    Google Scholar 

  16. Karring T, Lindhe J, Cortellini P (1993) Development of the biological concept of guided tissue regeneration—animal and human studies. Periodontol 2000 1:26–35

    Article  Google Scholar 

  17. Kohal RJ, Hürzeler MB, Schneider SR, Riede UN, Caffesse RG (1997) The effect of a calcium hydroxide paste on wound healing and osseointegration of dental implants. A pilot study in beagle dogs. Clin Oral Implants Res 8:375–385

    Article  PubMed  Google Scholar 

  18. Kozlovsky A, Goldberg S, Natour I, Rogatky-Gat A, Gelernter I, Rosenberg M (1996) Efficacy of a 2-phase oil: water mouthrinse in controlling oral malador, gingivitis, and plaque. J Periodontol 67:577–582

    PubMed  Google Scholar 

  19. Lazzerini L (2001) Uso di una sospensione oleaosa di idrossido di calcio nella rigenerazione ossea. Ph.D. thesis, University of Pisa

  20. Löe H (1967) The gingival index, the plaque index and the retention index system. J Periodontol 38:610–616

    PubMed  Google Scholar 

  21. Merten HA, Dietz GH jr (1999) Klinische Beobachtungen nach zahnärztlich-chirurgischen Eingriffen bei Anwendung von Osteoinductal. Teil 2: Klinische Anwendung. ZWR 12:748–752

    Google Scholar 

  22. Morrison EC, Ramfjord SP, Hill RW (1980) Short-term effects of initial non-surgical periodontal treatment. J Clin Periodontol 7:199–211

    Article  PubMed  Google Scholar 

  23. Moskow BS (1964) The response of gingival sulcus to instrumentation: a histological investigation. J Periodontol 35:16–30

    Google Scholar 

  24. Müller HP, Heinecke A (2004) Clinical effects of scaling and root planing in adults infected with Actinobacillus actinomycetemecomitans. Clin Oral Investig 8:63–69

    Article  PubMed  Google Scholar 

  25. Nordland P, Garret S, Kiger R, Vanooteghem R, Hutchens LH, Egelberg J (1987) The effect of plaque control and root debridement in molar teeth. J Clin Periodontol 14:231–236

    Article  PubMed  Google Scholar 

  26. Nylund K, Egelberg J (1990) Antimicrobial irrigation of periodontal furcation lesions to supplement oral hygiene instruction and root debridement. J Clin Periodontol 17:90–95

    Article  PubMed  Google Scholar 

  27. Renvert S, Nilveus R, Dahlen G, Slots J, Egelberg J (1990) 5-year follow up of periodontal intraosseous defects treated by root planing or flap surgery. J Clin Periodontol 17:356–363

    Article  PubMed  Google Scholar 

  28. Sculean A, Chiantella GC, Windisch P, Donos N (2000) Clinical and histologic evaluation of treatment of intrabony defects with an enamel matrix protein derivative (Emdogain). Int J Periodontics Restorative Dent 23:47–55

    Google Scholar 

  29. Sherman PR, Hutchens LH, Jewson LG, Moriarty JM, Greco GW, McFall WT (1990) The effectiveness of subgingival scaling and root planing. I. Clinical detection of residual calculus. J Periodontol 61:3–8

    PubMed  Google Scholar 

  30. Staehle HJ, Pioch Th (1989) Antimikrobielle Wirksamkeit und alkalisierender Effekt verschiedener Calciumhydroxidpräparate. Dtsch Zahnärztl Z 44:344–348

    PubMed  Google Scholar 

  31. Stratul SI (2003) Oily calcium hydroxide plus α-TCP in treating intrabony defects. J Clin Periodontol 30(Suppl 4):71 (Abstract)

    Google Scholar 

  32. Stratul SI, Sculean A (2004) Oily calcium hydroxide suspension and α-TCP in treating intrabony defects. Int Poster J Dent Oral Med 6:Poster 235

    Google Scholar 

  33. Sundqvist G (1989) Mikrobiologie und Bedeutung der Asepsis. Hanser, München

    Google Scholar 

  34. Waerhaug J (1978) Healing of the dentoepithelial junction following subgingival plaque control. As observed on extracted teeth. J Periodontol 49:119–134

    PubMed  Google Scholar 

  35. Wennstrom JL, Lindhe J (2002) Some effects of enamel matrix proteins on wound healing in the dento-gingival region. J Clin Periodontol 29:9–14

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Operative Dentistry, Johannes Gutenberg University, Mainz, Germany

    Adrian Kasaj, Brita Willershausen, Mohamad Berakdar & Haki Tekyatan

  2. Department of Periodontology, University Medical Center, Nijmegen, The Netherlands

    Anton Sculean

  3. Department of Operative Dentistry, Johannes Gutenberg University Mainz, Augustusplatz 2, 55131, Mainz, Germany

    Brita Willershausen

Authors
  1. Adrian Kasaj
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Brita Willershausen
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Mohamad Berakdar
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Haki Tekyatan
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Anton Sculean
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Brita Willershausen.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kasaj, A., Willershausen, B., Berakdar, M. et al. Effect of an oily calcium hydroxide suspension on early wound healing after nonsurgical periodontal therapy. Clin Oral Invest 10, 72–76 (2006). https://doi.org/10.1007/s00784-005-0029-9

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00784-005-0029-9

Keywords

Search

Navigation