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(Reference retrieved automatically from SciELO through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Short-Term effect of COX-2 selective inhibitor as an adjunct for the treatment of periodontal disease: a clinical double-blind study in humans

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Author(s):
Márcia de Noronha Pinho [1] ; Leonardo Bíscaro Pereira [2] ; Sérgio Luís Scombatti de Souza [3] ; Daniela Bazan Palioto [4] ; Márcio Fernando de Moraes Grisi [5] ; Arthur Belém Novaes Jr. [6] ; Mario Taba Jr. [7]
Total Authors: 7
Affiliation:
[1] University of São Paulo. Dental School of Ribeirão Preto. Department of Oral and Maxillofacial Surgery and Traumatology and Periodontology - Brasil
[2] University of São Paulo. Dental School of Ribeirão Preto. Department of Oral and Maxillofacial Surgery and Traumatology and Periodontology - Brasil
[3] University of São Paulo. Dental School of Ribeirão Preto. Department of Oral and Maxillofacial Surgery and Traumatology and Periodontology - Brasil
[4] University of São Paulo. Dental School of Ribeirão Preto. Department of Oral and Maxillofacial Surgery and Traumatology and Periodontology - Brasil
[5] University of São Paulo. Dental School of Ribeirão Preto. Department of Oral and Maxillofacial Surgery and Traumatology and Periodontology - Brasil
[6] University of São Paulo. Dental School of Ribeirão Preto. Department of Oral and Maxillofacial Surgery and Traumatology and Periodontology - Brasil
[7] University of São Paulo. Dental School of Ribeirão Preto. Department of Oral and Maxillofacial Surgery and Traumatology and Periodontology - Brasil
Total Affiliations: 7
Document type: Journal article
Source: Brazilian Dental Journal; v. 19, n. 4, p. 323-328, 2008-00-00.
Abstract

Adjunctive therapeutic strategies that modulate the inflammatory mediators can play a significant role in periodontal therapy. In this double-blind, placebo-controlled study, 60 subjects diagnosed as periodontitis patients were evaluated for 28 days after periodontal treatment combined with selective cyclooxygenase-2 (COX-2) inhibitor. The experimental group received scaling and root planning (SRP) combined with the Loxoprofen antiinflammatory drug (SRP+Loxoprofen). The control group received SRP combined with placebo (SRP+placebo). Plaque index (PI), probing pocket depth (PD) and bleeding on probing (BOP) were monitored with an electronic probe at baseline and after 14 and 28 days. Both groups displayed clinical improvement in PD, PI and BOP. They also showed statistically similar values (p>0.05) of PD reduction on day 14 (0.4 mm) and on day 28 (0.6 mm). At the baseline, few deeper sites (>7 mm) from SRP+Loxoprofen group were responsible and most PD reduction was observed after 14 days (p<0.05). The percentage of remaining deep pockets (>7 mm) after 14 days in the SRP+Loxoprofen group was significantly lower (p<0.05) than in the SRP+placebo group. Loxoprofen presents potential effect as an adjunct of periodontal disease treatment, but long-term clinical trials are necessary to confirm its efficacy. (AU)