To compare the addition of the Waterpik® Water Flosser with the Pik Pocket™ subgingival irrigation tip to routine oral hygiene on the periodontal health of people with diabetes.
52 subjects with periodontal disease and either type 1 or type 2 diabetes participated in this 3-month randomized clinical trial. All subjects had scaling and root planing at baseline then were assigned to either add a Waterpik® Water Flosser with the Pik Pocket™ Tip twice daily to their oral hygiene routine or to continue practicing their regular oral hygiene routine. Periodontal health was measured via clinical and metabolic parameters.
Adding the Waterpik® Water Flosser was superior to normal oral hygiene in reducing the traditional measures of periodontal disease: plaque biofilm, gingivitis, and bleeding on probing. The Water Flosser also reduced the serum levels of proinflammatory cytokines IL-1B and PGE2, as well as the level of reactive oxygen species, a bacteria and host-mediated pathway for tissue destruction implicated in the pathogenesis of over 100 conditions.
The Waterpik® Water Flosser provided significant periodontal health benefits, both clinically and biologically to people with diabetes.