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Assess the efficacy of daily Waterpik®Water Flossing in comparison to subgingival minocycline treatment for subjects with moderate to severe periodontitis.
In this single-center, parallel, single blind, randomized clinical study, thirty subjects with moderate to severe periodontitis were placed into a minocycline-treated group or a Water Flossing group. Scaling and root planing was carried out, and both groups received instruction on proper home-based oral hygiene. One group was administered minocycline inside their deepest periodontal pockets at the initial hygiene visit. The second group was instructed to use a Waterpik® Water Flosser once a day. Clinical and microbiological parameters were measured at baseline and repeated after 30 days.
Both the Waterpik® Water Flosser and minocycline treatment groups experienced a significant reduction in all clinical parameters tested at 30 days. The Water Flosser group reduced bleeding 81% vs. 76% for the minocycline group. Moreover, both procedures effectively reduced the typical parameters of periodontitis (bleeding on probing, pocket depth, and clinical attachment levels).
The Waterpik®Water Flosser is an effective alternative to subgingival antibiotics for periodontal maintenance patients over a 30 day period.