An Effective and Safe Treatment for Periodontal Disease
|What Is PerioChip®?
PerioChip® is a unique biodegradable chip, which contains 2.5 mg of Chlorhexidine Gluconate that has been shown to be an effective and safe adjunctive treatment for reduction of pocket depth (PD) in patients with adult periodontitis with a PD greater than or equal to 5mm, when used with scaling and root planing (SRP).
What is periodontal disease?
Periodontal disease is a chronic inflammation of the gum tissues that results in destruction of the underlying bone that holds the teeth. Left untreated, it can cause bleeding gums, chronic bad breath, pain and tooth loss1. Some studies have indicated a link between gum disease and heart disease and stroke2.
How can PerioChip® help my periodontal disease?
PerioChip®, when combined with scaling and root planing (SRP) procedures, has been shown to reduce pocket depth (PD) in patients with adult periodontitis. PerioChip® may be used as a part of a periodontal maintenance program, which includes good oral hygiene and SRP. PerioChip® is recommended for use in periodontal pockets with a PD greater than or equal to 5 mm.
How does PerioChip® work?
How is PerioChip® applied?
PerioChip® is a small thin wafer that your dentist or hygienist inserts under the gums in those areas where gum pockets are greater than 5 mm after scaling and root planing (SRP).
Because gum disease is a chronic condition, your dentist may recommend additional treatment at three and/or six months after initial treatment, in pockets with a remaining PD of ≥5 mm. Once in place, PerioChip® dissolves naturally with no need to remove it. Patients should avoid flossing at the site of PerioChip® insertion for 10 days after placement, since flossing could dislodge the chip. Patients should notify their dentist promptly if the chip dislodges.
Will it hurt?
Normally, placement of PerioChip® is a quick and painless procedure. Some mild-to-moderate sensitivity during the first week after placement of the chip is normal and spontaneously resolves within days. However, for those patients who are particularly sensitive, your dentist or hygienist can apply a topical anesthetic before placement of PerioChip® to reduce any discomfort. Patient should notify their dentist promptly if pain, swelling or other problems occur.
What kind of results can I expect from using PerioChip®?
Everyone is different and therefore results will vary from one patient to the next, but clinical evidence has shown significant reduction of probing pocket depth, compared with those treated with scaling and root planing alone, at nine months after initial treatment.
What kind of complications and/or side effects can I expect from using PerioChip®
Anaphylaxis, as well as serious allergic reactions, have been reported during postmarketing use with dental products containing chlorhexidine.
Patients should report any signs of local adverse reactions to their dentists. Patients who develop allergic symptoms such as skin rash, itch, generalized swelling, breathing difficulties, light headedness, rapid heart rate, upset stomach or diarrhea, should seek medical attention immediately.
Most oral sensitivity or pain occurred within the first week of initial chip placement following scaling and root planing (SRP), was mild-to-moderate in nature and usually resolved itself spontaneously within days. Patients should notify their dentist promptly if pain, swelling or other problems occur.
Infectious events are rare. Abscesses and cellulitis (which have been reported after SRP alone) have been reported with the adjunctive placement of PerioChip® post-SRP. Management of patients with periodontal disease should include consideration of possible underlying medical disorders, such as cancer, diabetes, and immune-compromised status.
The use of PerioChip® in acutely abscessed periodontal pockets has not been studied and therefore is not recommended.
The most frequently observed adverse events in the two pivotal clinical trials were toothache, upper respiratory tract infection and headache. Toothache was the only adverse reaction that was significantly higher statistically in the PerioChip® group than in the placebo group.These reactions were observed less frequently with subsequent chip placement at three and six months. No long-term adverse events have been documented.
Dislodging of the PerioChip® is uncommon, however, patients should notify their dentist promptly if the PerioChip® becomes displaced.
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How is PerioChip® different from other common adjunctive treatments for periodontitis?
PerioChip® is an antiseptic, not an antibiotic. Since it is an antiseptic, there is no danger that the bacteria in the gum pocket will develop resistance against the medication, a risk when using antibiotics over a long period of time4 . For more information on antibiotic resistance, go to: http://www.cdc.gov/getsmart/antibiotic-use/anitbiotic-resistance-faqs.html
1 American Academy of Periodontology – http://www.perio.org/consumer/gum-disease-symptoms.htm
2 American Academy of Periodontology -http://www.perio.org/consumer/mbc.heart.htm
3 In vitro data is not necessarily indicative of clinical efficacy.
4 Centers for Disease Control and Prevention – http://www.cdc.gov/getsmart/antibiotic-use/anitbiotic-resistance-faqs.html