What is PerioChip®
An Effective and Well Tolerated Treatment for Periodontal Disease
PerioChip® is a unique biodegradable chip, which contains 2.5 mg of Chlorhexidine Gluconate that has been shown to be an effective and generally well tolerated 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).
How can PerioChip® help my periodontal pockets?
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?
PerioChip® (Chlorhexidine Gluconate) 2.5mg releases chlorhexidine in vitro in a biophasic manner, initially releasing approximately 40%of the chlorhexidine within the first 24 hours and then releasing the remaining chlorhexidine in an almost linear fashion for 7-10 days.
PerioChip® has been shown, in vitro, to fight bacteria for a period of seven to ten days. PerioChip®is effective against a broad spectrum of microbes. As such, it is able to kill bacteria that scaling and root planing leaves behind in gum pockets greater than 5 mm.
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® takes less than one minute after SRP. Some mild-to-moderate sensitivity during the first week after placement of the chip is normal. Patient should notify their dentist promptly if pain, swelling or other problems occur.
What 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 that in conjunction with scaling and root planing, PerioChip was associated with significant reduction of probing pocket depth in patients with pocket depth ≥ 5 mm, compared with those treated with scaling and root planing alone, at nine months after initial treatment.
What Are the Risks Associated with 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.
PerioChip® (Chlorhexidine Gluconate) 2.5mg along with scaling and root planing (SRP) is Clinically Proven To Be More Effective Than SRP Alone In 2 U.S. multicenter studies, it has been shown that patients who received PerioChip® after scaling and root planing (SRP), experienced a statistically significant reduction in the depth of their periodontal pockets versus patients who were treated with SRP alone. Approximately twice as many subjects treated with PerioChip®+ SRP showed an improvement in pocket depth of 2 mm or more at nine months
versus subjects treated with SRP alone (36% (PerioChip®+ SRP) vs. 17%
(SRP alone) in Study 94-002 and 25% (PerioChip®+ SRP) vs. 10% (SRP alone) in Study 94-003).
Significantly More Effective Than Scaling and Root Planing (SRP) Alone
The results of two five-center clinical trials in the U.S., with hundreds of patients` periodontal pockets tested,
have shown that patients who were treated with PerioChip® (Chlorhexidine Gluconate) 2.5mg after SRP experienced a statistically significant
reduction in pocket depth at nine months versus patients who were treated with SRP alone.
Minimal Interference With Day-to-Day Life
PerioChip® may take approximately just one minute to insert following SRP. In addition, you can immediately eat and drink and brush your teeth, and there are no dietary restrictions. You should not use dental floss or toothpicks in the area of application for 10 days after placement, because flossing might dislodge the chip. There is also no need to return to your dentist, as PerioChip® is biodegradable and dissolves by itself. A follow-up visit to your dentist is recommended after three months to check whether any further treatment may be required. Although some mild-to-moderate sensitivity is normal during the first week after placement of PerioChip®, if pain, swelling, or other problems occur your dentist should be notified promptly.
Early Treatment Is Beneficial
Treating periodontal disease at an early stage is more beneficial than waiting until the disease is more advanced. A growing number of dentists and hygienists have discovered that they can be more effective in treating and removing number of bacterias in the pocket by adding a locally applied antiseptic substance, such as PerioChip® (Chlorhexidine Gluconate) 2.5 mg, following SRP. PerioChip® is recommended for use in periodontal pockets with a pocket depth (PD) greater than or equal to 5 mm. PerioChip® 2.5 mg is indicated as an adjunct to scaling and root planing (SRP) procedures for reduction of pocket depth in patients with adult periodontitis and may be used as a part of a periodontal maintenance program, which includes good oral hygiene and SRP.