4 modalities of periodontal treatment compared over 5 years*

Abstract

The purpose of the present study was to assess in a clinical trial over 5 years the results following 4 different modalities of periodontal therapy (pocket elimination or reduction surgery, modified Widman flap surgery, subgingival curettage, and scaling and rool planing). 90 patients were treated. The treatment methods were applied on a random basis to each of the 4 quadrants of the dentition. The patients were given professional tooth cleaning and oral hygiene instructions every 3 months. Pocket depth and attachment levels were scored once a year. 72 patients completed the 5 years of observation. Both patient means for pocket depth and attachment level as well as % distribution of sites with loss of attachment greater than or equal to 2 mm and greater than or equal to 3 mm were compared. For 1-3 mm probing depth, scaling and root planing, as well as subgingival curettage led to significantly less attachment loss than pocket elimination and modified Widman flap surgery. For 4-6 mm pockets, scaling and root planing and curettage had better attachment results than pocket elimination surgery. For the 7-12 mm pockets, there was no statistically significant difference among the results following the various procedures.

Tratamiento quirúrgico vs terapia periodontal básica: estudios longitudinales en periodoncia clínica

“…Para las bolsas de clase I (1-3 mm), había una menor pérdida de inserción (0,5 mm) tras el RAR que con el tratamiento quirúrgico (TQ), mientras que no fue posible una disminución de la profundidad de sondaje tras los dos tratamientos (15,32,30,36).…”

“…Por otro lado, estos mismos autores (29) revisando los estudios precedentes (13,15,28) reevaluaron la importancia de la PB inicial en relación a la capacidad de desbridamiento no quirúrgico, que parece ser más complicado de realizar en bolsas más profundas y, según lo hipotetizado por estos autores, lo que pudiera ocasionar una recurrencia de la enfermedad en menos tiempo.…”

Radiographic Bone Evaluation after Periodontal Full Mouth Disinfection Treatment in Women Undergoing Chemotherapy or Hormone Therapy with Tamoxifen

“…Periodontal treatment aims at achieving good oral hygiene conditions by removing all soft or hard deposits and their retention factors to reestablish the health of periodontal tissues, including alveolar bone tissue [22]. Thus, it is known that scaling and root planing play an important role in improvement of clinical and microbiological parameters [23,24].…”

Is Photodynamic Therapy an Effective Treatment for Periodontal and Peri-Implant Infections?

“…2 Numerous studies have reported significant improvements of clinical and microbial parameters following nonsurgical periodontal therapy. [3][4][5][6] Despite the fact that non-surgical periodontal treatment may result in significant clinical improvements in the great majority of cases, evidence indicates that none of the currently available instrumentation techniques are effective in completely eliminating subgingival bacterial biofilm. 7 These limitations may be attributed to several factors such as the complex anatomy of teeth (i.e.…”