Efficacy of alternative or additional methods to professional mechanical plaque removal during supportive periodontal therapy: A systematic review and meta‐analysis

Abstract

The removal of the dental biofilm and calcified deposits from the tooth surface (here identified under the term "plaque removal") is currently considered as the essential procedure for the prevention and treatment of plaque-induced periodontal diseases (Cobb, 2002; Lang, 1983; van der Weijden & Slot, 2011). Several systematic reviews have shown that, when encompassing professional mechanical plaque removal (PMPR) administered on a routine basis (i.e. at specific, predetermined intervals), supportive periodontal therapy (SPT) may result in low rates of tooth loss and limited attachment level changes in both the short and long-term in patients treated for periodontitis (Chambrone,

Retrospective analysis of the long‐term effect of subgingival air polishing in supportive periodontal therapy

“…Using the percentage of sites losing attachment despite all efforts made by patient and therapists, it may be estimated that the percentage of ‘looser sites’ is well within a low single figure range (Harks et al, 2015; Kaldahl et al, 1996; Lundgren et al, 2001) and thus in correspondence with the findings in our study. Also, the relatively low number of teeth lost within the assessed time span is in accordance with other long‐term observations on periodontal therapy (Ramseier et al, 2019, Trombelli et al, 2020 and Trombelli et al, 2015, Chambrone et al 2010). In our study population, approximately 2% (Scaling Group) resp.…”

Treatment of stage I–III periodontitis—The EFP S3 level clinical practice guideline

“…We suggest not to use adjunctive methods (sub-antimicrobial dose doxycycline, photodynamic therapy) to professional mechanical plaque removal (PMPR) in supportive periodontal care. Trombelli et al (2020) Quality of evidence Two RCTs…”

The effect of injectable platelet-rich fibrin use in the initial treatment of chronic periodontitis

“…The principal goal of the periodontal therapy is to restrain active inflammation during the disease and possibly provide support for the reconstruction of periodontal tissue defects [5]. Initial periodontal therapy, scaling and root planning (SRP) is not frequently resolute at repairing disease-related defects [6,7].…”