Four Types of Periodontal Treatment Compared Over Two Years

Abstract

Results of various modalities of periodontal therapy were studied in 90 subjects (mean age 45 years) with moderate to severe periodontitis. Initial measurements of pocket depth and clinical attachment levels were compared with measurements obtained after the initial hygienic phase of the treatment and measurements of the same areas 1 and 2 years after four different types of periodontal treatment had been applied on a randomized basis to each of the four quadrants of the dentition. These treatments were: (1) surgical pocket elimination or reduction, (2) modified Widman flap surgery. (3) subgingival curettage, (4) scaling and root planing only. The patients were recalled for prophylaxis every 3 months, and rescored annually. One-way analysis of variance and Scheffe's method were used to test the hypothesis of equal treatment effects. The results were analyzed both with initial pocket depth as the baseline and with pocket depth at the hygienic phase as the baseline using a grouping of pockets 1 to 3 mm, 4 to 6 mm, and greater than or equal to 7 mm. For the 1 to 3 mm pockets there was a slight reduction in depth at the hygienic phase, with only minor changes after the various modalities of treatment over 2 years. However, significant losses of attachment after all modalities of periodontal therapy, including scaling alone, were observed at both the 1-year an 2-year intervals. For pockets 4 to 6 mm deep, the main reduction in pocket depth occurred at the hygienic phase, but the pockets also were reduced by further treatment, most by pocket elimination and modified Widman surgery. However, this reduction in pocket depth after surgery had no beneficial influence on maintenance of the attachment level, which actually was maintained best by scaling alone. For deep pockets greater than or equal to 7 mm, significant reduction in pocket depth occurred both at the hygienic phase and 1 to 2 years after treatment, with the greatest initial reduction after pocket elimination surgery. However, again there was no significant difference in attachment results among the four methods.

Gingival crevicular fluid level of soluble triggering recep-tor expressed on myeloid cells-1(strem-1) in periodontal health and disease: a case-control study

“…There is considerable evidence supporting SRP as an essential and effective component of periodontal therapy (Hammerle CHF et al, 1991;Cobb CM, 1996;Hill RW et al, 1981;Kalashl WB et al, 1988). In contrast to previous studies (Bison C et al, 2011;Bostanci N, 2012;Belibasakis GN et al, 2014;, the present study has evaluated the effect of non-surgical periodontal therapy (SRP) on GCF sTREM-1 levels, which might have further confirmed the role of sTREM-1 in periodontal disease.…”

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

“…De acuerdo con estudios precedentes (31,16,32) ambos tratamientos fueron efectivos para el tratamiento de la "periodontitis". De hecho, demostraron que las dos técnicas obtuvieron, a los 6 años y medio, las mismas ganancias de inserción clínica en las bolsas profundas (≥ 7 mm) y en bolsas moderadas, aunque en estas ultimas para el RAR solo, las ganancias fueron superiores.…”

“…La PS era mayormente reducida durante los primeros años de tratamiento (1-3 años) tras el tratamiento quirúrgico que con el no quirúrgico, aunque estas diferencias iban disminuyendo hasta ser no significativa a los 6 años y medio, confirmando lo reportado en estudios precedentes (16,32). Según los resultados de este estudio no había diferencias estadísticamente significativas en cuanto a las recurrencia de bolsas profundas entre los dos tratamientos desde los 2 hasta los 6 años y medio.…”

Comparison between Soft Gelatin Capsule Containing Ibuprofen and Ibuprofen Regular Tablet in Pain Control Following Scaling and Root Planing

“…The beneficial effects of scaling and root planing (SRP) combined with personal plaque control in the treatment of chronic periodontitis have been validated (3)(4)(5)(6).…”