Periodontal Treatment Without Maintenance: A Retrospective Study in 44 Patients

Abstract

This study presents our findings on 44 patients who were treated for periodontal disease and for varying reasons elected not to participate in the maintenance aspect of periodontal care. All patients were initially given intensive instructions in personal oral hygiene, along with initial scaling and root planing. Each patient had two or more quadrants of pocket reduction therapy. Tooth mortality revealed a mean annual adjusted tooth loss rate of 0.22 (4.7%). Between examinations, breakdown in the health status of furcations was noted. Mean probing depth scores at the second examination showed no significant differences from the first examination scores. Measurements of bone levels revealed a worsening of bone scores between examinations. The results of this study show that periodontal therapy without maintenance is of little value in terms of restoring periodontal health.

Compliance with supportive periodontal therapy among patients with aggressive and chronic periodontitis

“…These results suggest that patient motivation to seek treatment was important in determining adherence to instructions. This supports the findings of a previous study (8), which found that people with a positive self-image had better SPT compliance.…”

“…Economic and psychological factors may at least partially explain differences in compliance (7)(8)(9). Other factors are lack of satisfaction (10), fear of dental treatment, cost, socioeconomic status (SES) (7,11,12), age, sex, type of periodontal therapy, and cultural and geographic characteristics (13,14).…”

See you in three months! The rationale for the three monthly peridontal recall interval: a risk based approach

“…43,44 Thorough and dedicated oral hygiene measures are arguably This is a classic case of severe generalised chronic periodontitis. Using the 2 × 2 tables we can see this patient has a risk of periodontal disease.…”

Diode Laser as an Adjunctive to Nonsurgical Periodontal Therapy during Maintenance Phase: A Randomized Controlled Clinical Trial

“…14,15 During maintenance therapy, sites may [16][17][18] Diode laser-assisted periodontal therapy using photodynamic therapy was not superior to conventional mechanical debridement, 19 however photodynamic therapy was shown to be superior in eliminating pockets especially in single rooted teeth maintenance phase as seen by Campos et al 20 In our study, piezoelectric ultrasonic unit (EMS) was used to perform SRP. Chapper et al found that there was no significant difference found in treatment outcomes of ultrasonic scaling alone or ultrasonic scaling followed by hand scaling as the final step.…”