Results Following Three Modalities of Periodontal Therapy

Ramfjord, Sigurd P.; Knowles, James W.; Nissle, Robert R.; Burgett, Frederick G.; Shick, Richard A.

doi:10.1902/jop.1975.46.9.522

Cited by 176 publications

(114 citation statements)

References 8 publications

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“…However, their study indicated marked improvement in plaque index scores, gingival index scores, and a sustained reduction in pocket depth. These results are consistent with those of Lovdal et al,22 Suomi et al, 33 Ramfjord et al,27 and Axelsson et al,16 indicating that it is possible to prevent further periodontal breakdown even in patients with severely damaged periodontal support. Lindhe and Nyman further stated, "Five years after periodontal treatment 422 teeth (26%) out of 1,620 teeth still exhibited clinical signs of increased mobility."…”

Section: Results Of Maintenance Caresupporting

confidence: 90%

Maintenance Phase of Periodontal Therapy

Shick¹

1981

Journal of Periodontology

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Microorganisms play a primary role in the etiology of periodontal disease. Inadequate or no treatment permits progressive destruction of the periodontium. Periodontal destruction can be prevented in the presence of some plaque and gingival inflammation provided there are efforts at oral hygiene and frequent prophylaxis. An optimal time interval for prophylaxis and instructions in oral hygiene, after periodontal therapy, appears to be 3 months. Ongoing repetitive instructions in oral hygiene appear to be the only way to achieve and maintain significantly increased levels of oral cleanliness. Two-week intervals between prophylaxis, if feasible, seem to provide superior maintenance for periodontal health after therapy. Similar intervals between prophylaxes in school children--again, if feasible--virtually eliminate gingivitis.

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Section: Results Of Maintenance Caresupporting

confidence: 90%

Maintenance Phase of Periodontal Therapy

Shick¹

1981

Journal of Periodontology

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“…-Two sources of data for outcomes were used. First, a review of the literature provided estimates of the relative effectiveness of periodontal treatments measured as changes in attachment level (a proxy for bone support) or pocket depth from a group of randomized control trials (Burgett et al, 1977;Clark et al, 1983;Hellddn et al, 1979;Hill et at., 1981;Knowles et al, 1979Knowles et al, , 1980Kornman and Karl, 1982;Lindhe et al, 1982Lindhe et al, , 1983aLindhe et al, , 1983bLindhe et al, , 1984Listgarten et al, 1978;Loesche et al, 1981;Lundstrom et al, 1984;Nyman et al, 1977;Pihlstrom et al, 1981Pihlstrom et al, , 1983Ramfjord et al, 1968Ramfjord et al, , 1973Ramfjord et al, , 1975Ramfjord et al, , 1980Rosling et al, 1976;Scopp et al, 1977Scopp et al, , 1980. Second, a survey of expert periodontists provided subjective probability estimates for tooth loss and incidence of side-effects for the five treatment alternatives.…”

Section: Methodsmentioning

confidence: 99%

Cost-effectiveness Analysis of Periodontal Disease Control

Antczak-Bouckoms

Weinstein

1987

J Dent Res

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Cost-effectiveness analysis was used to evaluate alternative methods of periodontal disease control. The alternatives considered included non-surgical and surgical procedures as well as the use of antimicrobial agents. Data on costs were obtained from American Dental Association publications of average charges for periodontal services. The concept of quality-adjusted tooth-years (QATYs) was developed to provide an outcome measure which could be compared across treatments. The conclusions of this analysis are as follows: (1) Conservative non-surgical treatments for periodontal disease control not only have costs lower than surgical alternatives, as would be expected, but also maximize expected quality-adjusted tooth-years over a wide range of estimates; (2) antimicrobial therapy used as an adjunct to non-surgical treatment is likely to be both effective and cost-effective; and (3) quality of tooth-years is a critical consideration in the determination of outcome of periodontal treatment. For example, when tooth-years are not adjusted for quality, differences between treatments are diminished, and surgical treatment becomes as good as or better than more conservative treatments for some levels of disease severity.

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“…17,[26][27][28] It is well established that most types of periodontitis can be successfully treated by removing the supra-and subgingival biofilm by scaling and root planing combined with adequate periodontal support maintenance. 29 Scaling and root planing is also capable of decreasing the total oxidant status in the gingival crevicular fluid and improving the antioxidant levels in patients with chronic periodontitis. 26,30 Therefore, periodontal diseases and reduced antioxidant levels seem to be associated with one another, leading to increased oxidative damages in the oral environment.…”

Section: Introductionmentioning

confidence: 99%