Short‐term effects of initial, nonsurgical periodontal treatment (hygienic phase)

Abstract

Longitudinal studies have reported the effect of various modalities of periodontal surgery on pocket depth and attachment levels related to pretreatment measurements. However, possible changes in these measurements as a result of scaling, oral hygiene improvements and occlusal adjustment during the hygienic phase were not considered. The purpose of the present study was to examine the short-term effect of treatment of the hygienic phase in 90 patients with some pockets extending 4 mm or more apically to the CEJ. Pretreatment pocket depths and attachment levels related to the CEJ were measured by a thin probe in five sites at all 2,355 teeth in the sample. Scaling, root planing, instruction in oral hygiene and occlusal adjustment were completed during four to six sessions for each patient. Four weeks after completion of the hygienic phase, all variables were recorded. Mean measurements for pocket depths 1-3 mm, 4-6 mm, and greater than or equal to 7 mm prior to treatment were compared to their posttreatment scores. Pocket depth decreased significantly for pockets extending 4 mm or more apically to the FGM. For pockets 4-6 mm there was a mean difference in pocket depth of 0.96 +/- 0.47 mm (P < .0001) between pretreatment and posttreatment observations. For pockets 7 mm or greater the mean difference was 2.22 +/- 1.35 mm (P < .0001). Reduction in depth of pocket and improvement in attachment levels were related to the initial level of severity. Pocket reduction was in part due to the improvement in attachment levels. This study has demonstrated that the clinical severity of periodontitis is reduced significantly 1 month following the hygienic phase of periodontal therapy, and that need for surgical pocket treatment cannot be assessed properly until completion of the hygienic phase of treatment.

Effects Of Scaling And Root Planing And 0.2 % Chlorhexidine Rinse On Clinical And Microbiological Parameters In Generalised Chronic Periodontitis– A Clinico - Microbiological Study

“…The mean gain in attachment level in both groups between baseline and 42nd day was highly significant (p value <0.01). These results were consistent with previous studies Attachment gain subsequent to subgingival scaling and improvement in oral hygiene appears to be due to the migration of dentogingival junction to or close to the apical level of root instrumentation during healing due to the reduction in the tissue inflammation following the removal of plaque and calculus, [2] and oral hygiene instructions that were given to the subjects. These results were found to be consistent with previous studies.…”

“…The clinical effect of scaling and rootplanning (SRP) are well documented. [2,4] These studies indicated that SRP decreased pocket probing depth and attachment level measurements particularly at the deeper sites. Microbiological studies on effect of SRP indicated that proportion of spirochetes and motile rods decline after SRP while cocci and non-motile rods increased Haffajee et al [5] reported that SRP alone has limited effect on some pathogenic species.…”

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

“…[5][6][7] Thus we can begin to see a strong clinical argument for more regular periodontal maintenance therapy.…”

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

“…This can be accomplished by thorough daily oral hygiene measures achieved by the patient (18), and by professionally performed mechanical debridement (3,6,19). Many patients avoid professional oral hygiene because of pain during treatment and fear of anaesthetic injection (20,21).…”

“…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).…”