Bellia Loredana, Ruggiero Roberta, Nicolò Michele, The treatment of chronic periodontitis by non-surgical periodontal therapy in association with diode laser compared to conventional non-surgical therapy, Journal of Advanced Health Care, 10.36017/JAHC2003-008, (2020). This study aimed to systematically review and analyze the present randomized clinical trials (RCTs) regarding the clinical efficacy of a diode laser (DL) adjuvant to scaling and root planning (SRP) in patients with chronic periodontitis (CP) who have diabetes mellitus (DM). Sub-analysis showed that the outcome appeared to be … J Clin Periodontol. Multidisciplinary Oral Rehabilitation of a Severely Compromised Dentition. USA.gov. COVID-19 is an emerging, rapidly evolving situation. Case Rep Dent. An ultrasonic device (Cavitron; Dentsply, York, PA, USA) was utilized to remove supragingival calculus in the first session. Full-mouth periodontal clinical examinations, microbiological analysis and Disease Activity Score (DAS-28) evaluations were performed at baseline (T1) and 45 days after non-surgical periodontal treatment (T2). Epub 2014 Mar 19. Int J Dent Hyg. In total, 1182 patients with adult periodontitis received active non-surgical therapy, which involved professional oral hygiene instruction, scaling and root planing, supragingival polishing and elective systemic antimicrobial medication. Clinically significant changes in probing depths and attachment levels are not usually expected with irrigation alone. 2002;2:6‐16. A systematic review. Dent Clin North Am. Graetz C, Fecke P, Seidel M, Engel AS, Schorr S, Sentker J, Dörfer CE, Sälzer S. Clin Oral Investig. Daily irrigation with a powered irrigation device, with or without an antimicrobial agent, is also useful for decreasing the inflammation associated with gingivitis and periodontitis. Antimicrobial photodynamic therapy as an adjunct to SRP has been suggested. Local anti-infective therapy: pharmacological agents. Harrel et al. Nonsurgical periodontal therapy (NSPT) is the cornerstone of periodontal therapy and the first recommended approach to the control of periodontal infections. This involves the removal of bacterial plaque and tartar which is present at and below the gum line. Use of digital periodontal data to compare periodontal treatment outcomes in a practice-based research network (PBRN): a proof of concept. When disease does recur, despite frequent recall, it can usually be attributed to lack of sufficient supragingival and subgingival plaque control or to other risk factors that influence host response, such as diabetes or smoking. Results: This is often accomplished through non-surgical periodontal treatment. We previously showed that non-surgical periodontal treatment (scaling and root planing and supportive periodontal therapy) reduced systemic oxi-dative stress in healthy patients [26]. 2020 Nov 20;2020:2807259. doi: 10.1155/2020/2807259. In most cases, simply performing a thorough periodontal debridement under local anesthesia will stop disease progression and result in improvement in the clinical signs and symptoms of active disease. NIH -, Kim TS, Schenk A, Lungeanu D, Reitmeir P, Eickholz P. Nonsurgical and surgical periodontal therapy in single‐rooted teeth. 2015;1:92‐97. If however, clinical signs of disease activity persist following thorough mechanical therapy, such as increased pocket depths, loss of attachment and bleeding on probing, other pharmacotherapeutic therapies should be considered. Overall 39% of the patients reached the successful treatment objective and a mean bleeding on pocket probing tendency of 14%. Material & methods: Objective: It also estimated that a 10 % decrease in mortality is associated with a 0.2 % reduction in HbA1c . Ann R Australas Coll Dent Surg. NIH J Clin Periodontol. The results of this therapy were based on a full-mouth periodontal chart as assessed at the time of evaluation. To selectively review the existing literature on post-interventional maintenance protocols in patients with periodontal disease receiving either non-surgical or surgical periodontal treatment. This systematic review was aimed to evaluate the effectiveness of vitamin C supplementation as an adjunct to non-surgical periodontal therapy, in the management of periodontitis. 1 The main goals of nonsurgical periodontal treatment are to remove and control supra- and subgingival microbial biofilms, eliminate and control inflammation, and eliminate and control systemic and local risk factors. BMC Oral Health. Clipboard, Search History, and several other advanced features are temporarily unavailable. 2013) resulting in periodontal attachment loss (Armitage 1999).Chronic periodontitis can be effectively treated by means of mechanical non-surgical and surgical therapy (Badersten et al. It has been suggested that 1 % reduction in HbA1c levels means 35 % decrease in complications. EC Dent Sci. Maiorana C, Andreoni D, Polacco P, Poli PP. Some are under the patient’s control, and may, therefore, require lifestyle changes to achieve significant modification. Frequent re-evaluation and careful monitoring allows the practitioner the opportunity to intervene early in the disease state, to reverse or arrest the progression of periodontal disease with meticulous nonsurgical anti-infective therapy. Clipboard, Search History, and several other advanced features are temporarily unavailable. in a retrospective study with the objective of evaluating the effect of no periodontal treatment, non-surgical treatment only, and a combination of non-surgical and surgical treatment on the progression of periodontitis, showed that surgical treatment yielded much more favorable results than non-surgical treatment alone. Due to the limited quality of evidence, there is no definitive conclusion on the effectiveness of desensitizing agents on DH after NSPT. With the addition of minimally invasive BIOLASE lasers into the non-surgical perio regimen, a Dental Hygienist (where local and state regulations permit) can offer the benefits of non-surgical laser therapy to their patients while providing state-of-the-art care. The authors declare that they have no conflicts of interest. Eberhard J, Jepsen S, Jervøe-Storm PM, Needleman I, Worthington HV. Nonsurgical periodontal therapy (NSPT) consists of scaling and root planing with local anesthesia to provide patient comfort. Int J Environ Res Public Health. 2000 Oct;15:57-60. Conclusion: Active non-surgical periodontal therapy in patients with adult periodontitis resulted in approximately one third of the cases in the success endpoint of PPD ≤ 5mm. As defined by the American Academy of Periodontology to the public: Scaling and root planing is a careful cleaning of the root surfaces to remove plaque and calculus [tartar] from deep periodontal pockets and to smooth the tooth root to remove bacterial toxins. NLM 2018 May;16(2):210-218. doi: 10.1111/idh.12290. Epub 2020 Jan 29. To evaluate the results of active non-surgical treatment in patients diagnosed with adult periodontitis treated in a specialized clinic for periodontology. J Clin Periodontol. An Advanced Fiber-Reinforced Composite Solution for Gingival Inflammation and Bone Loss Related to Restorative Crowns. If patient-applied antimicrobial therapy is insufficient in preventing, arresting, or reversing the disease progression, then professionally applied antimicrobial agents should be considered including sustained local drug delivery products. Patient-related factors such as smoking and severity of periodontitis at baseline and site-related factors such as tooth type, furcation involvement and endodontic treatment were analysed. Three systematic reviews with different periodontal interventions, i.e. Successful treatment as periodontal pocket depth (PPD) ≤5 mm was the main outcome parameter with bleeding on pocket probing as secondary outcome. HHS 1984;11:63‐76. A significant reduction in cytokine levels (interleukin-1beta and prostaglandin E2, which are associated with destructive changes in inflamed tissues and bone resorption also occurs. 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