non surgical periodontal therapy: an update on current evidence

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non surgical periodontal therapy: an update on current evidence

Till recently periodontal treatment was directed primarily towards reduction of bacterial load by subgingival debridement of root surfaces and modification of environmental risk factors. In the treatment of deep pockets (> 6 mm) surgical periodontal therapy results Chronic periodontitis is a prevalent condition, affecting 47.2% of the adult US population aged 30 years or older. Vitamin D supplementation has potential effects on periodontitis, but current evidence remains inconclusive. Other more subtle systemic and environmental issues ma… Rahul S Bhansali, Non-surgical periodontal therapy: An update on current evidence, World Journal of Stomatology, 10.5321/wjs.v3.i4.38, 3, 4, (38), (2014). Fifty -sxi papers were selected, Core tip: The present review focuses on the best available evidence, for the current management of the chronic periodontal patients, gathered from systematic reviews and meta-analysis of mechanical non surgical periodontal therapy (NSPT) (subgingival debridement, laser therapy and photodynamic therapy) and the adjunctive chemotherapeutic approaches such as systematic and local antibiotics and antiseptics, subgingival … Healing after non-surgical periodontal therapy is complete. Crossref Gemma Langford, Promoting Patient Empowerment and Self-Efficacy to Achieve Successful Non-Surgical Periodontal Outcomes, Primary Dental Journal, 10.1308/205016814812736691, 3 , 3, (34-37), (2014). Crossref Hayato Ohshima, Oral biosciences: The annual review 2013, Journal of Oral Biosciences, 10.1016/j.job.2014.01.001, 56 , 1, (1-10), (2014). Non-Surgical Periodontal Therapy Page 1 of 7 ... Matesanz et al. This work describes a systematic review of literature from 2010 to 2018 evaluating current strength of evidence of periodontal treatment and its effects on various systemic conditions and diseases. No evidence of effectiveness for the use of PDT as alternative to SRP, Systemic antimicrobials in conjunction with SRP can offer an additional benefit over SRP alone in the treatment of periodontitis, The use of systemically administered adjunctive antibiotics with and without SRP and/or surgery appeared to provide a greater clinical improvement in CAL, Adjunctive therapies generally exhibited improved CAL gain and/or PPD reduction when compared with SRP alone, CAL, PPD, secondary outcomes, and adverse events, Significant CAL gain and PPD reduction in favor of full mouth SRP + AMX/MET; no significant risk difference in the occurrence of adverse events, Significant CAL gain and PPD reduction in favor of SRP + AMX/MET; no significant difference in BOP or suppuration. ... et al.Serum levels of cytokines in subjects with generalized chronic and aggressive periodontitis before and after non-surgical periodontal therapy: a … Very limited number of studies available for comparison, thus limiting general conclusions about the clinical benefit of full-mouth disinfection, Despite the significant differences of modest magnitude, FMD with or without antiseptics do not provide clinically relevant advantages over conventional staged debridement. The treatment of periodontitis focuses on terminating the destruction of the periodontium, usually through non-surgical removal of pathogenic bacteria in the periodontal pocket (i.e., scaling and mechanical debridement of the root surface). Dr. Rahul S Bhansali, MDS, Reader, Department of Periodontology and Implantology, Shri Guru Gobind Singh College of Dental Sciences and Research Center, Lalbagh Road, Burhanpur 450331, India. Scaling and Root Planing. Insufficient evidence to support the clinical application of either CO(2), Nd:YAG, Nd:YAP, or different diode lasers, No consistent evidence for efficacy of laser as an adjunct to NSPT in adults with chronic periodontitis, Plaque, BOP, gingivitis, PPD, CAL, and GR, No beneficial effect of a pulsed Nd:YAG laser compared to ultrasonics and/or hand instrumentation in the initial periodontitis, No evidence of effectiveness of Er:YAG laser compared to SRP, PPD, CAL, GR, Full mouth plaque and bleeding scores, Routine use of PDT for clinical management of periodontitis cannot be recommended, PDT used alone or adjunctive to scaling root planning, PDT adjunctive to conventional treatment provides short-term benefits, but microbiological outcomes are contradictory. Periodontal maintenance therapy periodontal maintenance visits should include: 1. Mandeep S. Ghuman, Non-Surgical Periodontal Therapy - Evidence and Opinion, Primary Dental Journal, 10.1308/205016820828463825, 8, 4, (28-33), (2020). Nonsurgical Treatment of Chronic Periodontitis Clinical Practice Guideline (2015) A panel of experts convened by the American Dental Association (ADA) Council on Scientific Affairs presents an evidence-based clinical practice guideline and systematic review on nonsurgical treatment of patients with chronic periodontitis by means of scaling and root planing (SRP) with or without adjuncts. Step 1. Bhansali RS. At the end, the review summarizes the analysis of the current evidence that suggests that thorough subgingival debridement remains the mainstay of NSPT and that adjunct use of chemotherapeutic agents may offer better management of clinical parameters in periodontitis patients. This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. Chemotherapeutic agents, either systemic and local antimicrobials or host modulating drugs, played pivotal role in better and more predictable management of periodontal disease. There is a tendency for this to plateau. 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA, Timeline of Article Publication Processes (1), http://creativecommons.org/licenses/by-nc/4.0/, Mechanical nonsurgical periodontal therapy, Guidelines for Manuscript Type and Related Ethics Documents, Guidelines for the Manuscript Publishing Process, Language Editing Process for Manuscripts Submitted by Non-Native Speakers of English, Association of Learned and Professional Society Publishers (ALPSP), International Association of Scientific, Technical & Medical Publishers (STM), Open Access Scholarly Publishers Association (OASPA). See: Times Cited Counts in Google of This Article, Number of Hits and Downloads for This Article, © 2004-2021 Baishideng Publishing Group Inc. All rights reserved. Chronic Periodontitis (CP): Current evidence indicates that 47.2% of the U.S. adult population has some degree of periodontitis. 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