1 Chronic periodontitis results in the loss of tooth-supporting connective tissue and alveolar bone and, if untreated, is a major cause of tooth loss in adults. Academic Content and Language Evaluation of This Article. Periodontal maintenance therapy periodontal maintenance visits should include: 1. 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. Evaluation of current extra- and intraoral, periodontal and peri-implant soft tissues as well as dental hard tissues and referral when indicated (e.g., for treat-ment of carious lesions, pulpal pathosis, or other conditions). Indeed it has been reported that without motivation patients’ oral hygiene may deteriorate10 4. It is also known as “Cause-related therapy,” “Phase I therapy or Etiotrophic phase,” and “Initial therapy.” Nanotech nology in treatment of periodontal disease. Chronic periodontitis is a prevalent condition, affecting 47.2% of the adult US population aged 30 years or older. Sufficient time has elapsed to assess the patient’s level of oral hygiene. Vitamin D supplementation has potential effects on periodontitis, but current evidence remains inconclusive. ... all surgical sites compared with baseline and there was a. Controlling Systemic Risk Factors.Several risk factors have well established associations with both periodontal and systemic diseases, such as diabetes, smoking, stress, immunodeficiency, medications, obesity, hormones, and nutrition. The decision to use local anti-infective adjunctive therapy remains a matter of individual clinical judgment, the phase of treatment, and the patient’s status and preferences, Only modest improvements in PPD reductions, Scientific evidence supports the adjunctive use of local antimicrobials to debridement in deep or recurrent periodontal sites, mostly when using vehicles with proven sustained release of the antimicrobial, Only minor differences in treatment effects between the treatment strategies, Slightly more favourable, but modest outcomes were found following FMD in moderately deep pockets. The use of laser and photodynamic therapy show great promise but their effectiveness has still not been conclusively proven. Mandeep S. Ghuman, Non-Surgical Periodontal Therapy - Evidence and Opinion, Primary Dental Journal, 10.1308/205016820828463825, 8, 4, (28-33), (2020). 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. The influence of conventional non-surgical periodontal treatment in glycemic control of patients diagnosed with diabetes mellitus and periodontitis-review of literature Maria Mikaele Mota Rodrigues , Camila Guerra Magalhães Roque , +6 authors M. Guimarães Non-surgical periodontal therapy: An update on current evidence. Non-surgical periodontal therapy: An update on current evidence. 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 pocket irrigation and host modulation therapies. 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). 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 pocket irrigation and host modulation therapies. Ultrasonic/sonic subgingival debridement requires less time than hand instrumentation, Subginigval debridement + supragingival plaque control, Improvement in PPD and CAL by subgingival debridement (with supragingival plaque control), Calculus removal, time of instrumentation, root surface aspects, patients' perception, BOP, PPD, CAL and microbiological effects, Comparable clinical and microbiological effect of all 3 modalities. 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). In the treatment of deep pockets (> 6 mm) surgical periodontal therapy results 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA, Timeline of Article Publication Processes (1), http://creativecommons.org/licenses/by-nc/4.0/, Non-surgical periodontal therapy: An update on current evidence, https://www.wjgnet.com/2218-6263/full/v3/i4/38.htm, 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), No difference between ultrasonic/sonic and manual debridement in the treatment of chronic periodontitis for single-rooted teeth. For initially moderate and deep pockets, MET or MET + AMX, resulted in clinical improvements that were more pronounced over doxycycline or azithromycin. ... an update on intervention trials. SDD: Subantimicrobial dose doxycycline; NSAID: Non steroidal antiinflammatory drug; BP: Bisphosphonates; CAL: Clinical attachment level; PPD: Probing pocket depth; SRP: Scaling and root planing. Crossref Rashid A. Ganeev, Rashid A. Ganeev, Interaction of Low-Power Laser Radiation with Surfaces, Laser - Surface Interactions, 10.1007/978-94-007-7341-7, (23-60), (2014). (2013) conducted a systematci revi ew to update the existing scientific evidence on the effci acy of local antimicrobiasl as adjuncts to subgingival debridement in the treatment of chronic periodontitis. Some are under the patient’s control, and may, therefore, require lifestyle changes to achieve significant modification. 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 … Bhansali RS. Hence, all three treatment modalities may be recommended for debridement in the initial treatment of chronic periodontitis, Traditional quadrant approach and full-mouth debridement could be equally effective, Adjuntive efficacy of anti-proteinases, anti-inflammatory agents, and anti-resorptive, Bone changes, CAL, PPD, plaque index, gingivitis, Use of SDD+ SRP‡ is statistically more effective than SRP alone in reducing PPD and achieving CAL gain Insufficient data for NSAIDs and BPs may have potential adjunctive role in periodontal therapy, Adjunctive SDD enhances therapeutic outcomes compared with SRP alone, resulting in clinical benefit in both smokers and non-smokers with chronic periodontitis, CAL, PPD, Plaque Index, Gingival Index, and gingival crevicular fluid levels, Supports long-term effectiveness of adjunctive SDD therapy, Statistically significant results in patients with aggressive or chronic periodontitis under periodontal treatment. increase to pre-treatment levels in 9-11 weeks9 3. A. Heitz‐Mayfield and Niklaus P. Lang , Surgical and nonsurgical periodontal therapy. 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. 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). It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. ; Designed for that 47.2 % of the current paradigm of periodontal therapy is to the... 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