non surgical periodontal therapy: an update on current evidence

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. Clinical benefit became smaller over time (1 yr), Local controlled-release anti-infective drug therapy with or without SRP, Local anti-infective agents resulted in significant adjunctive PPD reduction or CAL gain for minocycline gel, microencapsulated minocycline, CHX chip and doxycycline gel during SRP compared to SRP alone. Bhansali RS. 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). Even today, scaling and root planing (SRP) remains an essential part of successful periodontal therapy. Chronic Periodontitis (CP): Current evidence indicates that 47.2% of the U.S. adult population has some degree of periodontitis. A. Heitz‐Mayfield and Niklaus P. Lang , Surgical and nonsurgical periodontal therapy. Nanotech nology in treatment of periodontal disease. Some are under the patient’s control, and may, therefore, require lifestyle changes to achieve significant modification. 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. of Periodontology Mountain AHEC October 14th, 2010 Presentation Outline Review of Concepts and Definitions Diagnosis and Treatment Plan Initial Periodontal Therapy … 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 treatment does have its limitations. 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. See: Times Cited Counts in Google of This Article, Number of Hits and Downloads for This Article, Published online Nov 20, 2014. doi: 10.5321/wjs.v3.i4.38, © 2004-2021 Baishideng Publishing Group Inc. All rights reserved. Other more subtle systemic and environmental issues ma… ... an update on intervention trials. Mandeep S. Ghuman, Non-Surgical Periodontal Therapy - Evidence and Opinion, Primary Dental Journal, 10.1308/205016820828463825, 8, 4, (28-33), (2020). 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). Based on systematic reviews and meta-analyses, the adjunctive use of certain antibiotics enhances non-surgical periodontal treatment (NSPT) in patients wi … Updates from the Evidence Base Examining Association between Periodontal Disease and Type 2 Diabetes Mellitus: Current … Analysis of Egyptian hieroglyphics and medical papyri indicate that non‐surgical periodontal treatment was common 3000‐4000 years ago. 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. This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. Nonsurgical periodontal therapy (NSPT) is the cornerstone of periodontal therapy and the first recommended approach to the control of periodontal infections. Chemotherapeutic agents, either systemic and local antimicrobials or host modulating drugs, played pivotal role in better and more predictable management of periodontal disease. 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. The cornerstone of management of chronic periodontitis is the non-surgical periodontal treatment. 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). For optimal treatment results, systemic risk factors must be modified or eliminated. Bhansali RS. Although The use of laser and photodynamic therapy show great promise but their effectiveness has still not been conclusively proven. When it does not achieve periodontal health, surgery may be indicated to restore periodontal health. 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. It is also known as “Cause-related therapy,” “Phase I therapy or Etiotrophic phase,” and “Initial therapy.” Step 1. Update of medical and dental histories. This super course was developed to explore the most current research and practice-based evidence of periodontal therapy. World J Stomatol 2014; … 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. Periodontal maintenance therapy periodontal maintenance visits should include: 1. 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. BPG is committed to discovery and dissemination of knowledge, Nov 20, 2014 (publication date) through Jan 16, 2021, Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA, Non-surgical periodontal therapy: An update on current evidence, Academic Content and Language Evaluation of This Article. increase to pre-treatment levels in 9-11 weeks9 3. 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. Rahul S Bhansali, Non-surgical periodontal therapy: An update on current evidence, World Journal of Stomatology, 3, 4, (38), (2014). For initially moderate and deep pockets, MET or MET + AMX, resulted in clinical improvements that were more pronounced over doxycycline or azithromycin. After 3 months of nonsurgical periodontal treatment, 360 patients with moderate or severe periodontitis were randomly assigned to 2000 international unit (IU)/d vitamin D3, 1000 IU/d vitamin D3, or placebo. 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. This study therefore provides the first evidence that effective periodontal treatment may improve LV diastolic function in patients with type 2 diabetes and periodontitis, and suggests that control of periodontal inflammation via non-surgical therapy could be beneficial to cardiovascular health in patients with type 2 diabetes and periodontitis. 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). Till recently periodontal treatment was directed primarily towards reduction of bacterial load by subgingival debridement of root surfaces and modification of environmental risk factors. 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. Scaling and Root Planing. BPG is committed to discovery and dissemination of knowledge, Nov 20, 2014 (publication date) through Jan 16, 2021, Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA. CA: Clinical attachment level; PPD: Probing pocket depth; BOP: Bleeding on probing; SRP: Scaling and root planing; GR: Gingival recession; PDT: Photodynamic therapy; Er:YAG: Erbium-doped: yttrium-aluminum garnet; Nd:YAG: Neodinium doped: yttrium-aluminum garnet. Periodontal disease is an inflammatory condition that involves a complex interaction between pathogenic bacteria, environmental and acquired factors and host related factors. 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 … Sufficient time has elapsed to assess the patient’s level of oral hygiene. SDD: Subantimicrobial dose doxycycline; NSAID: Non steroidal antiinflammatory drug; BP: Bisphosphonates; CAL: Clinical attachment level; PPD: Probing pocket depth; SRP: Scaling and root planing. Non-Surgical Periodontal Therapy Page 1 of 7 ... Matesanz et al. Vitamin D supplementation has potential effects on periodontitis, but current evidence remains inconclusive. Fifty -sxi papers were selected, 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. Role of periodontal therapy results Step 1 health, surgery may be indicated to restore periodontal.... Periodontitis to atherosclerotic cardiovascular disease that 47.2 % of the adult US population aged 30 or. Clinical efficacy of laser usage in patient care to briefly introduce future developments in some these. 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non surgical periodontal therapy: an update on current evidence 2021