Clinical Benefits of Minimally Invasive Non-Surgical Periodontal Therapy as an Alternative of Conventional Non-Surgical Periodontal Therapy—A Pilot Study

Chung, Wen-Chen; Huang, Chih-Wei; Feng, Sheng-Wei

doi:10.3390/ijerph19127456

Cited by 9 publications

(5 citation statements)

References 60 publications

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“…While patients in the TSG reported higher pain and discomfort scores, it is important to note that these scores remained within a tolerable range. [ 6 ] The satisfaction scores were generally high in both groups, indicating that patients in both the TSG and NSTG were content with their treatment outcomes.…”

Section: Discussionmentioning

confidence: 99%

Comparing the Effectiveness of Traditional Periodontal Surgery Versus Non-Surgical Therapy: A Randomized Controlled Trial

Vadvadgi,

Gulati,

Wankhede

et al. 2024

Journal of Pharmacy and Bioallied Sciences

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Background: Periodontal disease, characterized by inflammation and infection of the supporting structures of teeth, poses a significant oral health challenge. Traditional periodontal surgery and non-surgical therapy, such as scaling and root planing, are established treatment approaches for addressing periodontal disease Materials and Methods: The study enrolled 120 adult patients diagnosed with moderate to severe periodontal disease. Participants were randomly allocated to one of two groups: the traditional surgery group (TSG) or the non-surgical therapy group (NSTG). In the TSG, patients underwent traditional periodontal surgery, which included flap surgery and grafts when deemed necessary. The surgical procedures were performed by experienced periodontal surgeons. In contrast, the NSTG received non-surgical therapy in the form of scaling and root planing administered by trained dental hygienists. Outcome measures encompassed clinical parameters and patient-centered outcomes. Periodontal pocket depth and clinical attachment level, both measured in millimeters, were assessed at baseline, 3 months, and 6 months. Patient-reported outcomes, including pain, discomfort, and satisfaction, were collected through standardized questionnaires at each follow-up visit. Results: Patients in the TSG experienced a notable reduction in pocket depth from a baseline of 6.8 mm to 3.7 mm at the 6-month mark, resulting in a change of -3.1 mm. Conversely, the NSTG exhibited a reduction from 6.7 mm to 4.0 mm, with a change of -2.7 mm. In the TSG, the baseline attachment level of 7.2 mm decreased to 5.1 mm at 6 months, indicating a change of -2.1 mm. In the NSTG, the attachment level decreased from 7.1 mm to 5.5 mm, resulting in a change of -1.6 mm. Patients in the TSG reported an average pain score of 3.6 on a 1–10 scale, discomfort of 4.2, and satisfaction of 7.8. In contrast, patients in the NSTG reported lower pain (2.1) and discomfort (2.9) scores but similar satisfaction levels (8.4) Conclusion: In this randomized controlled trial (RCT), both traditional periodontal surgery and non-surgical therapy demonstrated improvements in clinical parameters and patient-reported outcomes. Traditional surgery resulted in greater reductions in periodontal pocket depth and clinical attachment loss at the 6-month follow-up.

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Section: Discussionmentioning

confidence: 99%

Comparing the Effectiveness of Traditional Periodontal Surgery Versus Non-Surgical Therapy: A Randomized Controlled Trial

Vadvadgi,

Gulati,

Wankhede

et al. 2024

Journal of Pharmacy and Bioallied Sciences

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“…Periodontal ap surgery typically requires greater extension and/or a longer average duration of the procedure, thereby potentially exacerbating anxiety and stress among patients, and consequently leading to heightened levels of discomfort and postoperative pain [23,24]. Multiple studies have consistently demonstrated that esthetic crown lengthening is a safe and minimally morbid procedure [25,26].…”

Section: Discussionmentioning

confidence: 99%

Patient perceptions of laser-assisted esthetic crown lengthening: open-flap vs. flapless techniques

Altayeb,

Arnabat-Dominguez,

Low

et al. 2024

Preprint

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Objectives: Patient perception of and satisfaction with dentistry are important because they influence treatment adherence and overall outcomes. This study investigated patients’ perceptions of laser-assisted esthetic crown lengthening (ECL) for treating “gummy smiles” using either an open-flap or flapless technique. Materials and Methods: This study included 36 healthy patients with altered passive eruption who underwent esthetic crown-lengthening surgery and were randomly divided into two equal groups: open-flap and flapless. Gingivectomy and ostectomy were performed using an Er,Cr:YSGG laser in both groups. Patients’ perceptions of postsurgical morbidity were assessed using a 5-point self-administered Likert scale. The participants provided ratings on their levels of anxiety immediately after surgery, as well as their experiences with pain, swelling, bleeding, discomfort, tooth sensitivity, and use of pain medication after 7 days. Nine months after surgery, another survey was conducted to assess the overall satisfaction. Results: Patients reported higher anxiety after open-flap surgery than after the flapless procedure. Flapless surgery was also associated with less postoperative pain, swelling, bleeding, discomfort, sensitivity, and need for pain medication. Both groups reported high satisfaction with the final cosmetic outcome after 9 months, although patients who underwent flapless surgery tended to report even greater satisfaction. The flapless procedure was also significantly faster, taking approximately 15 min less than open-flap surgery. Conclusions: Flapless laser-assisted ECL offers several advantages over the open-flap method, including reduced patient anxiety, pain, discomfort, and shorter treatment time. Clinical Relevance: This study suggests that laser-assisted flapless ECL may be a more patient-friendly and efficient procedure compared to traditional open-flap surgery with similar esthetic results. This could be important for dentists looking to offer their patients a less invasive and potentially more comfortable option.

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“…However, gingival recessions are a factor to be considered as they are inevitable after periodontal treatment due to post-treatment swelling and tissue contraction: this may be due in part to limited vision and inadequate access, which would compromise the stability of the gingival tissue and affect the healing process [16]. This result does not show a significant difference between manual and ultrasonic treatment [9]; therefore, the second aim of this review is to show whether additional therapies, such as laser, ozone and glycine and/or erythritol therapies, can provide better clinical results in terms of periodontal indices (secondary outcome).…”

Section: Introductionmentioning

confidence: 99%

“…It seems that the combination of instruments is the most effective treatment to avoid an overtreatment: several studies have shown that an excessive use of manual instruments is not very effective in the treatment of moderate and/or severe pockets and that the width of the blade does not allow an excellent access in the forks of multi-radicular teeth [9].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Ultrasonic and Manual Instrumentation in Nonsurgical Periodontal Therapy: Are Additional Therapies More Effective? A Systematic Review

Sabatini,

Maiorani,

Bassignani

et al. 2024

Applied Sciences

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Nonsurgical periodontal therapy aims to remove supragingival and subgingival biofilm to restore periodontal health. This systematic review aims to assess the clinical effectiveness of manual and/or ultrasonic instruments and to determine whether other therapies can improve periodontal clinical outcomes. Case-control, cross-sectional and cohort studies and clinical trials of patients undergoing nonsurgical periodontal therapy with ultrasonic and/or manual instruments (and any adjunctive therapies, such as glycine, erythritol, ozone, laser and glycine) from 2013 to 2023 were analyzed using Pub-med/MEDLINE, Scopus and Google Scholar. To assess the risk of bias in this review, blinding, randomization, allocation concealment, outcome data and outcome recording were assessed. No differences between treatments were found; all methods, including manual and ultrasound, were helpful in improving clinical parameters (primary outcome). Although the results were mixed, adjunctive therapies seemed to be helpful in the treatment of periodontal disease. The results of this systematic review are consistent with the previous scientific literature and have shown that both manual and ultrasonic instruments are effective in nonsurgical periodontal therapy. This review could not show how complementary therapies could further improve nonsurgical periodontal therapy. For future research, it would be good to standardize the sample with regard to the degree and stage of periodontal disease and to evaluate the risks and benefits of the instruments (manual and ultrasonic scalers).

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Clinical Benefits of Minimally Invasive Non-Surgical Periodontal Therapy as an Alternative of Conventional Non-Surgical Periodontal Therapy—A Pilot Study

Cited by 9 publications

References 60 publications

Comparing the Effectiveness of Traditional Periodontal Surgery Versus Non-Surgical Therapy: A Randomized Controlled Trial

Comparing the Effectiveness of Traditional Periodontal Surgery Versus Non-Surgical Therapy: A Randomized Controlled Trial

Patient perceptions of laser-assisted esthetic crown lengthening: open-flap vs. flapless techniques

Effectiveness of Ultrasonic and Manual Instrumentation in Nonsurgical Periodontal Therapy: Are Additional Therapies More Effective? A Systematic Review

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