Healing of the Dento‐Epithelial Junction Following Subgingival Plaque Control: II: As Observed on Extracted Teeth

Wærhaug, Jens

doi:10.1902/jop.1978.49.3.119

Cited by 375 publications

(236 citation statements)

References 7 publications

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“…on May 11, 2018 by guest http://cmr.asm.org/ completely "cleaned" of plaque species by these procedures, even when surgery to get access to the root surfaces is performed (318). If these residual organisms are enriched per-'''centage-wise for the periodontopathic species, then the plaque community that returns could be as proinflammatory as the plaque that had just been suppressed.…”

Section: Debridementmentioning

confidence: 99%

Periodontal Disease as a Specific, albeit Chronic, Infection: Diagnosis and Treatment

Loesche

Grossman²

2001

Clin Microbiol Rev

405

338

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Periodontal disease is perhaps the most common chronic infection in adults. Evidence has been accumulating for the past 30 years which indicates that almost all forms of periodontal disease are chronic but specific bacterial infections due to the overgrowth in the dental plaque of a finite number of mostly anaerobic species such as Porphyromonas gingivalis, Bacteroides forsythus, and Treponema denticola. The success of traditional debridement procedures and/or antimicrobial agents in improving periodontal health can be associated with the reduction in levels of these anaerobes in the dental plaque. These findings suggest that patients and clinicians have a choice in the treatment of this overgrowth, either a debridement and surgery approach or a debridement and antimicrobial treatment approach. However, the antimicrobial approach, while supported by a wealth of scientific evidence, goes contrary to centuries of dental teaching that states that periodontal disease results from a “dirty mouth.” If periodontal disease is demonstrated to be a risk factor for cardiovascular disease and stroke, it will be a modifiable risk factor since periodontal disease can be prevented and treated. Since the antimicrobial approach may be as effective as a surgical approach in the restoration and maintenance of a periodontally healthy dentition, this would give a cardiac or stroke patient and his or her physician a choice in the implementation of treatment seeking to improve the patient's periodontal condition so as to reduce and/or delay future cardiovascular events

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Section: Debridementmentioning

confidence: 99%

Periodontal Disease as a Specific, albeit Chronic, Infection: Diagnosis and Treatment

Loesche

Grossman²

2001

Clin Microbiol Rev

405

338

View full text Add to dashboard Cite

show abstract

“…We use PPD as our most reliable predictor of future disease, and on that basis, after we have controlled the infection, we carry out definitive treatment at sites remaining over a certain PPD. It is assumed that the reason that deep pockets are more prone to further breakdown is that it is difficult to gain access to their deeper aspects for personal (Flotra, 1973;Pitcher et al, 1980) and professional (Waerhaug, 1978;Fleischer et al, 1989) cleaning. Definitive therapy is therefore usually directed at reducing PPD by the use of resective or regenerative surgical procedures.…”

Section: Clinical Applications Of Subgingival Sustained-release Delivmentioning

confidence: 99%

Subgingival Delivery of Therapeutic Agents in the Treatment of Periodontal Diseases

Soskolne

1997

Critical Reviews in Oral Biology & Medicine

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This article reviews the current status of controlled local delivery of antibacterial agents in the treatment of periodontitis. The principle of local intrapocket delivery of antibacterial agents and their delivery are discussed. The dosage forms include fibers, film/slabs, and injectable systems, some of which are degradable, while others are not and need to be removed at the termination of the treatment. The antibacterial agents used cover a range of antibiotics as well as antiseptics, and the composition of the delivery systems, their reported use, and the clinical results are summarized. The use of these systems in clinical practice is relatively recent, and therefore their application and integration into the dental office are not yet clearly defined. Clinical applications that have been tested are critically reviewed, and clinical situations in which controlled delivery of antibacterial agents may prove to be clinically useful are suggested for scientific evaluation.

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“…Although hand scalers are frequently used, considerable time and manual dexterity are required for their effective operation (7). Moreover, hand scalers are unable to reach the deeper root surfaces when the periodontal pockets are more than 4 mm deep (7,8). Consequently, ultrasonic scalers have become more widely used in recent years.…”

Section: Introductionmentioning

confidence: 99%

Comparison of the effects of various periodontal rotary instruments on surface characteristics of root surface

2004

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The efficacy of scaling and root planing using various periodontal rotary instruments was examined. Eighty extracted human teeth with a history of periodontal disease were divided into four groups of 20 and subjected to one of the following procedures: Use of 1) a Root Burnisher, 2) a Perio Planing Bur (both rotating instruments for contra angle handpieces), 3) a Tooth Planing Bur (rotating instrument for use with an air turbine), or 4) a Gracey Scaler. In each case, the time required for cleaning was measured. Twenty healthy extracted human teeth were used as untreated controls. After treatment, the surface roughness of 10 specimens out of each group were measured using a profilometer and observed by scanning electron microscopy (SEM). Half of the samples were then incubated in dishes with a suspension of fibroblasts. After counting the number of attached cells, the attachment of fibroblasts was observed by SEM. The root surfaces treated with the rotary instruments appeared smooth and there were no significant differences between groups. From the SEM observations, smooth root surfaces with different surface textures were evident and a tight attachment of fibroblasts was observed. The results of this study suggest that use of rotary instruments is superior for periodontal scaling and root planing. (J. Oral Sci. 46, [1][2][3][4][5][6][7][8] 2004)

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Healing of the Dento‐Epithelial Junction Following Subgingival Plaque Control: II: As Observed on Extracted Teeth

Cited by 375 publications

References 7 publications

Periodontal Disease as a Specific, albeit Chronic, Infection: Diagnosis and Treatment

Periodontal Disease as a Specific, albeit Chronic, Infection: Diagnosis and Treatment

Subgingival Delivery of Therapeutic Agents in the Treatment of Periodontal Diseases

Comparison of the effects of various periodontal rotary instruments on surface characteristics of root surface

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