<i>Position Paper</i> Periodontal Maintenance

doi:10.1902/jop.2003.74.9.1395

Cited by 106 publications

(16 citation statements)

References 81 publications

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“…Once the implants have been placed in the edentulous region routine maintenance, recall evaluations and radiographs are necessary to insure the long life of these restorations, and this necessitates the team of dental implant specialists to be well versed with the implant maintenance procedures as well, as an implant failure would result in a debate, which would give the profession no credit. These procedures are usually performed at selected intervals to assist the patient in maintaining oral implant health [ 1 ]. With time, the emphasis for long-term success of implant has changed from a focus on the surgical phase of treatment to obtaining osseointegration and, now, recently, towards the long-term maintenance health of the peri-implant hard and soft tissues [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

Implant Maintenance: A Clinical Update

Gulati¹,

Govila

Anand³

et al. 2014

International Scholarly Research Notices

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Introduction. The differences in the supporting structure of the implant make them more susceptible to inflammation and bone loss when plaque accumulates as compared to the teeth. Therefore, a comprehensive maintenance protocol should be followed to ensure the longevity of the implant. Material and Method. A research to provide scientific evidence supporting the feasibility of various implant care methods was carried out using various online resources to retrieve relevant studies published since 1985. Results. The electronic search yielded 708 titles, out of which a total of 42 articles were considered appropriate and finally included for the preparation of this review article. Discussion. A typical maintenance visit for patients with dental implants should last 1 hour and should be scheduled every 3 months to evaluate any changes in their oral and general history. It is essential to have a proper instrument selection to prevent damage to the implant surface and trauma to the peri-implant tissues. Conclusion. As the number of patients opting for dental implants is increasing, it becomes increasingly essential to know the differences between natural teeth and implant care and accept the challenges of maintaining these restorations.

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Section: Introductionmentioning

confidence: 99%

Implant Maintenance: A Clinical Update

Gulati¹,

Govila

Anand³

et al. 2014

International Scholarly Research Notices

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“…Maintenance typically consists of plaque and calculus removal, assessment of periodontal and oral health status and oral hygiene evaluation/instruction performed on an individualized interval (commonly every three months). Improvements in periodontal health can often be maintained using this approach despite a patient’s own poor oral hygiene 52 . Maintenance was not provided in this study, as the goal of this study was to examine the effect of a single round of scaling and root planing.…”

Section: Discussionmentioning

confidence: 99%

A Randomized Controlled Trial of Intensive Periodontal Therapy on Metabolic and Inflammatory Markers in Patients With ESRD: Results of an Exploratory Study

Wehmeyer¹,

Kshirsagar

Barros

et al. 2013

American Journal of Kidney Diseases

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Background Periodontitis is a novel risk factor for inflammation and cardiovascular disease in the dialysis population. Limited information about the impact of periodontal therapy in patients receiving dialysis exists. Study Design Randomized, controlled trial to assess feasibility and gather preliminary data. Setting & Participants Dialysis patients with moderate/severe chronic periodontitis. Intervention Intensive treatment, consisting of scaling and root planing, extraction of hopeless teeth, and placement of local delivery antibiotics was performed at the baseline visit for treatment group patients and following study completion for control group patients. Outcomes Outcomes were feasibility (screening, recruitment, enrollment, adverse events and study withdrawal/completion), clinical periodontal parameters [probing depth (PD), clinical attachment level, bleeding on probing, gingival index (GI), and plaque index] and serum albumin and interleukin 6 levels at 3 and 6 months postintervention. Results A total of 342 dialysis patients were approached for participation: 53 were randomized, with 26 participants assigned to immediate treatment and 27 to a control arm for treatment after 6 months. 51 patients completed baseline appointments; 46 were available for 3 month follow up and 45 were available for 6 month follow up examinations. 43 participants completed all visits. At 3 months, there was a statistically significant improvement for the treatment group compared to the control group for 3 periodontal parameters: mean PD (p=0.008), extent PD ≥ 4 mm (p=0.02), and extent GI ≥1 (p=0.01). By 6 months, however, the difference between groups was no longer present for any variable except PD ≥ 4 mm (p=0.04). There was no significant difference between the groups for serum albumin or high-sensitivity interleukin 6 at any time point, when adjusted for body mass index, diabetic status, and plaque index. Limitations Small sample size and relatively healthy population. Imbalance in diabetes. Conclusions This small trial demonstrates successful cooperation between dentists and nephrologists and successful recruitment, treatment and retention of dialysis patients with periodontitis. Larger studies with longer follow up are needed to determine whether treatment can improve markers of inflammation and morbidity.

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“…Ultrasonic scalers were first designed for gross supragingival scaling and removal of stains, but recently, by modification of the diameter and length of the tips, they have become a routine part of scaling and root planing (SRP) procedure [23,24]. Ioannou et al (2009) have been found that both treatment modalities (hand and ultrasonic) provided comparable clinical results and significant reduction of the pathogens in the treatment of chronic periodontitis [6].…”

Section: Antibacterial Effect Of the Conventional Instrumentsmentioning

confidence: 99%

Antibacterial effect of using the Er:YAG laser or Er,Cr:YSGG laser compared to conventional instrumentation method—a literature review

2017

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Background data Although many studies have evaluated the effectiveness of the Er:YAG laser or Er,Cr:YSGG laser as an adjunct to initial periodontal therapy, there was no literature review after 2007 on the antibacterial effect of erbium lasers and conventional periodontal instruments. Purpose The aim of this review was to evaluate the effectiveness of using Er:YAG laser or Er,Cr:YSGG laser on the reduction of bacteria causing the periodontal disease in comparison to that with the hand, sonic, or ultrasonic scaling devices. Material and methods This is a review based on the literature search in PubMed and Google Scholar. The search is limited to publications in the period between January 2007 and April 2017, in the English language. Results Fourteen publications were found to be appropriate to the inclusion criteria of this review and screened according to the research question: is there a difference in the effect on the bacteria causing the periodontal disease by using Er:YAG laser or Er,Cr:YSGG laser in comparison to that with the hand, sonic, and ultrasonic scaling devices? Conclusion The beneficial effects of the erbium lasers as an adjunct to SRP have been established. By using the erbium lasers as an adjunctive therapy to the SRP, the users can have better antibacterial effects than conventional methods.

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Position Paper Periodontal Maintenance

Cited by 106 publications

References 81 publications

Implant Maintenance: A Clinical Update

Implant Maintenance: A Clinical Update

A Randomized Controlled Trial of Intensive Periodontal Therapy on Metabolic and Inflammatory Markers in Patients With ESRD: Results of an Exploratory Study

Antibacterial effect of using the Er:YAG laser or Er,Cr:YSGG laser compared to conventional instrumentation method—a literature review

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