Nonsurgical Periodontal Therapy in 2000: A Literature Review

Greenstein, Gary

doi:10.14219/jada.archive.2000.0087

Cited by 112 publications

(115 citation statements)

References 98 publications

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“…Sonic and ultrasonic technologies are widely used in several scaler applications and their effectiveness has been well documented in several laboratory and clinical evaluations [22,23]. This was the first feasibility study to assess the potential of a shock wave device to remove calculus and biofilms in vitro.…”

Section: Discussionmentioning

confidence: 99%

Potential of shock waves to remove calculus and biofilm

et al. 2010

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Effective calculus and biofilm removal is essential to treat periodontitis. Sonic and ultrasonic technologies are used in several scaler applications. This was the first feasibility study to assess the potential of a shock wave device to remove calculus and biofilms and to kill bacteria. Ten extracted teeth with visible subgingival calculus were treated with either shock waves for 1 min at an energy output of 0.4 mJ/mm(2) at 3 Hz or a magnetostrictive ultrasonic scaler at medium power setting for 1 min, which served as a control. Calculus was determined before and after treatment planimetrically using a custom-made software using a grey scale threshold. In a second experiment, multispecies biofilms were formed on saliva-preconditioned bovine enamel discs during 64.5 h. They were subsequently treated with shock waves or the ultrasonic scaler (N = 6/group) using identical settings. Biofilm detachment and bactericidal effects were then assessed. Limited efficiency of the shock wave therapy in terms of calculus removal was observed: only 5% of the calculus was removed as compared to 100% when ultrasound was used (P

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Section: Discussionmentioning

confidence: 99%

Potential of shock waves to remove calculus and biofilm

et al. 2010

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“…Bu durum, MPT'nin periodontal hastalıkların tedavisindeki yeri ve önemini göste-ren çalışmalarla uyumludur (33)(34)(35)(36).…”

Section: Tartişma Ve Sonuçunclassified

Relationship Between Initial Probing Depth and Residual Pockets Following Mechanical Periodontal Treatment

Meşeli¹,

Kuru²,

Kuru³

2015

MUSBED

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Başlangıç sondalama derinliği ile mekanik periodontal tedavi sonrası rezidüel cep oranı arasındaki ilişki Amaç: Bu çalışmanın amacı, kronik periodontitisli (KP) hastalarda başlangıç sondalama derinliği (BSD) ile mekanik periodontal tedavi (MPT) uygulandıktan sonra rezidüel kalan cep oranı arasındaki ilişkiyi araştırmaktır. Yöntem: Onbir KP'li hastanın BSD 4-9 mm olan (her ikisi de dahil) 1102 adet periodontal cep bölgesi diş kök sayısına (tek/çok) ve BSD'ye göre gruplandırıldı. Hastalara ağız hijyeni eğitimi, diş ve kök yüzeyi temizliği ve kök yüzeyi düzleştirmesi işlemlerini içeren MPT bir hafta arayla 2 seans uygulandı. MPT öncesinde ve 8 hafta sonrasında plak indeksi, gingival indeks, sondalama derinliği (SD), klinik ataşman seviyesi ve sondalamada kanama (SK) klinik parametreleri kaydedildi. MPT sonrası SD≥5 mm ve SK (+) olan bölgeler rezidüel cep bölgesi kabul edildi. Bulgular: Çalışmada MPT sonrası tek köklü dişlerde saptanan cep bölgelerinin %10.89'u, çok köklü dişlerde saptanan cep bölgelerinin %26.59'u rezidüel cep olarak kaldı. Ayrıca BSD ile rezidüel cep olarak kalma oranı arasında pozitif yönlü bir ilişkinin varlığı saptandı (p<0.001). Sonuç: Bu çalışmanın sınırları dahilinde bulgularımız, uygulanan tedavinin KP'li hastalarda klinik periodontal parametreleri iyileştirdiğini ve bu hastalarda BSD arttıkça rezidüel cep oranının da arttığını ve çok köklü dişlerde rezidüel cep olarak kalma ihtimalinin yüksek olduğunu göstermektedir. Anahtar sözcükler: Diş yüzeyi temizliği, kök yüzeyi düzleştirmesi, periodontal cep ABS TRACT Relationship between initial probing depth and residual pockets following mechanical periodontal treatmentObjective: The aim of this study was to evaluate the relationship between initial probing depth (IPD) and the ratio of residual periodontal pocket in chronic periodontitis patients following mechanical periodontal therapy (MPT). Methods: A total of 1102 periodontal pockets with IPD 4-9 mm (both included) in 11 chronic periodontitis (CP) patients were included and grouped according to their IPDs and number of roots (single-/multirooted). MPT consisting of oral hygiene instruction, scaling and root planing was applied in 2 sessions with one-week interval. Plaque index, gingival index, probing depth (PD), clinical attachment levels and bleeding on probing (BoP) were measured before and 8 weeks after MPT. Following MPT, periodontal pockets demonstrating PD≥5 mm and BoP (+) were defined as residual periodontal pockets. Results: Our results showed that 10.89% of the sites from single-rooted teeth and 26.59% of the sites from multi-rooted teeth were remained as residual periodontal pockets. Further, positive correlations were found between IPD and residual periodontal pocket ratio for both single-and multi-rooted teeth (p<0.001). Conclusion:Within limitations of this study, our results suggest that applied treatment had improved the periodontal parameters and the periodontal pockets of multi-rooted teeth in CP patients remained as residual pockets in a high percentage and the deeper IPD th...

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“…3 Researches recognise that gingivitis usually does not proceed to periodontitis; however gingivitis frequently precedes periodontitis and usually is associated with periodontitis. 4 Therefore thorough removal of bacterial deposits from the supra and subgingival environment is the main goal of periodontal therapy. 3 Elimination of all inflammation remains a critical objective of periodontal therapy.…”

Section: Introductionmentioning

confidence: 99%

“…3 Elimination of all inflammation remains a critical objective of periodontal therapy. 4 Successful periodontal therapy is dependent on anti infective procedures acquired at eliminating pathogenic organisms found in dental plaque associated with tooth surface and with in other niches in the oral cavity. 5 Anti-infective therapy includes both mechanical and chemotherapeutic approaches to minimise or eliminate microbial bio-film(bacterial plaque), the primary aetiology of gingivitis and periodontitis.…”

Section: Introductionmentioning

confidence: 99%

“…Numerous studies have supported the contention that root planing can reduce probing depths, gain clinical attachments and inhibit disease progression. 4 A number of treatment options are available for the treatment of periodontal disease ranging from the traditional non surgical periodontal therapy(mechanical hand instrumentation, ultrasonic debridement, supra-gingival irrigation, sub-gingival irrigation, local drug delivery, systemic antibiotic therapy and host modulation therapy) to recent surgical treatment modalities utilizing grafts, membranes, growth factors and various other tissue engineered products and techniques. These therapies can be continued with antibiotics and host modulation therapy.…”

Section: Introductionmentioning

confidence: 99%

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