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Adjunctive Diode Laser Therapy and Probiotic Lactobacillus Therapy in the Treatment of Periodontitis and Peri-Implant Disease
Published on: May 9, 2022
Changing periodontal concepts: treatment considerations.
1Department of Periodontology, University of Medicine and Dentistry of New Jersey, Newark, New Jersey, USA.
Compendium of Continuing Education in Dentistry (Jamesburg, N.J. : 1995)
|June 14, 2005
Summary
Recent periodontal research reveals that disease initiation requires more than just pathogens, involving biofilms, host response, and risk factors. Understanding these altered concepts impacts diagnosis and treatment strategies for periodontal infections.
Area of Science:
- Periodontology
- Microbiology
- Immunology
Background:
- Periodontal disease understanding has evolved significantly over the past decade.
- Clinical trials have challenged previous assumptions about disease etiology and progression.
- Modified periodontal concepts necessitate changes in diagnostic and therapeutic approaches.
Purpose of the Study:
- To review and synthesize recent advancements in periodontal science.
- To highlight key shifts in understanding periodontal disease paradigms.
- To discuss the clinical implications of these updated concepts.
Main Methods:
- Review of recent clinical trials and scientific literature.
- Analysis of established and emerging concepts in periodontology.
- Synthesis of information regarding bacterial, host, and environmental factors.
Main Results:
- Periodontal disease is not solely initiated by pathogen presence; host response and risk factors are crucial.
- Subgingival bacteria predominantly exist in biofilms, influencing disease dynamics.
- Gingivitis typically does not progress to periodontitis without additional contributing factors.
- Periodontal pathogens can be transmitted within families.
- Systemic conditions like diabetes and HIV are linked to increased periodontitis risk.
- Associations between periodontitis and systemic diseases (e.g., cardiovascular disease, adverse pregnancy outcomes) are under investigation.
Conclusions:
- Altered periodontal paradigms emphasize a multifactorial etiology involving bacteria, host response, and risk factors.
- These revised concepts have significant implications for periodontal diagnosis and treatment.
- Further research is needed to elucidate causal relationships between periodontitis and systemic conditions.
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