[The influence of initial therapy on the symptoms of adult periodontitis]

Pocket depth, attachment level (AL), bleeding on probing (BOP), amount of dental plaque and calculus, concentrations of immunoglobulin G and C-reactive protein in GCF were determined at 54 periodontal sites in 9 patients suffering from adult periodontitis before and 1 week after periodontal initial therapy (IT). At the same time the subgingival plaque was assessed by dark-field microscopy (DFM). 17% of the sites treated showed further loss of attachment. Attachment gain was observed at 39% of the examined sites. IT had no influence on the IgG- and CRP-concentrations of GCF. Measuring of AL, BOP and the assessment of subgingival plaque by DFM seem to be recommendable measures for monitoring adult periodontitis.