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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
Periodontal maintenance.
1Faculty of Medicine, Dentistry and Health Sciences, The University of Western Australia, Australia. gumnutz@bigpond.com
Periodontal maintenance therapy is crucial for long-term oral health after initial treatment. Consistent adherence to maintenance significantly improves outcomes compared to no therapy or untreated disease.
Area of Science:
- Dentistry
- Periodontology
- Oral Health
Background:
- Periodontal therapy aims to create a healthy oral environment by disrupting plaque biofilm.
- Ongoing detection and management of recurrent periodontal disease are essential after active treatment.
- Periodontal maintenance therapy (PMT) is recognized globally as a mandatory component for favorable long-term periodontal outcomes.
Purpose of the Study:
- To review the implications of periodontal maintenance therapy.
- To assess logistic issues and risk factors at patient, tooth, and site levels.
- To evaluate the efficacy of PMT in maintaining periodontal health.
Main Methods:
- Multi-level assessment of logistic issues and risk factors.
- Analysis of patient-level factors: treatment time, compliance, homecare, antiseptics/antibiotics, smoking.
- Evaluation of tooth-level factors: tooth loss, success vs. survival.
- Assessment of tooth surface ('site')-level factors: probing depth, attachment loss, bleeding on probing, clinical attachment level changes.
Main Results:
- Agreement exists on the efficacy of PMT across diverse studies.
- PMT demonstrates significant benefits when compared to untreated populations.
- Treated cases undergoing maintenance show superior outcomes compared to those not maintained.
Conclusions:
- Periodontal maintenance therapy is effective in preserving periodontal health.
- Long-term success in periodontics relies on consistent patient compliance and professional maintenance.
- Addressing patient, tooth, and site-specific factors is key to optimizing PMT outcomes.