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Reviewing nonsurgical periodontal therapy
1University of College of Dentistry, Department of Periodontology, Gainesville, FL 32610-0434.
Journal of the American Dental Association (1939)
|October 1, 1990
Summary
Successful nonsurgical periodontal therapy hinges on selecting the right patient and ensuring clinical access to subgingival plaque. Early periodontitis cases with accessible local factors respond best to this treatment approach.
Area of Science:
- Periodontology
- Dental Therapeutics
Background:
- Nonsurgical periodontal therapy aims to control periodontal disease through plaque and calculus removal.
- Patient selection and clinician access are critical factors influencing treatment outcomes.
Purpose of the Study:
- To define the ideal patient profile for successful nonsurgical periodontal therapy.
- To emphasize the importance of clinical access to subgingival plaque for treatment efficacy.
Main Methods:
- Literature review and clinical case analysis.
- Evaluation of factors influencing the success of nonsurgical periodontal treatment.
Main Results:
- Patients with early periodontitis and accessible local factors (plaque, calculus) are most receptive.
- Successful treatment depends on the ability to frequently access and remove subgingival plaque below the host defense threshold.
Conclusions:
- Appropriate case selection and clinical competency in achieving subgingival access are paramount for successful nonsurgical periodontal therapy.
- When access is limited, alternative treatments like periodontal surgery may be necessary.