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Microbiological outcomes from different periodontal maintenance interventions: a systematic review
Patricia Daniela Melchiors Angst1, Amanda Finger Stadler2, Rui Vicente Oppermann3
1Universidade Federal de Pelotas - UFPEL, Dental School, Department of Semiology and Clinic, Pelotas, RS, Brazil.
Brazilian Oral Research
|May 18, 2017
Summary
This review compared supragingival control (SPG) with scaling and root planing plus supragingival debridement (SPG + SBG) during periodontal maintenance. Both regimens maintained microbiological stability, but direct comparisons are needed.
Area of Science:
- Periodontology
- Microbiology
- Evidence-based dentistry
Background:
- Periodontal maintenance therapy (PMP) is crucial for managing periodontitis.
- Subgingival and supragingival debridement are key components of periodontal therapy.
- Understanding microbiological outcomes of different PMP regimens is essential.
Purpose of the Study:
- To investigate differences in subgingival microbiological outcomes between SPG and SPG + SBG during PMP.
- To systematically review existing literature on these interventions.
Main Methods:
- Systematic literature search of MEDLINE and EMBASE up to August 2016.
- Inclusion of human clinical trials with at least 6-month follow-up.
- Descriptive analysis of 19 selected studies (5 SPG, 14 SPG+SBG) due to lack of direct comparisons.
Main Results:
- Both SPG and SPG + SBG protocols demonstrated microbiological stability over time during PMP.
- No studies directly compared the two therapeutic approaches.
- Graphical presentation dominated most study results.
Conclusions:
- Both SPG and SPG + SBG appear effective in maintaining microbiological stability in PMP.
- Further comparative studies are needed to definitively assess differences between these interventions.
- Future research should address current study limitations.

