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Updated: Jan 27, 2026

Adjunctive Diode Laser Therapy and Probiotic Lactobacillus Therapy in the Treatment of Periodontitis and Peri-Implant Disease
Published on: May 9, 2022
Treatment trends in periodontics
Raúl G Caffesse1, Josė J Echeverría2
1Postgraduate Periodontics, Faculty of Dentistry, Universidad Complutense de Madrid, Madrid, Spain.
Nonsurgical periodontal therapy, including scaling and root planing, is the primary treatment for periodontal disease. Surgery is considered only after evaluating nonsurgical outcomes, emphasizing long-term maintenance for teeth and implants.
Area of Science:
- Periodontology
- Dental Implantology
- Regenerative Medicine
Background:
- Periodontal disease requires effective etiologic treatment.
- Nonsurgical therapy forms the cornerstone of periodontal treatment.
- Long-term success depends on maintenance care.
Purpose of the Study:
- To evaluate current treatment trends in periodontics.
- To define the role of nonsurgical periodontal therapy.
- To explore future directions in periodontal treatment.
Main Methods:
- Review of nonsurgical periodontal therapy (scaling and root planing).
- Evaluation of surgical periodontal procedures (regeneration, plastic surgery).
- Discussion of implantology, maintenance care, and oral hygiene efficacy.
Main Results:
- Nonsurgical therapy is the essential first step.
- Surgical intervention is guided by reevaluation and critical probing depth.
- Cell therapy and occlusion's role are explored for future directions.
Conclusions:
- Evidence-based periodontal treatment prioritizes nonsurgical approaches.
- Comprehensive care includes patient self-care and long-term maintenance.
- Periodontal health impacts systemic well-being and requires ongoing management.
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