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Related Experiment Videos

Changing concepts in periodontics.

S P Ramfjord

    The Journal of Prosthetic Dentistry
    |December 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    New periodontics research shows outdated clinical practices. Key findings suggest less invasive treatments and improved patient outcomes are achievable with modern periodontal therapy.

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    Area of Science:

    • Dentistry
    • Periodontology
    • Clinical Practice

    Background:

    • Traditional periodontics often relies on outdated concepts.
    • Recent research challenges long-held beliefs in periodontal treatment.

    Purpose of the Study:

    • To review and update clinical practices in periodontics based on recent research.
    • To highlight areas where old concepts are outmoded and should be changed for patient benefit.

    Main Methods:

    • Review of research findings over the last decade in periodontics.
    • Analysis of clinical implications of new scientific information.

    Main Results:

    • Periodontal pockets do not require surgical reduction to 3 mm.
    • Bone and soft tissue sculpting is not always necessary.

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  • Teeth can be maintained with less than perfect plaque control with regular professional cleanings.
  • Furcation involvement has a better prognosis than previously thought.
  • Advanced periodontitis is manageable in most patients.
  • Gingival curettage does not improve scaling and root planing outcomes.
  • Tooth support is maintainable without attached gingiva.
  • Gingival blanching is not a reliable indicator.
  • Splinting is often unnecessary for mobile teeth post-therapy.

    • Conclusions:

    • Clinical practices in periodontics should be updated to reflect current research.
    • Less invasive approaches can lead to successful periodontal treatment and maintenance.
    • A gap exists between research publication and clinical application in dentistry.