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Non-surgical periodontal therapy: essential and adjunctive methods

P R Greene1

  • 1Quayside Dental Centre, Manchester.

British Dental Journal
|July 8, 1995
PubMed
Summary

Understanding bacterial deposits on teeth is key to treating periodontal disease. This review covers non-surgical periodontal therapy, including adjuncts, to halt destructive processes.

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Area of Science:

  • Dentistry
  • Microbiology
  • Periodontology

Background:

  • Bacterial deposits on teeth have been recognized for over 300 years.
  • Understanding which specific elements of dental deposits cause periodontal disease has been a long-standing challenge.
  • Periodontal diseases are destructive processes affecting the gums and supporting structures of the teeth.

Purpose of the Study:

  • To review the current knowledge on non-surgical periodontal therapy.
  • To discuss the role of adjuncts like mouthrinses and antibacterials in periodontal treatment.
  • To provide guidance on when alternative treatment modalities may be beneficial.

Main Methods:

  • Literature review of current scientific knowledge on non-surgical periodontal therapy.
  • Analysis of adjunctive treatments, including mouthrinses and antibacterials.
  • Consideration of patient-specific factors for treatment modality selection.

Main Results:

  • Non-surgical periodontal therapy aims to remove specific bacterial deposits to arrest disease progression.
  • Adjuncts such as antimicrobial mouthrinses and systemic antibacterials can supplement mechanical therapy.
  • The decision for further treatment depends on the severity and response to initial therapy.

Conclusions:

  • Effective non-surgical periodontal therapy requires precise removal of pathogenic bacterial deposits.
  • Adjunctive therapies can enhance outcomes but do not replace fundamental mechanical debridement.
  • A tailored approach considering patient factors is crucial for optimal periodontal health management.

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