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Periodontal therapy: prospects for the future
1Research Center in Oral Biology, University of Washington, Seattle.
Journal of Periodontology
|August 1, 1993
Summary
Periodontal therapy has evolved from extraction to debridement and non-surgical treatments. Current research focuses on tissue regeneration, offering a brighter future for treating periodontitis.
Area of Science:
- Periodontology
- Regenerative Medicine
Background:
- Periodontitis treatment historically involved tooth extraction, evolving to scaling and root planing.
- Resective surgery was common until the 1980s, when non-surgical therapy gained prominence based on infection control effectiveness.
- Periodontal regeneration was not achievable with earlier methods.
Purpose of the Study:
- To review the evolution of periodontal therapy.
- To highlight the shift towards regenerative approaches in periodontitis treatment.
- To discuss future directions in periodontal regeneration.
Main Methods:
- Historical review of periodontal treatment modalities.
- Analysis of therapeutic outcomes and determinants of success.
- Examination of emerging regenerative techniques and adjuncts.
Main Results:
- The focus of periodontal therapy has shifted from pocket elimination to thorough debridement and infection control.
- Regeneration of periodontal tissues, including bone, is now biologically possible and a primary therapeutic goal.
- Graft materials, barrier membranes, and growth factors show promise in enhancing periodontal regeneration.
Conclusions:
- Periodontal therapy has advanced significantly, with regeneration becoming the forefront of treatment.
- Future periodontal treatments are expected to incorporate regenerative strategies for more effective outcomes.
- The field of periodontology is poised for substantial advancements in tissue repair and regeneration.