Simplistically, the treatment of periodontal disease is straightforward: eliminate
inflammation in the periodontal tissues. In most instances, inflammation-free periodontal
tissue will be healthy and stable, although experienced clinicians know this end point
can be difficult to achieve. The initial treatment of periodontal disease consists
of the removal of biofilm and calculus and patient education to maintain oral hygiene.
Treatment outcomes must be evaluated at approximately 6 weeks after treatment. If
the patient is inflammation free, indicated by a lack of bleeding on probing (BOP)
and an absence of visible inflammation, they may be placed on a periodontal maintenance
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Full-mouth ultrasonic debridement versus quadrant scaling and root planing as an initial approach in the treatment of chronic periodontitis.
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Dr. Harrel is an adjunct professor, Department of Periodontics, School of Dentistry, Texas A&M University, Dallas, TX.
Dr. Rethman is an adjunct associate professor, University of Maryland School of Dentistry, Baltimore, MD, and an adjunct assistant professor, College of Dentistry, The Ohio State University, Columbus, OH.
Dr. Cobb is a professor emeritus, Department of Periodontics, School of Dentistry, University of Missouri-Kansas City, Kansas City, MO.
Dr. Sottosanti is in private practice, San Diego, CA.
Dr. Sheldon is in private practice, Melbourne, FL.
Published online: January 21, 2023
In Press Corrected Proof
Commentaries represent the opinions of the author and not necessarily those of the American Dental Association.
Disclosures. None of the authors reported any disclosures.
© 2022 American Dental Association. All rights reserved.
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