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
schedule.
To read this article in full you will need to make a payment
Login with your ADA username and password.
One-time access price info
- For academic or personal research use, select ‘Academic and Personal’
- For corporate R&D use, select ‘Corporate R&D Professionals’
Purchase one-time access:
Reference
Full-mouth ultrasonic debridement versus quadrant scaling and root planing as an initial approach in the treatment of chronic periodontitis.
J Clin Periodontol. 2005; 32: 851-859
Longitudinal comparison of the periodontal status of patients with moderate to severe periodontal disease receiving no treatment, non-surgical treatment and surgical treatment utilizing individual sites for analysis.
J Periodontol. 2001; 72: 1509-1519
The relationship between the presence of tooth-borne subgingival deposits and inflammation found with a dental endoscope.
J Periodontol. 2008; 79: 2029-2035
Cytotoxic effects of dental calculus particles and freeze-dried Aggregatibacter actinomycetemcomitans and Fusobacterium nucleatum on HSC-2 oral epithelial cells and THP-1 macrophages.
J Periodontol. 2022; 93: e92-e103
Informed decision making in clinical care.
JADA. 2022; 153: 1015-1016
NEJM Journal Watch: Guideline Watch.
Evidence-based clinical practice guideline on the nonsurgical treatment of chronic periodontitis by means of scaling and root planing with or without adjuncts.
JADA. 2015; 146: 525-535
Clinical decisions based on the 2018 Classification of Periodontal Diseases.
Compend Contin Educ Dent. 2022; 43: 52-56
Clinical decision points as guidelines for periodontal therapy.
Dimens Dent Hyg. 2022; 20 (28, 31-33)
Calculus as a risk factor for periodontal disease: narrative review on treatment indications when the response to scaling and root planing is inadequate.
Dent J. 2022; 10: 195-203
Biography
Dr. Harrel is an adjunct professor, Department of Periodontics, School of Dentistry, Texas A&M University, Dallas, TX.
Biography
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.
Biography
Dr. Cobb is a professor emeritus, Department of Periodontics, School of Dentistry, University of Missouri-Kansas City, Kansas City, MO.
Biography
Dr. Sottosanti is in private practice, San Diego, CA.
Biography
Dr. Sheldon is in private practice, Melbourne, FL.
Article Info
Publication History
Published online: January 21, 2023
Publication stage
In Press Corrected Proof
Footnotes
Commentaries represent the opinions of the author and not necessarily those of the American Dental Association.
Disclosures. None of the authors reported any disclosures.
Identification
DOI: https://doi.org/10.1016/j.adaj.2022.12.007
Copyright
© 2022 American Dental Association. All rights reserved.
ScienceDirect
Access this article on ScienceDirect