Subgingival debridement is the part of nonsurgical therapy which aims to remove the biofilm without intentionally removing the cementum or subgingival calculus. The objective of this review was to describe the end point of this therapy, the different methods used and how often it should be carried out. The literature shows that several methods are currently available for subgingival debridement, namely hand instrumentation, (ultra)sonic instrumentation, laser, photodynamic therapy and air-polishing. None of these methods seems superior to any other regarding clinical benefits or microbiological differences. However, less treatment discomfort is reported using laser, photodynamic therapy or air-polishing compared with hand- and/or (ultra)sonic instrumentation. Subgingival debridement can be carried out when, during supportive periodontal therapy, pockets of 5 mm or deeper are detected.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1111/prd.12204 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Efficacy of Erythritol Air Polishing for Inducing Initial Healing of Shallow-to-Moderate Periodontal Pockets and Restoring Gingival Crevicular Fluid β-Catenin, 8-Hydroxy-Deoxyguanosine and Total Antioxidant Capacity: A Split-Mouth Randomised Clinical Trial.
Int J Dent Hyg
December 2024
Department of Periodontics, College of Dentistry, University of Baghdad, Baghdad, Iraq.
Objective: To evaluate the efficacy of subgingival erythritol powder air polishing (EPAP) for inducing initial healing of shallow-to-moderate periodontal pockets and its effect on gingival crevicular fluid (GCF) β-catenin, 8-hydroxy-deoxyguanosine (8-OHdG) and total antioxidant capacity (TAC) levels.
Methods: This randomised, split-mouth clinical trial involved 22 periodontitis patients. Periodontal pockets (4-6 mm) were treated either by scaling and root planing (control) or EPAP followed by subgingival instrumentation 1 month later (test).
Efficacy of mechanical debridement with adjunct antimicrobial photodynamic therapy against peri-implant subgingival oral yeasts colonization: A systematic review and meta-analysis.
Photodiagnosis Photodyn Ther
December 2024
College of Dentistry, University of Sharjah, Sharjah, United Arab Emirates.
Background: It is hypothesized that mechanical debridement (MD) with adjunct antimicrobial photodynamic therapy (aPDT) is more efficient in reducing peri-implant subgingival yeasts colonization (SYC) than MD alone. The aim of the present systematic review and meta-analysis was to evaluate randomized controlled trials (RCTs) that assessed the efficacy of MD with and without adjunct aPDT towards the reduction in peri-implant SYC.
Methods: The focused question was "Is MD with adjunct aPDT more effective then MD alone in reducing peri-implant SYC?" Indexed databases were searched without time and language restrictions until February 2024.
Prognostic Impact of Microbiome Dysbiosis: A Prospective Study.
J Clin Periodontol
October 2024
Faculty of Dentistry, National University of Singapore, Singapore, Singapore.
Aims: To determine the relationship between microbiome dysbiosis indices and biofilm immunogenicity and their prognostic implications on periodontal treatment response.
Materials And Methods: Thirty periodontally healthy controls and 30 periodontitis cases (stage III) were recruited. Cases received non-surgical periodontal therapy (NSPT), and their treatment response at 6 months was evaluated using a treat-to-target endpoint (≤ 4 sites with probing depths ≥ 5 mm).
Endoscopic Re-Instrumentation of Intrabony Defect-Associated Deep Residual Periodontal Pockets Is Non-Inferior to Papilla Preservation Flap Surgery: A Randomized Trial.
J Clin Periodontol
October 2024
Division of Periodontology and Implant Dentistry, Faculty of Dentistry, Prince Philip Dental Hospital, The University of Hong Kong, Hong Kong SAR, China.
Article Synopsis
- Clinical guidelines recommend access flap surgery for deep periodontal pockets; however, papilla-preservation flap surgery (PPFS) and endoscopic-assisted subgingival debridement (EASD) offer minimally invasive treatment options.
- A 12-month trial with 62 subjects compared the effectiveness of EASD and PPFS, focusing on clinical attachment levels (CAL) and secondary outcomes like pocket resolution and treatment time.
- Results showed EASD provided similar CAL improvements and wound healing as PPFS but required less treatment time, indicating it is an effective alternative for managing periodontal issues.
Impact of periodontal phenotype on the outcome of subgingival instrumentation in Stage II and III, Grade A and B periodontitis.
J Indian Soc Periodontol
August 2024
Department of Periodontology, Post Graduate Institute of Dental Sciences, Pandit Bhagwat Dayal Sharma University of Health Sciences, Rohtak, Haryana, India.
Background: The influence of periodontal phenotype (PP) has been documented in the outcomes of various surgical periodontal interventions such as crown lengthening, mucogingival surgery, implant restoration, and open flap debridement. Previous studies with smaller sample sizes have assessed the role of PP on the outcome of nonsurgical periodontal therapy with inconsistent results.
Aim: The aim of the current interventional study is to estimate the influence of PP on the outcome of subgingival instrumentation in Stage II and III, Grade A and B periodontitis.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!