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Nonsurgical and surgical treatment of periodontitis: how many options for one disease?
Author(s) -
Graziani Filippo,
Karapetsa Dimitra,
Alonso Bettina,
Herrera David
Publication year - 2017
Publication title -
periodontology 2000
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.725
H-Index - 122
eISSN - 1600-0757
pISSN - 0906-6713
DOI - 10.1111/prd.12201
Subject(s) - medicine , periodontitis , oral hygiene , periodontium , disease , intervention (counseling) , pharmacotherapy , dentistry , intensive care medicine , tooth loss , periodontology , chronic periodontitis , periodontal disease , oral health , nursing
Treatment of periodontitis aims at preventing further disease progression with the intentions to reduce the risk of tooth loss, minimize symptoms and perception of the disease, possibly restore lost periodontal tissue and provide information on maintaining a healthy periodontium. Therapeutic intervention includes introduction of techniques to change behavior, such as: individually tailored oral‐hygiene instructions; a smoking‐cessation program; dietary adjustment; subgingival instrumentation to remove plaque and calculus; local and systemic pharmacotherapy; and various types of surgery. No single treatment option has shown superiority, and virtually all types of mechanical periodontal treatment benefit from adjunctive antimicrobial chemotherapy. Periodontal treatment, because of the chronic nature of periodontitis, is a lifelong commitment to intricate oral‐hygiene techniques, which, when properly implemented, will minimize the risk of disease initiation and progression.