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State-of-the-Art of Periodontal Health

A special issue of Applied Sciences (ISSN 2076-3417). This special issue belongs to the section "Applied Dentistry and Oral Sciences".

Deadline for manuscript submissions: closed (29 February 2024) | Viewed by 7537

Special Issue Editor


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Guest Editor
Periodontology Department, Università degli Studi di Torino, 10129 Turin, Italy
Interests: periodontology

Special Issue Information

Dear Colleagues,

Periodontal health refers to the health condition of all the supporting tissues of the teeth: the gums, alveolar bone and periodontal ligament. Today, there is a greater awareness of the importance of oral and periodontal health in relation to its well-known correlations with systemic health. Periodontal diagnosis is the cornerstone of any type of treatment plan. To reach a correct diagnosis, it is essential to integrate the anamnestic data, the clinical examination (probing depth, clinical attachment level, dental mobility and inflammatory parameters) and the radiographic analysis.

Diagnostic tools, such as digital radiography and 3D imaging, have improved significantly in recent years, making early diagnosis easier. The evolution of other technologies such as salivary diagnostics will likely further improve the possibilities of early diagnosis in populations with high sensitivity and specificity.

Preventive care, with educational campaigns on correct oral hygiene practices and regular professional hygiene sessions for the public, is the trump card for promoting and maintaining oral health throughout life.

In the field of both non-surgical and surgical periodontal therapy, research and clinical practice are progressively developing minimally invasive techniques and technologies. These procedures can reduce post-operative patient discomfort and accelerate the healing process, improving results.

Finally, the replacement of missing teeth can currently not only use traditional bridges on natural abutments, but also use prostheses supported by dental implants.

Overall, the state of the art of periodontal health is constantly evolving, with new technologies and techniques being developed to improve patient outcomes and promote lifelong oral health.

Dr. Giulia Maria Mariani
Guest Editor

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Published Papers (1 paper)

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Review

23 pages, 1463 KiB  
Review
Effectiveness of Ultrasonic and Manual Instrumentation in Nonsurgical Periodontal Therapy: Are Additional Therapies More Effective? A Systematic Review
by Silvia Sabatini, Carolina Maiorani, Jessica Bassignani, Silvia Cotellessa, Giuseppe Di Trani, Elisa Fulgenzi, Roberta Iacono, Ilaria Mercogliano and Andrea Butera
Appl. Sci. 2024, 14(5), 1950; https://doi.org/10.3390/app14051950 - 27 Feb 2024
Cited by 4 | Viewed by 7263
Abstract
Nonsurgical periodontal therapy aims to remove supragingival and subgingival biofilm to restore periodontal health. This systematic review aims to assess the clinical effectiveness of manual and/or ultrasonic instruments and to determine whether other therapies can improve periodontal clinical outcomes. Case-control, cross-sectional and cohort [...] Read more.
Nonsurgical periodontal therapy aims to remove supragingival and subgingival biofilm to restore periodontal health. This systematic review aims to assess the clinical effectiveness of manual and/or ultrasonic instruments and to determine whether other therapies can improve periodontal clinical outcomes. Case-control, cross-sectional and cohort studies and clinical trials of patients undergoing nonsurgical periodontal therapy with ultrasonic and/or manual instruments (and any adjunctive therapies, such as glycine, erythritol, ozone, laser and glycine) from 2013 to 2023 were analyzed using Pub-med/MEDLINE, Scopus and Google Scholar. To assess the risk of bias in this review, blinding, randomization, allocation concealment, outcome data and outcome recording were assessed. No differences between treatments were found; all methods, including manual and ultrasound, were helpful in improving clinical parameters (primary outcome). Although the results were mixed, adjunctive therapies seemed to be helpful in the treatment of periodontal disease. The results of this systematic review are consistent with the previous scientific literature and have shown that both manual and ultrasonic instruments are effective in nonsurgical periodontal therapy. This review could not show how complementary therapies could further improve nonsurgical periodontal therapy. For future research, it would be good to standardize the sample with regard to the degree and stage of periodontal disease and to evaluate the risks and benefits of the instruments (manual and ultrasonic scalers). Full article
(This article belongs to the Special Issue State-of-the-Art of Periodontal Health)
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