Periodontal Therapy

A special issue of Dentistry Journal (ISSN 2304-6767). This special issue belongs to the section "Oral Hygiene, Periodontology and Peri-implant Diseases".

Deadline for manuscript submissions: closed (30 April 2019) | Viewed by 25616

Special Issue Editors


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Guest Editor
Department of Surgical Sciences, Section of Periodontology, C.I.R. Dental School, University of Torino, 10126 Torino, Italy
Interests: oral diagnosis; non surgical periodontal therapy; osseous resective surgery; perio-dontal regeneration; implant surgery
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Co-Guest Editor
Department of Surgical Sciences, Section of Periodontology, C.I.R. Dental School, University of Torino, 10126 Torino, Italy
Interests: epidemiology; diagnosis; biomarkers; microbiology; periodontal therapy; periodontal medicine
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Over the years, a substantial amount of basic and clinical research has provided us with significant knowledge on the diagnosis and treatment of periodontal disease. In the last decade, a special emphasis has been focused on more patient-oriented interventional approaches that has moved periodontology towards less invasive procedures to reduce operative trauma whilst still achieving a satisfactory therapeutic result. Through the application and integration of advanced technologies the general dentist is actually able to adequately manage most periodontal patients. The non-surgical periodontal therapy combined with the application of biological agents has been proven effective in the regenerative therapy of intrabony defects. Many intrabony defects can be approached using very delicate surgical procedures with preservation of the interdental papilla and very short buccal/lingual flaps, limiting the indications for more invasive surgical techniques to a low percentage of bony defects. What has not changed is the importance of thorough mechanical debridement and optimal plaque control for successful non-surgical and surgical periodontal therapy.

This Special Issue is interested in all aspects of non-surgical and surgical periodontal therapy tailored to individual’s needs through diagnosis and risk profiling. Particular emphasis will be given to minimally invasive treatment options. When and how do we perform non-surgical and surgical periodontal therapy today?

Prof. Dr. Mario Aimetti
Dr. Federica Romano
Guest Editors

Manuscript Submission Information

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Keywords

  • Antimicrobials
  • Associations
  • Bad breath
  • Biological factors
  • Bone loss
  • Clinical performance
  • Complications
  • Debridement
  • Dental plaque
  • Guided tissue regeneration
  • Interventions
  • Intrabony defect
  • Microsurgery
  • Minimally invasive procedures
  • Non-surgical periodontal therapy
  • Oral malodor
  • Oral hygiene
  • Osseous defects
  • Periodontal diseases
  • Periodontal pocket
  • Periodontal surgery
  • Periodontal regeneration
  • Periodontitis
  • Reconstructive surgery
  • Regenerative medicine
  • Scaling and root planing
  • Surgical flaps
  • Supportive periodontal therapy
  • Systemic diseases
  • Tooth loss/Prevention and control

Published Papers (2 papers)

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Review

14 pages, 1111 KiB  
Review
Is the Use of Antimicrobial Photodynamic Therapy or Systemic Antibiotics More Effective in Improving Periodontal Health When Used in Conjunction with Localised Non-Surgical Periodontal Therapy? A Systematic Review
by Animesh Pal, Sanjeev Paul, Rachel Perry and James Puryer
Dent. J. 2019, 7(4), 108; https://doi.org/10.3390/dj7040108 - 18 Nov 2019
Cited by 11 | Viewed by 3528
Abstract
Periodontal disease can be treated in several ways. This paper reviewed whether antimicrobial photodynamic therapy (aPDT) in addition to scaling and root planing (SRP) produces improved clinical results over systemic antibiotics (ABs) in conjunction with SRP in adults with periodontitis. Studies were searched [...] Read more.
Periodontal disease can be treated in several ways. This paper reviewed whether antimicrobial photodynamic therapy (aPDT) in addition to scaling and root planing (SRP) produces improved clinical results over systemic antibiotics (ABs) in conjunction with SRP in adults with periodontitis. Studies were searched using the following electronic databases: MEDLINE, the Cochrane Database of Systematic Reviews, and the Web of Science Core Collection up to and including November 2018. Four randomized controlled trials (RCTs) were reviewed to maximise the reliability of the evidence. All participants suffered from either chronic or aggressive periodontitis and each study contained SRP as an adjunct to ABs or aPDT. To determine whether groups showed improvement after treatment, the outcome parameters chosen were probing depth (PD), clinical attachment level (CAL), and bleeding on probing (BOP). Despite finding significant improvements in all groups, the differences among groups were not consistently statistically significant. The lack of homogeneity in the results among these studies indicates that it was not possible to determine a conclusion about whether aPDT or AB as an adjunct to SRP provides better improvements in periodontitis as measured by PD, CAL, and BOP. Further studies with more similar study designs are required before firm conclusions can be deduced. Full article
(This article belongs to the Special Issue Periodontal Therapy)
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12 pages, 227 KiB  
Review
An Overview of Different Interdental Cleaning Aids and Their Effectiveness
by Ethan Ng and Lum Peng Lim
Dent. J. 2019, 7(2), 56; https://doi.org/10.3390/dj7020056 - 01 Jun 2019
Cited by 53 | Viewed by 21230
Abstract
Optimisation of plaque control is essential for the success of non-surgical and surgical periodontal therapy. This cannot be achieved with brushing alone; hence, there is a need for adjunctive interdental cleaning aids. The aim of this paper is to provide an overview of [...] Read more.
Optimisation of plaque control is essential for the success of non-surgical and surgical periodontal therapy. This cannot be achieved with brushing alone; hence, there is a need for adjunctive interdental cleaning aids. The aim of this paper is to provide an overview of different interdental cleaning aids and review the literature for consensus on their effectiveness. A literature search of articles in English, up to December 2018, was conducted in Pubmed. High-quality flossing is difficult to achieve, and ineffective routine use of floss may not confer significant benefits over brushing alone. Interdental brushes are more effective than brushing as a monotherapy. They are at least as good if not superior to floss in reducing plaque and gingivitis. Although they are effective for patients regardless of their periodontal status (healthy or active), they are especially indicated in periodontal patients where widened embrasures are common. Added benefits include ease of use, patient acceptance, and recontouring of interdental tissues. Rubberpiks do not demonstrate inferiority to conventional interdental brushes. Wooden interdental aids appear to offer no significant advantage over brushing with respect to plaque removal; they may, however, reduce gingival bleeding. Oral irrigators are a promising tool for reducing gingival inflammation, despite minimal changes to plaque levels. For cleaning around dental implants, oral irrigators and interdental brushes are preferred over floss. Full article
(This article belongs to the Special Issue Periodontal Therapy)
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