Gold Standards in Periodontics: A Review

Pramod Kumar Koirala,Shaili Pradhan

doi:10.3126/jnspoi.v5i1.38194

Abstract

The field of dentistry has evolved where people expect the best oral health care from specialists. Periodontics is that specialty of dentistry which deals with prevention, diagnosis, and treatment of diseases of the supporting tissues of the teeth. Almost half of the world's population is suffering from periodontal diseases. Periodontitis is the sixth most common chronic diseases in the world and along with dental caries, the most common cause of tooth loss. Through the effort of various professional organisations and research, various reliable products and treatment modalities have been developed. A gold standard is a benchmark which has been thoroughly tested and has reputation as a reliable modality. Some of established gold standards in periodontics include: periodontal probing, measurement of clinical attachment loss, bone loss, cone beam computed tomography, quantitative polymerase chain reaction tests, biopsies as investigative techniques; periodontal debridement, subepithelial connective tissue graft for recession coverage, lasers, autogenous bone in alveolar ridge augmentation prior to oral implantation, dental implant as reconstruction of missing dentition, and chlorhexidine mouth wash as treatment options. The objective of the review is to provide critical evaluation of the data available from existing studies in Periodontics which can help identify potential research areas to explore.

Highlights

Periodontics is that dental specialty dealing with prevention, diagnosis, and treatment of diseases of teeth or their substitute’s supporting tissues; health, function, aesthetics and maintenance; and replacement by grafting or implantation of natural and synthetic devices and materials.[1]
The measurement of clinical attachment loss (CAL) with a periodontal probe is a gold standard for quantifying the progression of periodontitis
CAL and bone loss as seen in radiographs are the gold standards used to help distinguish a patient with gingivitis from one with periodontitis

Summary

Introduction

Periodontics is that dental specialty dealing with prevention, diagnosis, and treatment of diseases of teeth or their substitute’s supporting tissues; health, function, aesthetics and maintenance; and replacement by grafting or implantation of natural and synthetic devices and materials.[1]. Periodontics is that specialty of dentistry which deals with prevention, diagnosis, and treatment of diseases of the supporting tissues of the teeth. Some of established gold standards in periodontics include: periodontal probing, measurement of clinical attachment loss, bone loss, cone beam computed tomography, quantitative polymerase chain reaction tests, biopsies as investigative techniques; periodontal debridement, subepithelial connective tissue graft for recession coverage, lasers, autogenous bone in alveolar ridge augmentation prior to oral implantation, dental implant as reconstruction of missing dentition, and chlorhexidine mouth wash as treatment options.

Objectives

Results

Conclusion