Abstract
BackgroundTo selectively review the existing literature on post-interventional maintenance protocols in patients with periodontal disease receiving either non-surgical or surgical periodontal treatment.MethodsThree systematic reviews with different periodontal interventions, i.e. scaling and root planing (SRP), SRP with adjunctive antibiotics or regenerative periodontal surgery were evaluated focusing on their post-interventional maintenance care. Due to the early publication of one review an additional literature search update was undertaken. The search was executed for studies published from January 2001 till March 2015 through an electronic database to ensure the inclusion of resent studies on SRP. Two reviewers guided the study selection and assessed the validity of the three reviews found.ResultsWithin the group of scaling and root planing alone there have been nine studies with more than three appointments for maintenance care and five studies with more than two appointments in the first 2 months after the intervention. Chlorhexidine was the most frequently used antiseptic agent used for 2 weeks after non-surgical intervention. Scaling and root planing with adjunctive antibiotics showed a similar number of visits with professional biofilm debridement, whereas regenerative studies displayed more studies with more than three visits in the intervention group. In addition, the use of antiseptics was longer and lasted 4 to 8 weeks after the regenerative intervention. The latter studies also showed more stringent maintenance protocols.ConclusionsWith increased interventional effort there was a greater tendency to increase frequency and duration of the maintenance care program and antiseptic agents.
Highlights
To selectively review the existing literature on post-interventional maintenance protocols in patients with periodontal disease receiving either non-surgical or surgical periodontal treatment
A body of evidence shows the benefit of systemically administered antibiotics as an adjunctive to scaling and root planing (SRP), in patients with aggressive periodontitis and in those with advanced chronic disease [9, 10]
Different studies have analyzed the effects of supervised maintenance care after periodontal therapy eg. subgingival scaling and root planing or surgical intervention
Summary
To selectively review the existing literature on post-interventional maintenance protocols in patients with periodontal disease receiving either non-surgical or surgical periodontal treatment. Thorough non-surgical scaling and root planing (SRP) was demonstrated as an important part of successful periodontal treatment, especially on deeper periodontal pockets [7]. The results of such treatment may only be maintained in the long-term when an Gartenmann et al BMC Oral Health (2017) 17:19 effective supragingival plaque control is performed, and a regular supportive periodontal treatment (SPT) is applied [1, 8]. Subgingival scaling and root planing or surgical intervention Such maintenance programs included the adjunctive use of antiseptic rinsing followed by professional supragingival cleanings [13, 14]. These supervised maintenance care recommendations are mostly given after elaborate, regenerative periodontal surgery
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