Root Planing Research Articles

Efficacy of ultrasonics and Er,Cr:YSGG laser on root surface calculus removal: A comparative in vitro field emission scanning electron microscope study.

Scaling and root planing (SRP) is an inevitable primary step in non-surgical periodontal therapy. Debridement carried out with manual instruments and ultrasonics results in the removal of tooth structure. Current research revolves around laser as an efficient adjunct to SRP. This study evaluated and compared the effectiveness of root surface calculus removal between ultrasonics and Er,Cr:YSGG laser. Twenty-eight single-rooted teeth extracted due to periodontal disease were selected for the study. The specimens were randomly assigned to two groups (n=14). Group I underwent ultrasonic instrumentation using a piezo ultrasonic scaler, and group II was subjected to laser instrumentation using Er,Cr:YSGG laser (Waterlase). The specimens were processed, fixed, viewed under a field emission scanning electron microscope and evaluated using the remaining calculus index (RCI) and loss of tooth substance index (LTSI). Ultrasonics-treated specimens revealed more remaining calculus (1.57±0.65) and lost tooth substance (1.71±0.61) compared to the Er,Cr:YSGG laser-treated specimens, with significantly lower RCI (0.71±0.61) and LTSI (1.00±0.56). There was a statistically significant difference (P<0.05) in the efficacy of root surface calculus removal between the two groups. Compared to ultrasonics, Er,Cr:YSGG laser demonstrated superior results by causing precise removal of root surface calculus without significantly affecting tooth structure and aiding in new attachment.

Herbal as an Adjunct to Scaling and Root Planning (SRP) in Nonsurgical Periodontitis Treatment in Adult: A Systematic Review of Randomized Controlled Trials

Herbal as an Adjunct to Scaling and Root Planning (SRP) in Nonsurgical Periodontitis Treatment in Adult: A Systematic Review of Randomized Controlled Trials

Eficácia do laser de diodo de alta potência como coadjuvante à instrumentação mecânica de bolsa profunda em paciente com periodontite estádio III, grau C e generalizada

ABSTRACT Periodontitis is an inflammatory clinical condition caused by dysbiotic biofilm that results in progressive destruction of periodontal attachment and can lead to tooth loss if left untreated. Objective: To evaluate the clinical efficacy of high-power diode laser as an adjunct to mechanical instrumentation in periodontal pockets of a patient with generalized, stage III, grade C periodontitis. Methods: 126 sites of a patient were examined at the Clinical Research Laboratory (LabClin) of the Federal University of Campina Grande (UFCG), where the parameters of probing depth (PD), clinical attachment level (CAL) and bleeding on probing (BoP) were evaluated at the beginning of the study and after 3 and 6 months of basic therapy. All sites received non-surgical periodontal treatment which corresponds to scaling and root planing (SRP) and coronary polishing. The deep periodontal pockets with PD ≥ 5 mm, received the adjuvant therapy with diode laser light. Results: There was a significant improvement of periodontal parameters of PD, CAL and BoP in all treated sites. In those with PD ≥ 5 mm, the results were similar, with statistically significant reduction of PD, CAL and BoP before and after treatment. After 6 months, all periodontal pockets with PD ≥ 5mm were reduced to values lower than 3. Conclusion: The irradiation of deep pockets with high-power diode laser proved to be effective as adjuvant therapy to SRP in patients with generalized, stage III, degree C periodontitis.

Nonsurgical periodontal therapy

Nonsurgical periodontal therapy (NSPT) aims to eliminate both living bacteria in the microbial film and calcified biofilm microorganisms from the tooth and adjacent soft tissues. It has traditionally been carried out using hand and powered instruments; it is less invasive, more cost-effective, and easily applied in different clinical settings. It generally includes scaling, root planing, antimicrobial therapy, laser therapy, and gum line therapy. Hence, NSPT is the gold standard against which other treatment options are compared.

Impact of Non-Surgical Periodontal Treatment on the Concentration and Level of MRP-8/14 (Calprotectin) as an Inflammatory Biomarker in Women with Periodontitis and Rheumatoid Arthritis: A Quasi-Experimental Study.

The aim of this study was to evaluate the impact of non-surgical periodontal treatment (NS-PT) on periodontal parameters and inflammatory biomarkers in the concentration and level of calprotectin (CLP) in women with periodontitis and rheumatoid arthritis (RA). In this quasi-experimental study, we evaluated 30 women (mean age: 52.0 ± 5.8 years) with periodontitis and RA who had been diagnosed and treated for RA for more than 3 years and whose activity markers remained at similar values without significant reduction over three consecutive months. Patients underwent NS-PT, which included plaque control, scaling, and root planing. Serum and saliva samples, periodontal indices, RA activity markers, Disease Activity Score-28 (DAS28), the erythrocyte sedimentation rate (ESR), and the C-reactive protein (CRP) and CLP contents were measured at the beginning of the study and 6 and 12 weeks after NS-PT. Parametric and nonparametric tests were used in the analysis. The mean age was 52.0 ± 5.8 years. Compared to the baseline results, all periodontal indices were significantly reduced 6 and 12 weeks after NS-PT (p < 0.001). DAS28 was also significantly reduced after 12 weeks (p < 0.0001). Similarly, the serum CLP concentration decreased 6 and 12 weeks after NS-PT (p < 0.0001). Of the patients, 100% presented lower levels of CRP and ESR (p < 0.0001). Overall, NS-PT reduced inflammation and disease activity, highlighting the importance of oral health in the control and treatment of systemic diseases such as RA and confirming that NS-PT effectively reduces periodontitis activity and plays a key role in modulating RA activity. Therefore, NS-PT should be considered as an adjunct treatment for RA.

Novel Root Conditioner Apple Cider Vinegar versus Citric Acid on Teeth with Periodontal Disease: A Pilot In-vitro SEM Analysis

Introduction: Root biomodification in periodontal therapy aims at removing the smear layer and enhances the clot stability necessary for periodontal regeneration. Citric Acid (CA), EDTA, fibronectin has been used routinely. But if used injudiciously acidic erosion of the periodontal tissues might occur. Apple Cider Vinegar (ACV) an organic acetic has been reported to possess antimicrobial, anti-inflammatory and antioxidant effects. Aim: To assess the effect of smear layer removal and fibrin clot adhesion of ACV in comparison to CA on periodontally affected teeth. Materials and Methods: This pilot study was conducted at Sri Venkateswara Dental College and Hospital, Chennai, India, for three months, starting in January 2024 and ending in March 2024. 8 Teeth extracted due to periodontal reasons were cleaned, scaled and root planed. From the extracted teeth 16 dentin block samples were obtained, of which eight underwent CA testing (Control group) and eight underwent ACV testing (test group). The SEM analysis was done to assess the efficiency of smear layer removal and fibrin clot adhesion. Results: Under qualitative Scanning Electron Microscope (SEM) analysis, though ACV (50%) and CA (50%) group exhibited significant level of smear layer removal, complete dentinal tubule opening (RMSI score 2) was observed only in ACV category. In regard to Blood Element Adhesion Index (BEAI) both the groups demonstrated moderate fibrin clot adhesion (BEA score 2) in 50% of their samples. Considering both the parameters, root conditioning effects of ACV was better than CA. Conclusion: Teeth treated with ACV had a comparable effect as the CA in terms of root biomodification. This novel agent with several medicinal effects can be considered for future studies to determine its regenerative effectiveness.

The role of probiotics for preventing dysbiosis in periodontal disease: a randomized controlled trial.

Scaling and root planing remain inadequate in periodontitis treatment caused by dysbiotic microbial dental plaque. The aim of this clinical trial is to evaluate the effects of probiotics and kefir consumption in initial periodontal therapy (IPT) on oral microbiota composition and treatment outcomes in patients with periodontitis. The study was carried out in the Gazi University Department of Periodontology, including a sample size of 36 individuals and utilizing a randomized controlled design. Thirty-six patients with periodontitis were randomly allocated to three groups: one receiving probiotic treatment, another receiving kefir, and a third serving as the control group. Obtaining subgingival microbial samples, we recorded plaque, gingival index, bleeding on probing, periodontal pocket depth, and clinical attachment level (periodontal clinical indices) and then performed IPT. For 14 days, patients took either probiotics, kefir, or no supplements. Data for the first and third months were collected using periodontal clinical indices. DNA sequencing was performed to detect Tannerella forsythia, Porphyromonas gingivalis, and Treponema denticola in subgingival plaque samples collected at baseline and three months. Significant differences were observed regarding periodontal clinical indices among groups in the intragroup comparisons. Moreover, levels of Tannerella forsythia were significantly decreased in all groups. Kefir can be administered in addition to IPT, providing results similar to those observed with probiotics.

Cytological and microbiological investigations of professional hygiene efficiency in patients with generalized periodontitis.

Aim: The purpose of this study is to assess the impact of occupational hygiene procedures for microbiological and cytological contents of periodontal pockets. Material and Methods: Cytological and microbiological content of the periodontal pockets before treatment and after professional hygiene procedures including scaling with hand instruments and root cementum polishing have been investigated in patients with periodontitis. Results: According to obtained data it can be resumed that in periodontitis patients with the depth of pockets 3-5,5 mm before professional hygiene all the pockets contain great number of Cocci, Spirochetes, Candida Albicans, Flagellated rods and Protozoa species. It was proved by revealing of small amount of Polymorphonuclear leukocytes with active phagocytosis. After scaling and planing of the roots, a decrease in the number of Protozoa and Candida Albicans was observed in 97% and 72% of the investigated cells, respectively. Conclusions: Cytological and microbiological content of periodontal pockets before treatment and after professional hygiene procedures including scaling and root planning testify to the level of local protective mechanisms, especially process of phagocytosis and virulence of microbial species in periodontal pockets.

Chlorhexidine and doxycycline gel versus chip as adjuncts in oral hygiene among Indians.

The effectiveness of newly released medications such as Chlorhexidine (CHX) chip, Doxycycline hyclate (DH) chip, CHX gel, DH chip as adjunct to scaling and root planing in the treatment of chronic periodontitis is important. 90 adult Indian patients with moderate chronic periodontitis were enlisted. It was observed that reduction in periodontal pocket depth (PPD) and increase in clinical attachment level (CAL) was seen in patients in CHX group as compared to DH treated study participants. It was observed that CHX and DH in gel form were more effective in improving periodontal health as compared to CHX and DH in chip form in this group of subjects.

Effect of Systemically Administered Amoxicillin and Metronidazole in the Treatment of Chronic Periodontitis

Introduction: Nonsurgical periodontal therapy reduces periodontal inflammation, but complete removal of toxin and bacterial deposits is not always possible. Thus, adjunctive therapeutic strategies like use of systemic amoxicillin and metronidazole have evolved. Objective: To evaluate effect of systemically administered amoxicillin and metronidazole in the treatment of chronic periodontitis. Methods: A pretest post-test study was conducted from February 2021 to November 2021 in Department of Periodontics and Oral Implantology at Peoples Dental College and Hospital after ethical clearance from Institutional Review Committee of PDCH. Thirty-six patients with chronic periodontitis were recruited through convenient sampling. The patients were assigned into two groups meeting the criteria of at least six teeth with probing pocket depth 5-7 mm. Group A received scaling and root planing and Group B received adjunctive systemic Amoxicillin and Metronidazole three times daily for seven days. Clinical parameters were evaluated at one month, three months and six months post-treatment. Data were analysed in SPSS v.20. Results: Mean values of pocket depth (PD), clinical attachment level (CAL), plaque index (PI) and gingival index (GI) were reduced significantly after treatment in both treatment groups with more clinical improvement in adjunctive systemic amoxicillin and metronidazole. However, on intergroup comparison, clinical attachment level and plaque index was not significantly reduced. Conclusions: The findings of the current study showed significant improvements in both groups compared with baseline. Thus, adjunctive systemic amoxicillin and metronidazole provide better results than scaling root planing alone.

ANALISIS CFD PADA SAYAP MINI GLIDER DENGAN PENAMPANG LOW REYNOLD NUMBER AIRFOIL DAN FOLDED FLAT PLATE AIRFOIL

The purpose of this research is to make a very small unmanned aircraft as a teaching aid in aerospace engineering workshops, because of its very small size, this type of unmanned aircraft is abbreviated as Micro Air Vehicle, this MAV is only operated at low Reynolds numbers. MAV development research for smaller sizes continues to be carried out such as the Micro Glider. In this study, the author uses the Computational Fluid Dynamic method and the software used ANSYS Fluent and compares the existing DATCOM data, the author simulates the 4 types of airfoils into a wing object. The results of this study can be seen that based on the average deviation diff value that has been obtained in a population to determine the error from the comparison of the reference airfoil lift coefficient and its FFP by comparing the two methods, namely the IISHI airfoil reference geometry is 6.22% while the FFP is is 11.25% and the SD 7037 airfoil reference geometry is 3.71% while the FFP is 2.11%. Then for the comparison of the maximum lift to drag ratio values, it is obtained that the airfoil reference geometry (SD 7037) has a value of = 9.96 while the airfoil reference geometry (IISHI) has a value of = 8.81. In the Folded Flat Plate airfoil geometry (SD 7037) it has a value of = 7.61 while the Folded Flat Plate airfoil (IISHI) has a value of = 7.37. Then for the visualization of fluid flow can be obtained, namely the results of visualization of fluid flow in several parts of the angle of view / plane of the wing geometry when the AoA is high, namely the root plane to the half wing plane. early, while the geometry of SD 7037 (airfoil reference) is not easy to occur early turbulence flow. Second, that in general the fluid flow pattern seen in the FFP airfoil geometry (FFP IISHI) has the most dominant turbulence flow pattern (very much/large) while the FFP airfoil geometry (FFP SD 7037) has very little/small turbulence flow pattern..

Evaluation of Different Local Drug Delivery Systems in Treatment of Periodontitis: An Institutional Study

Periodontal disease can be treated in both non-surgical and surgical therapy. There could be a possible reason why non-surgical therapy causes failure due to bacteria virulent factors and also the depth of periodontal pocket is greater than the instrumentation available, drug concentration is low in GCF as well as in saliva. To overcome this problem a treatment protocol that would include short-term usage of systemic and or local antimicrobial agents is being tried as an adjunct to mechanical therapy in treatment of periodontal diseases. A total of 540 sites, from 72 patients in different quadrants of the mouth received these treatment modalities in assigned quadrants such as scaling and root planning using both hand and ultrasonic instruments under local anesthesia (if required), combination therapy and local drug delivery alone. Patients with periodontal diseased sites were divided into five groups, based on the local drug delivery system, as Group I: Elyzol (25% Metronidazole), Group II: Dentomycin (2% Minocycline hydrochloride), Group III: Metrogene (5% Metronidazole), Group IV: Periochip (2.5mg of Chlorhexidine gluconate) and Group V: Atridox (10% Doxycycline hyclate). In the present study, the bleeding index score showed better reduction, for all LDD systems. The results showed that SRP alone, and LDD alone had shown no significance in overall reduction of pocket depth where clinical parameters (Plaque Index, Gingival Bleeding Index and Gingival Index). Although the combined treatment of scaling and root planing plus the local drug therapy reported to have a significant benefit over SRP alone in the treatment of periodontal lesions. Keywords: Anti-Bacterial Agents, Metronidazole, Minocycline, Doxycycline, Chlorhexidine, Local Drug Delivery Systems, Humans, Periodontitis, Periodontal Pocket, Root Planing

REGENERATIVE TREATMENT USING PERIODONTAL FLAP SURGERY COMBINED Ti-OSS®, PERICARDIUM MEMBRANE AND PLATELET-RICH FIBRIN IN CHRONIC PERIODONTITIS

Introduction: Periodontal regenerative treatment with periodontal flap surgery followed by application of bone graft combined with platelet-rich fibrin (PRF) is a treatment using the concept of guided bone regeneration which is required to stimulate bone and periodontal tissue regeneration in chronic periodontitis with radiographic sign of alveolar bone vertical defect. This case report will describe the flap surgery with bone graft (Ti-OSS®, South Korea) and PRF treatment for correction of alveolar bone vertical defect in tooth with chronic periodontitis. Case: A 45-years old female complained of swollen and suppurated gingiva in the upper right area. Clinical finding showed deep periodontal pockets in tooth 13 and 15 and radiographic finding showed apical third alveolar bone loss in tooth 13 and 15. Case Treatment: Initial treatments included scaling and root planing, occlusal adjustment, and antibiotic prescription. Treatments were followed by periodontal flap surgery for debridement and elimination of granulation tissue on the root and alveolar bone surface of tooth 13 to 15, application of Ti-OSS® combined with PRF and pericardium membrane. Discussion: The follow-up evaluation 2 months after treatment showed clinical finding of decreased Clincial Attachment Level (CAL) and radiographic finding showed increased alveolar bone height around defect area of tooth 13 and 15. Conclusion and Suggestions: Periodontal flap surgery combined with application of Ti-OSS® and PRF may able to stimulate regeneration of alveolar bone and periodontal tissue in chronic periodontitis

THE ROLE OF TRICHOMONAS TENAX IN PERIODONTAL DISEASE: A LITERATURE REVIEW

Introduction: The oral cavity is a habitat for microorganisms such as bacteria, fungi, and protozoa. One of the most common protozoa found in the oral cavity is Trichomonas tenax. Imbalance between microorganisms and host in the oral cavity can cause periodontal disease. This study aims to determine the role T.tenax in periodontal disease. Review: This research is literature review by using the method rapid review of synthesizing and analyzing existing research. Article searches were conducted using the Pubmed, ScienceDirect, and EBSCOHost databases from November 2022 to February 2023. The research inclusion criteria were international journals from 2012 to 2022 which discussed the role of T.tenax with periodontal disease. Articles that met the inclusion criteria in this study were 5 articles. Articles proving that prevalence T.tenax higher in individuals with periodontal disease as many as 3 articles. 1 article proves that T.tenax have proteinases that play a role in the pathogenesis of periodontal disease. Articles which prove that the treatment of scaling and root planing can lower T.tenax there is 1 article. Conclusion: T.tenax found in individuals who have periodontal disease indicate that T.tenax role in the development of periodontal disease.

Efficacy of Probiotics Versus Tetracycline Fibers as Adjuvants to Scaling and Root Planing on Interleukin 1β Levels in Type 2 Diabetic Patients With Periodontitis: A Clinical and Biochemical Study.

Background Periodontitis, a chronic inflammatory disease, is triggered by the plaque biofilm culminating in periodontal attachment loss, bone loss, and tooth loss. Diabetes, a globally prevalent disease, causes an increased inflammatory response to the microflora associated with periodontitis. It has been observed that the link between these two diseases is bidirectional. Tissue repair is impaired in diabetic patients with periodontitis. Local drug delivery systems selectively target the inflamed sites contrary to systemic antibiotics which lead to resistance and many other adverse effects.Probiotics aid in the growth of beneficial microorganisms and have immunomodulatory effects on the host. Tetracyclines have anti-collagenase properties and reduce the bacterial load, curbing the progression of periodontitis. Interleukin (IL) 1β, a strong marker of periodontal tissue destruction, plays a pivotal role in inflammation, immune regulation, and bone resorption in periodontitis. This study evaluated and compared the benefits of probiotics and tetracycline fibers when used as adjunctive tools after scaling and root planing (SRP) on IL1β levels in type 2 diabetic patients with periodontitis. Methodology A total of 36 patients participated in this study. Group I included 12 patients with periodontitis and uncontrolled diabetes (HbA1c levels >7). After SRP, six patients received tetracycline fibers (IA), and six patients received probiotics (1B) as locally delivered agents. Group II included 12 patients with periodontitis and diabetes under control (HbA1c levels 6-7%). After SRP, six patients received tetracycline fibers (IIA), and six patients received probiotics (IIB) as locally delivered drugs (test groups). Group III, the control group, included 12 patients with periodontitis only, wherein a placebo was used as a local drug delivery (LDD) after SRP. The clinical parameters, such as plaque index, gingival index, and probing pocket depth, were recorded preoperatively and at eight and 12 weeks after non-surgical periodontal therapy. IL1β levels were assessed by enzyme-linked immunosorbent assay at baseline and six weeks after SRP. Results On intra and intergroup comparison, all groups showed improvement in both the clinical and biochemical parameters but significant results were seen in Group IIA (p < 0.01) when compared to the other groups. Conclusions Group II (well-controlled diabetics) performed significantly better than the other groups, which was followed by Group III. The use of LDDs as adjunctive tools after SRP was not beneficial in Group I (uncontrolled diabetics).

Antimicrobial Photodynamic Therapy with Photosensitizer Improved the Gingival Collagen, Oxidative Status and Protect the Bone in Short Term Experimental Periodontitis

Objectives: To evaluate the influence of antimicrobial photodynamic therapy (aPDT) with methylene blue (MB) dissolved in ethanol used as an adjunct to scaling and root planing (SRP) in periodontitis treatment on bone loss, collagen fibers and gingival oxidative status.&#x0D; Methods: Wistar rats were randomly randomized in five experimental groups according to the periodontal treatment: NC (negative control; no periodontitis); PC (positive control; periodontitis without any treatment); SRP (periodontitis and SRP), aPDT I (periodontitis and SRP+aPDT+MB solubilized in water), and aPDT II (periodontitis and SRP+aPDT+MB solubilized in ethanol 20%). To induce the experimental periodontitis, one mandibular right first molar of each animal received the cotton ligature in a submarginal position. The periodontal treatments were performed after 7 days of ligature removal.&#x0D; Results: PC group had more bone loss compared to the other groups. SRP and aPDT I groups showed equivalent bone losses and the aPDT II group showed bone loss similar to the aPDT I group, smaller than the PC and SRP groups on the 7th day. PC and SRP groups showed higher gingival lipoperoxidation levels on the 7th day, but only the PC group exhibited higher gingival lipoperoxidation on the 15th day. Besides, it indicated an aPDT II protective action on the gingiva on the 7th day observed by the maintenance of the gingival glutathione (GSH) levels similar to NC group. The aPDT treatments were able to prevent gingival collagen degradation with 7 days of treatment.&#x0D; Conclusions: aPDT can act as a beneficial adjuvant tool to minimize bone loss, collagen degradation and periodontitis-induced oxidative damages. Therefore, it is possible to suggest that the short-term aPDT causes beneficial responses accelerating periodontal healing.

Efficacy of Laser-assisted Periodontal Therapy vs. Conventional Scaling and Root Planing.

This study aimed to compare the effectiveness of laser-assisted periodontal therapy (LAPT) with conventional scaling and root planing (CSRP) in the treatment of periodontal disease. The objective was to assess the outcomes of these two treatments on a sample of 30 patients in each group. In this study, a total of 60 patients diagnosed with periodontal disease were divided into two groups: the LAPT group and the CSRP group, with 30 patients in each group. The LAPT group received periodontal treatment using laser therapy, while the SRP group underwent traditional SRP. The patients were evaluated for periodontal parameters, including probing depth and clinical attachment level before and after the treatments. After the treatment interventions, both the LAPT group and the CSRP group showed significant improvements in periodontal health. The mean reduction in probing depth was 2.5 mm in the LAPT group and 2.2 mm in the SRP group. In addition, the clinical attachment level increased by 2.8 mm in the LAPT group and 2.5 mm in the SRP group. Statistical analysis using the paired t-test demonstrated a P-value of less than 0.05, indicating the significance of these improvements in both groups. This study suggests that both LAP and CSRP are effective in improving periodontal health in patients with periodontal disease.

Comparative evaluation of the efficacy of Achyranthes aspera gel with tetracycline fibres in managing periodontitis: a single-blind, randomised clinical study

IntroductionThe present study formulates, evaluates, and compares a gel made from Achyranthes aspera root extract (AAE) with tetracycline fibers for its protective effect in patients suffering from chronic periodontitis. MethodsThe AAE gel was evaluated for various physicochemical parameters, in vitro permeability, and stability, and the active phytoconstituent rutin was quantified in AAE by high performance thin layer chromatography (HPTLC). Patients (20-60 years) suffering from chronic periodontitis with a probing pocket depth (PPD) of 5-7 mm and no systemic diseases were divided into 2 groups (20 each) and treated with scaling and root planing (SRP) followed by subgingival placement of the herbal gel or tetracycline fibers (standard). Plaque Index (PI), Gingival Index (GI), Pocket Probing Depth (PPD), and Clinical Attachment Level (CAL) were recorded at baseline and after 3 months. The student’s t-test was used for statistical analysis. ResultsThe AAE gel was found to be stable for 2 months, and the content of rutin was found to be 0.76µg in 100mg of AAE. A significant reduction in the periodontal disease parameters was observed in the standard and gel-treated groups between their baseline and 3-month interval values. The herbal gel treatment was comparable to tetracycline treatment in significantly attenuating the periodontitis-elevated PI, GI PPD, and CAL levels. ConclusionThe amelioration of periodontitis and gingival inflammation by the AAE gel may be attributed to the potent antioxidant and anti-inflammatory activity of its phytoconstituents. AAE gel may thus be used as a safe adjunct to SRP in chronic periodontitis. CTRI/2018/09/015621 [Registered on: 06/09/2018]

Evaluating the Long-Term Outcomes of Periodontal Surgery vs. Non-Surgical Treatment in Aggressive Periodontitis.

Aggressive periodontitis is a severe form of periodontal disease characterized by rapid tissue destruction and tooth loss. The optimal treatment approach for managing this condition remains a topic of debate. A retrospective cohort study was conducted, involving patients diagnosed with aggressive periodontitis who received either surgical or non-surgical treatment between 2010 and 2020. Clinical and radiographic data were collected at baseline and regular intervals over a 5-year follow-up period. Surgical interventions included flap surgery, guided tissue regeneration, and bone grafting, while non-surgical treatments comprised scaling and root planning with or without adjunctive antibiotics. The primary outcomes assessed included changes in probing depth, clinical attachment level, tooth loss, and patient-reported quality of life measures. A total of 120 patients were included in the study, with 60 patients in each treatment group. The surgical group demonstrated significantly greater reductions in probing depth and gains in clinical attachment level compared to the non-surgical group (P < 0.05). Tooth loss was significantly lower in the surgical group over the 5 years (P < 0.01). Patient-reported outcomes also favored the surgical group, with improved oral health-related quality of life. However, the surgical group had a higher incidence of postoperative complications. This study suggests that periodontal surgery yields superior long-term outcomes in the management of aggressive periodontitis compared to non-surgical treatment.

Analysis of bacteremia risks associated with dental procedures

In the context of dentistry, it is crucial to note that more than 60% of blood cultures obtained after oral surgical interventions and dental extractions have demonstrated the presence of anaerobic bacteria, indicating predominantly or mixed anaerobic bacteremia. Given this situation, current research seeks to identify the dental procedures with the highest risk of inducing bacteremia. The methodology used included a systematic review of the literature, thus ensuring the timeliness and relevance of the data collected. Additionally, the TOPSIS method was applied, a multi-criteria decision approach particularly suitable for handling complex situations involving several factors. The results revealed that dental implants and scaling and root planning were associated with a moderate risk, while oral surgery and periodontal treatment showed the highest risks, underscoring the need to implement rigorous preventive strategies. This study emphasizes the need to adapt prophylaxis and post-procedure management to the individual characteristics of the patient and the type of intervention performed, guiding towards the improvement of dental care and the implementation of more effective prevention protocols