Keywords
non-surgical periodontal therapy
probing pocket depth
surgical periodontal therapy
Abstract
Background: Chronic periodontitis is one of the most common form of periodontal diseases which either require non-surgical periodontal therapy or open flap debridement-surgical therapy or both. To date, it is unclear as of how much changes occur after NSPT or OFD and which therapy provides the best outcome in chronic periodontitis having probing pocket depth ≥ 5-7 mm.
Aim: The aim of this randomized controlled clinical trial was to evaluate the Probing Pocket Depth and Clinical Attachment Level between NSPT and OFD in chronic periodontitis patients.
Materials and Methods: A total of 52 healthy patients with PPD ≥ 5-7 mm were included in the present study. Half of the patients assigned for the NSPT and half in the OFD group. The PPD and CAL were measured at baseline, three and six months. Independent sample t-test was used to compare the change in mean PPD and CAL between NSPT and OFD group at three and six months, respectively.
Results: The difference in the mean decrease of PPD between NSPT and OFD group at three and six months were 0.15 mm (P<0.05) and 0.19 mm (P<0.05), respectively. The difference in the mean gain of CAL between NSPT and OFD group at three and six months were 0.03 mm (p>0.05) and 0.12 mm (P<0.05), respectively.
Conclusion: Substantial improvement in periodontal status occurred with both the therapies, however, significantly higher decrease in PPD and gain in CAL were seen with surgical therapy.
Keywords: Clinical attachment level; non-surgical periodontal therapy; probing pocket depth; surgical periodontal therapy.
References
Flemming TF. Periodontitis. Ann Periodontol. 1999;4(1):32-7.
Petersen PE, Ogawa H. Strengthening the prevention of periodontal disease: the WHO approach. J Periodontol. 2005;76(12):2187-93.
van Palenstein Helderman W, Groeneveld A, Jan Truin G, Kumar Shrestha B, Bajracharya M, Stringer R. Analysis of epidemiological data on oral diseases in Nepal and the need for a national oral health survey. Int Dent J. 1998:56-61.
Graziani F, Karapetsa D, Alonso B, Herrera D. Nonsurgical and surgical treatment of periodontitis: how many options for one disease? Periodontol 2000. 2017;75(1):152–88.
Al-Shammari KF, Neiva RF,Hill RW, Wang HL. Surgical and non-surgical treatment of chronic periodontal disease. Int Chin J Dent. 2002;2:15-32.
Kaldahl WB, Kalkwarf KL, Patil KD, Dyer JK, Dj P, Bates RE Jr. Evaluation of four modalities of periodontal therapy. Mean probing depth, probing attachment level and recession changes. J Periodontol. 1988 Dec;59(12)783-93.
Graziani F, Karapetsa D, Mardas N, Leow N, Donos N. Surgical treatment of the residual periodontal pocket. Periodontol 2000. 2018 Feb;76(1):150-63.
Kim TS, Schenk A, Lungeanu D, Reitmeir P, Eickholz P. Nonsurgical and surgical periodontal therapy in single-rooted teeth. Clin Oral Investig. 2007;11(4):391-9.
Haffajee AD, Cugini MA, Dibart S, Smith C, Kent RL, Socransky SS. Clinical and microbiological features of subjects with adult periodontitis who responded poorly to scaling and root planing. J Clin Periodontol. 1997 Oct 6;24(10):767-76.
Badersten A, Nilveus R, Egelberg J. Effect of nonsurgical periodontal therapy. III. Single versus repeated instrumentation. J Clin Periodontol. 1984 Feb; 11(2):114-24
Egelberg J. Current Facts on Periodontal Therapy Q & A. Malmo, Sweden: OdontoScience; 1999. 32 p.
Rylander H LJ. Cause-related periodontal therapy. In: Lindhe J, Karring T, Lang NP, eds. Clin Periodontol Implant Dent 4th ed. Copenha- gen, Denmark: Blackwell Munksgaard; 2004;432–43.
Walter B. Hall. Critical Decisions in Periodontology, Hamilton, BC Decker Inc. 2003. 324p.
Caton JG, Zander HA. The Attachment Between Tooth and Gingival Tissues After Periodic Root Planing and Soft Tissue Curettage. J Periodontol. 1979;50(9):462-6.
Morrison EC, Ramfjord SP, Hill RW. Short-term effects of initial, nonsurgical periodontal treatment (hygienic phase). J Clin Periodontol. 1980 Jun;7(3):199-211.
Ciancio SG. Non-surgical periodontal treatment. In: Proceedings of the World Workshop in Clinical Periodontics. Chicago: American Academy of Periodon- tology. 1989. II-4p.
Badersten A, Nilvéus R, Egelberg J. Effect of non-surgical periodontal therapy. J Clin Periodontol. 1981: Feb;8(1):57-72.
Heitz-Mayfield LJA, Trombelli L, Heitz F, Needleman I, Moles D. A systematic review of the effect of surgical debridement vs. non-surgical debridement for the treatment of chronic periodontitis. J Clin Periodontol. 2002;29:92-102.
Lindhe J, Socransky SS, Nyman S, Haffajee A, Westfelt E. Critical probing depths in periodontal therapy. J Clin Periodontol. 1982 Jul;9(4):323-36.