Romanian Journal of Medical and Dental Education (Dec 2021)
PRINCIPLES OF PERIODONTOLOGY: TREATMENT MODALITIES FOR GINGIVITIS AND PERIODONTITIS. REVIEW
Abstract
The therapeutic efforts for controlling periodontal diseases focus on the removal of dental biofilm from the affected lesion, as active treatment centers on non-surgical mechanical debridement with antimicrobial and sometimes anti-inflammatory adjuncts. The surgical therapy aims at gaining access to the lesion and correcting unfavorable gingival ⁄ osseous contours to achieve a periodontal architecture that will provide for more efficient oral hygiene and periodontal maintenance. In addition, recent advances in tissue engineering have provided an efficient means to regenerate ⁄ repair periodontal defects, based upon principles of guided tissue regeneration and utilization of growth factors ⁄ biologic mediators. A systematic review confirmed that patients who are seen at regular intervals for supportive periodontal therapy experience less attachment loss and lose fewer teeth