Periodontal Therapy Research Paper

Initial Periodontal Therapy is a treatment which consists of careful cleaning of the root surfaces to remove plaque and calculus from deep pockets and to smooth the tooth root to remove bacterial toxins. Initial Periodontal Therapy reduces gingival probing depths and inflammation, and it shifts the bacterial composition living in these pockets from one associated with disease toward one associated with health. Thus, Initial Periodontal Therapy is usually the first mode of treatment recommended for most of the patients. This paper reviews and discusses the concepts underlying Periodontal Initial Therapy, its indications and limitations, and presents clinical case reports of the patients undergone Periodontal Initial Therapy. Different databases

Thus, preventing the process of disease. According to the official guidelines of American Academy of Periodontology, the goals of periodontal therapy are to improve and maintain health, to conserve natural dentition comfort, esthetics and function; and to provide replacements (i.e., dental implants) where indicated1. In periodontics several treatment stratigies to achieve these goals are available. They can be broadly classified into either non surgical or surgical approaches. Non surgical approaches comprise plaque control, supra and sub gingival scaling, root planing and the adjunctive use of chemotherapeutic agents. Non surgical therapy’s object is to get rid of both living bacteria in the biofilm and calcified biofilm microorganisms from tooth surface and adjacent soft tissues. A decrease in inflammation of the periodontium due to a decreased bacterial load leads to advantageous clinical changes. Using personal oral hygiene methods, non-surgical therapy helps to create an surroundings in which the host can more effectively prevent pathogenic recolonization of

both common inflammatory diseases that involve a range of pathogenic bacterial species and an innate host response to those bacteria2. Gingivitis is the most familiar form of inflammatory periodontal disease. It has a high prevalence rate, affecting 50%-90% of adults worldwide3, 4. Gingivitis is limited to an inflammation that involves only the gingival soft tissues, i.e., gingival epithelium and subjacent fibrous connective tissue. In spite of its high prevalence rate and worldwide distribution, biofilm (plaque) induced gingivitis is escapable and rather easily reversed by routine oral hygiene measures. Periodontitis is termed as inflammation that goes further than the soft tissue and extends into the deeper tissues to involve bone, resulting in resorption of tooth supporting bone. A deepened space between the root of the tooth and the gingiva associated with the loss of bone is the formation of a, Periodontal Pocket. Periodontitis can present as slowly progressing and chronic disease (most common form) or as an aggressive disease causing loss of bone over comparatively short period of time. Periodontitis of advanced severity can result in mobility of the tooth, occasional discomfort pain and (generally associated with abscess formation), impaired ability to chew food, and eventual tooth