Initial Periodontal Therapy Case Study

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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…show more content…
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…show more content…
There for, treatment was aimed at removing the necrotic bone5. Gingivectomies and /or Flap procedures were performed to gain access and to remove the necrotic, infected bone. Later studies helped in dismissing this belief of necrosis of bone 6. The predominant form of therapy was Gingivectomy because the etiology was shown to be an inflammatory process of the soft tissues that lead to alveolar bone destruction. Later studies helped to identify the role of cleaning the roots in prevention7 and the preventable nature of periodontal disease. However, it wasn't until the classical studies by Waerhaug and co-workers were published that the role of plaque and calculus in the pathogenesis of periodontal disease was clearly recognized.8,9 Several studies in the 1960s and 1970s on microbial composition of plaque, experimental gingivitis, and the effects of oral hygiene (OH) and treatment on periodontal disease contributed to the evolution of periodontal therapies aimed at preventing and arresting periodontal diseases. Although the development of guided tissue and bone regeneration procedures and the identification of the role of systemic host factors have led to a more comprehensive array of treatment modalities, the basic therapeutic armamentarium can still be generally classified into non-surgical and surgical

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