Current Concepts in the Management of Periodontitis

ABSTRACT: Periodontitis is a common disorder affecting >40% of adults in the United States. Globally, the severe form of the disease has a prevalence of 11%. In advanced cases, periodontitis leads to tooth loss and reduced quality of life. The aetiology of periodontitis is multifactorial. Subging...

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Autores principales: TaeHyun Kwon, Ira B. Lamster, Liran Levin
Formato: article
Lenguaje:EN
Publicado: Elsevier 2021
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spelling oai:doaj.org-article:1d7320e18b684d97831403361032c3032021-11-24T04:21:20ZCurrent Concepts in the Management of Periodontitis0020-653910.1111/idj.12630https://doaj.org/article/1d7320e18b684d97831403361032c3032021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S0020653920365606https://doaj.org/toc/0020-6539ABSTRACT: Periodontitis is a common disorder affecting >40% of adults in the United States. Globally, the severe form of the disease has a prevalence of 11%. In advanced cases, periodontitis leads to tooth loss and reduced quality of life. The aetiology of periodontitis is multifactorial. Subgingival dental biofilm elicits a host inflammatory and immune response, ultimately leading to irreversible destruction of the periodontium (i.e. alveolar bone and periodontal ligament) in a susceptible host. In order to successfully manage periodontitis, dental professionals must understand the pathogenesis, primary aetiology, risk factors, contributing factors and treatment protocols. Careful diagnosis, elimination of the causes and reduction of modifiable risk factors are paramount for successful prevention and treatment of periodontitis. Initial non-surgical periodontal therapy primarily consists of home care review and scaling and root planing. For residual sites with active periodontitis at periodontal re-evaluation, a contemporary regenerative or traditional resective surgical therapy can be utilised. Thereafter, periodontal maintenance therapy at a regular interval and long-term follow-ups are also crucial to the success of the treatment and long-term retention of teeth. The aim of this review is to provide current concepts of diagnosis, prevention and treatment of periodontitis. Both clinical and biological rationales will be discussed.TaeHyun KwonIra B. LamsterLiran LevinElsevierarticleBiofilmdental plaqueoral hygieneperiodontal diseasenon-surgical periodontal therapyDentistryRK1-715ENInternational Dental Journal, Vol 71, Iss 6, Pp 462-476 (2021)
institution DOAJ
collection DOAJ
language EN
topic Biofilm
dental plaque
oral hygiene
periodontal disease
non-surgical periodontal therapy
Dentistry
RK1-715
spellingShingle Biofilm
dental plaque
oral hygiene
periodontal disease
non-surgical periodontal therapy
Dentistry
RK1-715
TaeHyun Kwon
Ira B. Lamster
Liran Levin
Current Concepts in the Management of Periodontitis
description ABSTRACT: Periodontitis is a common disorder affecting >40% of adults in the United States. Globally, the severe form of the disease has a prevalence of 11%. In advanced cases, periodontitis leads to tooth loss and reduced quality of life. The aetiology of periodontitis is multifactorial. Subgingival dental biofilm elicits a host inflammatory and immune response, ultimately leading to irreversible destruction of the periodontium (i.e. alveolar bone and periodontal ligament) in a susceptible host. In order to successfully manage periodontitis, dental professionals must understand the pathogenesis, primary aetiology, risk factors, contributing factors and treatment protocols. Careful diagnosis, elimination of the causes and reduction of modifiable risk factors are paramount for successful prevention and treatment of periodontitis. Initial non-surgical periodontal therapy primarily consists of home care review and scaling and root planing. For residual sites with active periodontitis at periodontal re-evaluation, a contemporary regenerative or traditional resective surgical therapy can be utilised. Thereafter, periodontal maintenance therapy at a regular interval and long-term follow-ups are also crucial to the success of the treatment and long-term retention of teeth. The aim of this review is to provide current concepts of diagnosis, prevention and treatment of periodontitis. Both clinical and biological rationales will be discussed.
format article
author TaeHyun Kwon
Ira B. Lamster
Liran Levin
author_facet TaeHyun Kwon
Ira B. Lamster
Liran Levin
author_sort TaeHyun Kwon
title Current Concepts in the Management of Periodontitis
title_short Current Concepts in the Management of Periodontitis
title_full Current Concepts in the Management of Periodontitis
title_fullStr Current Concepts in the Management of Periodontitis
title_full_unstemmed Current Concepts in the Management of Periodontitis
title_sort current concepts in the management of periodontitis
publisher Elsevier
publishDate 2021
url https://doaj.org/article/1d7320e18b684d97831403361032c303
work_keys_str_mv AT taehyunkwon currentconceptsinthemanagementofperiodontitis
AT irablamster currentconceptsinthemanagementofperiodontitis
AT liranlevin currentconceptsinthemanagementofperiodontitis
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