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Cited by 336Oral microbiology and periodontitis researchPeriodontal Regeneration and TreatmentsLaser Applications in Dentistry and Medicine

Surgical and nonsurgical periodontal therapy. Learned and unlearned concepts

Heitz‐Mayfield, Lisa J. A., Lang, Niklaus P.·2013·Periodontology 2000
DOI 10.1111/prd.12008
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Abstract

This review aims to highlight concepts relating to nonsurgical and surgical periodontal therapy, which have been learned and unlearned over the past few decades. A number of treatment procedures, such as gingival curettage and aggressive removal of contaminated root cementum, have been unlearned. Advances in technology have resulted in the introduction of a range of new methods for use in nonsurgical periodontal therapy, including machine‐driven instruments, lasers, antimicrobial photodynamic therapy and local antimicrobial‐delivery devices. However, these methods have not been shown to offer significant benefits over and above nonsurgical debridement using hand instruments. The method of debridement is therefore largely dependent on the preferences of the operator and the patient. Recent evidence indicates that specific systemic antimicrobials may be indicated for use as adjuncts to nonsurgical debridement in patients with advanced disease. Full‐mouth disinfection protocols have been proven to be a relevant treatment option. We have learned that while nonsurgical and surgical methods result in similar long‐term treatment outcomes, surgical therapy results in greater probing‐depth reduction and clinical attachment gain in initially deep pockets. The surgical technique chosen seems to have limited influence upon changes in clinical attachment gain. What has not changed is the importance of thorough mechanical debridement and optimal plaque control for successful nonsurgical and surgical periodontal therapy.

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137 of 137 references verified0 citation errors · 0 not checkable

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  • Non-surgical periodontal therapy (NSPT) primarily consists of subgingival scaling and root surface debridement to eliminate calculus and supra/subgingival biofilm, and is the gold-standard treatment for Stages I-III periodontitis.

    “Non-surgical periodontal therapy (NSPT) primarily consists of subgingival scaling and root surface debridement to eliminate calculus and supra/subgingival biofilm [26], which is the gold-standard treatment for Stages I–III periodontitis [25].”

    From Effect of non-surgical periodontal therapy on risk markers of cardiovascular disease: a systematic review and meta-analysis (2024) · cites this paper as [26]

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Authors
Heitz‐Mayfield, L. J. A., & Lang, N. P.
ORCID
Venue
Periodontology 2000
Publisher
Wiley
Published
2013-04-11
Volume
62
Issue
1
Pages
218-231
ISSN
  • 0906-6713 (ISSN-L)
  • 1600-0757
DOI
10.1111/prd.12008
OpenAlex
W1939289077
Cited by
336
References
137
Citations by year
2026: 23 · 2025: 34 · 2024: 31 · 2023: 38 · 2022: 34 · 2021: 34 · 2020: 26 · 2019: 36 · 2018: 14 · 2017: 22 · 2016: 20 · 2015: 13 · 2014: 8 · 2013: 1
FWCI
2.05
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Periodontology 2000 (publishedVersion)
  • PubMed (publishedVersion)
  • UWA Profiles and Research Repository (UWA) (submittedVersion)
Topics
  • Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
  • Health Sciences › Medicine › Urology › Periodontal Regeneration and Treatments
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Laser Applications in Dentistry and Medicine
Keywords
periodontal treatment, non-surgical periodontal therapy, periodontal surgery, gingival curettage, laser therapy, antimicrobial photodynamic therapy, local antimicrobial delivery, systemic antimicrobials, full-mouth disinfection, mechanical debridement, plaque control, clinical attachment level gain, probing depth reduction, periodontal pocket treatment
MeSH terms
Anti-Infective Agents, Combined Modality Therapy, Debridement, Dental Plaque, Dental Prophylaxis, Humans, Periodontal Diseases, Periodontal Pocket, Treatment Outcome, Periodontal Attachment Loss, Periodontal Debridement

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