Supportive Periodontal Treatment for the natural dentition and dental implants: a review
DOI:
https://doi.org/10.32828/mdj.v18i2.958Keywords:
Maintenance Program, Maintenance Phase, periodontal maintenance therapyAbstract
Aim: To assess the importance of successful periodontal treatment during long-term supportive periodontal treatment.
The maintenance phase has been named the "cornerstone" of effective periodontal treatment when a patient is transferred from active treatment to a maintenance phase which is considered the final stage in comprehensive patient care, it takes effort and time from the patient, staff, and the dentist.
Surgical and non-surgical techniques are used in periodontal therapy; patients should be put on a schedule of periodic reminder visits for supportive care once periodontal therapy is completed to avoid the recurrence of the disease. PD can recur due to poor mouth oral hygiene, insufficient subgingival removal, the microscopic nature of the dentogingival unit healing after periodontal treatment, and other factors. As a result, effective treatment should be provided to prevent disease recurrence.
Conclusion: The success of periodontal therapy is based on a continuous schedule of periodontal maintenance therapy
References
Newman, Takei, Klokkevold, Carranza. 11 ed.Carranza's Clinical Periodontolog,.2012
Niklaus P Lang, And Jan Lindhe.6TH ed. Clinical Periodontology and Implant Dentistry.
Wilson TG Supportive periodontal treatment introduction–definition, extent need, therapeutic objectives, frequency and efficacy. Periodontology 2000. 1996 Oct 1, 12(1):11-5.
Cohen Re. Research, Science and Therapy Committee, American Academy of Periodontology. Position Paper. Periodontal maintenance. J Periodontol.2003; 74(9):1395-401
Chapple ILC, Van der Weijden F, Doerfer C, et al. Primary prevention of periodontitis: managing gingivitis. J Clin Periodontol. 2015;42(S16):S71-S76. https://doi.org/10.1111/jcpe.12366
Manresa C, Ec S, Twigg J, Bravo M. Supportive Periodontal Therapy in adults treated for periodontitis (Review). Published online. 2018. https://doi.org/10.1002/14651858
Angst PDM, Finger Stadler A, Mendez M, Oppermann RV, van der Velden U, Gomes SC. Supportive periodontal therapy in moderate-to-severe periodontitis patients: a two-year randomized clinical trial. J Clin Periodontol. 2019;46(11):1083-1093. https://doi. org/10.1111/jcpe.13178
Lundgren D, Asklöw B, Thorstensson H, Härefeldt AM. Success rates in periodontal treatment as related to the choice of evaluation criteria. J Clin Periodontol. 2008;28(1):23-30. https://doi. org/10.1111/j.1600-051X.2001.280104.x
Morrison EC, Ramfjord SP, Hill R. Short-term effects of initial, nonsurgical periodontal treatment (hygienic phase). J Clin Periodontol. 1980;7(3):199–211.
Armitage GC, Xenoudi P. Post-treatment supportive care for the natural dentition and dental implants. Periodontology 2000. 2016;71:164–84
Shick R. Maintenance phase of periodontal therapy. J Periodontol.1981 52(9):576-83
Lang NP, Suvan JE, Tonetti MS. Risk factor assessment tools for the prevention of periodontitis progression. A systematic review. J Clin Periodontol 2015;42.
. Teles RP, Haffajee AD, Socransky SS. Microbiological goals of periodontal therapy. Periodontol 2000. 2006; 42:180–218.
Page RC, Kornman KS. The pathogenesis of human periodontitis: an introduction. Periodontol 2000. 1997; 14:9–11.
Axelsson P, Nystrom B, Lindhe J. The long-term effect of a plaque control program on tooth mortality, caries and periodontal disease in adults. Results after 30 years of maintenance. J Clin Periodontol. 2004;31:749–57
Greenstein G. Nonsurgical periodontal therapy in 2000: a literature review. J Am Dent Assoc. 2000; 131:1580–92.
Wennstrom JL, Dahlen G, Ramberg P. Subgingival debridement of periodontal pockets by air polishing compared with ultrasonic instrumentation during maintenance therapy. J Clin Periodontol. 2011; 38:820–7.
Hagi TT, Klemensberger S, Bereiter R, Nietzsche S, Cosgarea R, Flury S, et al. A biofilm pocket model to evaluate different Non-surgical periodontal treatment modalities in terms of biofilm removal and reformation, surface alterations and attachment of periodontal ligament fibroblasts. PLoS One. 2015;10: e0131056.
Badersten A, Nilveus R, Egelberg J. Effect of nonsurgical periodontal therapy. II. Severely advanced periodontitis. J Clin Periodontol. 1984;11:63–76
Axelsson P, Lindhe J. The significance of maintenance care in the treatment of periodontal disease. J Clin Periodontol .1981 Aug; 8 (4): 281-94.
Lindhe J, Nyman S. The effect of plaque control and surgical pocket elimination on the establishment and maintenance of periodontal health. A longitudinal study of periodontal therapy in cases of advanced disease. J Clin Periodontol .1975 Apr; 2 (2): 67-79.
Rosling B, Nyman S, Lindhe J, Jern B. The healing potential of the periodontal tissues following different techniques of periodontal surgery in plaque-free dentitions. A 2-year clinical study. J Clin Periodontol.1976 Nov; 3 (4): 233-50.
Lindhe J, Westfelt E, Nyman S, Socransky SS, Haffajee AD. Long-term effect of surgical / non-surgical treatment of periodontal disease. J Clin Periodontol.1984 Aug; 11 (7): 448-58
Wesfelt E, Nyman S, Socransky SS, Lindhe J. Significance of frequency of professional tooth cleaning for healing following periodontal surgery. J Clin Periodontol. 1983; 10: 148-56.
Hill RW, Ramfjord SP, Morrison EC et al .Four types of periodontal treatment compared over two years. J Periodontol.1981;52:655–77
Lang NP, Tonetti MS .Periodontal risk assessment for patients in supportive periodontal therapy. Oral Health prev Dent.2003;1:7-16
Greenstein G. Therapeutic efficacy of cold therapy after intra oral surgical procedures: a literature review. J Periodontol .2007;78:790-800
Merin RL. 9TH ed. Supportive periodontal treatment. In: Newman MG, Takei HH, Carranza FA (Eds) Carranza "s Clinical Periodontology, Philadelphia, PA, USA: WB Saunders.2003; 966-77.
AAP.American Academy of Periodontology. Parameter on chronic periodontitis with slight to moderate loss of periodontal support. Parameters of care supplement. J Periodontol. 2000.2000;71(Suppl. 5):853–5
American Academy of Periodontology. Position Paper Periodontal Maintenance. J Periodontol.2003; 74(9):1395–401.
Claffey N, Nylund K, Kiger R, Garrett S, Egelberg J. Diagnostic predictability of scores of plaque, bleeding, suppuration and probing depth for probing attachment loss. J Clin Periodontol .1990;17(2):108–14.
Lang NP, Adler R, Joss A, Nyman S. Absence of bleeding on probing an indicator of periodontal stability. J Clin Periodontol.1990;17(10):714–21.
Ramfjord SP. Maintenance care for treated periodontitis patients. J Clin Periodontol. 1987; 14:433–7.
Grady, M. D., & Drisko, J. Thorough clinical assessment: The hidden foundation of evidence-based practice. Families in Society.2014; 95(1), 5–14
Farooqi, O. A., Wehler, C. J., Gibson, G., Jurasic, M. M., & Jones, J. A. (2015). Appropriate Recall Interval for Periodontal Maintenance: A Systematic Review. The Journal of Evidence -Based Dental Practice.2015; 15(4), 171 –181. https://doi.org/10.1016/j.jebdp.2015.10.001
Needleman, I., Nibali, L., & Di Iorio, A. Professional mechanical plaque removal for prevention of periodontal diseases in adults - systematic review update. J Clin Periodontol.2015;42, S12 –S35. https://doi.org/10.1111/jcpe.12341
- Worthington, H. V, Clarkson, J. E., Bryan, G., & Beirne, P. V. Routine scale and polish for periodontal health in adults. In H. V Worthington (Ed.), Cochrane Database of Systematic Reviews.2013. (p. CD004625). http://doi.org/10.1002/14651858.CD004625.pub4
American Academy of Periodontology.Parameter on Periodontal Maintenance. J Periodontol.2000;71, 849 –850. http://doi.org/10.1902/jop.2000.71.5 -S.849
Trombelli, L., Franceschetti, G., & Farina, R. Effect of professional mechanical plaque removal performed on a long -term, routine basis in the secondary prevention of periodontitis: a systematic review. J Clin Periodontol.2015; 42, S221 –S236. http://doi.org/10.1111/jcpe.12339
petersilka, G. J., Ehmke, B., & Flemmig, T. F. Antimicrobial effects of mechanical debridement. Periodontology 2000 .2002;28, 56 –71. http://doi.org/10.1034/j.1600 - 0757.2002.280103.x
Gomes, Sabrina Carvalho, Piccinin, F. B., Susin, C., Oppermann, R. V., & Marcantonio, R. A. C. Effect of Supragingival Plaque Control in Smokers and Never -Smokers: 6 - Month Evaluation of Patients With Periodontitis. J Periodontol.2007;78(8), 1515 –1521. https://doi.org/10.1902/jop.2007.060462
Dahlén, G., Lindhe, J., Sato, K., Hanamura, H., & Okamoto, H. (1992). The effect of supragingival plaque control on the subgingival microbiota in subjects with periodontal disease. J Clin Periodontol.1992;19, 802 –809. http://doi.org/10.1111/j.1600 - 051X.1992.tb02174.x
Sato, K., Yoneyama, T., Okamoto, H., Dahlén, G., & Lindhe, J. The effect of subgingival debridement on periodontal disease parameters and the subgingival microbiota. J Clin Periodontol.1993; 20, 359 –365. http://doi.org/10.1111/j.1600 -051X.1993.tb00373.x
Tonetti M.S., Eickholz P., Loos B.G., Papapanou P., van der Velden U., Armitage G., Bouchard P., Deinzer R., Dietrich T., Hughes F., et al. Principles in prevention of periodontal diseases. J. Clin. Periodontol. 2015;42:S5–S11. doi: 10.1111/jcpe.12368. [PubMed] [CrossRef] [Google Scholar]
-Schwarz F., Derks J., Monje A., Wang H.-L. Peri-implantitis. J. Clin. Periodontol. 2018;45: S246–S266. doi: 10.1111/jcpe.12954. [PubMed] [CrossRef] [Google Scholar]
Konstantinidis I.K., Kotsakis G.A., Gerdes S., Walter M.H. Cross-sectional study on the prevalence and risk indicators of peri-implant diseases. Eur. J. Oral Implantol. 2015; 8:75–88. [PubMed] [Google Scholar]
. Salvi G., Lang N. Diagnostic parameters for monitoring peri-implant conditions. Int. J. Oral Maxillofac. Implants. 2004; 19:116–127. [PubMed] [Google Scholar]
. Zangrando M.S., Damante C.A., Sant’Ana A.C., Rubo de Rezende M.L., Greghi S.L., Chambrone L. Long-term evaluation of periodontal parameters and implant outcomes in periodontally compromised patients: A systematic review. J. Periodontol. 2015; 86:201–221. doi: 10.1902/jop.2014.140390. [PubMed] [CrossRef] [Google Scholar]
Menini M., Setti P., Pera P., Pera F., Pesce P. Peri-implant Tissue Health and Bone Resorption in Patients with Immediately Loaded, Implant-Supported, Full-Arch Prostheses. Int. J. Prosthodont. 2018; 31:327–333. doi: 10.11607/ijp.5567. [PubMed] [CrossRef] [Google Scholar]
. Atieh M.A., Alsabeeha N.H.M., Faggion C.M., Duncan W.J. The frequency of peri-implant diseases: A systematic review and meta-analysis. J. Periodontol. 2013; 84:1586–1598. doi: 10.1902/jop.2012.120592. [PubMed] [CrossRef] [Google Scholar]
Humphrey S .Implant maintenance. Dent Clin North Am.2006;50(3):463-78.
-Martin W, Lewis E, Nicol A .Local Risk Factors for implant therapy. Int J Oral Maxillofac Implants.2009; 24(Suppl.):28-38
Gerber JA, Tan WC, Balmer TE, Salvi GE, Lang NP .Bleeding on probing and pocket probing depth in relation to probing pressure and mucosal health around oral implants. Clin Oral Impl Res.2009;20(1):75-8.
Sennerby L, Meredith N. Implant stability measurements using resonance frequency analysis: biological and biomechanical aspects and clinical implications. Periodontology 2000.2008; 47:51-66
-Bouri A Jr, Bissada N, Al-Zahrani MS, Fadoul F, Nounen I .Width of keratinized gingiva and the health status of the supporting tissues around dental implants. Int J Oral Maxillofac Implants .2008;23(2):323-6.
Lang NP, Berglundh T, Heitz-Mayfield LJ, Pjetursson BE, Salvi GE, Sanz M .Consensus statements and recommended clinical procedures regarding implant survival and complications. Int J Oral Maxillofac Implants.2004; 19(Suppl):150-4.
Lindhe J, Meyle J .Group D of European Workshop on Periodontology. Peri-implant diseases: Consensus Report of the Sixth European Workshop on Periodontology. J Clin Periodontol.2008; 35(8 Suppl):282-5
Todescan S, Lavigne S, Kelekis-Cholakis A .Guidance for the maintenance care of dental implants: clinical review. J Can Dent Assoc2012;78:c107
Mombelli A, Lang NP. The diagnosis and treatment of periimplantitis. Periodontol 2000 1998;17:63–76
Wilson TG Jr, Hale S, Temple R.The results of efforts to improve compliance with supportive periodontal treatment in aprivate practice. J Periodontol.1993; 64(4):311–4.
Checchi L, Montevecchi M, Gatto MR, Trombelli L .Retrospective study of tooth loss in 92 treated periodontal patients. J Clin Periodontol .2002;29(7):651–6.
Ng MC, Ong MM, Lim LP, Koh CG, Chan YH .Tooth loss in compliant and non-compliant periodontally treated patients: 7 years after active periodontal therapy. J Clin Periodontol.2011; 38(5):499–508.
Lorentz TC, Cota LO, Cortelli JR, Vargas AM, Costa FO .Prospective study of complier individuals under periodontal maintenance therapy: analysis of clinical periodontal parameters, risk predictors and the progression of periodontitis. J Clin Periodontol.2009; 36(1):58–67.
Chambrone LA, Chambrone L. Tooth loss in well-maintained patients with chronic periodontitis during long-term supportive therapy in Brazil. J Clin Periodontol. 2006;33(10):759–64.
Manresa C, Sanz -Miralles EC, Twigg J, Bravo M. Supportive periodontal therapy (SPT) for maintaining the dentition in adults treated for peri odontitis. Cochrane Database Syst Rev. 2018. https://doi.org/10.1002/ 14651858.CD009376.pub2/full.
Becker W, Becker BE, Berg LE. Periodontal treatment without maintenance. A retrospective study in 44 patients. Journal of periodontology 1984 Sep; 55 (9): 505-9.
Tan A. Periodontal maintenance. Aust Dent J. 2009;54: S110-S117. https://doi.org/10.1111/j.1834-7819.2009.01149.x
-Lee CT, Huang HY, Sun TC, Karimbux N. Impact of patient compliance on tooth loss during supportive periodontal therapy: a systematic review and meta-analysis. J Dent Res. 2015;94(6):777-786. https://doi.org/10.1177/0022034515578910
Chapple ILC, Mealey BL, Van Dyke TE, et al. Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: Consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Clin Periodontol. 2018;45(Suppl 20):S68- S77. https://doi.org/10.1111/jcpe.12940
Matuliene G, Pjetursson BE, Salvi GE, et al. Influence of residual pockets on progression of periodontitis and tooth loss: Results after 11 years of maintenance. J Clin Periodontol. 2008;35(8):685- 695. https://doi.org/10.1111/j.1600-051X.2008.01245.x
Salvi GE, Mischler DC, Schmidlin K, et al. Risk factors associated with the longevity of multi-rooted teeth. Long-term outcomes after active and supportive periodontal therapy. J Clin Periodontol. 2014;41(7):701-707. https://doi.org/10.1111/jcpe.12266
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