title: [A comparative evaluation of the efficacy of the excisional new attachment procedure (ENAP) relative to root planing in the etiological phase of periodontal therapy].
abstract: BACKGROUND
  In the present study, the effectiveness of root planing has been compared to the excisional new attachment procedure (ENAP) during the etiological phase of periodontal therapy, after the supragingival scaling, in order to establish if a technique offering an easy access to the subgingival areas could reduce the need for a surgical phase in the periodontal treatment.
  
  
  METHODS
  Twenty-seven patients, affected by moderate periodontitis, participated in this study; in each of them root planing was performed in a half of the oral cavity (control site) and the ENAP in the other half (test site). The main clinical parameters of periodontal health (probing depth--PD-, attachment loss--AL-, plaque index--PlI- and gingival index--GI-) were evaluated before and 1, 2 and 6 months after the periodontal treatment.
  
  
  RESULTS
  The results of the study showed that the parameters related with the amount of plaque and with the conditions of the marginal gingival tissue were not influenced by the different treatments used. Better improvements were found in PD and AL values in teeth treated by ENAP compared to those treated by root planing; this result is explained by a better access to the roots offered by the ENAP.
  
  
  CONCLUSIONS
  We can conclude that, within the limits of the present study, the ENAP can reduce the need for a further surgical treatment of the periodontal patient.
authors.affiliation: Dipartimento di Scienze Odontostomatologiche, Università degli Studi G. D'Annunzio, Chieti.
authors.forename: D
authors.initials: D
authors.lastname: D'Archivio
authors.forename: G
authors.initials: G
authors.lastname: Di Placido
authors.forename: V
authors.initials: V
authors.lastname: Tumini
authors.forename: A
authors.initials: A
authors.lastname: Del Giglio Matarazzo
authors.forename: R
authors.initials: R
authors.lastname: Tritapepe
authors.forename: M
authors.initials: M
authors.lastname: Paolantonio
mesh_terms: D000328:Adult; D000368:Aged; D003774:Dental Plaque Index; D005260:Female; D005500:Follow-Up Studies; D005889:Gingival Recession / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019647:Oral Surgical Procedures / Q000379:methods*; D010512:Periodontal Index; D010513:Periodontal Ligament / Q000601:surgery*; D010514:Periodontal Pocket / Q000209:etiology / Q000601:surgery*; D016745:Root Planing / Q000379:methods*; D013997:Time Factors