title: Nonsurgical mechanical treatment strategies for periodontal disease.
abstract: The comparison of the efficacy of surgical and nonsurgical procedures revealed that scaling and root planing alone or in combination with flap procedures are effective methods for the treatment of chronic periodontitis. Also, the consistent message is that in treating deep pockets, open-flap debridement results in greater probing pocket depth reduction and clinical attachment gain than nonsurgical modalities. Nonsurgical modalities in shallower pockets consistently involve less post-therapy recession and are clearly recognized as being more conservative. Research is still needed on the clinical benefit of the granulation tissue removal that is a feature of periodontal surgical therapy and, to a lesser extent, occurs through indirect trauma in nonsurgical therapy.
authors.affiliation: Dental School, Department of Preventive Dentistry, Periodontology and Biology of Implants, Aristotle University of Thessaloniki, University Campus, 54124 Greece. perioapatzidou@yahoo.gr
authors.forename: Danae A
authors.initials: DA
authors.lastname: Apatzidou
authors.forename: Denis F
authors.initials: DF
authors.lastname: Kinane
mesh_terms: D000891:Anti-Infective Agents, Local / Q000627:therapeutic use; D000907:Antibodies, Bacterial / Q000097:blood; D002710:Chlorhexidine / Q000627:therapeutic use; D055113:Chronic Periodontitis / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D003646:Debridement / Q000379:methods; D012534:Dental Scaling; D005889:Gingival Recession / Q000517:prevention & control; D006801:Humans; D010514:Periodontal Pocket / Q000382:microbiology / Q000628:therapy*; D014464:Ultrasonic Therapy
chemical_list: D000891:Anti-Infective Agents, Local; D000907:Antibodies, Bacterial; D002710:Chlorhexidine