Anais e Essências da Odontologia
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SURGICAL AND NON-SURGICAL TREATMENT OF CHRONIC PERIODONTAL DISEASE

Shruthi Nambiar, Vijay Kumar Chava, Ramesh Reddy B.V

The aim of this paper is to compare nonsurgical and surgical treatment for periodontitis by longitudinal trials. Treatment of periodontits can be broadly classified into either surgical or non-surgical approaches. Non-surgical therapy includes plaque control, supra- and subgingival scaling, root planing (SRP), and the adjunctive use of chemotherapeutic agents. Surgical therapy can be divided into either resective or regenerative procedures. The majority of articles reviewed agree that when adequate access for root debridement is achieved, non-surgical treatment of chronic periodontal diseases seems to be as effective as surgical treatment in the long-term maintenance of clinical attachment levels (CAL). SRP is limited by the presence of furcation involvements, deep pocket depths, and root anatomy. Conclusion: Decision-making in periodontal therapy requires a thorough understanding of the long-term outcomes of all available treatment modalities. Studies have consistently shown that SRP can provide similar improvements of clinical attachment levels when compared to surgical treatment. However, several factors need to be considered when deciding on which treatment approach to select for the treatment of chronic periodontal disease