Non-Surgical Periodontal Therapy- A Beginning

Abstract

Abstract:

A narrative review explains non-surgical periodontal treatment options. Treatment for periodontitis should restore the patient's healthy gums and healthy, pain-free teeth. Scaling and root surface debridement are two of the main components of non-surgical periodontal therapy (NSPT), which aims to eradicate bacterial plaque on the root surface and set the stage for the root surface to heal without resorting to surgery. NSPT improves Visible Plaque Index (VPI), Gingival Bleeding Index (GBI), Probing Pocket Depth (PPD), Clinical Attachment Level (CAL), and reduces inflammation and periodontal infections. The results of the NSPT are subject to change based on the severity of the patient's condition as well as any other health concerns. This narrative review aim is to reacquaint the reader with all possible options for dealing with periodontal Disease without resorting to invasive surgery. Every person with periodontal disease does not accept surgery. Patients prefer non-invasive treatments because it is less invasive and less risky.

NSPT options include different effective options. Scaling with either manual or powered devices can successfully reduce subgingival bacteria to gain healthy tissue. Systemic antibiotics reduce probing depth by 0.2 to 0.8 mm and increase attachment level by 0.2 to 0.6 mm. When utilized properly, lasers can treat both hard and soft tissue walls. Hyperbaric oxygen therapy improved severe periodontitis for almost a year. Single-event photodynamic therapy with scaling and root planning doesn't improve clinical attachment or reduce pocket depth, but it does reduce bleeding.

Non-surgical periodontal therapy is the "gold standard" for enhancing patient-based results, lowering co-morbidities, and increasing safety and quality of care.