The use of systemically administered adjunctive antibiotics with and without SRP and/or surgery appeared to provide a greater clinical improvement in AL than therapies not employing these agents. A systematic review by Ng et al. Authors Authors included in this research randomised controlled trials assessing the effect of different periodontal maintenance protocols on BoP, PPD and CAL and evaluating SPT  (with a minimum follow-up of 12 months): - Vs monitoring only or alternative approaches to mechanical debridement; - Vs different approaches to or providers of SPT; - Vs different time intervals for SPT  delivery. Such maintenance or supportive therapy is important to assess long-term success of periodontal therapies, prevent recurrence or contin… A functional diagram may help the clinician in determining the risk for disease progression on the subject level. What is performed at these visits? The recall interval for this is usually every 3 months but this will be patient specific. This program involved recalls once every 2–3 months and included instruction and practice in oral hygiene, meticulous scaling and professional tooth cleaning. Periodontal maintenance is deeper than a normal cleaning in the dental office. 5. Apical periodontitis is a local inflammatory response due to the presence of microorganisms within an infected root canal system . The objective of SPT is to maintain improvements made by the active periodontal treatment and to minimise recurrence of the disease. Access scientific knowledge from anywhere. The results of this study concur with multicenter and earlier results for the osseointegration method. Standardized annual clinical and radiographic examinations were conducted as far as possible. Privacy In some specific case, another treatment option that aims to the regeneration of the lost bone is possible using particular surgical techniques. Improvements in mean AL were consistent for both chronic and aggressive periodontitis subjects, although the aggressive periodontitis patients benefited more from the antibiotics. 3. Supportive Periodontal Therapy. It consists of an assessment of the level of infection (full mouth bleeding scores), the prevalence of residual periodontal pockets, tooth loss, an estimation of the loss of periodontal support in relation to the patient's age, an evaluation of the systemic conditions of the patient and finally, an evaluation of environmental and behavioral factors such as smoking. Most failures can be avoided by instituting a regular recall system. At baseline and 3 and 6 months, clinical, microbiologic (real-time polymerase chain reaction analyses), cytokine pattern (multiplexed bead immunoassay), and patient-centered (regarding morbidity) evaluations were performed. This is an ongoing prevention program of … Trials were selected if they met the following criteria: randomized controlled clinical trials, quasi-experimental studies, and cohort studies of > 1 month duration with a comparison group; subjects with aggressive, chronic, or recurrent periodontitis and periodontal abscess; use of a single or a combination of systemically administered antibiotics(s) versus non-antibiotic therapy; and a primary outcome of mean attachment level change (AL). Contact us This study evaluates records from non‐compliant patients in an attempt to identify a profile of patients with a higher risk of becoming non‐compliant. This appointment will involve measuring the gums to ensure any relapse is picked up early, removing any bacterial deposits and re-treating any developing pockets. This may be useful in customizing the frequency and content of SPT visits. The results suggest that embarrassment, nervousness, lack of time, practice location, beliefs/ideals, and personal crises were not significant reasons for non‐compliance. The use of adjunctive photodynamic therapy did not demonstrate evidence of benefit compared to mechanical debridement  only (very low-quality evidence). Care’ implies. There are conflicting reports as to whether these agents provide a therapeutic benefit. 2. Carolina Manresa, Elena C Sanz-Miralles, Joshua Twigg, Manuel Bravo, Supportive periodontal therapy (SPT) for maintaining the dentition in adults treated for periodontitis, Cochrane Database of Systematic Reviews, 10.1002/14651858.CD009376.pub2, (2018). Supportive Periodontal Therapy is commonly used to treat the following diseases/condition: Periodontal (Gum) Disease, Gingivitis, Gum Infection, Gum Inflammation, Periodontitis, Bleeding Gums, Gum Pain, Gum Problems Periodontal treatment includes: 1. systemic evaluation of the patient's health 2. a cause-related therapeutic phase 3. a corrective phase involving periodontal surgical procedures 4. maintenance phase • The 3rd World Workshop of the American Academy of Periodontology (1989) has renamed this treatment phase "supportive periodontal therapy" (SPT). Background: Supportive periodontal therapy (SPT) is needed for the success of periodontal therapy; however, patient compliance is poor. Supportive Periodontal Therapy - Free download as Powerpoint Presentation (.ppt), PDF File (.pdf), Text File (.txt) or view presentation slides online. Only patients in the PDT protocol exhibited augmented levels of anti-inflammatory interleukin (IL)-4 and reduced proinflammatory IL-1β and IL-6 throughout the study (P <0.05). Why is maintenance therapy necessary? Keywords: Supportive periodontal therapy, Periodontal disease, Tooth loss, Periodontal risk assessment, Therapy-resistant periodontitis Background Prevention and control of periodontal disease are an important issue for improving dental and oral health. Such failure may be caused by errors in patient selection, incomplete diagnostic procedures, diagnostic or prognostic errors, treatment difficulties and obstacles, non-controlled healing, or the absence of maintenance therapy. The purpose of this study was to evaluate the compliance to maintenance schedules recommended supportive periodontal therapy(SPT) and to determine differences in the characteristics of compliant and non-compliant patients. Effectiveness of motivational interviewing on the prevention of early childhood caries. Periodontal diseases are infections and thus systemically administered antibiotics are often employed as adjuncts for their control. c. Refractory Periodontitis. To read more […] J Clin Periodontol 14:433- 437, 1987. In this case-control study the authors selected some genes and loci which might be associated with generalized aggressive periodontitis  (GAgP), to identify the susceptibility genes of GAgP in... Periodontal and peri-implant surgical reconstruction of soft tissues with autogenous grafts. Aggressive Periodontitis: which is the best therapy? Calculated from the time of fixture placement, the estimated survival rates for individual fixtures in the maxilla were 84%, 89%, and 92% at 5 years; 81% and 82% at 10 years; and 78% at 15 years. Results were assessed with both fixed-effects and random-effects models. Twenty-two studies (27 comparisons) were used in the meta-analysis, evaluating if the antibiotics provided a consistent benefit in mean AL change for different patient populations, for different therapies, and for different antibiotics. Supportive Periodontal Therapy Once periodontal disease is brought under control with treatment, it is very important that you get periodontal maintenance care on a regular basis. According to the American Academy of Periodontology, 3 out of every 4 Americans currently suffer from some form of gum disease. The maxillary canines usually emerge at the mean age of 10.5 years in girls and 11.5 years in boys, with individual variation of 3–4 years. Periodontal maintenance procedures (also known as supportive periodontal therapy) are designed to minimize the recurrence and progression of periodontal disease in patients that have been previously treated for periodontal problems. 64,66 If subgingival plaque is left behind during scaling, it regrows within the pocket. According to the new 2018 classification scheme, the diseases previously recognized as chronic (CP) or aggressive (AgP) periodontitis were grouped under a single category named periodontitis. The combined results were statistically significant (P < 0.001). The subject risk assessment may estimate the risk for susceptibility for progression of periodontal disease. supportive periodontal treatment forms an integral part of periodontal therapy, with all treatment accomplishments channeled into achieving a healthy periodontal status that can be effectively maintained. Supportive Periodontal Therapy (Maintenance) b. Re-treatment. Split-mouth studies where authors considered there could be a risk of contamination were excluded. Schallhorn RG, Snider LE. When a patient completes their deep scaling and Root Planing, we do not like to let you go the normal 6 months between cleanings until we have gotten all of your pockets to return to normal with little to no bleeding. It is mostly observed on the palatal mucosa, accompanied by erythema, mucous membrane inflammation and sometimes pain or... About us References in relevant papers and review articles were also examined. Periodontitis can be defined as inflammation of the periodontal tissues. URJDS 2017, 04 (06): Page 1-7, Universal Research Journal of Dental Sciences, 04 (06), Novem, compliance several approaches have been suggested, Source of support: Nil, Conflict of interest: None Declared. They were on an individual basis given case presentation, instructed how to practice proper tooth-cleaning methods, their teeth were scaled and eventually the periodontal pockets were treated using the modified Widman technique. 1. Two out of three patients were maintained in a carefully designed and controlled maintenance care program at the university clinic. Reliance on this position paper in patient management will not guarantee a successful outcome, as periodontal diseases typically involve numerous and complex causes and symptoms. By Krishna Kripal and Kavita Chandrasekaran. 4. Prevalence of apical Periodontitis in endodontically treated teeth. Supportive periodontal therapy Longterm clinical studies showed that patients who received regular supportive periodontal therapy are more likely to retain their teeth than patients who received sporadic care or who dropped out of care completely. -GPT 2001. Background: Faculty of Dental Sciences, Sgt University, performed at selected intervals to assist the, - furcation defects, while maintaining p, periodontitis (e.g., increased pocket depth, bone, touch and light pressure, keeping the tip parallel to the, Debridement of tooth surfaces to remove supra and, has implant training to execute protocol (C), and finally, Bhardwaj et al. The Pub/Med database was searched from 1966 to May 2002. Methods: 6. A split-mouth, randomized controlled trial was conducted in patients with chronic periodontitis (N = 22) presenting at least three residual pockets (probing depth [PD] ≥5 mm with bleeding on probing [BOP]). A total of 4,636 standard fixtures were placed and followed according to the osseointegration method for a maximum of 24 years by the original team at the University of Göteborg. Following completion of treatment and arrest of inflammation, supportive periodontal therapy (SPT) is employed to reduce the probability of re-infection and progression of the disease; to maintain teeth without pain, excessive mobility or persistent infection in the long term, and to prevent related oral diseases.According to the American Academy of Periodontology, SPT should include all components … Join ResearchGate to find the people and research you need to help your work. Hand searches were performed on the Journal of Clinical Periodontology, Journal of Periodontology, and Journal of Periodontal Research. The material consisted of 90 patients who in 1972 were referred for specialist treatment of advanced periodontal disease. This is usually achieved both with mechanical debridement  and with assisting patients to perform effective oral hygiene. Data were subset by antibiotic employed, type of adjunctive therapy, and disease type. 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