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Effect of nonsurgical periodontal therapy. III. Single versus repeated instrumentation.

Abstract：

:Healing events following nonsurgical periodontal therapy were studied, comparing the effect of a single initial instrumentation to the effect of 3 instrumentations, each separated by 3 months. Incisors, cuspids and premolars with periodontal pockets up to 11 mm deep in 13 patients were treated by plaque control and supra- and subgingival debridement using ultrasonic instruments. A split mouth approach was used to compare the 2 frequencies of instrumentation. The results were evaluated by recording of plaque scores, bleeding on probing, probing pocket depths and probing attachment levels. A gradual and marked improvement of the periodontal conditions took place during the initial 9 months following start of therapy. During the remaining 15 months of the 24-month experimental period no further changes of the recorded parameters were noted. No differences in results could be observed when comparing the effects of a single versus repeated instrumentation. Thus, it appears that deep periodontal pockets in incisors, cuspids and premolars may be successfully treated by plaque control and 1 episode of instrumentation. The results also suggest that recurrence of disease due to subgingival recolonization by microorganisms during the healing phase may not be a major clinical problem.

journal_name

J Clin Periodontol

journal_title

Journal of clinical periodontology

authors

Badersten A,Nilveus R,Egelberg J

doi

10.1111/j.1600-051x.1984.tb00839.x

subject

Has Abstract

pub_date

1984-02-01 00:00:00

pages

114-24

issue

2

eissn

0303-6979

issn

1600-051X

journal_volume

11

pub_type

杂志文章

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