Goel Khushboo
Department of Periodontology and Oral Implantology, College of Dental Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.
JNMA J Nepal Med Assoc. 2018 Jan-Feb;56(209):544-546.
Periodontal diseases are the complex disease with a dynamic relationship between biofilm and the host immunoinflammatory response. The goal of periodontal therapy is to preserve the natural dentition and increase their longevity by creation of a favorable environment around the teeth. The mainstay to achieve this is by the non-surgical periodontal therapy, followed by surgical and other recent treatment modalities. However, there seems no sure indication to choose amongst them that are clinically significant and offer long term predictability. We report here two cases that had supracrestal defects and were treated with less invasive instrumentation and repeated full mouth scaling and root planing. This avoided a surgical intervention and was more cost-effective in treating moderate to severe young chronic periodontitis patients. The decision for the type of treatment needs to be critically assessed with a better understanding of the outcome, morphology of the defects, and type of teeth involved. Fundamentals like positive reinforcements, compliance and self-performed plaque control will always remain an integral component regardless of nonsurgical or surgical periodontal therapy.
牙周疾病是一种生物膜与宿主免疫炎症反应之间存在动态关系的复杂疾病。牙周治疗的目标是通过在牙齿周围创造有利环境来保留天然牙列并延长其使用寿命。实现这一目标的主要方法是非手术牙周治疗，其次是手术治疗和其他近期的治疗方式。然而，在这些具有临床意义并提供长期可预测性的治疗方法中，似乎没有明确的选择指征。我们在此报告两例患有龈上缺损的病例，采用了侵入性较小的器械操作以及反复的全口洁治和根面平整进行治疗。这避免了手术干预，并且在治疗中度至重度年轻慢性牙周炎患者时更具成本效益。治疗类型的决策需要在更好地了解治疗结果、缺损形态和受累牙齿类型的基础上进行严格评估。无论是非手术还是手术牙周治疗，诸如积极强化、依从性和自我进行的菌斑控制等基本要素始终是不可或缺的组成部分。
