Postgraduate Periodontics, Faculty of Dentistry, Universidad Complutense de Madrid, Madrid, Spain.
Periodontics, Faculty of Dentistry, University of Barcelona, Barcelona, Spain.
Periodontol 2000. 2019 Feb;79(1):7-14. doi: 10.1111/prd.12245. Epub 2019 Mar 19.
This volume of Periodontology 2000, entitled "Treatment Trends in Periodontics", evaluates the importance of nonsurgical periodontal therapy and defines its role as the key etiologic treatment of the disease. The need for scaling and root planing is mandatory step during the initial phase of therapy, as is self-care by the patient. Only after reevaluation of the outcome achieved by nonsurgical procedures should surgery be considered, and the concept of "critical probing depth" is emphasized. The chapters in this volume discuss different aspects of periodontal surgery, including regeneration and plastic periodontal procedures, and, looking toward the future, cell therapy in periodontics is explored. The impact of periodontal therapy on systemic diseases is reviewed, and the role of occlusion in periodontal disease is revisited and discussed. Topics on implants include their placement in fresh extraction sockets, socket healing with or without implant placement, and research on osseointegration. The important topic of maintenance care of teeth and implants for long-term therapeutic success is thoroughly evaluated, as is the efficacy of dentifrices in oral hygiene. The editors convey a nutshell review of the concepts of what periodontal treatment should entail, based on scientific evidence generated during half-a-century of work in periodontics.
本卷《牙周病学 2000》的主题为“牙周病治疗趋势”，评估了非手术牙周治疗的重要性，并将其定义为该疾病的主要病因治疗方法。在治疗的初始阶段，牙周洁治和根面平整是强制性步骤，患者的自我护理也是如此。只有在对非手术治疗的效果进行重新评估后，才应考虑手术，并且强调了“临界探诊深度”的概念。本卷中的章节讨论了牙周手术的不同方面，包括再生和整形牙周手术，并且展望未来，探讨了牙周病中的细胞治疗。还回顾了牙周治疗对全身疾病的影响，并重新审视和讨论了咬合在牙周病中的作用。有关种植体的主题包括在新鲜拔牙窝中放置种植体、有无种植体放置时的牙槽窝愈合，以及对骨整合的研究。对牙齿和种植体长期治疗成功的维护性护理的重要主题进行了彻底评估，以及牙膏在口腔卫生中的功效。编辑们根据牙周病学半个世纪的工作所产生的科学证据，简要总结了牙周治疗应包含的概念。
