Efficiency in non-surgical treatment phase of patients with severe chronic generalized periodontitis, a preliminary clinical study

Abstract

Due to the fact that bacteria can re-inhabit the periodontal pockets for a few weeks after active treatment, the periodic mechanical removal of subgingival bacterial substrate is required to prevent any recurrence of inflammations. To determine the effectiveness of non-surgical (initial) stage during complex periodontal therapy in patients with chronic generalized severe periodontitis with a high level of motivation. Carrying out the non-surgical stage four times a year at intervals of three months helps to normalize the average index of bleeding and reduces significantly the depth of periodontal pockets; it also increases the number of teeth with a favorable (3,8%) and doubtful (23,1%) prognosis as well as decreases the number of surgical intervention. The highest effectiveness of non-surgical phase of treatment is achieved in patients with a high level of motivation, and depends on the degree of local and general risk factors.