New guidelines from the American Dental Association have indicated that scaling and root planing and deep cleaning of the teeth should be used as initial treatment in chronic periodontitis cases.
These guidelines, based on a systematic review and meta-analysis of treatment of periodontitis, were published in the July issue of the Journal of the American Dental Association.
ADA President, and periodontist, Maxine Feinberg, said: “This is the first time the various treatments of periodontitis have been compared side-by-side. Dentists are often challenged with managing gum disease of varying severity; these guidelines will assist practitioners in their decision-making and ultimately help patients receive the right treatment at the right time.”
The author of the guideline highlights that chronic periodontist affects an estimated 47.2% of the US adult population aged 30 and older. It is a major cause of tooth loss and has been linked to numerous diseases throughout the body.
In 2011, the ADA resolved to develop a clinical practice guideline on nonsurgical treatments including scale and root planing. The ADA concluded that clinicians should consider scale and root planing as the initial treatment for patients with chronic periodontitis.
Other treatments combined with this were examined, including systemic subantimicrobial-dose doxycycline, systemic antimicrobials and lasers. The sub-antimicrobial dose doxycycline (Periostat) was a stronger recommendation than other systemic antimicrobials/antibiotics because of concerns of side effects and overprescribing.