Group B Reactor Report: Non-surgical periodontal therapy: mechanical debridement, antimicrobial agents and other modalities

Authors: Niklaus P. Lang

Abstract

Introduction The Initiator Paper for this discussion group by Feres et al. (2015), is a well balanced and objective review of most of the non-surgical treatment modalities suggested in the recent decade either as adjunct or supplemental measures to mechanical debridement. Periodontal diseases are opportunistic infections caused by a proliferation of putative periodontal pathogens in a susceptible host and in an ecologic environment conducive to the colonization of periodontal niches with strict anaerobic bacteria. Consequently, the treatment of periodontitis must be anti-infective in nature and address both the composition of the bacterial colonization as well as the environmental factors that made it possible for pathogenic microorganisms to establish and proliferate. Hence, treatment of periodontitis is not only aimed at the eradication of the pathogenic microbiota, or at least the significant reduction of it, but also at influencing the environment to the extent that a health-associated instead of a strictly anaerobic microbiota may be established in periodontally diseased sites. This, in turn, means that physico-chemical conditions with a high partial pressure of oxygen (pO2), a high redox potential (Rh) and a neutral or low pH are promoted through the therapeutic measures.

Download Article

Other articles in this issue

Article
Introduction Download
Group A Initiator Paper: Plaque control: Home remedies practiced in developing countries Dagmar E. Slot and Fridus A. Van der Weijden Download
Group A Reactor Paper: Plaque control: Home remedies practiced in developing countries Thomas E. Van Dyke, DDS, PhD Download
Group A Consensus Paper: Plaque Control - Home remedies practiced in developing countries Sebastian Ciancio Download
Group B Initiator Paper: Non-surgical periodontal therapy: mechanical debridement, antimicrobial agents and other modalities Magda Feres, Marcelo Faveri, Luciene Cristina Figueiredo, Ricardo Teles, Thomas Flemmig, Ray Williams, Niklaus P. Lang Download
Group B Reactor Report: Non-surgical periodontal therapy: mechanical debridement, antimicrobial agents and other modalities Niklaus P. Lang Download
Group B Consensus Paper: Non-surgical periodontal therapy: mechanical debridement, antimicrobial agents and other modalities Niklaus P. Lang Download
Group C Initiator Paper: Periodontal regeneration - fact or fiction? PM Bartold Download
Group C Reactor Paper: Periodontal regeneration - fact or fiction? Joerg Meyle Download
Group C Consensus Paper: Periodontal regeneration - fact or fiction? Shinya Murakami Download
Group D Initiator Paper: Implants - Peri-implant (hard and soft tissue) interactions in health and disease: The impact of explosion of implant manufacturers Saso Ivanovski Download
Group D Reactor Report: Implants - Peri-implant (hard and soft tissue) interactions in health and disease: The impact of explosion of implant manufacturers Young-Bum Park Download
Group D Consensus Report: Implants - Peri-implant (hard and soft tissue) interactions in health and disease: The impact of explosion of implant manufacturers Jamil Shibli Download
Group E Initiator Paper: Interprofessional education and multidisciplinary teamwork for prevention and effective management of periodontal disease Lijian Jin Download
Group E Reactor Report: Enhancing global periodontal and oral health by standardizing education systems Vincent J. Iacono Download
Group E Consensus Paper: Interprofessional education and multidisciplinary teamwork for prevention and effective management of periodontal disease A. Kumarswamy Download