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Emerging Concepts in Periodontal Therapy

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Abstract

Conventional periodontal therapy consists of mechanical scaling and root planing, and surgical treatment. This is still the mainstay of periodontal treatment. Adjunctive antimicrobial treatments, both systemic and local delivery, are becoming more sophisticated and useful in the treatment of recurrent periodontitis. Also very promising are adjunctive treatments that modulate the host response and decrease levels of destructive pro-inflammatory cytokines or matrix metalloproteinases. Smoking is a major risk factor for periodontitis and has a profound impact on the progression of periodontal bone and attachment loss. In the interest of improved periodontal health patients should be encouraged to stop smoking. Finally bacterial endotoxins that stimulate the release of pro-inflammatory cytokines can have systemic effects and may lead to pre-term, low birthweight babies, and cardiovascular diseases such as atherosclerosis, myocardial infarction and stroke. Health professionals need to be cognisant of the effect dental health can have on systemic diseases and refer for treatment when appropriate to ensure that optimum oral and systemic health is achieved for their patients.

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Acknowledgements

No sources of funding were used to assist in the preparation of this manuscript. The authors have no conflicts of interest that are directly relevant to the content of this manuscript.

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Authors and Affiliations

  1. Periodontics, School of Dentistry, University of Louisville, Louisville, Kentucky, USA

    Henry Greenwell

  2. Periodontics, School of Dentistry, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, Ohio, 44106-4905, USA

    Nabil F. Bissada

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  1. Henry Greenwell
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  2. Nabil F. Bissada
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Greenwell, H., Bissada, N.F. Emerging Concepts in Periodontal Therapy. Drugs 62, 2581–2587 (2002). https://doi.org/10.2165/00003495-200262180-00002

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