Evaluation of the therapeutically approach of various types of periodontal disease. Part I: clinical aspects
Keywords:Periodontal disease, Periodontal therapy, Preiodontal attachment loss, Antibiotic therapy, Reponse to therapy
The study initiated with 69 patients, out of which 55 were available at the completion of the trial. Evaluations were made at the beginning, 3, 6, 12 and 24 months. The initial exam included the following socio demographic criteria: age, gender, tobacco use and family grouping. The clinical criteria included were: probing depth, clinical attachment, superficial bleeding, probing bleeding (Part I) and sub gingival micro flora. (Part II). Microbiological samples were taken from 6 different sites at the beginning. 12 and 18 months. The statistical analysis included the Chi square and Student’s T test for paired averages in time, both with a level of significance of 5%. Also a logistic regression analysis was done to find predictive variables of response to treatment. The objectives of this study (Part I) were: 1) to identify which of the social demographic variables, signs of periodontal disease and clinical parameters could anticipate a good or poor response to non-surgical traditional periodontal therapy (scaling and root planning per quadrant) 3 months after being applied. 2) to evaluate the behavior of clinical parameters after a 2 year follow-up period. Three months after treatment the changes (loss or gain) in clinical attachment (CA) allowed us to classify the patients as: Responsive (R) to 57 patients (82.6%) and Non Responsive (NR) to 12 (17.4%). The variables analyzed did not show individual or group association with the type of response to treatment, with the exception of supra gingival index plaque ≥ 2 (P = 0.05). Follow up after two years indicated that the alternative treatment (scaling and root planning complemented with systemic antibiotics) was beneficial for the NR that behaved during this period in the same way as the R, both showing stability in the CA.
How to Cite
Copyright comprises moral and patrimonial rights.
1. Moral rights: are born at the moment of the creation of the work, without the need to register it. They belong to the author in a personal and unrelinquishable manner; also, they are imprescriptible, unalienable and non negotiable. Moral rights are the right to paternity of the work, the right to integrity of the work, the right to maintain the work unedited or to publish it under a pseudonym or anonymously, the right to modify the work, the right to repent and, the right to be mentioned, in accordance with the definitions established in article 40 of Intellectual property bylaws of the Universidad (RECTORAL RESOLUTION 21231 of 2005).
2. Patrimonial rights: they consist of the capacity of financially dispose and benefit from the work trough any mean. Also, the patrimonial rights are relinquishable, attachable, prescriptive, temporary and transmissible, and they are caused with the publication or divulgation of the work. To the effect of publication of articles in the journal Revista de la Facultad de Odontología, it is understood that Universidad de Antioquia is the owner of the patrimonial rights of the contents of the publication.
The content of the publications is the exclusive responsibility of the authors. Neither the printing press, nor the editors, nor the Editorial Board will be responsible for the use of the information contained in the articles.
I, we, the author(s), and through me (us), the Entity for which I, am (are) working, hereby transfer in a total and definitive manner and without any limitation, to the Revista Facultad de Odontología Universidad de Antioquia, the patrimonial rights corresponding to the article presented for physical and digital publication. I also declare that neither this article, nor part of it has been published in another journal.
Open Access Policy
The articles published in our Journal are fully open access, as we consider that providing the public with free access to research contributes to a greater global exchange of knowledge.
Creative Commons License
The Journal offers its content to third parties without any kind of economic compensation or embargo on the articles. Articles are published under the terms of a Creative Commons license, known as Attribution – NonCommercial – Share Alike (BY-NC-SA), which permits use, distribution and reproduction in any medium, provided that the original work is properly cited and that the new productions are licensed under the same conditions.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.