Hostname: page-component-848d4c4894-5nwft Total loading time: 0 Render date: 2024-06-02T05:04:58.161Z Has data issue: false hasContentIssue false

Long-Term Assessment of Periodontal Surgery Versus Curettage or Scaling and Root Planing

Published online by Cambridge University Press:  10 March 2009

Sigurd P. Ramfjord
Affiliation:
University of Michigan School of Dentistry

Abstract

The various treatments for periodontal disease must be assessed in light of the recently articulated goals of periodontal therapy to preserve teeth for a lifetime and to enhance esthetics and comfort as well as oral health. This article examines the long-term comparisons of periodontal surgery, curettage, and scaling and root planing in improving attachment levels instead of the more traditional pocket depth.

Type
Special Section: Assessing the Technology of Dentistry, Part I
Copyright
Copyright © Cambridge University Press 1990

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

1Altiere, E. T., Reeve, C. M., & Sheridan, P. J.Lyophilized bone allografts in periodontal osseous defects. Journal of Periodontology, 1979, 50, 510.CrossRefGoogle Scholar
2Badersten, A., Nilveus, R., & Egelberg, J.Effects of nonsurgical periodontal therapy. II. Severely advanced periodontitis. Journal of Clinical Periodontology, 1984, 11, 63.CrossRefGoogle ScholarPubMed
3Beaumont, R. H., O'Leary, T. J., & Kafrawy, A. H.Relative resistance of long junctional epithelial adhesions and connective tissue attachment to plaque induced inflammation. Journal of Periodontology, 1984, 55, 213.CrossRefGoogle ScholarPubMed
4Becker, W., Berg, L., & Becker, B.Untreated periodontal disease: A longitudinal study. Journal of Periodontology, 1979, 50, 234.CrossRefGoogle ScholarPubMed
5Becker, W., Berg, L., & Becker, B.The long term evaluation of periodontal treatment and maintenance in 95 patients. International Journal of Periodontics and Restorative Dentistry, 1984, 4, 55.Google Scholar
6Caffesse, R. G., Sweeney, P. L., & Smith, B. A.Scaling and root planing with and without periodontal flap surgery. Journal of Clinical Periodontology, 1986, 16, 205.CrossRefGoogle Scholar
7Carlos, J. P., Brunelle, J. A., & Wolfe, M. D.Attachment loss vs. pocket depth as indicators of periodontal disease: A methodologic note. Journal of Periodontal Research, 1987, 22, 524.CrossRefGoogle ScholarPubMed
8Caton, J., Nyman, S., & Zander, H.Histometric evaluation of periodontal surgery. II. Connective tissue attachment after four regenerative procedures. Journal of Clinical Periodontology, 1979, 7, 224.CrossRefGoogle Scholar
9Caton, J., & Zander, H.The attachment between tooth and gingival tissues after periodic root planing and soft tissue curettage. Journal of Periodontology, 1979, 50, 462.CrossRefGoogle ScholarPubMed
10Eaton, K. A., Kieser, J. B., & Davis, R. M.The removal of root surface deposits. Journal of Clinical Periodontology, 1985, 12, 141.CrossRefGoogle ScholarPubMed
11Friedman, N.Periodontal osseous surgery: Osteoplasty and ostectomy.Journal of Periodontology 1955, 26, 257.CrossRefGoogle Scholar
12Gibbs, C. H., Hirschfeld, J. W., Lee, J. G. et al. , Description and clinical evaluation of a new computerized periodontal probe–The Florida probe. Journal of Clinical Periodontology, 1988, 15, 137.CrossRefGoogle ScholarPubMed
13Gottlow, J., Nyman, S., Lindhe, J. et al. , New attachment formation in the human periodontium by guided tissue regeneration. Case reports.Journal of Clinical Periodontology, 1986, 13, 604.CrossRefGoogle ScholarPubMed
14Hausmann, E., Christersson, L., Dunford, R. et al. , Usefulness of subtraction radiography in the evaluation of periodontal therapy. Journal of Periodontology, 56 (Special Suppl.), 1985.Google ScholarPubMed
15Hill, R. W., Ramfjord, S. P., Morrison, E. C. et al. , Four types of periodontal treatment compared over two years. Journal of Periodontology, 1981. 52, 655.CrossRefGoogle ScholarPubMed
16Kakehashi, S., & Parakkal, P. F.Proceedings from the State of the Art Workshop on Surgical Therapy for Periodontitis. Journal of Periodontology 1982, 53, 475.Google Scholar
17Kelly, G. P., Cain, R. J., Knowles, J. W. et al. , Radiographs in clinical periodontal trials. Journal of Periodontology, 1975, 46, 381.CrossRefGoogle ScholarPubMed
18Kirkland, O.The suppurative periodontal pus pocket: Its treatment by the modified flap operation. Journal of American Dental Association, 1931, 18, 1462.Google Scholar
19Knowles, J. W., Burgett, F G., Morrison, E. C. et al. , Results of periodontal treatment related to pocket depth and attachment level: Eight years. Journal of Periodontology, 1979, 50, 225.CrossRefGoogle ScholarPubMed
20Lindhe, J., Westfelt, E., Nyman, S. et al. , Healing following surgical/non-surgical treatment of periodontal disease. A clinical study. Journal of Clinical Periodontology, 1982, 9, 115.CrossRefGoogle ScholarPubMed
21Lindhe, J., Socransky, S. S., Nyman, S. et al. , “Critical probing depths” in periodontal therapy. Journal of Clinical Periodontology, 1982, 9, 323.CrossRefGoogle ScholarPubMed
22Lindhe, J., & Nyman, S.Scaling and granulation tissue removal in periodontal therapy. Journal of Clinical Periodontology, 1985, 12, 374.CrossRefGoogle ScholarPubMed
23Listgarten, M. A., Mao, R., & Robinson, P. J.Periodontal probing and the relationship of the probe tip to periodontal tissues. Journal of Periodontology, 1976, 47, 511.CrossRefGoogle ScholarPubMed
24Loe, H., Anerud, A., Boysen, H., & Smith, M.The natural history of periodontal disease in man. The rate of periodontal destruction before 40 years of age. Journal of Periodontology, 1978, 49, 607.CrossRefGoogle Scholar
25Magnusson, I., Runstad, L., Nyman, S., & Lindhe, J.A long junctional epithelium — A locus minoros resistensis in plaque infection? Journal of Clinical Periodontology, 1983, 10, 333.CrossRefGoogle ScholarPubMed
26Morris, M. L.The unrepositioned mucoperiosteal flap. Periodontics, 1965, 3, 147.Google Scholar
27Neumann, R.Die alveolar pyorrhoe ihre Behandlung, 3rd ed.Berlin: Hermann Meusser, 1920.Google Scholar
28Nyman, S., Lindhe, J., & Rosling, B.Periodontal surgery in plaque-infected dentitions. Journal of Clinical Periodontology, 1977, 4, 240.CrossRefGoogle ScholarPubMed
29Olsen, C. T., Ammons, W. F., & Belle, G. A.A longitudinal study comparing apically repositioned flaps with and without osseous surgery. International Journal of Periodontics and Restorative Dentistry, 1985, 4, 10.Google Scholar
30Pihlstrom, B. L., Ortiz-Campos, C., & McHugh, R. B.A randomized four-years study of periodontal therapy. Journal of Periodontology, 1981, 52, 227.CrossRefGoogle ScholarPubMed
31Pihlstrom, B. L., McHugh, R. B., Oliphant, T. H., & Ortiz-Campos, C.Comparison of surgical and non-surgical treatment of periodontal disease. A review of current studies and additional results after 6½ years. Journal of Clinical Periodontology, 1985, 10, 524.CrossRefGoogle Scholar
32Rabbani, G. M., Ash, M. M., & Caffesse, R. G.The effectiveness of subgingival root planing in calculus removal. Journal of Periodontology, 1981, 52, 119.CrossRefGoogle ScholarPubMed
33Ramfjord, S. P., & Kiester, G.The gingival sulcus and the periodontal pocket immediately following scaling of teeth. Journal of Periodontology, 1954, 25, 167.CrossRefGoogle Scholar
34Ramfjord, S. P.Indices for prevalence and incidence of periodontal disease. Journal of Periodontology, 1959, 30, 51.CrossRefGoogle Scholar
35Ramfjord, S. P., Reinsercion. Revista de la Associación Odontologica Argentina, 1959, 47, 275.Google Scholar
36Ramfjord, S. P., & Costich, E. R.Healing after simple gingivectomy. Journal of Periodontology, 1963, 34, 401.CrossRefGoogle Scholar
37Ramfjord, S. P.The periodontal disease index (PDI). Journal of Periodontology, 1967, 38, 602.CrossRefGoogle ScholarPubMed
38Ramfjord, S. P., Nissle, R. R., Shick, R. A., & Cooper, H.Subgingival curettage versus surgical elimination of periodontal pockets. Journal of Periodontology, 1968, 39, 167.CrossRefGoogle ScholarPubMed
39Ramfjord, S. P., Knowles, J. W., Nissle, R. R. et al. , Longitudinal study of periodontal therapy. Journal of Periodontology, 1973, 44, 66.CrossRefGoogle ScholarPubMed
40Ramfjord, S. P.Design of studies or clinical trials to evaluate the effectiveness of agents or procedures for the prevention, or treatment, of loss of the periodontium. Journal of Periodontal Research, 1974, 14(Suppl.), 78.CrossRefGoogle ScholarPubMed
41Ramfjord, S. P., & Nissle, R. R.The modified Widman flap. Journal of Periodontology, 1974, 45, 601.CrossRefGoogle ScholarPubMed
42Ramfjord, S. P.Present status of the modified Widman flap procedure.Journal of Periodontology, 1977, 48, 558.CrossRefGoogle ScholarPubMed
43Ramfjord, S. P., & Ash, M. M. Jr. Periodontology and Periodontics. Philadelphia, PA: W. B. Saunders Company, 1979.Google Scholar
44Ramfjord, S. P., Morrison, E. C., Burgett, F. G. et al. , Oral hygiene and maintenance of periodontal support. Journal of Periodontology, 1982, 53, 226.Google ScholarPubMed
45Ramfjord, S. P.The role of surgery in the treatment of periodontal pockets. Quintessence International, 1984, 10, 1051.Google Scholar
46Ramfjord, S. P., Caffesse, R. G., Morrison, E. C. et al. , Four modalities of periodontal treatment compared over 5 years. Journal of Clinical Periodontology, 1987, 14, 445.CrossRefGoogle Scholar
47Ramfjord, S. P.Surgical periodontal pocket elimination: Still a justifiable objective? Journal of American Dental Association, 1987, 114, 37.CrossRefGoogle Scholar
48Rosling, B., Nyman, S., Lindhe, J., & Jern, B.The healing potential of the periodontal tissues following different techniques of periodontal surgery in plaque free dentitions. A 2 year clinical study. Journal of Clinical Periodontology, 1976, 3, 233.CrossRefGoogle ScholarPubMed
49Russell, A. L.A system of classification and scoring for prevalence surveys of periodontal disease. Journal of Dental Research, 1956, 35, 353.CrossRefGoogle ScholarPubMed
50Saglie, F. R., Carranza, F. A. Jr, Newman, M. G., & Pattison, G. L.Bacterial invasion of gingiva in advanced periodontitis in humans. Journal of Periodontology, 1982, 53, 217.CrossRefGoogle ScholarPubMed
51Schluger, S.Osseous resection: A basic principle in periodontal surgery.Oral Surgery, Oral Medicine and Oral Pathology, 1949, 2, 316.CrossRefGoogle ScholarPubMed
52Smith, B., Caffesse, R., Nasjleti, C. et al. , Effects of citric acid and fibronectin and laminin application in treating periodontitis. Journal of Clinical Periodontology, 1987, 14, 396.CrossRefGoogle ScholarPubMed
53Smith, B. A., Echeverri, M., & Caffesse, R. G.Mucoperiosteal flaps with and without removal of the pocket epithelium. Journal of Periodontology, 1987, 58, 78.CrossRefGoogle ScholarPubMed
54Smith, D. H., Ammons, W. F., & VanBelle, G.A longitudinal study of periodontal status comparing osseous recontouring with flap curettage. Results after 6 months. Journal of Periodontology, 1980, 51, 367.CrossRefGoogle ScholarPubMed
55Theilade, E.The non-specific theory in microbial etiology of inflammatory periodontal diseases. Journal of Clinical Periodontology, 1986, 13, 905.CrossRefGoogle ScholarPubMed
56Widman, L. The operative treatment of pyorrhea alveolaris. A new surgical method. Svensk Tandlakaretidskrift, 12 1918.Google Scholar
57Wood, D. L., Hoag, P. M., Donnenfeld, O. W., & Rosenfeld, L. D.Alveolar crest reduction following full and partial thickness flaps. Journal of Periodontology, 1972, 43, 141.CrossRefGoogle ScholarPubMed
58Yukna, R. A., & Williams, R. A.Five years evaluation of the excisional new attachment procedures. Journal of Periodontology, 1980, 51, 382.CrossRefGoogle Scholar