Effectiveness of non surgical periodontal therapy

Question 1

What clinical results do we expect to see with non surgical therapy?

Answer 1

• Moderate pockets (4-6mm) show approx 1mm reduction in pocket depth
• Deep pockets >6mm show approx 2mm reduction in probing depth

Question 2

How does smoking affect a patient response to non surgical perio treatment?

Answer 2

Reduces response.
Up to 0.4mm less reduction in probing depths and reduced possibility of pocket closure.

Question 3

How does uncontrolled diabetes impact a patient response to non surgical perio treatment?

Answer 3

• Controlled diabetes has no affect but poorly controlled show inferior treatment outcomes.
• Periodontal therapy can improve the patient glycemic control.

Question 4

What adverse effects of treatment do we need to tell the patient?

Answer 4

Pain, bleeding, infection, swelling.
Transient mobility of teeth
Sensitivity
Recession