Summary: Removal or disruption of DENTAL DEPOSITS and plaque-retentive DENTAL CALCULUS from tooth surfaces and within the periodontal pocket space without deliberate removal of CEMENTUM as done in ROOT PLANING and often in DENTAL SCALING. The goal is to conserve dental cementum to help maintain or re-establish healthy periodontal environment and eliminate PERIODONTITIS by using light instrumentation strokes and nonsurgical techniques (e.g., ultrasonic, laser instruments).
Petersilka G. Subgingival air-polishing in the treatment of periodontal biofilm infections. Periodontol 2000. 2011;55:124-42 pubmed publisher
Heitz Mayfield L, Lang N. Surgical and nonsurgical periodontal therapy. Learned and unlearned concepts. Periodontol 2000. 2013;62:218-31 pubmed publisher
..What has not changed is the importance of thorough mechanical debridement and optimal plaque control for successful nonsurgical and surgical periodontal therapy. ..
Murray C, Knight E, Russell A, Tawse Smith A, Leichter J. Peri-implant disease: current understanding and future direction. N Z Dent J. 2013;109:55-62 pubmed
Teughels W, Dhondt R, Dekeyser C, Quirynen M. Treatment of aggressive periodontitis. Periodontol 2000. 2014;65:107-33 pubmed publisher
..There is no evidence to suggest that daily use of antiseptic agents should be part of the supportive periodontal therapy for aggressive periodontitis. ..
Giblin L, Boyd L, Rainchuso L, Chadbourne D. Short-term effects of non-surgical periodontal therapy on clinical measures of impaired glucose tolerance in people with prediabetes and chronic periodontitis. J Dent Hyg. 2014;88 Suppl 1:23-30 pubmed
..The robustness of measures is limited due to the small sample size and lack of a control group. Further larger scale studies using a randomized control design would be informative. ..
Angst P, Stadler A, Oppermann R, Gomes S. Microbiological outcomes from different periodontal maintenance interventions: a systematic review. Braz Oral Res. 2017;31:e33 pubmed publisher
..Nevertheless, new studies comparing these interventions in PMP are needed, especially if the limitations herein discussed could be better controlled. ..
Mombelli A, Cionca N, Almaghlouth A. Does adjunctive antimicrobial therapy reduce the perceived need for periodontal surgery?. Periodontol 2000. 2011;55:205-16 pubmed publisher
Muthu J, Muthanandam S, Mahendra J, Namasivayam A, John L, Logaranjini A. Effect of Nonsurgical Periodontal Therapy on the Glycaemic Control of Nondiabetic Periodontitis Patients: A Clinical Biochemical Study. Oral Health Prev Dent. 2015;13:261-6 pubmed publisher
..Furthermore, with improvement of periodontal status, the glycaemic levels return to near normal values. ..