open access
메뉴ISSN : 0376-4672
Purpose : Preservation of the periodontal health of the treated patient requires supportive periodontal therapy for the elimination of periodontal disease. After Phase I therapy is completed, patients are placed on a schedule of periodic recall visits for maintenance care to prevent recurrence of the disease. The amount of tooth loss would be the most relevant criterion in an evaluation of the effect of periodontal treatment, but this would require studies with extremely long follow-up periods. Thus the most commonly used outcome criteria in clinical research have been clinical attachment level change, reduction of pocket depth and bleeding frequency. The purpose of this case study is to identify the effect of supportive periodontal therapy after periodontal flap surgery. Materials & Methods : Following routine hygienic phase of treatment, patients with chronic periodontitis received surgical periodontal treatment. Bleeding on probing, pocket depth and clinical attachment level were measured at baseline, pre-operation and 1 year follow up. All procedures were performed by one operator. Results : One year a total of 28 patients (58sites) to recheck remained, when conducted maintenance program after periodontal flap surgery was observed reduction of bleeding frequency, pocket depth and improvement of clinical attachment level. Conclusion : The results from this study indicate that supportive periodontal therapy after periodontal flap surgery is effective for reduction of bleeding frequency, pocket depth and gain of clinical attachment level.
1. Axelsson P, Lindhe J. The significance of maintenance care in the treatment of periodontal disease, J Clin Periodontol 1981;8:281-294.
2. Shick RA. Maintenance phase of periodontal therapy, J Periodontol 1981;52:576-583.
3. Kim SY, Lee JK, Chang BS, Um HS. Effect of supportive periodontal therapy on the prevention of tooth loss in Korean adults, J Periodontal Implant Sci 2014;44:65-70.
4. Ramfjord SP. Maintenance care for treated periodontitis patients, J Clin Periodontol 1987;14:433-437.
5. Wilson TG, Jr., Glover ME, Malik AK et al. Tooth loss in maintenance patients in a private periodontal practice, J Periodontol 1987;58:231-235.
6. Nyman S, Lindhe J, Rosling B. Periodontal surgery in plaque-infected dentitions, J Clin Periodontol 1977;4:240-249.
7. Rosling 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, J Clin Periodontol 1976;3:233-250.
8. Lang NP, Tonetti MS. Periodontal risk assessment (PRA) for patients in supportive periodontal therapy (SPT), Oral Health Prev Dent 2003;1:7-16.
9. Darcey J, Ashley M. See you in three months! The rationale for the three monthly periodontal recall interval: a risk based approach, Br Dent J 2011;211:379-385.
10. Ramfjord SP. Maintenance care and supportive periodontal therapy, Quintessence Int 1993;24:465-471.
11. Eke PI, Page RC, Wei L et al. Update of the case definitions for population-based surveillance of periodontitis, J Periodontol 2012;83:1449-1454.
12. Bogren A, Teles RP, Torresyap G et al. Locally delivered doxycycline during supportive periodontal therapy: a 3-year study, J Periodontol 2008;79:827-835.
13. Lang NP, Joss A, Orsanic T et al. Bleeding on probing. A predictor for the progression of periodontal disease?, J Clin Periodontol 1986;13:590-596.
14. Demetriou N, Tsami-Pandi A, Parashis A. Compliance with supportive periodontal treatment in private periodontal practice. A 14-year retrospective study, J Periodontol 1995;66:145-149.
15. Konig J, Plagmann HC, Langenfeld N, Kocher T. Retrospective comparison of clinical variables between compliant and non-compliant patients, J Clin Periodontol 2001;28:227-232.
16. Checchi L, Montevecchi M, Gatto MR, Trombelli L. Retrospective study of tooth loss in 92 treated periodontal patients, J Clin Periodontol 2002;29:651-656.
17. Miyamoto T, Kumagai T, Jones JA et al. Compliance as a prognostic indicator: retrospective study of 505 patients treated and maintained for 15 years, J Periodontol 2006;77:223-232.
18. Costa FO, Lages EJ, Cota LO et al. Tooth loss in individuals under periodontal maintenance therapy:5-year prospective study, J Periodontal Res 2014;49:121-128.
19. Woong-Kyu Park, Jae-Kwan Lee, Beom-Seok Chang, Heung-Sik Um. A retrospective study on patients’ compliance with supportive periodontal therapy, J Korean Acad Periodontol 2009:59-70.
20. Mendoza AR, Newcomb GM, Nixon KC. Compliance with supportive periodontal therapy, J Periodontol 1991;62:731-736.