How effective is surgical therapy compared with nonsurgical debridement?

@article{HeitzMayfield2005HowEI,
  title={How effective is surgical therapy compared with nonsurgical debridement?},
  author={Lisa J. A. Heitz‐Mayfield},
  journal={Periodontology 2000},
  year={2005},
  volume={37},
  pages={
          72-87
        }
}
Surgical and non-surgical therapy with systemic antimicrobials for residual pockets in type 2 diabetics with chronic periodontitis: a pilot study.
TLDR
SD and NSD associated with systemic antimicrobials did not differ in terms of clinical benefits for RP in diabetics up to 6 months post-therapies.
Early Tooth Loss after Periodontal Diagnosis: Development and Validation of a Clinical Decision Model
TLDR
A multivariable prediction model based on tooth type and clinical attachment loss presented adequate prediction potential of early tooth loss due to periodontitis and may have clinical and epidemiologic relevance towards the prediction of tooth loss burden.
Immunomodulation in the Treatment of Periodontitis: Progress and Perspectives
TLDR
The advances of the immunomodulatory treatments for periodontitis in the aspects of drug therapy, microbial therapy, stem cell therapy, gene therapy and other therapies are summarized to make it clearer how the treatments took effects accordingly.
DIMENSIONAL ANALYSIS OF FURCAL ENTRANCES IN MANDIBULAR MOLARS
TLDR
The complexity of molar furcation areas provides a challenge for periodontal treatment that can lead to increased tooth loss compared to other tooth types and an under instrumented furcation entrance provides a nidus for plaque accumulation andperiodontal infection, greatly affecting the prognosis and treatment outcomes.
Dimensional analysis of furcal entrances in extracted permanent maxillary molars
TLDR
Maxillary molars furcation entrances are not only difficult to access but are also ineffectively debrided with standard periodontal instruments much as piezoelectric ultrasonic tips and area-specific curettes.
Effect of Weissella cibaria on the reduction of periodontal tissue destruction in mice.
TLDR
An oral care probiotic, Weissella cibaria CMU, reduces periodontal tissue destruction apparently by regulating the production of inflammatory cytokines and by reducing oral bacteria in a model forperiodontal disease.
Effect of short-term vitamin D supplementation after nonsurgical periodontal treatment: A randomized, double-masked, placebo-controlled clinical trial.
TLDR
Although statistically significant differences were observed in favor to vitamin D supplementation, the magnitude of effect size tended to be modest with limited clinical relevance and the long-term efficacy and safety warrant further investigation.
Impact of Molar Furcations on Photodynamic Therapy Outcomes: A 6-Month Split-Mouth Randomized Clinical Trial
TLDR
There is no additional apparent benefit to use PDT in molar furcation sites for the reduction of pockets with PPD > 5 mm contrary to other sites, and the impact of furcation involvement on PDT outcomes is evaluated.
Nonsurgical Periodontal Therapy Reduces Salivary and Gingival Crevicular Fluid YKL-40 and IL-6 Levels in Chronic Periodontitis.
TLDR
Within the limits of this study, YKL-40 acute-phase protein might be a potential biomarker for detection of periodontitis and monitoring the response to periodontal therapy.
A dual‐strain Lactobacilli reuteri probiotic improves the treatment of residual pockets: A randomized controlled clinical trial
TLDR
The adjunctive consumption of L. reuteri lozenges after re‐instrumentation improved the PPD reduction, without an impact on pocket colonization with periodontopathogens.
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References

SHOWING 1-10 OF 25 REFERENCES
The assessment of systematic reviews in dentistry.
TLDR
The quality of systematic reviews of effectiveness of interventions in dentistry could be improved and it is imperative that the reviews address clinically relevant, focused questions and follow a 'transparent', well-designed protocol.
A guide to systematic reviews.
TLDR
This paper is a guide to the rationale and nature of systematic reviews and will provide a background to understanding their use in clinical practice.
A systematic review of the effect of surgical debridement vs non-surgical debridement for the treatment of chronic periodontitis.
TLDR
Both scaling androot planing alone and scaling and root planing combined with flap procedure are effective methods for the treatment of chronic periodontitis in terms of attachment level gain and reduction in gingival inflammation.
Meta‐analysis of the effect of scaling and root planing, surgical treatment and antibiotic therapies on periodontal probing depth and attachment loss
TLDR
A consistent improvement in periodontal probing depth and gain of attachment is demonstrated when local antibiotic therapy is combined with root planing and scaling.
Consensus Report: Chronic Periodontitis
TLDR
The group concluded that recurrentperiodontitis represents a return of periodontitis and is not a separate disease entity.
Long-term evaluation of periodontal therapy: I. Response to 4 therapeutic modalities.
TLDR
The prevalences of BOP, SUP, and PL were greatly reduced throughout the study and were comparable between sites treated by RP, MW, and FO while the CS sites had more BOP and SUP.
Meta-analysis of surgical versus non-surgical methods of treatment for periodontal disease.
TLDR
A meta-analysis was performed on 5 randomized controlled trials comparing surgical with non-surgical treatment for periodontal disease, finding that findings relating response to therapy with initial level of disease severity support findings relating to pocket depth and attachment level.
Evaluation of gingival bleeding following 4 types of periodontal therapy.
TLDR
Throughout the study, BOP was extremely dynamic, with 15-88% of sites converting to a new status between any 2 examination periods, which may explain the inability of previous investigations to establish BOP as a reliable predictor of periodontal breakdown.
A longitudinal study comparing scaling, osseous surgery and modified Widman procedures. Results after one year.
TLDR
The results from this study indicate that with three-month maintenance recalls, both the modified Widman and osseous surgery are effective for pocket reduction, and each will produce a slight gain of clinical attachment over one year.
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