Dental scaling and root planing for periodontal health a review of the clinical effectiveness, cost-effectiveness, and guidelines

Periodontitis is an infection and inflammation of the soft tissues and bone surrounding the teeth, caused by an accumulation of bacterial plaque and the ensuing inflammatory response. According to the Canadian Dental Association, periodontal disease is common, affecting up to 70% of Canadians at som...

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Bibliographic Details
Corporate Authors: Canadian Agency for Drugs and Technologies in Health, Canadian Agency for Drugs and Technologies in Health Rapid Response Service
Format: eBook
Language:English
Published: Ottawa (ON) Canadian Agency for Drugs and Technologies in Health 2016, 17 October 2016
Series:Rapid response report: summary with critical appraisal
Subjects:
Online Access:
Collection: National Center for Biotechnology Information - Collection details see MPG.ReNa
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653 |a Comparative Effectiveness Research 
653 |a Root Planing 
653 |a Dental Scaling 
653 |a Periodontitis / prevention & control 
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520 |a Periodontitis is an infection and inflammation of the soft tissues and bone surrounding the teeth, caused by an accumulation of bacterial plaque and the ensuing inflammatory response. According to the Canadian Dental Association, periodontal disease is common, affecting up to 70% of Canadians at some point in their lifetimes. If left untreated, periodontitis can progress to connective tissue destruction and alveolar bone loss, causing teeth to fall out. Therefore, prevention of periodontitis is very important, and preventative measures provided by oral health care professionals include offering oral hygiene instructions (encouraging patients to brush teeth and floss regularly), and performing routine dental cleaning. Dental cleaning includes scaling, which is the mechanical removal of plaque and calculus from the teeth around the gum line. For patients who develop periodontitis, a more extensive procedure called scaling and root planing (SRP) is performed. This involves mechanical debridement of plaque and calculus down to the root of the affected teeth, and is considered the "gold standard" initial treatment for periodontitis. However, the optimal frequency of regular preventative scaling or therapeutic SRP, and the usual length of time (or number of units; one unit is defined as 15 minutes of service) to perform each procedure, is unclear. The purpose of this report is to review the evidence regarding the clinical and cost-effectiveness of scaling with or without root planing, as well as evidence-based guidelines for their use