Periodontitis is the second most common disease of the oral cavity and affects majority of the population. Periodontal disease is an inflammatory condition that exhibits a complex interaction between pathogenic bacteria, environmental and acquired factors and host related factors. One of the most common causative factors for the disease is dental plaque. In the last few decades, there have been several advances in the treatment modalities for the same. Therefore, the aim of various treatment options is the eradication of dental plaque. The methods range from something as simple as tooth brushing and oral hygiene practices to those administered by a dental professional. There are various chemical methods and mechanical methods for the same. There are also certain methods like the usage of mouthwashes and local drug delivery that can be used in addition to any type of periodontal therapy. The therapeutic modalities can be surgical or non‑surgical. Keeping the patient at the centre of equation, non‑surgical periodontal therapy is more acceptable to the patient and is also easy to perform and not very complex. In the present review, several options for the management of periodontal disease through non‑surgical periodontal therapy have been discussed along with recent advances for the same.
1. Loe H. Principles of aetiology and pathogenesis governing the treatment of periodontal disease. Int Dent J 1983;33(2):119-26.
2. Oliver RC, Brown LJ, Loe H. Periodontal diseases in the United States popula tion. J Periodontol 1998;69(2):269-78.
3. Albandar JM, Rams TE. Global epidemiology of periodontal diseases: an overview. Periodontol 2000 2002; 29:7-10.
4. Flemmig TF. Periodontitis. Ann Periodontol 1999;4(1):32-38.
5. Socransky SS. Microbiology of periodontal disease — present status and future considerations. J Periodontol 1977;48(9):497-504.
6. Consensus report. Periodontal diseases: pathogenesis and microbial factors. Ann Periodontol 1996;1(1):926-32.
7. Petersen PE, Ogawa H. Strengthening the prevention of periodontal disease: the WHO approach. J Periodontol2005; 76: 2187-2193.
8. Ryan ME, Preshaw PM. Host Modulation. In: Newman MG, Takei HH, Klol levold PR, Carranza FA, editors. Carranza’s Clinical Periodontology. 11th ed. India: Saunders, 2012: 275-280.
9. Kirkwood KL, Cirelli JA, Rogers JE, Giannobile WV. Novel host response ther apeutic approaches to treat periodontal diseases. Periodontol 2000 2007; 43: 294-315. 10.
10. Slots J, Ting M. Actinobacillus actinomycetem comitans and Porphyromonas gingivalis in human periodontal disease: occurrence and treatment. Periodontol 2000 1999; 20: 82-121.
11. Heitz-Mayfield LJ, Trombelli L, Heitz F, Needleman I, Moles D. A systematic review of the effect of surgical debridement vs non-surgical debridement for the treatment of chronic periodontitis. J ClinPeriodontol2002; 29 Suppl 3:92 102; discussion 160-162.
12. Axelsson P, Lindhe J. Effect of controlled oral hygiene procedures on caries and periodontal disease in adults. Results after 6 years. J ClinPeriodontol1981; 8: 239-248
13. Bollen CML, Mongardini C, Papaioannou W, Van Steengerghe D, Quirynen M. The effect of one-stage full-mouth disinfection on different intra-oral niches. Clinical and microbiological observations. J ClinPeriodontol1998; 25: 55-66
14. Krishnaa PK, Arvina R. Comprehensive review on non-surgical periodontal therapy. J Evolution Med Dent Sci 2020;9(36):2658-2662.
15. Deery C, Heanue M, Deacon S, et al. The effectiveness of manual versus powered toothbrushes for dental health: a systematic review. J Dent 2004;32(3):197 211.
16. Hioe KP, Van der Weijden GA. The effectiveness of self- performed mechanical plaque control with triclosan containing dentifrices. Int J Dent Hyg 2005;3(4):192-204.
17. Paraskevas S, van der Weijden GA. A review of the effects of stannous fluoride on gingivitis. J ClinPeriodontol 2006;33(1):1-13.
18. Gunsolley JC. A meta-analysis of six-month studies of antiplaque and anti-gingivitis agents. J Am Dent Assoc 2006;137(12):1649-57.
19. Berchier CE, Slot DE, Haps S, et al. The efficacy of dental floss in addition to a toothbrush on plaque and parameters of gingival inflammation: a systematic review. Int J Dent Hyg 2008;6(4):265-79.
20. Sambunjak D, Nickerson JW, Poklepovic T, et al. Flossing for the management of periodontal diseases and dental caries in adults. Cochrane Database Syst Rev 2011;(12):CD008829.
21. Husseini A, Slot DE, Van der Weijden GA. The efficacy of oral irrigation in addition to a toothbrush on plaque and the clinical parameters of periodontal inflammation: a systematic review. Int J Dent Hyg 2008;6(4):304-14.
22. Lindhe J, Nyman S. Long-term maintenance of patients treated for advanced periodontal disease. J ClinPeriodontol1984; 11: 504-514.
23. Heitz-Mayfield LJ, Lang NP. Surgical and nonsurgical periodontal therapy. Learned and unlearned concepts. Periodontol 2000 2013; 62: 218-231.
24. American Academy of Periodontology statement on the efficacy of lasers in the non-surgical treatment of inflammatory periodontal disease. J Periodon tol2011; 82: 513-514.
25. Kumar K, Babu CM, Srikanth C. NEW TRENDS IN PERIODONTICS. Journal of Evolution of Medical and Dental Sciences. 2012; 1(4):546.
26. Ochsner M. Photophysical and Photobiological processes in the photodynamic therapy of tumors. J PhotochemPhotobiol B 1997; 39: 1-18.
27. Hamblin MR, Hasan T. Photodynamic therapy: a new antimicrobial approach to infectious disease? PhotochemPhotobiolSci2004; 3: 436-450.
28. Juzeniene A, Juzenas P, Ma LW, Iani V, Moan J. Effectiveness of different light sources for 5-aminolevulinic acid photodynamic therapy. Lasers Med Sci2004; 19: 139-149.
29. Dobson J, Wilson M. Sensitization of oral bacteria in biofilms to killing by light from a low-power laser. Arch Oral Biol1992; 37: 883-887.
30. Takasaki AA, Aoki A, Mizutani K, Schwarz F, Sculean A, Wang CY, Koshy G, Romanos G, Ishikawa I, Izumi Y. Application of antimicrobial photodynamic therapy in periodontal andperiimplant diseases. Periodontol 2000 2009; 51: 109-140.
31. The use of antiseptics, enzymes and oxygenating agents as adjuncts in supragingival plaque control in Manson and Eley’s Periodontics 5th edition. United State of America; Elsevier limited. 2004