Title : The dynamic change in philosophy in the formation of the Dental biofilm and the rationale of debridement: An overview
The rationale for the treatment and management of the periodontal disease has varied over the last three to four decades and as such, the clinician should be aware of these changes to manage the condition effectively. For example, the recognition that the modification and/or removal of the dental biofilm on the tooth surface is key to reducing the impact of the oral microflora on both the hard and soft tissues of the mouth rather than concentrating on the concept of calculus removal and planned removal of so-called ‘diseased’ cementum of the root to achieve success. The understanding of the role of oral flora has also changed particularly with the emergence of the key pathogen hypothesis and how this concept has impacted how the condition is managed. The improvement in instrumentation and surgical techniques together with the adjunctive use of antimicrobials in both non-surgical and surgical procedures has also impacted our treatment philosophy. The aim of this presentation, therefore, is to provide an overview of the dynamic changes in philosophy in the treatment and management of the periodontal disease.
Audience Takes Away:
- To provide an overview of the dynamic shift in the understanding and management of the periodontal disease.
- To recognize that the role of oral flora has changed, particularly with the emergence of the key pathogen hypothesis.
- To assess how these changes have impacted on our treatment of periodontal disease in daily practice.