Analysis Of Clinical Indexes For Patients With Moderate And Severe Periodontitis After Non Surgical Periodontal Treatment

Objective: To investigate the clinical efficacy of periodontal treatment formoderate to severe periodontitis, by analyzing clinical indicators and some of thefactors that affect the treatment outcome.Methods:16patients with moderate and severe periodontitis were subjected toinitial periodontal treatment and monitored after45days and90days. A total of142teeth (852sites) having periodontal pockets were measured at6sites per tooth forBleeding on probing (BOP), plaque index (PLI), probing depth (PD), clinicalattachment level (CAL) at baseline,45days and90days. The data obtained frombaseline PD data is divided into three groups, namely PD between1-3mm,4-6mmbetween greater than7mm.Results: Patients with severe periodontitis after periodontal treatment aresignificantly improved. BOP:72%-90%of the tooth surfaces before the treatment havebleeding on probing. At45days, BOP index dropped to40%-46%after periodontaltreatment. At90days, BOP index further dropped to28%-32%. PLI: There wasstatiscally significant difference between all the three groups at baseline,45days aftertreatment and90days after treatment. Plaque index at baseline was between67%-77%,after45days plaque index was20%, but90days after treatment plaque indexrebounded to35%. PD: The mean value of periodontal pocket depth was reduced45days after treatment. In group with PD which measured1-3mm at baseline it wasreduced to0.7mm after45days. In group with PD which has4-6mm at baseline it wasreduced to1mm after45days. In group with PD which were having7mm and above atbaseline it reduced to1.3mm after45days. The mean value of periodontal pocket depthwas also reduced90days after treatment. In group with PD which were measuring1-3mm at baseline it was reduced to0.4mm after90days. In group with PD whichwere having4-6mm at baseline it was reduced to0.7mm after90days. In group withPD which were having7mm and above at baseline it reduced to0.8mm after90days. PD at90days after treatment was better than45days after treatment.CAL: The meanvalue of CAL in group having1-3mm PD increased by0.1-0.5mm after45and90daysof initial periodontal treatment. There was no significant difference in CAL among thethree groups. The mean value of CAL in group having4-6mm PD increased by0.1-0.3mm after45and90days of initial periodontal treatment. There was nosignificant difference in CAL among the three groups. The mean value of CAL in grouphaving7mm and above PD increased by0.4-1.2mm after45days of initial periodontaltreatment. CAL further increased by0.4mm after90days of initial periodontaltreatment,Conclusion: Within the limits of this study, basic periodontal treatment formoderate to severe periodontitis has good therapeutic effect. Periodontal treatment isalso affected by a variety of factors and the characteristics of each patient. Periodontaltreatment should be specific for each patient and based on underlying factors to achievethe best therapeutic effect.