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It is all too easy to think that nothing has changed in periodontology in the past 50 years. Self-performed plaque control, avoidance of the known risk factors and professional removal of deposits above and below the gum line have been the mainstay of periodontal management for decades. However, our understanding of what we actually need to do to the root surface to facilitate periodontal healing has changed dramatically in the past 50 years and advances in surgical technique and regenerative materials have made treatment more conservative, allowing us to predictably treat periodontitis.
CPD/Clinical Relevance: The changes in periodontal management during the 50 years that Dental Update has been in circulation are highlighted.
Article
As we celebrate 50 years of Dental Update, I will look at where we were in periodontology 50 years ago and where we are now, looking at treatment modalities that have come into, and gone out of, ‘fashion’.
I looked at the first edition of Dental Update to see whether there were any interesting articles that I could reference relating to periodontal disease management from that time. While I could not find a periospecific article, there was one called ‘Ledges and wedges?’ that discussed the role of food impaction and its role in periodontal disease. That alone shows we have come a long way in the past 50 years.
It is safe to say that the mainstay of periodontal management remains largely focused on the patient’s home care, together with the avoidance of the known risk factors, and professional non-surgical treatment.
During the past 50 years trends towards more or less aggressive treatments have been proposed, but with an improved evidence base.
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