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Based on the extensive body of published evidence, the following conclusions can be made:A primary goal of SRP is the removal of calculus and biofilm deposits in order to create a biologically compatible root surface. Clinical studies have documented the beneficial effects of complete removal of...

It is widely known that practice management advisors encourage “soft tissue management” programs as an important income source for the general dental practice, often undermining timely referral to an appropriate specialist. SRP, with or without adjunctive therapies, may arrest periodontitis, but...

FIGURE 6 (A) Cross-section of cementum with subgingival biofilm attached to the surface. Boxed area indicates area of interest in B. Note the regimented and “lacy” morphology of the extracellular matrix with each space being the point of attachment of a single filament positioned at a 900 angle to...

As alluded to previously, calculus may not, in itself, induce inflammation in the approximated soft tissue pocket wall, but serves as an ideal substrate for subgingival micro- bial colonization and the concentration and release of bacterial toxins. Any discerning clinician has experienced that removal...

Root surfaces exposed to the toxic environment of a periodontal pocket undergo several changes. A root surface no longer protected by the periodontal ligament (PDL) or junctional epithelium represents a biological enticement for bacterial adhesion, and development of calculus. Compared to cementum...

Background: Extensive reviews on the role of scaling and root planing (SRP) in the treatment of periodontitis have been previously published. This commentary will address the importance of subgingival calculus in the progression and treatment of periodontitis and addresses factors that make the execution...

GUEST WRITER: Dr. Andreas Siebold Dr. Andreas Siebold is a specialist in Periodontics and Oral Medicine in private practice in Johannesburg. He specialised at the University of Pretoria and obtained his doctorate at the Ludwig Maximiliam’s University in Munich. He is a past president of the...

Dental calculus is considered to represent the calcified configuration of an undisturbed oral biofilm. Historically, excepting the inherent surface biofilm, calculus was regarded as a mineralized “dead” organic material, i.e., fossilized bacteria embedded in a mineralized extracellular matrix. With...

As noted above, potential reservoirs of pathogenic bacteria involve various oral soft tissues and saliva. Subgingival calculus and its inherent microbial components, both surface biofilm and internal of the calculus mass, will be A more recent study by Giuliana et al. Cultured invasive bacteria from...

SRP remains the cornerstone of nonsurgical periodontal therapy. An often-cited goal of SRP is the removal of all subgingival calculus and biofilm. Numerous studies report a significant reduction in the subgingival bacterial burden and/or specific periodontal pathogenic microbes following SRP in periodontitis...

The purpose of this commentary is to reevaluate the impact of root surface accretions and alterations on the pathogenicity of periodontitis, the factors that influence treatment outcomes, and to offer commendations that will promote optimal long-term success in controlling periodontal disease. The...