Minimal invasiveness in nonsurgical periodontal therapy
Periodontal treatment is quickly moving towards a philosophy consisting of a less invasive approach. In this context, minimally invasive nonsurgical therapy (MINST) is a promising option. This paper reviews the concepts behind minimal invasiveness in nonsurgical periodontology and reports the state‐...
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| Vydané v: | Periodontology 2000 Ročník 91; číslo 1; s. 7 - 19 |
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| Hlavní autori: | , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
| Vydavateľské údaje: |
Denmark
01.02.2023
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| ISSN: | 0906-6713, 1600-0757, 1600-0757 |
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| Abstract | Periodontal treatment is quickly moving towards a philosophy consisting of a less invasive approach. In this context, minimally invasive nonsurgical therapy (MINST) is a promising option. This paper reviews the concepts behind minimal invasiveness in nonsurgical periodontology and reports the state‐of the art evidence for this topic. Instruments used and protocols suggested for these applications are introduced and discussed. The original papers reviewed show probing pocket depth (PPD) reductions and clinical attachment level (CAL) gains ranging from 2 to 4 mm between baseline and 6 months to 5 years posttreatment for intrabony defects and from 1.5 to 3 mm between baseline and 2‐6 months of follow‐up for full‐mouth results. These clinical outcomes are accompanied by statistically significant reductions in radiographic bone defect depth and increases in intrabony defect angles posttreatment. Wound healing mechanisms following MINST are presented, and clinical applications and directions for future research are suggested. |
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| AbstractList | Periodontal treatment is quickly moving towards a philosophy consisting of a less invasive approach. In this context, minimally invasive nonsurgical therapy (MINST) is a promising option. This paper reviews the concepts behind minimal invasiveness in nonsurgical periodontology and reports the state-of the art evidence for this topic. Instruments used and protocols suggested for these applications are introduced and discussed. The original papers reviewed show probing pocket depth (PPD) reductions and clinical attachment level (CAL) gains ranging from 2 to 4 mm between baseline and 6 months to 5 years posttreatment for intrabony defects and from 1.5 to 3 mm between baseline and 2-6 months of follow-up for full-mouth results. These clinical outcomes are accompanied by statistically significant reductions in radiographic bone defect depth and increases in intrabony defect angles posttreatment. Wound healing mechanisms following MINST are presented, and clinical applications and directions for future research are suggested. Periodontal treatment is quickly moving towards a philosophy consisting of a less invasive approach. In this context, minimally invasive nonsurgical therapy (MINST) is a promising option. This paper reviews the concepts behind minimal invasiveness in nonsurgical periodontology and reports the state-of the art evidence for this topic. Instruments used and protocols suggested for these applications are introduced and discussed. The original papers reviewed show probing pocket depth (PPD) reductions and clinical attachment level (CAL) gains ranging from 2 to 4 mm between baseline and 6 months to 5 years posttreatment for intrabony defects and from 1.5 to 3 mm between baseline and 2-6 months of follow-up for full-mouth results. These clinical outcomes are accompanied by statistically significant reductions in radiographic bone defect depth and increases in intrabony defect angles posttreatment. Wound healing mechanisms following MINST are presented, and clinical applications and directions for future research are suggested.Periodontal treatment is quickly moving towards a philosophy consisting of a less invasive approach. In this context, minimally invasive nonsurgical therapy (MINST) is a promising option. This paper reviews the concepts behind minimal invasiveness in nonsurgical periodontology and reports the state-of the art evidence for this topic. Instruments used and protocols suggested for these applications are introduced and discussed. The original papers reviewed show probing pocket depth (PPD) reductions and clinical attachment level (CAL) gains ranging from 2 to 4 mm between baseline and 6 months to 5 years posttreatment for intrabony defects and from 1.5 to 3 mm between baseline and 2-6 months of follow-up for full-mouth results. These clinical outcomes are accompanied by statistically significant reductions in radiographic bone defect depth and increases in intrabony defect angles posttreatment. Wound healing mechanisms following MINST are presented, and clinical applications and directions for future research are suggested. |
| Author | Casati, Marcio Z. Nibali, Luigi Monteiro, Mabelle F. Ribeiro, Fernanda V. Mehta, Jaimini J. Moore, Jatinder |
| Author_xml | – sequence: 1 givenname: Fernanda V. surname: Ribeiro fullname: Ribeiro, Fernanda V. organization: Paulista University – sequence: 2 givenname: Jaimini J. surname: Mehta fullname: Mehta, Jaimini J. organization: King's College London – sequence: 3 givenname: Mabelle F. surname: Monteiro fullname: Monteiro, Mabelle F. organization: University of Campinas – sequence: 4 givenname: Jatinder surname: Moore fullname: Moore, Jatinder organization: King's College London – sequence: 5 givenname: Marcio Z. surname: Casati fullname: Casati, Marcio Z. organization: University of Campinas – sequence: 6 givenname: Luigi orcidid: 0000-0002-7750-5010 surname: Nibali fullname: Nibali, Luigi email: luigi.nibali@kcl.ac.uk organization: King's College London |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/36661203$$D View this record in MEDLINE/PubMed |
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| CitedBy_id | crossref_primary_10_1186_s13287_024_04054_y crossref_primary_10_3390_healthcare12141430 crossref_primary_10_1111_jcpe_13984 crossref_primary_10_1186_s12903_025_06175_z crossref_primary_10_1111_jre_13261 crossref_primary_10_1002_JPER_23_0518 crossref_primary_10_1016_j_jdsr_2023_11_002 crossref_primary_10_1016_j_jdent_2024_105403 crossref_primary_10_1111_jcpe_14078 crossref_primary_10_1111_jre_70017 crossref_primary_10_1111_prd_12513 crossref_primary_10_1111_jcpe_14141 crossref_primary_10_1111_jcpe_14150 crossref_primary_10_3389_fimmu_2025_1480292 crossref_primary_10_1002_jbm_a_37835 crossref_primary_10_1021_acs_jproteome_4c00701 crossref_primary_10_1016_j_bioactmat_2024_07_014 |
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| Title | Minimal invasiveness in nonsurgical periodontal therapy |
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