How to avoid surgery in case of severe periodontitis and peri-implantitis

Based on her scientific research and clinical experience, Dr Egle Ramanauskaite lectures about a novel concept that helps to reduce or avoid surgery in case of severe periodontitis and peri-implantitis.

The complete removal of plaque and subgingival tartar is essential for the success of non-surgery aimed at reducing or eliminating the pathogenic species responsible for periodontal diseases. However, factors anatomy, skill of the operator and patient conditions may prevent total removal.Studies indicate that up to 30% of the subgingival root surfaces treated can remain contaminated.

Therefore, the use of additional antimicrobial materials during instrumentation is recommended. The”CLEAN&SEAL” concept, using 0.5% sodium hypochlorite/amino acid (PERISOLV) and 1.8% cross-linked hyaluronic acid gel (hyaDENT BG), was proposed to improve clinical outcomes, reduce pathogenic bacteria, and promote tissue regeneration, reducing the need for future surgery.