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July JADA features new perio guidelines

June 29, 2015

By Michelle Manchir

The July 2015 issue of The Journal of the American Dental Association features new ADA clinical practice guidelines and a supporting systematic review regarding the nonsurgical treatment of chronic periodontitis by scaling and root planing (SRP) with or without adjuncts.

The ADA Council on Scientific Affairs convened a panel of experts to conduct a systemic review of evidence, resulting in the guidelines.

"Practitioners are confronted with many options for treatment interventions in caring for their patients," said Dr. Chris Smiley, lead author of the panel. "These guidelines allow clinicians to contrast anticipated outcomes in making care choices that most benefit patients."

The panel concluded that conventional scaling and root planing should be considered for the initial treatment for patients with chronic periodontitis.

Dr. Smiley
Furthermore, the new guidelines and review reiterate that the value of providing adjunctive therapies in conjunction with SRP must be carefully considered in tailoring individual care recommendations for patients, as few may enhance results beyond what is achieved through SRP alone, Dr. Smiley said.

The panel's systematic review included 72 research articles providing clinical attachment-level data on trials of at least 6 months duration and published in English through July 2014.

"The treatment of chronic periodontal disease is challenging for both the patient and the dental team," said Dr. Smiley. "It is hoped that this systematic review will aid in the decision-making process on the broad range of available treatment options."
To view this and other features in July 2015 JADA, visit