|Year : 2017 | Volume
| Issue : 4 | Page : 253-254
Back to basics…
Editor, Journal of Indian Society of Periodontology, Professor, Department of Periodontology, Institute of Dental Studies and Technologies, Kadrabad, Modinagar, Ghaziabad, Uttar Pradesh, India
|Date of Web Publication||29-Jan-2018|
Editor, Journal of Indian Society of Periodontology, Professor, Department of Periodontology, Institute of Dental Studies and Technologies, Kadrabad, Modinagar, Ghaziabad, Uttar Pradesh
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Kumar A. Back to basics…. J Indian Soc Periodontol 2017;21:253-4
“Success is neither magical nor mysterious. Success is the natural consequence of consistently applying the basic fundamentals.”
The branch of periodontology is growing enormously. The growth is not only at treatment levels, but also at the understanding of basic pathology behind the disease. Newer concepts on pathological aspects, newer paradigms, and newer hypothesis are all adding new information to the science of periodontology.
Similarly, newer instruments, newer and advanced diagnostic aids, latest techniques, newer and more effective biomaterials, concepts of tissue engineering, stem cells, lasers, photodynamic therapy, piezosurgery are all making periodontology more and more interesting.
Implants is one of the treatment modalities, which has been the flavour of these times. The reasons are many, one of the most important being the financial aspect. Periodontists are considered to be the best persons to handle implantology.
It is also a fact that we have newer periodontists and postgraduate students who are fascinated by these advances. There is nothing wrong in being on a par with the advances and using the latest technologies to provide the best of treatment possible to our patients.
Despite all these advances, the irony is that, we tend to forget our basics. Two basic approaches, which need application in every case, are non-surgical therapy and supportive periodontal therapy (SPT). Whatever treatment you may do, in fact in any branch of dentistry, the first treatment generally recommended is scaling, before other treatments are started. Scaling and root planing play the most important role in dentistry as a singular treatment modality that is maximally used, but still does not get its share of importance.
In periodontology, whatever advances you may use, you will have to first treat the patient with non-surgical therapy. For your surgical therapy to be successful, success of non-surgical therapy is of paramount importance. The studies have already proven beyond doubt that non-surgical therapy can give you equivalent results to surgical therapy. When I talk of non-surgical therapy, I also include patient education and motivation as an important aspect of it.
The results we intend to get by non-surgical, surgical or any newer technologies can only be maintained if patient religiously follows SPT. We should be able to motivate our patients for SPT in each and every case for successful outcomes of treatments to be maintained for a long time.
We are best trained to place implants, because of our basic training in soft tissue and bone handling. A person, who could not maintain his teeth, can't be expected to maintain implants, if not educated and motivated properly. A proper SPT schedule needs to be maintained for implants to be successful.
So, in a zeal to use newer technology, we cannot overlook the importance of learning the basics of periodontology. We need to emphasize to our budding periodontists that learning basics is as important as learning newer treatment modalities for them to be successful. The treatment plan advocated in our fundamental books of periodontology and its subsequent issues has still not changed over the last 50 years, despite all the recent advances.
So, to be successful, in any therapy, we need to be strong in our basics - strong in basics of motivation and education, non-surgical therapy, surgical therapy and SPT.
As said by Barry Larkin “What people don't realize is that professionals are sensational because of the fundamentals.”