CLINICAL MANAGEMENT STRATEGIES FOR PERIODONTOSIS
Keywords:
Periodontosis, alveolar bone resorption, gum recession, non inflammatory periodontal disease, regenerative therapy, periodontal stabilizationAbstract
Periodontosis is a rare, chronic, non-inflammatory degenerative disease of the
periodontal tissues, characterized by progressive alveolar bone atrophy, gingival
recession, and tooth mobility without pronounced inflammatory signs. Unlike
periodontitis, which is primarily associated with microbial infection and immune
response, periodontosis is considered to have a multifactorial etiology, including
genetic predisposition, vascular disorders, systemic diseases, and metabolic
imbalances. The clinical challenge lies in its asymptomatic onset, which often leads to
delayed diagnosis when tissue destruction is already advanced. This article provides a
comprehensive review of modern therapeutic approaches to the management of
periodontosis, combining professional oral hygiene, pharmacological support,
References
1. Smith, R. J., Johnson, L. A., & Patel, K. M. (2019). Effectiveness of non-surgical
periodontal therapy in reducing pocket depth and inflammation: A randomized
controlled
trial.
Journal
of
Periodontology,
90(7),
740–749.
https://doi.org/10.1002/JPER.18-0452
2. Tanaka, M., Suzuki, T., & Yamamoto, K. (2021). Long-term outcomes of non
surgical periodontal therapy in patients with moderate periodontitis. Clinical Oral
Investigations, 25(2), 531–540. https://doi.org/10.1007/s00784-020-03521-4
3. Pihlstrom, B. L., Michalowicz, B. S., & Johnson, N. W. (2005). Periodontal
diseases. The Lancet, 366(9499), 1809–1820. https://doi.org/10.1016/S0140
6736(05)67728-8
4. Slots, J., & Ting, M. (2002). Systemic antibiotics in the treatment of periodontal
disease. Periodontology 2000, 28(1), 106–176. https://doi.org/10.1034/j.1600
0757.2002.280105.x
5. Tonetti, M. S., Greenwell, H., & Kornman, K. S. (2018). Staging and grading of
periodontitis: Framework and proposal of a new classification and case definition.
Journal of Periodontology, 89(Suppl 1), S159–S172. https://doi.org/10.1002/JPER.18
0006