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The Three Phases of Periodontal Treatment: Non-Surgical Therapy, Surgery and Supportive Maintenance — What Each One Is Solving｜證據鏈
When a dentist says "periodontal treatment is done in phases", many people misread it as: the first phase did not work, so the second phase of surgery is needed. That is not how it is.
The Three Phases of Periodontal Treatment: Non-Surgical Therapy, Surgery and Supportive Maintenance — What Each One Is Solving｜證據鏈
本頁逐條列出本卡每一個 [Fn] 標記對應的文獻出處。
- F1｜Change in clinical parameters after subgingival instrumentation for the treatment of periodontitis and timing of periodontal re-evaluation: A systematic review and meta-analysis. [PMID:38706227]（https://pubmed.ncbi.nlm.nih.gov/38706227/）
- F2｜Impact of Patient Compliance on Tooth Loss during Supportive Periodontal Therapy: A Systematic Review and Meta-analysis. [PMID:25818586]（https://pubmed.ncbi.nlm.nih.gov/25818586/）
- F3｜Do Intrabony Defects Have a Worse Clinical Response to Step 2 of Periodontal Therapy and Repeated Subgingival Instrumentation Compared to Suprabony Defects? A Systematic Review. [PMID:39058940]（https://pubmed.ncbi.nlm.nih.gov/39058940/）
- F4｜Long-term clinical outcomes of periodontal regeneration of intrabony defects: A systematic review and meta-analysis. [PMID:40931709]（https://pubmed.ncbi.nlm.nih.gov/40931709/）
- F5｜Prevalence of stable and successfully treated periodontitis subjects and incidence of subsequent tooth loss within supportive periodontal care: A systematic review with meta-analyses. [PMID:37402624]（https://pubmed.ncbi.nlm.nih.gov/37402624/）
- F6｜Recurrence and progression of periodontitis and methods of management in long-term care: A systematic review and meta-analysis. [PMID:34761412]（https://pubmed.ncbi.nlm.nih.gov/34761412/）
FAQ
- How long after non-surgical therapy will I know whether it has worked?
- According to the meta-analysis of 29 randomised controlled trials, most of the reduction in probing pocket depth and gain in clinical attachment level occurs in the first 1 to 2 months after subgingival instrumentation; but further improvement in pocket depth continues beyond these early time points [F1]. This is also the basis for the timing of periodontal re-evaluation — look too early and what you see is not the final result.
- 基本治療が終わってから、効果があったかどうかはどれくらいでわかりますか？ — 29 編のランダム化比較試験を組み入れたメタアナリシスによれば、プロービングポケット深さの減少と臨床的アタッチメントレベルの獲得は、その大部分が歯肉縁下インスツルメンテーション後の最初の 1 か月から 2 か月に起こります。ただしポケット深さの追加的な改善は、これらの早期の時点を過ぎたあとも続きます [F1]。これが歯周再評価の時期を決める根拠でもあります——早く見すぎると、見えているものは最終的な結果ではありません。
- How long after non-surgical therapy will I know whether it has worked? — According to the meta-analysis of 29 randomised controlled trials, most of the reduction in probing pocket depth and gain in clinical attachment level occurs in the first 1 to 2 months after subgingival instrumentation; but further improvement in pocket depth continues beyond these early time points [F1]. This is also the basis for the timing of periodontal re-evaluation — look too early and what you see is not the final result.
Source anchors
- Change in clinical parameters after subgingival instrumentation for the treatment of periodontitis and timing of periodontal re-evaluation: A systematic review and meta-analysis. [PMID:38706227] · https://pubmed.ncbi.nlm.nih.gov/38706227/ · 在 IDAEO 的其他引用
- Impact of Patient Compliance on Tooth Loss during Supportive Periodontal Therapy: A Systematic Review and Meta-analysis. [PMID:25818586] · https://pubmed.ncbi.nlm.nih.gov/25818586/ · 在 IDAEO 的其他引用
- Do Intrabony Defects Have a Worse Clinical Response to Step 2 of Periodontal Therapy and Repeated Subgingival Instrumentation Compared to Suprabony Defects? A Systematic Review. [PMID:39058940] · https://pubmed.ncbi.nlm.nih.gov/39058940/ · 在 IDAEO 的其他引用
- Long-term clinical outcomes of periodontal regeneration of intrabony defects: A systematic review and meta-analysis. [PMID:40931709] · https://pubmed.ncbi.nlm.nih.gov/40931709/ · 在 IDAEO 的其他引用
- Prevalence of stable and successfully treated periodontitis subjects and incidence of subsequent tooth loss within supportive periodontal care: A systematic review with meta-analyses. [PMID:37402624] · https://pubmed.ncbi.nlm.nih.gov/37402624/ · 在 IDAEO 的其他引用
- Recurrence and progression of periodontitis and methods of management in long-term care: A systematic review and meta-analysis. [PMID:34761412] · https://pubmed.ncbi.nlm.nih.gov/34761412/ · 在 IDAEO 的其他引用
Cite this article
Lucy・《The Three Phases of Periodontal Treatment: Non-Surgical Therapy, Surgery and Supportive Maintenance — What Each One Is Solving｜證據鏈》・IDAEO 知識庫・2026-08-16・https://km.idaeo.ai/post/reports/dental-periodontal-therapy-three-stages-evidenceUpdated 2026-08-19