Historically our perio treatments have focused on the bacterial origins of periodontal disease, and we have developed and utilized a wide array of treatments and adjunctive therapies combating the bugs that cause perio disease. I have spent years preaching this in my educational presentations around the country. This is still vitally important. It is now understood and accepted that perio disease is a bacterial infection starting with oral biofilm, and that periodontal tissue destruction is primarily the result of the body's inflammatory response. Agents that address the immuno-inflammatory response will become more numerous in the near term, enabling us to more effectively reduce the damage to the periodontium. Research has recently revealed that the same inflammatory mediators are operating in several diseases including perio disease, cardiovascular disease, rheumatoid arthritis and adverse pregnancy events. Understanding the effect of the inflammatory burden on the entire body, not just the oral cavity is so important because we are treating people. Identifying and managing patient risk factors, susceptibility and the effect of inflammation on the entire body will help us address the person in our chair, not just their mouth.
Richard H. Nagelberg, DDS
Every patient, every time, any amount of perio disease