BACKGROUND: Scaling and root planing, @entity1104 , and modified Widman procedures are effective methods for treating @entity2520 . Studies have been carried out to determine if these procedures are more effective than others in reducing clinical probing depths, while maintaining clinical attachment levels. The purpose of this report is to present 5-year results from a longitudinal study comparing scaling and root planing (SRP), @entity1104 ( @entity1104 ), and modified Widman (MW) therapies. The study has been completed for 12 years. METHODS: Sixteen adult @entity1 with moderate to @entity2520 were treated with initial scaling and oral hygiene procedures in a private practice. Posthygiene data were used to compare changes in plaque and @entity2522 , @entity92 ( @entity92 ), clinical attachment levels (CAL), and recession. Frequency distributions were used to compare changes at individual sites. The first published report was from baseline to one year. This follow-up report is from baseline through 5 years. RESULTS: At 5 years, there were significant @entity69602 . For the 3 procedures, there were significant decreases in baseline 4 to 6 mm @entity92 (P<0.0001); however, there were no differences between the methods. Similar findings were noted for @entity92 initially greater than 7 mm. At 5 years, @entity1104 had the greatest number of 1 to 3 mm sites (332 sites, 73.2%), while MW had the fewest number of 4 to 6 mm @entity92 (98 sites, 21.8%). SRP had the fewest 7 mm and greater sites (15 sites, 3.4%). At 5 years, CAL loss for 1 to 3 mm @entity92 was statistically significant for the 3 procedures. There were slight gains in CAL for 4 to 6 mm probing depths. These gains were not significant. Similar findings were seen for CAL for probing depths greater than 7 mm. @entity1104 had the greatest number of sites losing more than 2 mm of CAL (64 sites), followed by SRP (21 sites) and MW (34 sites), respectively. CONCLUSIONS: This 5-year clinical trial demonstrates that with good @entity1 maintenance excellent clinical results can be achieved with various methods of treatment. Within the limits of this study, SRP, @entity1104 , and MW were effective at reducing probing depths with slight changes in clinical attachment levels.

A longitudinal study comparing scaling, XXXX , and modified Widman procedures: results after 5 years.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity69602 :: ('MESH:C535886', 'Disease') :: ['decreases in gingival and plaque scores'] @entity2520 :: ('MESH:D010510', 'Disease') :: ['advanced periodontal disease', 'periodontal diseases'] @entity2522 :: ('MESH:D005891', 'Disease') :: ['gingival indices'] @entity92 :: ('MESH:D007222', 'Disease') :: ['PD', 'probing depth'] @entity1104 :: ('MESH:D000267', 'Disease') :: ['osseous surgery', 'OS']
@entity1104 :: (MESH:D000267,Disease) :: ['osseous surgery']
