Management of Necrotising Periodontal Diseases: A Systematic Review - PubMed
6 hours ago
- #periodontal therapy
- #necrotising periodontal diseases
- #systematic review
- Mechanical debridement combined with antiseptic rinses (e.g., chlorhexidine or hydrogen peroxide) is the primary therapeutic approach for necrotising periodontal diseases (NPDs).
- Systemic antimicrobials, mainly metronidazole, are frequently used as adjuncts or monotherapy for NPDs.
- Reduced pain, bleeding, and ulcer resolution within days are common findings for all tested interventions.
- Photodynamic therapy (PDT) as an adjunct shows short-term clinical and microbiological benefits but requires further validation.
- Evidence on reconstructive approaches and long-term recurrence prevention for NPDs is lacking.
- Management of NPDs primarily relies on mechanical debridement and antiseptics, with systemic antimicrobials reserved for cases with systemic involvement.