JDSE
Journal of Dental Sciences and Education

The Journal of Dental Sciences and Education deals with General Dentistry, Pediatric Dentistry, Restorative Dentistry, Orthodontics, Oral diagnosis and DentomaxilloFacial Radiology, Endodontics, Prosthetic Dentistry, Periodontology, Oral and Maxillofacial Surgery, Oral Implantology, Dental Education and other dentistry fields and accepts articles on these topics. Journal of Dental Science and Education publishes original research articles, review articles, case reports, editorial commentaries, letters to the editor, educational articles, and conference/meeting announcements.

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Original Article
Retrospective evaluation of the effects of non-surgical periodontal therapy on clinical periodontal parameters and deep periodontal pocket burden
Abstract
Aims: This study investigated the impact of initial non-surgical periodontal therapy (NSPT) on clinical periodontal status and deep periodontal pocket burden (DPPB) in individuals with periodontitis, with a focus on how baseline disease severity relates to treatment response.
Methods: Clinical data from 38 patients treated for periodontitis at the Periodontology Clinic of Adıyaman University were analyzed retrospectively. Periodontal measurements were recorded at baseline and at a 6-8-week follow-up. Evaluated parameters included probing pocket depth (PPD), Plaque Index, and Gingival Index. DPPB was quantified as both the number and percentage of sites with PPD?5 mm.
Results: At the post-treatment evaluation, all periodontal parameters indicated a clear shift toward improved clinical conditions (p<0.001). Mean and maximum probing depths were lower compared to baseline values, accompanied by a marked decrease in both the number and proportion of deep periodontal pockets. Improvements were also evident in plaque accumulation and gingival inflammation scores. Moreover, higher baseline pocket burden was associated with greater reductions in probing depth (r=0.681, p<0.001).
Conclusion: NSPT was associated with notable clinical recovery and a reduction in inflammatory burden. Assessing DPPB may enhance the evaluation of treatment response and support clinical decision-making for further periodontal management.

Keywords : Periodontitis, non-surgical therapy, periodontal pocket burden

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1. Tonetti MS, Jepsen S, Jin L, Otomo-Corgel J. Impact of the global burden of periodontal diseases on health, nutrition and wellbeing of mankind: a call for global action. J Clin Periodontol. 2017;44(5):456-462. doi:10.1111/jcpe.12732
2. Papapanou PN, Sanz M, Buduneli N, et al. Periodontitis: consensus report of workgroup 2 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018;89(Suppl 1):S173-S182. doi:10.1002/JPER.17-0721
3. Kassebaum NJ, Smith AGC, Bernabe E, et al. Global, regional, and national prevalence, incidence, and disability-adjusted life years for oral conditions for 195 countries, 1990-2015: a systematic analysis for the global burden of diseases, injuries, and risk factors. J Dent Res. 2017;96(4):380-387. doi:10.1177/0022034517693566
4. Jepsen S, Blanco J, Buchalla W, et al. Prevention and control of dental caries and periodontal diseases at individual and population level: consensus report of group 3 of joint EFP/ORCA workshop on the boundaries between caries and periodontal diseases. J Clin Periodontol. 2017;44(Suppl 18):S85-S93. doi:10.1111/jcpe.12687
5. Sanz M, Ceriello A, Buysschaert M, et al. Scientific evidence on the links between periodontal diseases and diabetes: consensus report and guidelines of the joint workshop on periodontal diseases and diabetes by the international diabetes federation and the European federation of periodontology. J Clin Periodontol. 2018;45(2):138-149. doi:10.1111/jcpe.12808
6. Potempa J, Mydel P, Koziel J. The case for periodontitis in the pathogenesis of rheumatoid arthritis.Nat Rev Rheumatol. 2017;13(10):606-620. doi:10.1038/nrrheum.2017.132
7. Scannapieco FA, Bush RB, Paju S. Associations between periodontal disease and risk for nosocomial bacterial pneumonia and chronic obstructive pulmonary disease. A systematic review. Ann Periodontol. 2003;8(1):54-69. doi:10.1902/annals.2003.8.1.54
8. Sanz M, Del Castillo AM, Jepsen S, et al. Periodontitis and cardiovascular diseases: consensus report. J Clin Periodontol. 2020;47:268-288. doi:10.1111/jcpe.13189
9. Sanz M, Kornman K; working group 3 of the joint EFP/AAP workshop. Periodontitis and adverse pregnancy outcomes: consensus report of the Joint EFP/AAP Workshop on Periodontitis and Systemic Diseases.J Periodontol. 2013;84(4 Suppl):S164-S169. doi:10.1902/jop.2013.1340016
10. Dominy SS, Lynch C, Ermini F, et al. Porphyromonas gingivalis in Alzheimer’s disease brains: evidence for disease causation and treatment with small-molecule inhibitors. Sci Adv. 2019;5(1):eaau3333. doi:10.1126/sciadv.aau3333
11. Tonetti MS, Sanz M. Implementation of the new classification of periodontal diseases: decision-making algorithms for clinical practice and education. J Clin Periodontol. 2019;46(4):398-405. doi:10.1111/jcpe.13104
12. Heitz-Mayfield LJA. Conventional diagnostic criteria for periodontal diseases (plaque-induced gingivitis and periodontitis). Periodontol 2000. 2024;95(1):10-19. doi:10.1111/prd.12579
13. Lindhe J, Lang NP, Karring T. Clinical Periodontology and Implant Dentistry. 6th ed. Oxford: Wiley-Blackwell; 2015.
14. Newman MG, Takei HH, Klokkevold PR, Carranza FA. Carranza’s Clinical Periodontology. 13th ed. St. Louis: Elsevier; 2019.
15. Page RC, Kornman KS. The pathogenesis of human periodontitis: an introduction. Periodontol 2000. 1997;14:9-11. doi:10.1111/j.1600-0757.1997.tb00189.x
16. Chapple ILC, Mealey BL, Van Dyke TE, et al. Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: consensus report of workgroup 1 of the 2017 world workshop on the classification of periodontal and peri-implant diseases and conditions. J Clin Periodontol. 2018;45(Suppl 20):S68-S77. doi:10.1111/jcpe.12940
17. D’Aiuto F, Ready D, Parkar M, Tonetti MS. Relative contribution of patient-, tooth-, and site-associated variability on the clinical outcomes of subgingival debridement. I. Probing depths.J Periodontol. 2005;76(3):398-405. doi:10.1902/jop.2005.76.3.398
18. Tonetti MS, Greenwell H, Kornman KS. Staging and grading of periodontitis: Framework and proposal of a new classification and case definition. J Periodontol. 2018;89(Suppl 1):S159-S172. doi:10.1002/JPER.18-0157
19. Van der Weijden GA, Timmerman MF. A systematic review on the clinical efficacy of subgingival debridement in the treatment of chronic periodontitis. J Clin Periodontol. 2002;29(Suppl 3):55-71. doi:10.1034/j.1600-051X.29.s3.3.x
20. Heitz-Mayfield LJ, Lang NP. Surgical and nonsurgical periodontal therapy. Learned and unlearned concepts. Periodontol 2000. 2013;62(1):218-231. doi:10.1111/prd.12008
21. Mombelli A. Microbial colonization of the periodontal pocket and its significance for periodontal therapy.Periodontol 2000. 2018;76(1):85-96. doi:10.1111/prd.12147
22. Sanz-Sánchez I, Montero E, Citterio F, Romano F, Molina A, Aimetti M. Efficacy of access flap procedures compared to subgingival debridement in the treatment of periodontitis. A systematic review and meta-analysis. J Clin Periodontol. 2020;47(Suppl 22):282-302. doi:10.1111/jcpe.13259
23. Graziani F, Karapetsa D, Mardas N, Leow N, Donos N. Surgical treatment of the residual periodontal pocket.Periodontol 2000. 2018;76(1):150-163. doi:10.1111/prd.12156
24. Graziani F, Karapetsa D, Alonso B, Herrera D. Nonsurgical and surgical treatment of periodontitis: how many options for one disease?Periodontol 2000. 2017;75(1):152-188. doi:10.1111/prd.12201
25. Claffey N, Loos B, Gantes B, Martin M, Egelberg J. Probing depth at re-evaluation following initial periodontal therapy to indicate the initial response to treatment. J Clin Periodontol. 1989;16(4):229-233. doi:10.1111/j.1600-051x.1989.tb01646.x
26. Badersten A, Nilvéus R, Egelberg J. Scores of plaque, bleeding, suppuration and probing depth to predict probing attachment loss. 5 years of observation following nonsurgical periodontal therapy.J Clin Periodontol. 1990;17(2):102-107. doi:10.1111/j.1600-051x.1990.tb01070.x
27. Ramseier CA, Nydegger M, Walter C, et al. Time between recall visits and residual probing depths predict long-term stability in patients enrolled in supportive periodontal therapy.J Clin Periodontol. 2019;46(2):218-230. doi:10.1111/jcpe.13041
28. Saleh MHA, Dias DR, Mandil O, et al. Influence of residual pockets on periodontal tooth loss: a retrospective analysis. J Periodontol. 2024;95(5):444-455. doi:10.1002/JPER.23-0448
29. Tonetti MS, Bottenberg P, Conrads G, et al. Dental caries and periodontal diseases in the ageing population: call to action to protect and enhance oral health and well-being as an essential component of healthy ageing-consensus report of group 4 of the joint EFP/ORCA workshop on the boundaries between caries and periodontal diseases. J Clin Periodontol. 2017;44(Suppl 18):S135-S144. doi:10.1111/jcpe.12681
30. Matuliene G, Pjetursson BE, Salvi GE, et al. Influence of residual pockets on progression of periodontitis and tooth loss: results after 11 years of maintenance.J Clin Periodontol. 2008;35(8):685-695. doi:10.1111/j.1600-051X.2008.01245.x
31. Krajewski A, Perussolo J, Ercal P, Gkranias N, Donos N. The effect of non-surgical periodontal therapy on subgingival microbiota: a systematic review and meta-analysis. J Periodontal Res. 2025;60(10):963-993. doi:10.1111/jre.13409
32. Pal D, Nasim F, Chakrabarty H, Chakraborty A. Non-surgical periodontal therapy: an evidence-based perspective. J DentPanacea. 2021;3(2):1-4.
33. Citterio F, Gualini G, Chang M, et al. Pocket closure and residual pockets after non-surgical periodontal therapy: a systematic review and meta-analysis. J Clin Periodontol. 2022;49(1):2-14. doi:10.1111/jcpe.13547
34. Feres M, Retamal-Valdes B, Faveri M, et al. Proposal of a clinical endpoint for periodontal trials: the treat-to-target approach. J Int Acad Periodontol. 2020;22(2):41-53.
35. Chapple ILC, Mealey BL, Van Dyke TE, et al. Periodontal health and gingival diseases and conditions on an intact and a reduced periodontium: consensus report of workgroup 1 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. J Periodontol. 2018;89(Suppl 1):S74-S84. doi:10.1002/JPER.17-0719
36. Bertl K, Pandis N, Stopfer N, Haririan H, Bruckmann C, Stavropoulos A. The impact of a “successfully treated stable periodontitis patient status” on patient-related outcome parameters during long-term supportive periodontal care. J Clin Periodontol. 2022;49(2):101-110. doi:10.1111/jcpe.13582
37. Raittio E, Leite FRM, Machado V, Botelho J, Nascimento GG. Do all individuals benefit equally from non-surgical periodontal therapy? Secondary analyses of systematic review data. J Periodontal Res. 2025;60(4):315-325. doi:10.1111/jre.13347
38. Ramfjord SP, Caffesse RG, Morrison EC, et al. 4 modalities of periodontal treatment compared over 5 years.J Clin Periodontol. 1987;14(8):445-452. doi:10.1111/j.1600-051x.1987.tb02249.x
39. Kaldahl WB, Kalkwarf KL, Patil KD, Dyer JK, Bates RE Jr. Evaluation of four modalities of periodontal therapy. Mean probing depth, probing attachment level and recession changes.J Periodontol. 1988;59(12):783-793. doi:10.1902/jop.1988.59.12.783
40. Morrison EC, Ramfjord SP, Hill RW. Short-term effects of initial, nonsurgical periodontal treatment (hygienic phase).J Clin Periodontol. 1980;7(3):199-211. doi:10.1111/j.1600-051x.1980.tb01963.x
41. Preshaw PM, Lauffart B, Zak E, Jeffcoat MK, Barton I, Heasman PA. Progression and treatment of chronic adult periodontitis.J Periodontol. 1999;70(10):1209-1220. doi:10.1902/jop.1999.70.10.1209
42. Cugini MA, Haffajee AD, Smith C, Kent RL Jr, Socransky SS. The effect of scaling and root planing on the clinical and microbiological parameters of periodontal diseases: 12-month results.J Clin Periodontol. 2000;27(1):30-36. doi:10.1034/j.1600-051x.2000.027001030.x
43. Cobb CM. Clinical significance of non-surgical periodontal therapy: an evidence-based perspective of scaling and root planing. J Clin Periodontol. 2002;29(Suppl 2):6-16.
44. Segelnick SL, Weinberg MA. Reevaluation of initial therapy: when is the appropriate time?J Periodontol. 2006;77(9):1598-1601. doi:10.1902/jop.2006.050358
45. Liss A, Abrahamsson KH, Welander M, Tomasi C. Effectiveness of nonsurgical re-instrumentation of residual pockets as step 3 of periodontal therapy: a field study. J Periodontol. 2025;1-11. doi:10.1002/JPER.24-0532
46. Heitz-Mayfield LJ, Trombelli L, Heitz F, Needleman I, Moles D. A systematic review of the effect of surgical debridement vs non-surgical debridement for the treatment of chronic periodontitis. J Clin Periodontol. 2002;29(Suppl 3):92-102; discussion 160-162. doi:10.1034/j.1600-051x.29.s3.5.x
Article available in :
Volume 4, Issue 2, 2026
Page : 44-50
https://doi.org/10.51271/JDSE-0076
Article Information
Received : 08 Nis 2026
Accepted : 19 May 2026
Published : 25 May 2026
Corresponding Author :

İsmail Tekbaş: Department of Periodontology, Faculty of Dentistry, Adıyaman University, Adıyaman, Turkiye

[email protected]
Citation : Tekbaş İ, Tanık A, Çiçek Y. Retrospective evaluation of the effects of non-surgical periodontal therapy on clinical periodontal parameters and deep periodontal pocket burden. J Dent Sci Educ. 2026;4(2):44-50.

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