Treating chronic periodontitis: Current status, challenges, and future directions

Luciana M. Shaddox, Clay B. Walker

Research output: Contribution to journalReview articlepeer-review

84 Scopus citations


Periodontitis affects roughly one-third of the US population. A timely diagnosis of chronic periodontitis at its earliest stage is essential to avoid more challenging severe stages of the disease. Most cases of slight and moderate chronic periodontitis can be successfully managed by mechanical removal and/or reduction of subgingival bacterial biofilms and calculus. However, any factor that affects either the local environment or the host response may contribute to progression of the disease and a poor treatment response. Thus, it is essential that clinicians are aware of etiologic and risk factors associated with disease development and progression in order to plan and execute a successful treatment. This paper reviews a variety of risk factors, both local and systemic, that can impact the successful treatment of chronic periodontitis.

Original languageEnglish
Pages (from-to)79-91
Number of pages13
JournalClinical, Cosmetic and Investigational Dentistry
StatePublished - 2010


  • Gingivitis
  • Periodontal disease
  • Risk factors
  • Treatment

ASJC Scopus subject areas

  • General Dentistry


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