[The influence of initial therapy on the symptoms of adult periodontitis]. / Der Einfluss der Initialtherapie auf Symptome der Erwachsenen-Parodontitis.

Pocket depth, attachment level (AL), bleeding on probing (BOP), amount of dental plaque and calculus, concentrations of immunoglobulin G and C-reactive protein in GCF were determined at 54 periodontal sites in 9 patients suffering from adult periodontitis before and 1 week after periodontal initial therapy (IT). At the same time the subgingival plaque was assessed by dark-field microscopy (DFM). 17% of the sites treated showed further loss of attachment. Attachment gain was observed at 39% of the examined sites. IT had no influence on the IgG- and CRP-concentrations of GCF. Measuring of AL, BOP and the assessment of subgingival plaque by DFM seem to be recommendable measures for monitoring adult periodontitis.

[The relevance of the loss of first permanent molar for the periodontium of neighbouring teeth]. / Die Bedeutung des Verlustes des Sechsjahrmolaren für das Periodont der Nachbarzähne.

There is a controversial discussion according to treatment of the early loss of first permanent molar. The aim of this investigation was to study the change of periodontal conditions of the teeth neighbouring the gap. We investigated 33 patients with 55 gaps. The average time of first molar loss was 10.5 years. The position of neighbouring teeth was influenced by the early loss of the first molar. Oral hygiene and self cleaning of the periodontal tissues was of good quality in this region. The bleeding on probing was smaller in this region compared with control teeth. The pocket depth of the second molar was higher than that of the second premolar. The loss of alveolar bone detected by radiography was greater in the second molar compared with the second premolar and also in the distal periodontal site of the second molar and the mesial site of the second premolar controlled with sites neighbouring the gap.

[Construction and managing of maintenance care in periodontology]. / Aufbau und Gestaltung einer Dispensairebetreuung in der Periodontologie.

The maintenance care of periodontal treated patients is the necessary prerequisite for the individual long-life tooth preservation. The recall interval derives from the recidivity, the compliance of the patient, and from the individual disposition. The use of a self-developed data-bank-system relieve evaluation and processing of the extensive data which will be raised site-specific in the recall session. It will be given some directions to the content of the periodontal maintenance care.