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Article: Volume 48 Number 3 Page 201 - March 2021

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  Dent Update 2021; 48: 201-205

Periodontology:  A review of the evidence for the provision of the routine scale and polish for the prevention of periodontal disease

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Abstract: The routine scale and polish is the most commonly performed treatment procedure in general dental practice. With a large proportion of state dental health expenditure in the UK and Ireland being used to provide 'routine scale and polish' treatments, it is necessary to establish the true value of this treatment for patients. In this narrative review, we discuss the available evidence regarding provision of the routine scale and polish. Based on the available studies, there is little evidence to support the use of the routine scale and polish alone for the prevention of periodontal disease.

Clinical relevance: This paper evaluates the evidence surrounding the routine provision of scaling and polishing for the prevention of gingivitis and periodontitis.

Author notes: Rachel Birt, BA BDentSc, Dental graduate. Claire M Healy, BDentSc, MB BCh BAO, FDSRCS(OM), FFDRCSI(OM), PhD, Associate Professor/Consultant in Oral Medicine. Denise MacCarthy, BDS (NUI), MA MDent Sc, FDSRCS (Edin), FFD RCSI (Hon), Associate Professor/Consultant in Restorative Dentistry. Lewis Winning, BDS (UDund), DChDent (UDubl), PhD (QUB), FFD(Perio) RCSI, FDS RCPSG, FDS(Rest Dent) RCS, Associate Professor/Consultant in Restorative Dentistry, Dublin Dental University Hospital, Trinity College Dublin. email:lewis.winning@dental.tcd.ie

Objective: To explore the evidence to support the use of the routine scale and polish alone for the prevention of periodontal disease.