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There was much confusion introduced by these comparison studies and there was great resistance to the idea that possibly surgery might not be necessary for adequate treatment of periodontal disease. A new rationale justifying periodontal surgery of “quality of debridement” was published with this study.

IDEA: – clean the roots better by seeing them first.

In my opinion this represented a desperate attempt to protect a profitable revenue stream that could only be scientifically supported in limited usage.

The next topic is the Specific Plaque Hypothesis. This new theory promises to clear up a lot confusion for practitioners and take periodontal therapy to new success levels along with making it more comfortable for patients.