“Clean and Seal” Approach for Periodontitis and Peri-implantitis

— Importance of thorough subgingival debridement in periodontal therapy
— Limitations of complete plaque and calculus removal
— Impact of anatomical, operator-related, and patient-related factors
— Evidence on residual plaque after instrumentation
— Need for adjunctive antimicrobial materials in periodontal therapy
— Introduction to the clean and seal concept
— Role of sodium hypochlorite/amino acid gels in biofilm elimination
— Role of cross-linked hyaluronic acid (xHyA) in periodontal regeneration
— Pre-clinical and clinical data supporting the clean and seal approach
— Clinical benefits in periodontal and peri-implant infections
— Reduction of pathogenic bacteria and improved histologic outcomes
— Potential to reduce the need for periodontal surgery
— Clean and seal in step-2 periodontitis treatment
— Clean and seal in step-3 periodontitis treatment
— Clean and seal in managing peri-mucositis and peri-implantitis.