11.22 PD maintenance Flashcards
state the therapeutic goals of periodontal maintenance
- to minimize the recurrence and progression of perio disease
- to reduce the incidence of tooth loss by monitoring the dentition and prosthetic replacement
- to locate and treat oral diseases and conditions
list data collected during a maintenance recall
Medical history Dental history Head and neck examination Caries identification Existing restorations/prostheses Endodontic evaluation Reconstructive needs
Periodontal evaluation Gingival appearance PD and AL Bleeding on probing Mobility Occlusion Furcations Presence plaque/calculus Radiographic examination
develop diagnoses, treatment plans for periodontal patients and provide rationale for treatment options
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discuss rationale for maintenance interval
- plaque score
- calculus
- bop
identify clinical factors that influence recommended interval for maintenance therapy
- plaque score
- calculus
- bop
list factors that have been correlated with compliance/noncompliance of maintenance therapy
-Medical literature suggests that patients with chronic disease tend to comply poorly, especially if the disease is not perceived as threatening
-Top reasons for non-compliance
Fear
Economics
Lack of compassion from clinician
Perception that therapy was no longer needed
discuss the important of maintenance therapy in the overall treatment of the periodontal patient
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Patients given instruction on plaque control methods with _____ _____have less plaque and gingivitis than patients receiving instruction alone
-and name the study
- performance feedback
- AXELSSON AND LINDHE
how soon after ScRP do bacteria return to pretreatment levels?
16 weeks
-CATON
compliance with periodontal maintenance after induction of INTENSE patient education program
Increase in complete compliance from 16% to 32%
-The increase was largely at the expense of the non-compliance group (none), and mostly due to the efforts of the dental team
