25- Management of the periodontal patient Flashcards
What are some way you can manage a patients periodontitis
- OHI
- control risk factors
- sub/supragingival plaque and calculus elimination
- eliminating plaque retentive factors
For what BPE code should you take DPC and radiographs?
3 and 4
Why can BPE not be used to monitor the patient’s response to periodontal therapy?
Because it does not provide information about how sites in sextant change after treatment
What are the secondary effects of scaling and OHI
Temporary bacteremia (i.e. bacteria entering the bloodstream)
What therapy is done for code 3/4
- OHI
- elimination of plaque by scaling and OHI
- elimination of calculus and overhanging restorations
- RSD
- supportive pharmacological therapy if needed
- surgical therapy if needed
What are the expected results of scaling and ohi?
- increase in patient compliance
- stable reduction of plaque and calculus
- no signs of inflammation
What are the expected results of RSD?
- BOP reduction
- PD reduction
- CAL gain
- Gingival recession
Why should you expect a gingival recession when performing RSD?
less oedema, therefore less swelling
fibres attach to the periosteum better
How does calculus affect periodontal disease?
Calculus provides and ideal surface for microbial colonization
What is intrasulcular purulent exudate caused by?
localised bacteria in the pocket
What are the ideal plaque score?
Below 20%
What are the ideal bleeding scores?
below 20%
What should you assess when reviewing patients?
- did patient reach predicted outcomes
- what are FMPS and FMBS levels?
- are there are residual defects?
- does the patient need any further therapy
What are some further treatment options?
- Non-surgical therapy
- Open flap debridement (OFD)
- Osteo respective surgery (OSD)
- Regenerative therapy
- tooth extraction
At what intervals are RSD patients reviewed from?
8 weeks to 3 months
