57. Supportive periodontal therapy. Flashcards
1
Q
Aim of maintainence phase
A
Prevent re-infection and disease recurrence
2
Q
Maintainence phase includes
A
- Anamnesis
- Extra and intra-oral status
- Indexes
- Scaling
- Periodontal status
- Periodontal risk assessment
3
Q
How patient recall is dettermined
A
- High risk-3 months
- Medium risk- 6 months
- Low risk- 12 months
4
Q
Information contained in periodontal risk assessment
A
- Age
- Number of implants
- Number of sites per tooth/implant
- No. of bop positive sites
- No. of sites w/ pocket depths >5mm
- No. of missing teeth
- % alveolar bone loss
- Systemic genetic diseases
- Smoking(environmental factors)
5
Q
Environmental factors include
A
- Non smoker
- Former smoker
- Occasional smoker
- Smoker
- Heavy smoker
6
Q
When epithelium regenerates
A
10-14 days
7
Q
When connective tissue regenerates
A
6 weeks
8
Q
When bone reforms
A
6 weeks to 3 months
9
Q
When periodontal healing takes place
A
up to 6 months
10
Q
Peri-implant mucositis
A
*Reversible inflammatory process=>
* Soft tissue surrounding functioning implant
11
Q
Peri-implantitis
A
Inflammatory process characterised by loss of peri-implant bone
12
Q
Peri-implant mucositis clinical features
A
- Similar to gingivitis
- Difference in morphology of mucosa=>
- Lack of light transmission through metal of device may mask inflammation
- Assessed by Bop
13
Q
Risk factors for peri-implant mucositis
A
- Poor OH
- History of periodontitis
- Smoking
- Immunodeficiency condition
- Impaired bone metabolism
- Inadequate implant surface
14
Q
Microbiology of peri-implant mucositis
A
- Increase in spirochetes and G(-) bacilli
- Fusobacterium
- Prevetella
- Porphyromonas
- Tanerella forsythia
15
Q
Treatment of peri-implant mucositis
A
- Patient hygiene routine
- Subgingival debridement
- Irrigation
- Antimicrobial mouthwash-CHX
16
Q
Peri-implantitis clinical features
A
- Inflammation
- Loss of peri-implant bone
- Mobility not characteristic but may occur at final stages
- Suppuration frequent
