Comprehensive Treatment Planning

Question 1

What is needed for a treatment plan to be set?

Answer 1

Appropriate treatment planning requires an appropriate diagnosis.

To set a treatment plan we need to know the goals and what we want to achieve with the patient

Question 2

What are the goals of periodontal therapy?

Answer 2

Preservation, improvement, and maintenance of natural dentition, implants and surrounding tissues

Obtaining a healthy periodontium/peri-implant tissues: Absence of inflammation and progressive attachment/bone loss.

Absence of an increase in attachment loss and bone loss (preventing further attachment loss if there is already)

Personal plaque control and a bleeding score of <10% and probing depths of no greater than 5mm. Including horizontal probing in furcations of less than 5mm.

Question 3

Is hypermobility an issue to address?

Answer 3

Not necessarily, hypermobility is only an issue if it affects the function of the patient (affecting eating and plaque control)

Question 4

How is prognosis affected by the clinical situation?

Answer 4

Prognosis is always reassessed based on response of teeth to therapy and so there is an initial prognosis which the planning is made according to.

Question 5

What are the types of treatment that can be provided in a periodontal treatment plan?

Answer 5

Non-surgical

Surgical (surgical debridement)

Regenerative

Cosmetic

Dental implant placement

Question 6

What does the periodontal management form contain?

Answer 6

Periodontal management form contains the medical and dental history, radiographic findings, other patient needs besides the perio.