Important Lecture 7 Flashcards
what is nonsurgical periodontal therapy
stabilize level of attachment by eliminating/minimizing inflammation in the periodontium
goals of NSPT
control/physically remove bacteria
controls/eliminate risk factors
reach ultimate objective of NSPT: Stabilize attachment levels
rationale for scaling
to stabilize attachment level by eliminating inflammation
to arrest progress of periodontal disease
to induce positive changes in subgingival bacterial flora
to increase effectiveness of patient self-care
to prevent recurrence of periodontal disease during periodontal maintenance
conservation of cementum is essential for optimal periodontal health why?
existence increases outcome of reattachment
removal leads to dentin exposure to oral environment
increasing chances of root caries and dentinal hypersensivity
end goal for NSPT
free of inflammation
formation of long junctional epithelium
following perio instrumentation there is no formation of
new alveolar bone
cementum
periodontal ligament
tissue responses to instrumentation
- shrinkage of the soft tissue/resolution of inflammation resulting in a shallow pocket depth/reduction in probing depth
- forming a long junctional epithelium: shallow pocket depth
- little change in the level of soft tissues
steps in re-eval
- medical status update
- thorough perio assessment
- compare results with initial assessment
- decide on the next step
options for treatment following re-eval
- additional NSPT: revisit unresponsive sites
- establish maintenance program
- recognize need for periodontal surgery/referral
when do i refer
severe disease
patients w concerning med history
surgical procedures
management strategies for dentinal hypersensitivity
thorough daily plaque biofilm removal
in-home therapies
in-office therapies
block nerve receptors
lasers
block with restorative materials
block with perio surgery
