L45/46 Efficacy of Surgery/Maintenance therapy Flashcards
Confidence interval of Forest plot
95%
Repair
New Attachment
Regeneration
Repair: Long JE. Does not fully restore architecture or function
NA: Union of CT + root
Regeneration: new cementum, PDL, and bone
What type of healing for bone grafts
Regeneration
How does plaque removal during maintenance affect risk of future attachment loss
Reduced risk even with incomplete plaque removal
How long should a perio maintenance appoitment take
53 minutes
Patient w/ gingivitis but no AL. Frequency of PMT
Patient w/ perio
Patient w/ implant
Ging: Semiannual
Perio: 3-6 months
Implant: 3 months
Retreatment for: Poor plaque control Single Site Continued inflammation AL Mobility
PP: no surgery SS: non surgical treatment CI: surgical AL: SRP+ antibiotics or surgery Mobility: Occlusal adjustment
Implant microbes
Same in health:
Inflammation:
Prevotell intermedia
Porphyromonas gingivalis
When does reinfection start to occur around implants
14-28 days after second stage implant exposure
Parameters assessed w/ implants
Tissue health Crevicular fluid Mobility/occlusion Probing Radiology