Management in Maintenance Phase

Question 1

Outline the 5 steps of perio tx

Answer 1

1. Initial tx
2. Cause-related therapy
3. Non-surgical tx
4. Surgical tx
5. Maintenance/ supportive tx

Question 2

What is included in initial tx phase?

Answer 2

Emergency tx
XLA teeth hopeless prognosis
Pt information
Plaque control inc. correction plaque retentive feature
RSD
Reassessment and monitoring

Question 3

Aim perio tx?

Answer 3

Shallow pockets w/ no BOP

Question 4

What should be carried out during perio review?

Answer 4

Check all tx carried out
Check OHI - plaque score, 6 point chart
Evaluation - tx aims reached

Question 5

How does outcome of initial phase affect future tx planning?

Answer 5

If complete and tx aims achieved - set individualised recall program
If incomplete - review diagnosis and tx plan

Question 6

What is a perio review?

Answer 6

Evaluation of therapy and results

Question 7

Why is maintenance needed?

Answer 7

Re-motivate pt
Pt can’t clean subgingivally
Episodic nature of disease

Question 8

Can the idea of prophylaxis be used in perio?

Answer 8

Yes - remove supra-gingival plaque and calculus and sub-gingival if necessary

Question 9

What use for diagnosis of perio?

Answer 9

Clinical assessment w/ radiographs

Clinical criteria: BOP, PD, furcation