MANAGEMENT OF PERIODONTITIS IN THE MAINTENANCE PHASE

Question 1

sequence for tx of periodontitis

Answer 1

behaviour change and risk factor control
sub gingival PMPR
management of non responding sites
supportive periodontal care

Question 2

BSP clinical practise guidelines

Answer 2

perio assessment 
diagnosis
assess risk factor, behaviour change, OH instruction, PMPR
reevaluate if pt engaging
sub gingival PMPR
non responding sites step 3
maintenence

Question 3

aim of periodontal supportive care ie maintenance

Answer 3

maintain perio stability in all treated pts
combines preventive and therpautic interventions
complaince with OH regimes
if recurrent disease detected diagnosis and tx plan reinstituted

Question 4

periodontal stability

Answer 4

BOP less than 10

no sites more than 4mm

Question 5

supportive perio care appt consists of

Answer 5

assessment and monitoring of PD health
appraisal of systemic health and lifestyle
reinforcement of OH instruciton
patient motivation towards continues risk factor control
professional mechanical plaque removal
localised PMPR at residual pickets

Question 6

adjunctive therapies for gingival infalmmtion

Answer 6

antiseptic MW to control gingival inflamation

eg chlorhexidine, only short term use

Question 7

phased steps in perio care by diagnossi

Answer 7

stage 1 grade A maintain according to risk
stage 1 grade B/C - 3 monthly
stage II 3 4 maintain 3 monthly regardless of grade

Question 8

define engaging pt

Answer 8

50% improvement in plaque/bleeding scores

bleeding 30% less or plaque 20% or less

Question 9

palliative vs supportive perio care

Answer 9

for non engaging pts

brief step 1 of care , supra gingival PMPR, risk factor control, behaviour change)

Question 10

supportive perio care

Answer 10

assessment of MH, risk factor control
reinforce OH
supragignival PMPR
sub gingival PMPR