Non-Surgical Periodontal Treatment Flashcards
what is step 1
PMPR of clinical crown
OHI
patient education of disease
what is step 2
assess engagement
subgingival PMPR
use 6PPC to establish deep pockets
if a patient is engaged what does that look like
<15% plaque and <10% bleeding (full mouth)
<35% plaque and <30% bleeding (ramfjords)
what is classed as a deep pocket
4mm+
after doing subgingival treatment how long do you wait to assess
3 months
what type of bleeding is an indicator of engagement
marginal bleeding as it is relative to OHI
what angle do you probe at for marginal bleeding
45 degrees
what is BOP a sign of
the disease process as it is coming from the base of the pocket
when do we definitely use a quadrant approach for step 2 and why
blood thinners
cardiac issues
pregnancy
because inflammatory mediators much higher
what is the limit for HbA1C
7% of 48mmol
when do you refer to perio immediately
in young people
why do pockets not heal
poor OH
treatment technique
risk factors
root grooves, vertical defects, furcations
endo-perio lesions
what do you do for non-responding pockets
targeted subgingival PMPR
reassess
if still deep consider surgery
what is regenerative surgery for
vertical defects or furcations
only when no risk factors and engagement
