non - surgical therapy - periodontitis

Question 1

define non surgical periodontal therapy

Answer 1

to control periodontal infections. is the control of plaque induced gingivitis or periodontitis through self care patient education, periodontal instruments and use chemical agents

Question 2

what is the objectives of non surgical periodontal therapy

Answer 2

eliminate living bacteria and calcified biofilm
eliminate inflammation
return periodontium to healthy state

Question 3

what is philosophy of non surgical periodontal therapy?

Answer 3

primary etiologic factors for periodontal disease
local risk factors for periodontal disease
systemic factors for periodontal disease

Question 4

explain the goals of non surgical periodontal therapy

Answer 4

to minimise the bacterial challenge to the patient
to eliminate or control local contributing factors for periodontal disease
to minimise the impact of systemic for periodontal disease
to stabilise the attachment level

Question 5

describes the indications of non surgical periodontal therapy

Answer 5

non-surgical periodontal therapy is required for patients with plaque-associated gingivitis or periodontitis.
usually controls plaque-induced gingivitis
and usually controls mild to moderate periodontal disease stages 1 and 2
usually precedes periodontal surgery in those patients with severe periodontitis.
non surgical periodontal therapy may minimise the extent of surgery that is needed.

Question 6

describes the procedures included in non surgical periodontal therapy

Answer 6

patient education and self care instructions: API, SBI, selection of appropriate self care aids, addressing self care challenges: gingival embrasures spaces, exposed tooth concavities
mechanical NSPT; using periodontal instruments to remove the calculus and plaque biofilm deposits
antimicrobials: therapeutic mouth rinses such as chlorhexidine and essential oils. also therapeutic dentifrices: stannous fluoride, triclosan, pyrophosphates and chlorhexidine.

Question 7

correction of local and systemic risk factors

Answer 7

local risk; overhanging margins, plunger cusps, open contacts
systemic; interdisciplinary care required such as smoking, and diabetes.

Question 8

describe the healing to be expected following instrumentation

Answer 8

shrinkage of the soft tissue and a shallow pockets depth
preadaptation of the tissues to the root forming a long junctional epithelium
little change in the level of soft tissues resulting in a residual periodontal pockets

Question 9

describe the denial hypersensitivity during instruments

Answer 9

patient may complain of pain during scaling or when spraying air/water syringe.
may need t o used local anaesthesia

Question 10

describe the strategies for dentinal hypersensitivity

Answer 10

chemical management, patient education, blocking dentinal tubules with restorative materials and cover exposed dentin with gingival graft