Overview of non-surgical and surgical therapy Flashcards
T/F - It is wise for a practitioner to devote themselves to a single therapeutic philosophy when treating periodontitis
False - In fact, if they do this, they can be liable for supervised neglect should the condition continue to deteriorate
What are the signs of gingival health?
PD of 1-3mm
No history of CAL
No clinical signs of inflammation
What do we call a patient with no signs of current disease, but have had previous attachment loss?
Health on a reduced periodontium
Characteristics of Gingivitis
1-3mm PDs
No history of attachment loss
Clinical signs of inflammation
Signs of Dental plaque-induced gingivitis
Characterized by PD of ≤ 3 mm and BoP
No gingival recession
Red and edematous soft tissue
What other things can cause gingivitis (other than dental plaque?)
Involvement of systemic disorders and medications
These are often difficult to diagnose and treat
Characteristics of Periodontitis
≥4mm PD
Clinical attachment loss
Clinical signs of inflammation
What are the two major types of periodontitis?
Chronic
Aggressive
How do you determine the extent of chronic periodontitis?
> 30% of sites = generalized
How do you determine the severity of chronic periodontitis?
Slight = 1-2 mm CAL Moderate = 3-4 mm CAL Severe = ≥5 mm CAL
How do you determine the extent of aggressive periodontitis?
Localized = Molars and incisors + 1-2 other teeth Generalized = 3+ teeth other than molars and incisors
Gingival recession
Incidental attachment loss
Peri-implant mucositis
Gingivitis-like disease surrounding implants
No CAL
Peri-implantitis
Periodontitis-Lied disease surrounding implants
CAL
What are the steps to approach periodontal care?
1) Perform an exam
2) Make an initial clinical exam diagnosis
3) Identify the risk factors for future progression
4) Establish a prognosis
5) Present treatment alternatives
6) Obtain informed consent
7) Treat the patient:
- initial non-surgical therapy (refer if needed)
- reevaluation
- periodontal maintenance
