paediatric periodontology 2

Question 1

what are the 4 steps detailed in the S3 guidelines for the succesful treatment of periodontitis

Answer 1

RICE
R - Risk factors
I - Intervention
C - check/review
E - exit (long term plan)

Question 2

What is involved in step 1 of treatment according to the S3 treatment guidelines for perio

Answer 2

Addresses risk factors
focuses on behavioural changes to succesfully control plaque
Also includes removal of risk factors such as plaque retention factors e.g restoration overhangs, supragingival plaque removal for calculus etc
smoking cessation advice

Question 3

What is involved in step 2 of treatment according to the S3 treatment guidelines for perio

Answer 3

Intervention/ cause related therapy
aims to control the subgingival plaque biofilm via subgingival PMPR

Question 4

What is involved in step 3 of treatment according to the S3 treatment guidelines for perio

Answer 4

Check/review
address any non responding sites (pockets >4mm with BOP or >5mm)
further subgingival instrumentation

Question 5

What is involved in step 4 of treatment according to the S3 treatment guidelines for perio

Answer 5

Exit/maintenance
aims to maintain periodontal stability
requires regular recalls to repeat steps 1 and 2
relies on compliance with OHI and healthy lifestyle

Question 6

what stages and grades of periodontitis in younger patients would be recommended to be referred to a specialist

Answer 6

Grade C or Stage IV
OR Stage II or III that isn’t responding to tx