perio

Question 1

When to schedule the Re-evaluation for perio?

Answer 1

2 weeks - assess gingival healing (visually)
6-12 weeks -assess periodontal healing (via probing)

Question 2

what is done in re-evaluation

Answer 2

1. update medical hx + risk factors for patient
2. assess pt oral hygiene
3. perio charting
   - compare before and after
   - risk assessment
   - treatment planning
4. further treatment

Question 3

what is endpoint/goal of perio

Answer 3

PD less or equal 4mm
Deep pocket less or equal 6mm

Question 4

what to do when endpoint is not achieved?

Answer 4

2nd stage therapy to be considered

Question 5

what is included in 2nd stage therapy?

Answer 5

repeated subgingival instrumentation w/w.out adjuct
Open flap perio surgery
resective periodontal surgery
regenerational periodontal surgery

Question 6

what is supportive periodontal therapy?

Answer 6

visit to dentist on regular interval based on patient risk profile, which can be determined using
1. perio risk method
2. perio risk assessment
3. personalised SPT interval

Question 7

what happens during SPT appointment

Answer 7

1st 20 min: pt hx update
nxt 30m: assessment of OH, OHI compliances
nxt 45m:
treatment of active site
subgingival instrumentation
antimicrobial
surgical procedure
last 25 min:
polish
fluoride
update treatment plan
risk assessment
schedule appointment