Perio Maintenance

Question 1

What are the 4 stages of treatment sequence?

Answer 1

1. Systemic
2. Initial
3. Corrective
4. Maintenance

Question 2

Describe what occurs during systemic phase

Answer 2

Eliminate or decrease influence of systemic conditions
Decrease/mitigate risk of infectious hazards to dentist/patient.

Question 3

Describe what occurs during the initial phase

Answer 3

Cause related therapy to decrease periodontal pathogens
Debridement
correct restorative defects
adjunct antimicrobial agents
exo hopeless teeth

Question 4

describe what occurs in corrective phase

Answer 4

treatment of sequelae of disease once under control
functional and aesthetic needs of patient addressed in stable periodontium

Question 5

Maintenance phase aim

Answer 5

prevent re-infection and disease recurrence

Question 6

What is root planing and why is it outdated

Answer 6

Root planing involves intentionaly removal of cementum to achieve a smooth rooth surface
Outdated because complete elimination of periodontal pathogens isn’t necessary, just minimise critical mass.

Question 7

Benefits of maintenance phase

Answer 7

prevent recurrence/progression
prevent or decrease tooth loss
allow for early detection and treatment

Question 8

How does an individualised maintenance phase reflect on tooth loss rates?

Answer 8

Treated but not maintained results in 2x tooth loss

Question 9

Recall periods for High, Moderate and Low risks

Answer 9

High = 2-3 months
moderate = 6 months
low = 12 months

Question 10

How often should radiographs be taken according to risk status?

Answer 10

High = 1-2 years
moderate = 3-4 years
low = 5-6 years

Question 11

What are the 6 parameters for risk assessment in the Lang and Tonetti risk assessment?

Answer 11

BOP, PD, Tooth loss, BL/Age, systemic or genetic, environmental