Perio Treatment Planning Flashcards
Comprehensive Treatment Planning – plan a logical treatment plan with ________
endpoints/goals
Important to gather all of the information for the “big picture” and to use all of that information
Dentist and Patient Goals is to Establish in perio
Oral Health
Function
Esthetic
Information gathering includes
1. Medical, dental, psychosocial histories 2. Clinical examination 3. Radiographic examination 4. Diagnostic aids
These will allow you to evaluate, diagnose, and prognose
1st phase of treatment should target what
oral health
-treat infection, hopeless teeth, occlusal problems etc,
Phase 2 Treatment of systemic treatment
Periodontal surgery (regen, resective, plastic, crown lengthening)
Implant insertion
Phase 3 Treatment of systemic treatment
Prosthodontics
-removable partial denture, fixes, implant covered, bridge etc
Key for long term success of these systemic treatment
maintenance-see them frequently
Systemic treatment sequence overview
START–> Plan –> Phase I, II, III –> IV (maintenance)
Primary Goals of Periodontal Therapy (2)
- Eliminate the infection
2. Stop the disease progression
Dentist’s primary concern of the three outcomes/goals
Oral health
Most challenging perio problem
furcation involvement
Clinical outcome parameters to be reach through therapy (3) + (2)
BOP = 25%
PD < 5mm
Furcation involvement = to 2
Absence of pain
Individual satisfied with esthetics and function
The disease control phase of after comprehensive examination includes what
Removal of Bacteria to a point that the host tissue will heal.
- Oral hygiene education
- Patient motivation
- Excavation of deep carious lesion
- Extraction of hopeless teeth
- Removal of plaque retentive factors SRP
- Necessary Endo and occlusal therapy
- Non-surgical perio debridement
- post-treatment re-eval
Key of disease control phase
SRP-Scaling and Root Plaining
At re-eval following SRP
No PD, BOP, and good OH treatment
3 month recall-good
At re-eval following SRP
PD, BOP, poor oral hygiene treatment
OHI, re-eval, maintenece
At re-eval following SRP
PD, BOP, good OH
Surgery and maintenance
At re-eval following SRP
PD, no BOP, good OH
Surgery and/or maintenance
When is this re-eval after SRP coming? How long
4-6weeks
If you are going to put an implant, the mouth has to be
infection free
At re-eval following SRP
No large PD, has BOP, Good OH
Consider systemic factors,biological width
PD that is bad (perio disease)
=5
If you have active periodontal disease you have what
active pocket depths (= 5)
Attachment level tells you about
history of periodontal disease (recession)
Green dot means
good prognosis
Yellow dot means
questionable prognosis
Red dot means
hopeless/poor prognosis
Red complex bacteria
AA, T. forsythia, P. ginigivalis, T. denticola
these cause perio disease
