Perio Treatment Planning

Question 1

Comprehensive Treatment Planning – plan a logical treatment plan with ________

Answer 1

endpoints/goals

Important to gather all of the information for the “big picture” and to use all of that information

Question 2

Dentist and Patient Goals is to Establish in perio

Answer 2

 Oral Health
 Function
 Esthetic

Question 3

Information gathering includes

Answer 3

1. Medical, dental,
psychosocial histories 
2. Clinical examination 
3. Radiographic
examination
 4. Diagnostic aids

These will allow you to evaluate, diagnose, and prognose

Question 4

1st phase of treatment should target what

Answer 4

oral health

-treat infection, hopeless teeth, occlusal problems etc,

Question 5

Phase 2 Treatment of systemic treatment

Answer 5

Periodontal surgery (regen, resective, plastic, crown lengthening)

Implant insertion

Question 6

Phase 3 Treatment of systemic treatment

Answer 6

Prosthodontics

-removable partial denture, fixes, implant covered, bridge etc

Question 7

Key for long term success of these systemic treatment

Answer 7

maintenance-see them frequently

Question 8

Systemic treatment sequence overview

Answer 8

START–> Plan –> Phase I, II, III –> IV (maintenance)

Question 9

Primary Goals of Periodontal Therapy (2)

Answer 9

1. Eliminate the infection

2. Stop the disease progression

Question 10

Dentist’s primary concern of the three outcomes/goals

Answer 10

Oral health

Question 11

Most challenging perio problem

Answer 11

furcation involvement

Question 12

Clinical outcome parameters to be reach through therapy (3) + (2)

Answer 12

BOP = 25%
PD < 5mm
Furcation involvement = to 2

Absence of pain

Individual satisfied with esthetics and function

Question 13

The disease control phase of after comprehensive examination includes what

Answer 13

Removal of Bacteria to a point that the host tissue will heal.

1. Oral hygiene education
2. Patient motivation
3. Excavation of deep carious lesion
4. Extraction of hopeless teeth
5. Removal of plaque retentive factors SRP
6. Necessary Endo and occlusal therapy
7. Non-surgical perio debridement
8. post-treatment re-eval

Question 14

Key of disease control phase

Answer 14

SRP-Scaling and Root Plaining

Question 15

At re-eval following SRP

No PD, BOP, and good OH treatment

Answer 15

3 month recall-good

Question 16

At re-eval following SRP

PD, BOP, poor oral hygiene treatment

Answer 16

OHI, re-eval, maintenece

Question 17

At re-eval following SRP

PD, BOP, good OH

Answer 17

Surgery and maintenance

Question 18

At re-eval following SRP

PD, no BOP, good OH

Answer 18

Surgery and/or maintenance

Question 19

When is this re-eval after SRP coming? How long

Answer 19

4-6weeks

Question 20

If you are going to put an implant, the mouth has to be

Answer 20

infection free

Question 21

At re-eval following SRP

No large PD, has BOP, Good OH

Answer 21

Consider systemic factors,biological width

Question 22

PD that is bad (perio disease)

Answer 22

=5

Question 23

If you have active periodontal disease you have what

Answer 23

active pocket depths (= 5)

Question 24

Attachment level tells you about

Answer 24

history of periodontal disease (recession)

Question 25

Green dot means

Answer 25

good prognosis

Question 26

Yellow dot means

Answer 26

questionable prognosis

Question 27

Red dot means

Answer 27

hopeless/poor prognosis

Question 28

Red complex bacteria

Answer 28

AA, T. forsythia, P. ginigivalis, T. denticola

these cause perio disease