Periodontal care Flashcards

1
Q

What are the risk factors for periodontal disease?

A
  • Smoking
  • Diabetes
  • Pregnant patients more risk of developing pregnancy gingivitis
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2
Q

What should you do if patient has BPE with score of 4 in any sextant or score of 3 in more than one?

A
  • Full periodontal examination
  • Record in notes
    Patients with 3 in one = only periodontal charting in that sextant
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3
Q

What is involved in full periodontal examination?

A
  • 6 point pocket chart
  • Dental caries
  • Occlusal discrepancies
  • Problems with restorations
  • Radiographs to assess bone levels
  • Plaque and gingivitis scores
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4
Q

What are the tips for treatment planning of patient with perio?

A
  • Explain treatments, what it involves and intended results and explain what consequences of no treatment will be
  • Make clear it is chronic condition and needs to be managed
  • Management is a partnership between patient and clinician
  • Ensure patient is periodontally stable before advanced procedures like implant
  • If wanting implants then fully inform about increased risk of complications due to oral health history
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5
Q

What is the oral hygiene TIPPS behaviour change strategy?

A

Talk
Instruct
Practise
Plan
Support
- Raise stopping smoking
- Encourage better lifestyle changes (diet, activity , alcohol consumption)

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6
Q

What to do if patient has gingivitis and gingival enlargement?

A
  • Remove supra-gingival plaque, calculus and stain and sub gingival deposits
  • Where enlargement is drug related consider physician
  • Re-assess to determine if resolved
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7
Q

What to do if patient has periodontitis?

A
  • Remove supra gingival plaque, calculus and stain
  • Root surface instrumentation at sites of >= 4mm probing depth
  • Advise may feel discomfort and sensitivity
  • Full periodontal exam minimum of 8 weeks post treatment
  • Manage acute conditions using local measures first
  • Only prescribe antibiotics if evidence of infection or systemic involvement
  • 0.2% chlorhexidine mouthwash until acute symptoms subside
  • Review within 10 days and further PMPR and arrange recall
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