Periodontal corrective therapy Flashcards
What’s the definition of corrective therapy
The stage following the initial hygiene therapy for a patient
What are the different stages to a treatment plan
Step 1 & 2 : Initial therapy
Step 3 : Corrective therapy
Step 4 : Supportive therapy (maintenance)
Whats the aim of corrective therapy
- Restore function + provide a stable occlusion for the patient
- Restore aesthetics after resolution of inflammation + healing following extractions
Why might initial therapy fail
- Poor plaque control
- Gross deposits
- Smoking habit changes
Whats the effect of smoking on periodontal corrective therapy
- Poorer response to treatment
- Tissue healing is impacted by reduced vascularisation and altered host response
Describe the review stage
- Time to assess response to therapy
- Patient compliance, plaque, calculus
What are signs non-surgical therapy has not worked
- Bleeding on probing
- Pockets
- Calculus
What must you do if patient isn’t compliant with homecare
- Counsel patient
- Repeat OHE
- Keep full clinical record
What are the factors effecting the efficacy of corrective therapy
Smoking (modifier to therapy) → leads to poorer response to treatment
What are factors taken into consideration at a review
- Patient compliance
- Periodontal chartings
What are the options available in restoring function and aesthetics?
- Replace missing teeth
- Periodontal and endodontic surgery
- Orthodontics
What are examples of adjunctive treatments?
When are they used?
- Antimicrobial gels (minocycline gel or metronidazole gel) on a periochip:
- Used when there are deep pockets or when there are no known allergies
What are limitations of adjunctive treatments
- Operator skill
- Patient comfort
- Allergy
When are systemic antibiotics used
Used in severe cases of periodontitis (stage 3 or 4)
What are some aesthetic and functional therapies?
- Occlusal therapy
- Retain orthodontically repositioned teeth
- Prevent drifting and over eruption
