Periodontal Maintenance Therapy

Question 1

What is Periodontal Maintenance Therapy?

Answer 1

Procedures performed at selected intervals to assist the periodontal patient in maintaining oral health?

Question 2

What is the rationale for PMT?

Answer 2

Tooth loss is inversely proportional to PMT
Reduced risk for future CAL despite incomplete plaque removal
Monitoring
Plaque removal

Question 3

What are the therapeutic goals of PMT?

Answer 3

Prevent the recurrence and progrss of perio disease in pts who have had it
Prevent tooth loss
Increase the probability of locating and treating diseases in a timely manner

Question 4

What is the success rate of PMT?

Answer 4

You will lose 2x as many teeth if you get treatment and no maintenance

Question 5

What are the components of a PMT appointment?

Answer 5

Update med/dent hx
Extra- and intraoral soft tissue exam
Dental exam
Perio eval
Radiographic review
Assessment of disease status
Assessment of personal oral hygiene
Active treatment
Communication
Planning

Question 6

What should be the frequency of PMT?

Answer 6

For most pts with gingivitis but no attachment loss = semiannual
For pts with a hx of periodontitis = less than 6 month, most commonly 3 months

Question 7

What is the compliance with PMT?

Answer 7

16% comply with PMT
49% comply erratically with PMT
34% never reported for PMT

Question 8

What retreatment should be done in areas with poor plaque control?

Answer 8

No surgical treatment

Question 9

What retreatment should be done in a single site of breakdown?

Answer 9

Nonsurgical treatment

Question 10

What retreatment should be done with continued inflammation?

Answer 10

Surgical treatment

Question 11

What retreatment should be done with attachment loss?

Answer 11

SRP + antibiotics or surgery

Question 12

What retreatment should be done with increasing mobility?

Answer 12

Occlusal adjustment

Question 13

T/F - Microbes are similar around teeth and implants with healthy tissues

Answer 13

True

Question 14

T/F - Microbes are similar around teeth and implants with inflamed tissues

Answer 14

False

Question 15

How quickly can reinfection around implants occur?

Answer 15

14-28 days after second stage implant exposure

Question 16

What clinical parameters are assessed during maintenance with implants?

Answer 16

Implant probing
Implant Radiology
Tissue health
Crevicular fluid
Mobility and occlusion

Question 17

What maintenance procedures should be performed by the patient with implants?

Answer 17

Facial and lingual surface brushing
Interproximal cleaning (floss, yarn, proxabrush, gauze strips)

Question 18

Who is the best at providing PMT?

Answer 18

General dentist

Periodontist

Question 19

T/F - Different PMT therapies have different goals

Answer 19

False - they’re all identical

Question 20

Retreatment of periodontitis is considered to be part of what phase of perio therapy?

Answer 20

Maintenance