Response to non-surgical therapy Flashcards
After non-surgical periodontal treatment why do we review/reassess?
List 3
- check response to treatment (compare measurements)
- enquire about pts outcomes (pain, emotions, thoughts)
- Provide short, medium and long term aims
What do assess tissue healing?
List 6 (6PPC)
PPD
BOP - is it immediate/delayed
Recession
Mobility
Furcation
Plaque control
Why do we use clinical parameters in non-surgical therapy? list 3
To determine response to treatment,
assess disease progression
determine prognosis of long term outcome
Typical responses to non-surgical therapy list 5
absence of plaque
absence or reduction of BOP
pocket reduction
recession (make pts aware of this)
sensitivity (make pts aware of this)]
Pocket sites after treatment can be considered to be out of 3
- treated
- responding
- non-responding
Treated site out comes
- pocket depth of less than 5mm
- absence of BOP and plaque
- pt will usually enter supportive therapy
Responding site outcomes
which may be difficult to remove
- reduction in pocketing but not less than 5mm
- absence of BOP and plaque
- deposits may be present which difficult to move
- may require further non-surgical therapy
The non responding site outcomes
- persisting inflammation
- persisting or increasing of pocketing
- persisting or increasing symptoms
What patients factors may lead for treatment to of not worked
- poorly controlled diabetes
- poor compliance/motivation
- inadequate plaque control
- smoking
What site factors may lead for treatment to of not worked
- active caries allowing further plaque accumulation
- Endodontics pathologies
Remedies for suboptimal outcomes (non-responders)
systemic risk factors?
what to r/v and check and consider?
- r/v systemic risk factors like smoking, medication, diabetes control
- r/v OH and tailor if needed
- check for plaque retentive factors
- consider antimicrobials in motivated pts
