s10-TTT plan Flashcards
What are the short-term goals of periodontal treatment?
Eliminate infectious and inflammatory processes, restore oral health, and address oral issues affecting general health.
What are the long-term goals of periodontal treatment?
Reconstruct a healthy dentition that fulfills functional and esthetic requirements.
What is included in the emergency phase of periodontal therapy?
Treatment of emergencies (e.g., acute pulpitis, periodontal abscess) and extraction of hopeless teeth.
Can the extraction of hopeless teeth be postponed?
Yes, it can be postponed to a more convenient time if needed.
What is the primary focus of the etiotropic phase?
Plaque control, patient education, and elimination of causative factors.
What is included in scaling and root planing (SRP)?
Removal of plaque, calculus, and infected cementum/dentin to achieve smooth root surfaces.
Why is correction of restorative irritational factors important?
To eliminate factors like overhanging margins or unstable dentures that contribute to plaque retention.
When is antimicrobial therapy used in periodontal treatment?
When there is evidence of bacterial infection, either locally or systemically.
What is the purpose of occlusal adjustment in periodontal therapy?
To address chronic trauma from occlusion that may worsen periodontal conditions.
What is done if PPD > 5mm persists after the etiotropic phase?
Open flap debridement and use of bone grafts/membranes are considered.
What procedures are included in the surgical phase?
Open flap debridement, bone grafts, membranes, and surgical crown lengthening.
Can implants be placed during the surgical phase?
Yes, implants are placed during this phase if needed.
What is the focus of the restorative phase?
Final restorations, endodontic therapy, and ensuring functional and esthetic outcomes.
When is endodontic therapy performed in periodontal treatment?
When there is pulpal involvement or the need to save a tooth with periodontal issues.
What is the purpose of the maintenance phase?
To preserve treatment results and prevent further deterioration through periodic checkups.
What is evaluated during the maintenance phase?
Plaque and calculus presence, periodontal condition, occlusion, and other pathologic changes.
When does the maintenance phase begin?
Immediately after completion of the etiotropic phase (Phase I).
What is the preferred sequence of periodontal therapy?
Emergency → Etiotropic → Surgical → Restorative → Maintenance.
Can the sequence of periodontal therapy vary?
Yes, it may vary slightly based on the specific requirements of the case.
Why is it important to follow the four phases of periodontal therapy?
To ensure a systematic approach that addresses immediate needs, eliminates causes, and maintains long-term results.
