Supportive Periodontal Care Flashcards
1
Q
Which step does supportive periodontal care come under?
A
Step 4
2
Q
What does an interview for supportive periodontal care involve?
A
- elicit information about periodontal health
- symptoms
- medical and social history
- risk factors
- tobacco
- stress
- diabetes
- plaque control regime
- patient motivation
- PMPR/subgingival instrumentation
3
Q
What does assessment for supportive periodontal care involve?
A
- plaque and calculus deposits
- periodontal health
- inflammation
- PPDs
- bleeding pockets
4
Q
What does evaluation for supportive periodontal care involve?
A
- intervention needs
- risk factor management
- oral hygiene
- re-treatment
5
Q
What depth is considered a deep residual pocket?
A
> 6mm
5
Q
What depth is considered a moderate residual pocket?
A
4-5mm
6
Q
How can non-responding sites be managed?
A
- moderate residual pockets (4-5mm)
- reperform subgingival PMPR
- deep residual pockets (>6mm)
- consider alternative causes
- reperform subgingical PMPR
- referral for pocket management
- referral for regenerative surgery
7
Q
What should a supportive periodontal care appointment involve?
A
- re-evaluation of risk factors and changes
- medical
- dental
- social
- review full mouth 6PPC and MPBS
- reinforcement of OH and behaviour changes
- check exposed root surfaces
- wear
- caries
- check occlusion
- especially when teeth mobile
- can be altered
- TMJ problems
- anterior migration
- reduced vertical height
- especially when teeth mobile
- denture hygiene and fit
- attendance to other appointments
8
Q
How often should supportive periodontal care appointments be carried out and what affects the inetrval?
A
- every 3-12 months
- stage and grade of periodontal disease
- risk factors
- previous relapse
- advise of life long support
- some pockets still require treatment
- close to stability
- some pockets still require treatment
