Treatment Flashcards
what technique is used for OHI?
TIPPS
what is the first stage of TIPPS?
TALK
Plaque build up on teeth around gum margin - plaque is the sticky white substance
Bacteria in the plaque irritate gums - leads to redness, swelling and bleeding
If plaque is removed, gums will be healthy again
ASK QUESTIONS
- how long do you brush for?
- how often do you brush? change brush?
what is the second stage of TIPPS?
INSTRUCT
Importance of removing plaque from all surfaces especially around gums
*patient hold mirror and wear goggles
- 2 mins methodically
- tooth brush half on tooth half on gums
- 8-10 strokes in each section
- turn brush for anteriors
what is the third stage of TIPPS?
PRACTISE
- patient toothbrushes whilst looking in mirror
what is the fourth stage of TIPPS?
PLAN
when can you fit toothbrushing in?
*last thing at night, dont drink/eat after
what is the fifth stage of TIPPS?
SUPPORT
explain other methods
- floss
- interdental brushes
how can plaque be controlled?
OHI
mechanical plaque control
chemical plaque control
what is mechanical plaque control?
toothbrushing
- new brush monthly
- circular motions
fluoride toothpaste
chlorhexidine containing toothpastes
what is chemical plaque control?
mouthwashes - chlorhexidine
what are the non-surgical perio therapy options?
scaling and RSD
restorative treatment]
antibiotics and antiseptics
when would you use subgingival PMPR?
pockets >4mm
what is the aim for subgingival PMPR?
tight adaptation of pocket epithelium to root, creating long junctional epithelium
what antibiotics can be prescribed for periodontal abscess?
amoxicillin/ metronidazole
what antibiotics can be prescribed for necrotising perio disease?
metronidazole
what antibiotics can be prescribed for agressive periodontitis?
amoxicillin and metronidazole
what antibiotics can be prescribed for chronic periodontitis?
tetracyclines - adjunct treatment
doxycycline 20mg for 3 months
stage 1 of Tx plan?
pain relief
stage 2 of Tx plan?
diagnosis
- plaque and bleeding
- radiographs
- BPE
stage 3 treatment plan?
cause related therapy
- clinical checks
- Pt discussion - risk factors
- OHI diet alcohol smoking
- debridement
stage 4 Tx plan?
reassessment
12 weeks
6ppc
stage 5 Tx plan?
maintenance
