Treatment for Patients with Periodontal Disease Flashcards
What are the stages of treatment
- Relief of acute symptoms
- Systemic phase (consideration of general health and relationship with periodontal disease and periodontal treatment)
- Infection control (interim)
- Re-evaluation
- Corrective/reconstructive treatment
- Supportive periodontal care (maintenance)
What is the systemic phase
- find this out via patient history and examination
- consider whether there are oral manifestations of undiagnosed systemic disease that GP should be made aware of
- consider whether uncontrolled systemic disease may influence dental treatment outcomes and whether systemic disease can be modified
- consider whether habits (smoking and diet) that impact general health are also impacting on oral health and how these can be modified
- consider whether planned dental treatment may impact on systemic health
What consists of infection control
- extraction of hopeless teeth
- cause related periodontal therapy (non surgical or hygiene therapy)
- treatment of caries
- endodontic therapy
- provisional prostheses
(also includes the consideration and management of any systemic condition, which might be contributing to the periodontal disease)
What does cause-related periodontal therapy consist of
- Dental health education and motivation (including smoking cessation/risk factor modification)
- Oral hygiene instruction
- Scaling and root surface debridement
- removal of overhanging restoration margins
- adjunctive anti-microbial chemotherapy may also be considered occasionally
what is a true measure of severity of periodontitis
loss of connective tissue attachment to the root surface
What is the reference point for determining attachment loss
The enamel-cemental junction
What prove is used for a periodontal pocket chart
PCP12
What is grade 1 tooth mobility
<1mm displacement when moved buccal lingually
what is grade 2 tooth mobility
1-2mm displacement when moved buccal lingually
what is grade 3 tooth mobility
> 2mm and/or rotation or depression
what is grade 1 furcation involvement
up to 3mm horizontal attachment loss
what is grade 2 furcation involvement
> 3mm horizontal attachment loss, but not through and through
what is grade 3 furcation involvement
a through and through lesion
what is a BPE
- basic periodontal examination
- a simple and rapid screening tool that is used to indicate the level of further examination needed
- provide basic guidance of treatment needed
how is BPE recorded?
- dentition is divided into 6 sextants
- highest score for each sextant is recorded
- all teeth in each sextant examined (not 3rd molars, unless 1st and 2nd are missing)
- For a sextant to qualify for recording, it must have at least 2 teeth
- a WHOBPE probe is used ( has a ball end 0.5mm in diameter and a black band 3.5-5.5mm in length)
- light probing force of 20-25 grams should be used
- walk around the teeth in each sextant and record highest score per sextant
