Treatment of Periodontitis Flashcards
1
Q
What is step 1 of periodontal treatment?
A
Education
OHI - brush 2 times daily with fluoride toothpaste
Risk Factors - identify any risk factors and manage them
PMPR - remove all calculus
Review
2
Q
What is considered success after step 1 of periodontal treatment?
A
- good oral hygiene
- no bleeding on probing
- no pockets > 4mm
- no increasing tooth mobility
3
Q
What is step 2 for periodontal treatment?
A
Education
OHI
Risk Factor control
PMPR
- sub gingival instrumentation of pockets >4mm
review
4
Q
What do you do if poor OH and inflammation persists after periodontal treatment?
A
- identify causing factors
- supportive care
- repeat treatment
5
Q
What is step 3 for periodontal treatment?
A
step 1 and 3 carried out
- for pockets 4-5mm - repeat subgingival instrumentation
- for pockets of 6mm or more - consider surgical approach
6
Q
What are factors influencing eligibility for periodontal surgery?
A
- smoking
- compliance
- oral hygiene
- systemic disease
- prognosis of tooth
7
Q
What is step 4 of periodontal surgery?
A
supportive periodontal therapy
- review appointments determined by risk assessment
- monitor local and systemic risk factors
- PMPR
8
Q
What is the aim of supportive periodontal therapy?
A
- maintain periodontal health
- detect and treat recurrence
- maintain level of disease
- manage tooth loss
