Treatment Planning

Question 1

What information do you need to gather in order to treatment plan?

Answer 1

data collection
diagnosis
prognosis

Question 2

What are the short term goals of periodontal treatment?

Answer 2

bring back health

reduce the inflammation/infection

Question 3

What are the long term goals of periodontal treatment?

Answer 3

reconstruct healthy dentition that meets functional and esthetic needs

Question 4

What are the treatment goals for the reduction of gingival inflammation?

Answer 4

full mouth BOP less than/equal to 25%

ideally: less than 10% of sites

Question 5

What are the treatment goals for the reduction of pocket depths?

Answer 5

no PD greater than 5 mm

Ideally, none equal to/less than 4 mm

Question 6

What are the treatment goals for open furcations?

Answer 6

involvement is less than/equal to 3 mm (nothing greater than a class I FI)

Question 7

What are the phases of therapy?

Answer 7

systemic phase
initial phase (hygiene) phase
corrective phase
maintenance phase

Question 8

What happens during the systemic phase of therapy?

Answer 8

eliminate or decrease the influence of systemic conditions

protection from infectious hazards

Question 9

What happens during the initial (hygiene) phase?

Answer 9

cause-related therapy
removal of hard and soft deposits
removal of retentive factors
patient motivation (OHI)
concluded by re-evaluation

Question 10

What happens during corrective phase?

Answer 10

periodontal surgery
implant surgery
endodontic, restorative, prosthetic therapy
patient cooperation determines options

Question 11

What happens during maintenance phase of therapy?

Answer 11

prevention of re-infection and recurrence
assessment of deepened BOP+ sites
instrumentation of deepened BOP+ sites
caries control
control of prosthetic restorations