TUT 1 Flashcards
Re-evaluation and outcomes
1
Q
What are the ideal outcomes of periodontal treatment according to SDCEP?
A
- plaque scores below 15%
- bleeding scores below 10%
- probing depths less than 4mm
2
Q
What are important questions to ask your patient at review?
A
- check MH for changes
- stress/drinking/vaping habits
- sensitivity, bleeding, black triangles (negative symptoms in patient’s eyes)
3
Q
What questions should you ask a diabetic patient?
A
- ask about control
- when they last was nurse
- how often blood checked
- HbA1c test
4
Q
How long does rebound gingivitis typically last?
A
2-3 months
5
Q
What is a non-responding site?
A
- > 5mm
- does not see improvement after non-surgical PMPR and OH improvement
- still active periodontal disease
6
Q
What are the GDP treatment options for non-responding sites?
A
- step 1 OHI
- pockets <6mm subgingval PMPR again
- pockets >6mm should be considered for alternative treatment and referral
7
Q
What are specialist treatment options for non-responding sites?
A
- flap access for PMPR
- regenerative surgery
- resective surgery
8
Q
When is regenerative surgery indicated?
A
- sites with infra bony defects of >3mm
- grade 3 furcation defects
- multiple grade 2 furcation defects
- not suitable for horizontal bone loss
9
Q
When is resective surgery indicated?
A
- gain additional access for subgingival PMPR
- change architecture of hard or soft tissue to attain shallow probing depths
- reshape roots
10
Q
What risks are associated with resective surgery?
A
- black triangles
- gingival recession
- sensitivity
