Periodontal therapy

Reduction in pocket depths after non-surgical
1. Moderate depth pockets 4-6mm
  1. 1mm attachment pocket depth reduction
  2. 0.05mm attachment gain
2. Large depth pockets 7+mm
  1. 2mm pocket depth reduction
  2. 1.19mm attachment gain
Explanation to pt's
1. Explain things using images, diagrams
  1. Use appropriate terminology
2. Ensure pt takes ownership & responsibility of their care
3. Tailor
4. involve patient in decision making
5. Record compliance
Non-surgical
1. Technique
  1. Do not disturb root/cementum
    1. Endotoxins superficially attached
  2. Quality is better than how you do it
    1. A blended approach of ultrasonic & hand scale is best
    2. Furcations
      1. Ultrasonic
Supportive (maintanence) periodontal therapy
1. Aims
  1. Prevent relapse
  2. Remove etiological factors
    1. Plaque
    2. Calculus
  3. Monitor whether condition is stable
  4. Re-evaluate risk factors & provide appropriate advice
2. Usually 3 months
3. 1UDA
Aims
1. Preserve & maintain dentition
2. Reduce pocket depths
3. Reduce BOP
4. Prevent tooth loss
5. Reduce inflammation
6. Prevent loss of mobile teeth
7. Reduce risk of systemic disease associated with periodontitis
Why do we aim to reduce the pockets?
1. Make them easier to clean (more accessible biofilm)
  1. Helps to reduce inflammation
Prices
1. Band 2 for RSI
2. Band 1 for supportive

Resource summary

	Created by Zainab Patel almost 5 years ago