11.08 EIT Flashcards Preview

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Flashcards in 11.08 EIT Deck (15):
1

list parameters collected at evaluation of initial therapy

!  Gingival color, consistency and contour !  Plaque score
!  Probing depths
!  Attachment level
!  Furcation invasion
!  Suppuration
!  Tooth mobility
!  Bleeding on probing

2

provide the rationale for the 4-8 week interval between initial periodontal therapy and its evaluation

-reestablishment of the junctional epithelium to the tooth 1-2 weeks
-repair of the connective tissue: 4-8 wks
-subgingival microbial repopulation occurs in about two months (without improved plaque control)
-a decrease in bop, redness and edema occurs within this time frame (esp anterior teeth)

3

describe changes in probing depth and attachment level expected as a result of initial periodontal therapy

*SRP + OHI=1.2 mm pocket reduction
*just OHI=0.4 mm pocket reduction
(first two from CERCEK)
*SRP + OHI= Pocket depth reduction 1.34 mm, attachment level gain=0.52 mm
*OHI = 0.56 mm pocket depth reduction and 0.05 mm attachment level gain
(last two from TAGGE)

4

explain significance of bleeding on probing

-sometimes inflammation can't be seen, but if inflammation exists at the base of the sulcus, it will bleed
-study from LANG, showed that the incidence of BOP and progression to attachment loss is related
-BOP means the site is at risk for future attachment loss

5

list expected outcomes of EIT

-Decrease in: Plaque score, Probing depth,Tooth mobility
-Improvement in gingival health
-Tissue color, contour, and consistency !  Bleeding on probing:
-Decrease percent of sites bleeding on probing
-Decrease in gingival index
-Suppuration

6

describe three common clinical scenarios at EIT

1. No further ODCT periodontal treatment is indicated and periodontal maintenance phase is recommended
2. Further ODCT periodontal treatment (non- surgical or surgical) is indicated and patient proceeds with recommended treatment
3. Further ODCT periodontal treatment (surgical) is indicated and patient does not proceed with recommended treatment

7

Why is EIT done?

Determine patient’s response to periodontal treatment
-Determine effectiveness of home care
-Confirm decisions regarding further treatment

8

why is 6-12 months the optimal time frame for evaluation of the tooth mobility post initial periodontal therapy?

-Fleszar et al.17 documented that the relationship between tooth mobility and the post-treatment level of at- tachment is established by the end of the first year
-In 1998, Ricchetti18 found that the reevaluation of mobility could be delayed for 6 to 12 months after control of the plaque-related inflammatory lesion to better determine whether mobility was due to plaque- related inflammation or to occlusal trauma.
-and this time frame permits the attachment to heal

9

the LANG BOP study what were the chances of progression related to the BOP/four times probed?

No BOP - 1.5 % chance of progression
! One out of four - 3% chance of progression
! Two out of four - 6% chance of progression
! Three out of four - 14% chance of progression ! Four out of four - 30% chance of progression

10

maintenance phase

BEGINS AT THE END OF ODCT TREATMENT AND PERFORMED SIMUTANEOUSLY WITH RECONSTRUFCTIVE PHASE TREATMENT

11

goals of maintenance phase

-maintenance of probind depths
-gingival inflammation eliminated
-eitology controlled and/or modified

12

CAFFESSE study on % of calculus free surfaces after ScRP

-for 1-3 mm pockets open and closed ScRP are the same (86% calc free)
-4-6 mm pockets: closed ScRP=45% calc free, open ScRP=76% calc free
->6 mm pockets: closed ScRP=32%, open ScRP=50%

13

what things can put a patient into a "holding pattern?"

-Patient desires
-Finances
-Systemic factors

14

what procedures might be done in a holding pattern

!  Includes non-surgical techniques in an attempt to keep periodontal disease from progressing
!  May include
!  Scaling and root planing
!  Oral hygiene instruction
!  Smoking cessation
!  Local and/or systemic antibiotic therapy !  Host modulation
!   No reconstructive phase treatment is generally done until periodontal surgical therapy is completed

15

SOCRANSKY study

red complex prevalence increases as pocket depths increase