Management of Periodontitis in the maintenance phase Flashcards
Order of treatment
Initial Cause-related therapy Non-surgical treatment Surgical treatment Maintenance/Supportive therapy
Initial treatment management criteria
Emergency tx Extractions where necessary Patient info Plaque control including correction of PRF RSD Occlusal adjustment where necessary Reassess and monitor
Ultimate treatment aim at end of perio tx
Shallow pockets with no bleeding on probing
Review structure
Check that all necessary tx has been carried out
Check OH
6PPC
Evaluate whether tx aim has been achieved
Follow up
Clinical criteria for diagnosis and prognosis
BI PD Furcation Occlusion and MOB Evaluate restorations Caries examination
Radiological criteria for diagnosis and prognosis
Bone levels re CEJ Type of bone defect Furcation analysis Breadth of perio space Impactions Evaluate restorations Examine for caries
Influences on risk level of periodontitis - re resistance to plaque vs plaque
Plaque has greater effect
Risk factors of disease
Bacterial flora Compliance with advice OH Number and depth of pockets Furcation involvement Restorative/retention factors
Resistance to tx risk factors
Systemic factors Genetics Age Smoking Stress Drinking
Risk stats of BOP
> 25% is greater risk
< 10% is less risk
Structure of maintenance appt
Scaling and RSD
OHI
3/12 recall
Long term maintenance
Full perio every 2 years
Radiological assessment every 5 years
Aim of maintenance
Maintain infection control
