Perio - Supportive Treatment

Question 1

who receives supportive treatment?

Answer 1

any patient who has had perio in the past

Question 2

why should supportive treatment be provided?

Answer 2

5.6x more likely to lose teeth if they don’t have supportive treatment

Question 3

what is the baseline for when supportive treatment should be carried out?

Answer 3

3 months - determined by risk assessment

Question 4

describe what occurs at a supportive visit? (3)

Answer 4

Examination;
- looking for changes that have occurred since the last evaluation

treatment

• dependant on what you find upon examination
• is there reoccurrence

record findings and what you propose to do in the notes

Question 5

what are the causes of reoccurrence in a periodontal patient? (4)

Answer 5

• Failure to remove plaque retention factors
• Developed a new systemic disease
• Poor restorations placed post treatment
• Failure of patient to attend check-ups

Question 6

what are the challenges of supportive perio? (3)

Answer 6

• Is never cured it’s just managed – can always reoccur especially if not fully resolved.
• Poor compliance
• No direct way of diagnosing the disease just have to use probing depths, bleeding, attachment measures.

Question 7

what is a useful tool for motivation?

Answer 7

patients knowing their plaque scores

Question 8

how can we resolve exposed roots/black triangles from gingival recession? (4)

Answer 8

Crown lengthening

Replace the crowns

Gingival graft (no papilla and no bone = failed graft)

Gingival veneer – possibility of root caries if not used and cleaned properly. Must inform them of this risk and monitor them.