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Chapter 22- Periodontal Maintenance Therapy (Components of the Periodontal…
Chapter 22- Periodontal Maintenance Therapy
Refractory Periodontal Diseases/ Recurrent Periodontal Diseases
Patientes that fail to respond to treatment
Use adjunctive antibiotics or referral
Objectives of periodontal maintenance
Indications for Periodontal Maintenance
Indicated for 3 types of patients:
1)Primary prevention
2)Patient’s who respond favorably
3)Medically compromised
1)Prevent recurrance
2)Prevent tooth loss
3)Increase Probability of locating other diseases
4)Preserve health
Components of the Periodontal Maintenance Visit
Medical and Dental Update
Personal Statement
When we ask in clinic if there has been any changes since the last time we saw patient
EOIO
Dental Examination
Gingival and Periodontal Assessment
Gingival recession
Disease Stability: Probing depth and CAL
BOP
Tooth Mobility
Radiographic review
Oral Hygiene Evaluation and Patient’s Biofilm control regimen
Dental Implants
Personal Statement
We kind of do this on every patient at their initial visit
Treatment: Recurrent Periodontal Disease versus a well maintained periodontium
For well maintained patient:
1)Point out areas patient is missing
2)Deplaquing
3)Selective polishing
4)determine appointment intervals
Chemotherapeutics
Personal Statement
Does not replace normal brushing and flossing
Rinses, Arestin
Frequency of Intervals
Personal Statement
every patient will be different. Intervals are based off what that specific patient needs.
Suggestion is every 3 months
General Dentist-Periodontist Relationship
General dentists can treat gingivitis and mild Periodontitis
Moderate chronic Periodontitis should alternate between general dentist and periodontist
Severe Periodontitis should primarily be seen by periodontist
Patient Adherence
Essential to Periodontal maintenance
Personal Statement
Periodontal Maintenance is like a recare visit