You will be very impressed with the dental hygienist who serves you. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Medicaid programs are run by each individual state, so coverage is going to vary depending on which state you live in. surgical Periodontics,; Clinical skills development through supervised clinical practice. Tissue check. The focus is on planning of treatment, not on the comprehensive details of every treatment modality in dentistry. 1981;19(141):17-21. Surface bleeding should have stopped. Determine required adjunctive restorative, prosthetic, orthodontic, and/or endodontic treatments and sequence . Treatment needs, options, and recommendations are discussed. Treatment planning strategies are presented to help with balancing the ideal with the practical, with emphasis placed on the central role of the patient — whose needs should drive the treatment planning process. 1. 2. The dental hygienists who are responsible for this phase of treatment are highly trained professionals with years of experience in more advanced periodontal therapy. For more information click here. When treating periodontal disease, there will be three phases of treatment that your dentist will take you through. If after conservative treatment pockets remain that are too deep for you to clean, surgery is usually indicated at those deep sites. These include: Phase I: The etiological phase. If we consistently miss somewhere the periodontal pathogens (disease producing germs) can live there and cause: The deeper the pockets the less able you are to prevent pathogenic bacteria from living in their depths. The primary cause of gum disease is bacteria left stagnant in the crevice between the gum and the teeth. The objective of phase I therapy is to alter or eliminate the microbial etiology and factors that contribute to gingival and periodontal diseases to the greatest extent possible, therefore halting the progression of disease and returning the dentition to a state of health and … After Phase I therapy, the inflammatory changes in the pocket wall subside, rendering the pocket inactive and reducing its depth (Figure 53-2, top center). treatment plan. Phase IV treatment. Interdisciplinary periodontics: the multidisciplinary approach to the. (1) YES . At 3 to 4 month intervals you will be examined initially by us and later your general dentist to assure that the periodontal disease is under control. You can change your ad preferences anytime. assessment and preliminary therapy phase. Rationale for Perio Treatment Periodontal disease affects 50% of all Americans age 30 and older. Periodontal problems are the most common reason for adult tooth loss. If you continue browsing the site, you agree to the use of cookies on this website. Often they are not visible. After root planing, we give you 4 to 8 weeks to achieve the maximum healing possible with diligent daily cleaning. Page 13 TREATMNET PLANNING IN PERIODONTICS Ramfjord (1953). Prognosis. “Gingivitis” is inflammation limited to the soft tissues. Pre-management case discussions may be used to facilitate development of independent decision-making in diagnosis, treatment planning, planning of treatment and treatment execution. realistic Periodontal analysis and treatment planning offers its readers a step-by means of-step manual to diagnosing and making plans treatment for periodontal patients via the contemporary proof-based protocols. Learn new and interesting things. Laser Treatment. Periodontics & Restorative Maintenance A Clinical Atlas London, Berlin, Chicago, Tokyo, Barcelona, Beijing, Istanbul, Milan, Moscow, New Delhi, Paris, Prague, São Paulo, Seoul and Warsaw. Acute Phase : Emergency Treatments Maxillofacial trauma, Swelling, Systemic infection, Severe pain 162. Get ideas for your own presentations. In patients who have lost any supporting bone around their teeth, it is important that biting forces be well shared and well directed. Periodontal disease can and will recur if you do not follow a strict maintenance program. Bacterial plaque and calculus (hard deposits) are “root planed” off the root surfaces. Phase III treatment. The four stages (stage 1-4) of periodontitis are determined by several variables. Staging intends to classify the severity and extent of a patient’s disease based on a measurable amount of destroyed/damaged tissue from periodontitis. In “periodontitis” the inflammation has caused breakdown of the bone. Clipping is a handy way to collect important slides you want to go back to later. Yet, the majority of adults who do not floss have some degree of breakdown. It summarizes the available clinical proof for efficacy and effectiveness and hyperlinks it to ordinary clinical practice in a concise, person-friendly way. “An-aero” means “no air”; they cannot live in air or oxygen. The dental hygienists who are responsible for this phase of treatment are highly trained professionals with years of experience in more advanced periodontal therapy. According to the American Dental Association, roughly 47% of adults over 30 have a serious gum disease known as chronic periodontitis. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Management of tooth mobility in the periodontology clinic: an. The procedure is more costly, more uncomfortable, and takes longer than a typical professional cleaning. You will be very impressed with the dental hygienist who serves you. We analyze and explain thoroughly any remaining problems. Non-surgical periodontal treatment does have its limitations. Headphone music and nitrous oxide are available. So, the phases of treatment plan are, Emergency phase. This plan included four phases: 1) systemic, 2) hygienic, 3) corrective 4) maintenance or supportive care 14. Cold sensitivity should have decreased. Plastic Surgery Procedures. If you brux (grind or clench) your teeth, a night guard appliance is likely indicated. Preliminary phase. Because of its potential severity, it is important that it is treated seriously, despite how common the disease is reported to be. Diagnosis and treatment of gingival recession decisions in. This phase begins with presenting the definitive treatment plan to the patient, including a wax replica of the proposed treatment plan. 11diagnosis and treatment_of_periodontal_disease dissan, Diagnostic methods for detecting periodontal diseases, Principles of scaling & root planing dr alaa attia, No public clipboards found for this slide. Regenerative Procedures. Com. Phases of Periodontal Therapy Preliminary Phase Treatment of emergencies: • Dental or periapical • Periodontal • Other Extraction of hopeless teeth and provisional replacement if needed (may be postponed to a more convenient time). 3. Introduction Post-treatment … D. Surgical Phase (Phase II Therapy) Perio therapy, including placement of implants Endodontic therapy E. Restorative Phase (Phase III Therapy) Final restorations Fixed & removable prosthodontic appliances Evaluation of response to restorative procedures Periodontal examination 40 36. 12. Department Periodontology & Oral Implantology, Kathmandu, Nepal. The reader should have a general understanding of the stages of periodontal treatment (initial, corrective and supportive) and the management of acute periodontal conditions. I was in charge of combining everything and creating the treatment plan in accordance with the guidelines below. Phase of Periodontal Therapy 8. This phase is also divided into two parts: a preprosthetic phase and a prosthetic phase. Challengers Liters. Shallow bone defects can be leveled out. You play the major preventive role by using the recommended cleaning tools daily, and not missing anywhere. When we clean we disrupt and aerate everywhere we reach. After maximum healing from conservative treatment, our doctors reexamine your mouth. Therapeutic procedures F. Maintenance Phase (Phase IV Therapy) Periodic rechecking: Plaque & calculus Gingival condition (pockets, inflammation) … treatment plan and sequence of treatment . Various phases of treatment plan and treatments rendered in these phases are given in the following table, Treatment sequence. To determine whether you have periodontitis and how severe it is, your dentist may: 1. Review your medical history to identify any factors that could be contributing to your symptoms, such as smoking or taking certain medications that cause dry mouth. Execute Phase I therapy (aka anti-infective or nonsurgical therapy) with consideration given to adjunctive use of chemotherapeutic agents . Pockets should have decreased in depth and become more cleansible. The preprosthetic phase includes preprosthetic periodontal, oral surgical, endodontic, or orthodontic procedures. Dental Crown Lengthening. Examine your mouth to look for plaque and tartar buildup and check for easy bleeding. Periodontal treatment includes the following phases: a. Treatment Goals the gums to separate and recede from the teeth forming deep pockets, and. Phase III therapy or Restorative Phase. Looks like you’ve clipped this slide to already. Deep bone defects can require regenerative sugical techniques. Non-Surgical Treatments. Resident Doctor. AAP treatment guidelines stress that periodontal health should be achieved in the least invasive and most cost-effective manner. “Perio” is Greek for “around” and “odont” is Greek for “tooth.” So periodontal diseases affect the gum (gingiva) and the bone around the teeth. Periodontal scaling and root planing are procedures used to remove plaque in the treatment of gum disease. Preface This book discusses changes in the periodontium, problems occurring during the peri-odontal maintenance phase and their solutions using a case study approach. Phase I therapy or Etiotropic Phase. See our Privacy Policy and User Agreement for details. 1) assessment and preliminary therapy phase 2) nonsurgical periodontal therapy phase 3) surgical therapy phase 4) restorative therapy phase 5) periodontal maintenance phase. Master plan for total treatment Phase I Phase II Phase III Phase IV Nonsurgical Phase (Phase I Therapy) Plaque control and patient education: • Diet control (in patients with rampant caries) • Removal of calculus and root planing • Correction of restorative … Re-evaluation (assessment) of Phase I therapy . Page 14 LINDHE INTIAL CAUSE- RELATED THERAPY ADDITONAL THERAPEUTIC MEASURES … includes assessment data collection and needed care for any immediate treatment needs such as emergency dental care … Midway in that period you have a “healing check” appointment with a dental assistant. Now customize the name of a clipboard to store your clips. At the same appointment you will receive a full mouth cleaning to help prevent breakdown. Periodontics - Accreditation Self Study November, 2013 Table of Contents ... Are planning for, evaluation of and improvement of educational quality for the program broad-based, systematic, continuous and designed to promote achievement of program goals related to education, patient care, research and service? Dental Implants. After root planing, we give you 4 to 8 weeks to achieve the maximum healing possible with diligent daily cleaning. That said, there are also other approaches that may sometimes be more appropriate; and regardless of which avenue you take, there are three phases of fighting periodontal infections you need to focus on: 1. Internalized Switchblades. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. Share yours for free! Periodontal diseases rarely hurt. This is often accomplished through non-surgical periodontal treatment. We usually use local anesthesia so there is no pain. Pocket Reduction Procedures. 13. Mayfair. Mourned. The different stages of periodontal disease. Your mouth should taste and feel better. Phase I therapy or cause-related therapy 10 is the first in the chronologic sequence of procedures that constitute periodontal treatment. This assignment tested each groups skills in treatment planning. 14. Local & Systemic Therapy Progress notes. Defining a treatment plan for the periodontal patient is a process that requires the assessment, preventive, therapeutic, and evaluative skills of the dental hygienist and the dentist. Treatment planning in periodontics dr harshavardhan patwal. Extracting or preserving tooth 1. At the reevaluation, if not before, our doctors will analyze your bite (occlusion). Today, laser periodontal treatment is easily the single most effective way to fight serious gum disease. 2. 5 Phases of the Treatment Plan Emergency Phase/ Acute phase Systemic Phase Preventive OR Preparatory Phase Definitive treatment or Corrective Phase Maintenance Phase 161. It is expected that people do not feel pain during or after surgery. First we try to solve your gum problems non-surgically. Many people only miss 1 day of work. list the 5 phases of the master treatment plan. Scope of periodontics Periodontics is the specialty of dentistry that encompasses prevention, diagnosis, and treatment of diseases of the sup- porting and surrounding tissues of teeth and dental implants. They don’t even itch. Significant improvements are expected. Ligament. It has been clearly demonstrated that different interpreta-tions of the same diagnostic information can have a dramatic impact on treatment decisions. Decisions about future treatment are made. [Significance of a treatment plan in periodontics]. Instructions about oral hygiene and oral hygiene exercise: This is a lesson taught by a trained and qualified member of the staff of our dental clinic. The extent of this reduction depends on the depth before treatment and the degree to which the depth is the result of the edematous and inflammatory component of the pocket wall. Periodontal treatment phases. Reevaluation. Many are downloadable. We repeatedly demonstrate effective, efficient cleaning techniques for you to use so you can control the gum disease. See our User Agreement and Privacy Policy. During that visit we can usually suggest ways for you to clean weak areas better in order to get more healing. The occlusion is adjusted to minimize the lateral, traumatic forces. Phase IV therapy or Maintenance Phase or Supportive periodontal therapy. For more information click here. Phase II therapy or Surgical Phase. Periodontal treatment of female patients periobasics. Periodontists are also experts in replacing missing teeth with dental implants. Check with your dental care provider to determine if the periodontal treatment you need is covered by your plan. 15. The bacteria are mostly anaerobes. Periodontics- Treatment Planning Assignment “Sjogren’s Syndrome and Osteoporosis” Please click the above link. [Article in French] Louise F. PMID: 6953296 [PubMed - indexed for MEDLINE] If you continue browsing the site, you agree to the use of cookies on this website. Unfortunately, Medicare does not cover any dental treatments at this time; only medical treatments are covered. - Initiate medical management plan - Control active diseases - Initiate preventive strategies - Identify new (or unrecognized) problems - Clarify diagnoses - Modify prognosis Gum Graft Surgery. It can result in tooth loss, the need for dentures, and an array of additional health issues. Procedures are explained in detail in advance. More Info About Periodontics Procedures and Services. View Phase 1 Periodontal Therapy PPTs online, safely and virus-free! 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