Periodontal therapy

Periodontal therapy

1. Reduction in pocket depths after non-surgical

   • Moderate depth pockets 4-6mm
     • 1mm attachment pocket depth reduction
     • 0.05mm attachment gain
   • Large depth pockets 7+mm
     • 2mm pocket depth reduction
     • 1.19mm attachment gain

2. Explanation to pt's

   • Explain things using images, diagrams
     • Use appropriate terminology
   • Ensure pt takes ownership & responsibility of their care
   • Tailor
   • involve patient in decision making
   • Record compliance

3. Non-surgical

   • Technique
     • Do not disturb root/cementum
       • Endotoxins superficially attached
     • Quality is better than how you do it
       • A blended approach of ultrasonic & hand scale is best
       • Furcations
         • Ultrasonic

4. Supportive (maintanence) periodontal therapy

   • Aims
     • Prevent relapse
     • Remove etiological factors
       • Plaque
       • Calculus
     • Monitor whether condition is stable
     • Re-evaluate risk factors & provide appropriate advice
   • Usually 3 months
   • 1UDA

5. Aims

   • Preserve & maintain dentition
   • Reduce pocket depths
   • Reduce BOP
   • Prevent tooth loss
   • Reduce inflammation
   • Prevent loss of mobile teeth
   • Reduce risk of systemic disease associated with periodontitis

6. Why do we aim to reduce the pockets?

   • Make them easier to clean (more accessible biofilm)
     • Helps to reduce inflammation

7. Prices

   • Band 2 for RSI
   • Band 1 for supportive