2013 Aug-Sep;59(4):183-8. Phase Therapy Objectives & Procedures Learning Outcomes Understand the components of Phase Therapy Determine appropriate sequencing of care for clients presenting with a variety of oral health problems Explain the rationale for developing an integrated treatment plan Phases of Treatment Emphasis placed on total care Comprehensive plans must integrate periodontal & non-periodontal … Epub 2011 Jan 14. Periodontal surgery. For this, it is essential to create optimum oral hygiene conditions in order to reduce probing depths, regain attachment and to avoid tooth loss in the long term. Which means that after each phase of therapy we will allow time for healing and then will assess the success of the treatment. The dental hygienists who are responsible for this phase of treatment are highly trained professionals with years of experience in more advanced periodontal therapy. 1- re-evaluation after phase 1 therapy. Corrective phase . Deepali D. Pawar. Tooth extraction and Periodontal disease is among humanity’s most common diseases, affecting up to 50% of the global population, and can have serious consequences such as tooth loss4. Animation explaining Wavelength-optimized Periodontal Therapy, with narration. of periodontal therapy. The aim of initial periodontal therapy is to remove pathogenic microorganisms and their byproducts (e.g. Start studying Phase 1 Periodontal Therapy. Phases of wound healing (epidermal incisional wounds), including an early (within hours) and a late (within days) phase of inflammation dominated by poly-morphonuclear neutrophils and macrophages, respect-ively. objective would be the regeneration of the lost periodontal support (1). Prevention. In the corrective phase of periodontal therapy, the treatment approaches to be . While technically this is not periodontal therapy per se, we have to mention that periodontal disease prevention is always the best option. Initial/ hygiene phase. The need for scaling and root planing is mandatory step during the initial phase of therapy, as is self-care by the patient. 3- smoking. Periodontal disease is not a cosmetic issue, it is a health issue. 2-Premedication. Effect of phase 1 periodontal therapy on gingival crevicular fluid levels of matrix metalloproteinases‐3 and ‐13 in chronic periodontitis patients. - The better you understand the patient and his/her diseases, the more effective care you will provide, i.e., need complete and accurate data base After root planing, we give you 4 to 8 weeks to achieve the maximum healing possible with diligent daily cleaning. Sanae Hitomi, Hiroshi Ishihata, Yuji Inomata, Hidetoshi Shimauchi, Study of Long-Term Periodontal Maintenance in Private Practice-Evaluation of Supportive Periodontal Therapy Managed by a Dental Hygienist-, Nihon Shishubyo Gakkai Kaishi (Journal of the Japanese Society of Periodontology), 10.2329/perio.48.123, 48, 2, (123-134), (2006). Non-Surgical Periodontal Therapy Page 1 of 6 UnitedHealthcare Dental Clinical Policy Effective 12/01/2019 Proprietary Information of UnitedHealthcare. Daily brushing, and especially daily flossing, are key. OUTLINE. Periodontal disease is characterized by gingival inflammation, periodontal pocket formation, bone loss and clinical attachment loss (CAL). Phase II Therapy: Corrective or Surgical Phase. This implies the third phase of the periodontal treatment, also called the Maintenance phase, or Periodontal Support Treatment. Terms in this set (44) What is the principles of successful treatment planning? This must be clearly documented in the patient’s chart when the treatment completion dummy code is entered. 2011 Sep;82(9):1353-9. doi: 10.1902/jop.2011.100472. Desensitizing agent . If the answer is "no", then you'll enter into a "Maintenance" phase or specialized treatment for periodontal disease. calculus, lipopolysaccharides) from around affected teeth, in order to promote cessation of periodontal inflammation and … | PowerPoint PPT presentation | free to view Nonsurgical Periodontal Therapy - Nonsurgical Periodontal Therapy Nield-Gehrig Chapter 19 and Perry Chaper 12 Nonsurgical Periodontal Therapy Other terms used to describe this phase of treatment. 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.The treatment plan is the blueprint for management of the dental case and is an essential aspect of successful therapy. You will be very impressed with the dental hygienist who serves you. phase Late Fig. This volume of Periodontology 2000, entitled "Treatment Trends in Periodontics", evaluates the importance of nonsurgical periodontal therapy and defines its role as the key etiologic treatment of the disease. Periodontal disease is however both preventable and treatable if appropriate and timely management is undertaken. Correspondence. ppt Increasing tooth mobility Significant osseous defects Furcations Vertical defects Bony craters Establish periodontal treatment plan Additional S/RP followed by re ... – A free PowerPoint PPT presentation (displayed as a Flash slide show) on PowerShow.com - id: 43bfd2-NjMzN Non-surgical periodontal therapy, including patient motivation, instruction in oral hygiene and thorough scaling and root planing has been shown to be an acceptable and effective treatment for chronic destructive periodontitis. Effect of phase I periodontal therapy on pro-coagulant state in chronic periodontitis patients--a clinical and haematological study. J Periodontol. 47 Putative periodontal pathogens may spread between family members 54 which could explain how colonization by periodontal pathogens in early childhood occurs in a larger proportion than previously reported. adopted depend heavily on the patient’s success in controlling plaque on a daily basis and on the response to the preced-ing fundamental phase of therapy. Department of Periodontics, Bapuji Dental College and Hospital, Davangere, India. Unit 8 Periodontics: Treatment Planning and Phase I Periodontal Therapy. Banthia R(1), Jain P, Banthia P, Belludi S, Parwani S, Jain A. Surgical pocket therapy can be directed toward (1) access surgery to ensure the removal of irritants from the tooth surface or (2) elimination or reduction of the depth of the periodontal pocket. In one study, periodontal pathogens were present in 1-year olds in 83% of preterm infants and in 96% of full-term infants. The effectiveness of periodontal therapy is predicated on success in completely eliminating calculus, plaque, and diseased cementum from the tooth surface. The aim would be to reduce the rate of any further loss of attachment. J Ir Dent Assoc. Finally, once the cause is controlled and the consequences have been corrected, recurrence of the disease should be avoided (secondary prevention). Edilia Marshall, DMD, MAGD, AAACD 13,489 views. Baseline Measurements The clinician needs to have a record of the extent of disease and the teeth and sites that are affected against which the progress of treatment can be monitored. periodontal therapy (non surgical) and basic oral ... •Note: If the patient chooses to discontinue Phase 1 therapy, then the treatment would be considered complete. This may require a surgical or Phase 2 mode of therapy to remove any remaining infection and decrease residual pocket depths to reduce the risk for recurrent/progressing disease in the future. Introduction. 1. Corresponding Author. Even in deep periodontal pockets clinical attachment levels may be maint … Fig 8-1 Components of initial, corrective and supportive phases of periodontal therapy. At the 6-8 week Periodontal Reassessment appointment the progress made, after root surface cleaning and excellent home cleaning, will be assessed. The top priorities of periodontal therapy are to eliminate inflammation and to stabilize the situation. Patient preparation. The magnitude of wound contraction parallels the phase of granulation tissue formation. Request PDF | On May 1, 2007, Donald J Coluzzi published Using lasers for phase one periodontal therapy | Find, read and cite all the research you need on ResearchGate Collagen accumu- Learn vocabulary, terms, and more with flashcards, games, and other study tools. Loading ... Perio Ch 9 Lect 1 Host Response to Periodontal Pathogens - Duration: 10:10. If you are not "ready" or psychologically ready to proceed we can treat you non-surgically. periodontal ligament, cementum, alveolar bone, and sites for tooth replacements). Periodontitis is a chronic inflammatory disease characterized by the destruction of alveolar bone, and the loss of the connective tissue supporting the teeth. 1. Blue = periodontal chart following phase 1 treatment At this stage further treatment options were discussed with our patient: Accept residual deep pockets and enter a supportive periodontal therapy program. Increase in the number of white blood corpuscles (WBCs) in response to LPS and bacteria are 1. 1. 1- Re-evaluation PPT The relationship between trauma from occlusion (TfO) and periodontal disease has been discussed for more than a century. Interdisciplinary Approach in Periodontal Therapy (2) - Free download as Powerpoint Presentation (.ppt), PDF File (.pdf), Text File (.txt) or view presentation slides online. Phase 2 Periodontal Therapy. There are very few medical conditions that would be a contraindication to having ideal periodontal therapy provided for you. 3. 1. 4-Informed Consent. PERIODONTAL LIGAMENT * INTER-RADICULAR FIBERS The interradicular fibers fan out from the cementum to the tooth in furcation areas of multirooted teeth. Periodontal Therapy Overview 2018 Lucas Mathes. Initial Periodontal Therapy Authored by: Dr. Romanita Ghilzon. Salivary interleukin-1β levels in patients with chronic periodontitis before and after periodontal phase I therapy and healthy controls: a case-control study. Tissue regeneration, management of periodontal-endodontic lesions, and providing dental implants as tooth replacements are, when indicated, integral components of comprehensive periodontal therapy.