Systemic antimicrobials therapy as an adjunct to mechanical debridement has been advocated in past few decades, the rationale for their use being the suppression of periodontal pathogens persisting in biofilms in deep pockets, root furcations and concavities or residing within the periodontal tissues or other oral niches where mechanical. The aim of this paper is to assess the literature and discuss the rationale for such programmes. Systemic therapy for treatment of the periodontal condition and in conjunction with. View enhanced pdf access article on wiley online library html view. The cause of periodontitis and gingivitis is bacterial plaque accumulation on the tooth surface in close proximity to gingival tissue. Contents healing after periodontal therapy results of periodontal therapy periodontal reconstruction present approach to therapy need for periodontal therapy nature of periodontal disease conclusion 2. The following is a list of the most cited articles based on citations published in the last three years, according to crossref. Rationale of periodontal therapy case reports, journal of.
Traditional views on pocket instrumentation in periodontal therapy have centred upon the thorough scaling and planing of root surfaces, which aim to remove all calculus and substantial amounts of necrotic and contaminated cementum. The rationale for the three monthly periodontal recall interval. Minimally invasive periodontal therapy presents the benefits of using minimally invasive. Tooth extraction and implant site development may accompany either periodontal or implant therapy. Rationale of periodontal treatment free download as powerpoint presentation. Systemic therapy may be employed as an adjunct to local measures and for specific purposes such as. The past 15 years have seen significant advances in the treatment of periodontal disease with antimicrobial therapy, both with and without moretraditional debridement or surgery. Although nonsurgical approach of mechanical tooth and root debridement fig. At the same timepoints, subgingival plaque samples of. Periodontal risk assessment pra for patients in supportive periodontal therapy spt niklaus p. The effectiveness of periodontal therapy is made possible by the.
Rationale for periodontal treatment ppt xpowerpoint. Therefore, treatment concepts aiming to provide a clinical. Supportive periodontal treatment should include an update of medical and dental. From the university of michigan, school of dentistry, department of periodontia and oral pathology. Management of periodontal disease with doxycycline. Conclusions regarding the effect of periodontal therapy are based on the definition of treatment response. Rationale for periodontal therapy linkedin slideshare. Marcel hallare the effectiveness of periodontal therapy is made possible by the remarkable healing capacity of the periodontal tissue properly performed, periodontal treatment can be relied on to accomplish the following. The longterm success of periodontal therapy is dependent on proper diagnosis and removal of subgingival toothborne accretions in the form of calculus and bacteria. Use the link below to share a fulltext version of this article with your friends and colleagues. Subgingival irrigation of the periodontal pockets in the right two quadrants splitmouth study were performed with 10% povidoneiodine solutions. Available formats pdf please select a format to send. From basic science and fundamental procedures to the latest advanced techniques in reconstructive, esthetic, and implant therapy, newman and carranzas clinical periodontology, th edition is the resource you can count on to help master the most current information and techniques in periodontology. Basics of rationale of periodontal treatment by dr yamini unni pg periodontics amrita school of dentistry.
Rationale for this stems from the significance of further tooth loss in terms of preservation of the function of the dentition. Rationale for periodontal therapy flashcards quizlet. Moreover, to compare the periopathogenic microflora and inflammatory and bone remodeling markers in gingival crevicular fluid in smokers. Newman and carranzas clinical periodontology th edition. Periodontal regeneration aims to reconstruct tissues damaged by periodontal disease, namely the alveolar bone, cementum, and periodontal ligament to their original levels. Evaluation of current extra and intraoral, periodontal tissues and referral when indicated e. Nonsurgical periodontal therapy based on the principles of. Submitted by anonymous not verified on mon, 06092014 21. In this regard, supportive periodontal therapy becomes the most decisive aspect of dental treatment.
Each parameter should be considered in its entirety. View and download powerpoint presentations on rationale for periodontal treatment ppt. Clinical evidence and relevance periodontal treatment protocol ptp for the general dental practice. It can also reduce periodontal pockets, eliminate infection, arrest the destruction of soft tissue and bone, 3 and reduce abnormal tooth mobility. Rationale of periodontal treatment healing medical specialties. With nonsurgical periodontal therapy, many patients can be treated and maintained without the need for surgical intervention.
Rationale for nonsurgical periodontal therapy the rationale for nonsurgical periodontal therapy is to remove the etiologic agent of diseasebacterial plaque biofilmand its associated factors. Find powerpoint presentations and slides using the power of, find free presentations research about rationale for periodontal treatment ppt. Antibiotics in the management of periodontal disease. Rationale for periodontal treatment linkedin slideshare. Non surgical periodontal therapy includes localized or. Rationale for periodontal treatment pocket dentistry. Periodontal treatments and procedures periodontists are dentistrys e xperts in treating periodontal disease. A parameter should not be deemed inclusive of all methods of care or exclusive of treatment appropriately directed to obtain. Nonsurgical periodontal therapy, including patient motivation, instruction in oral hygiene and thorough scaling and root planing has been shown to be. Scaling and root planing is the standard of care for nonsurgical and nonpharmacologic treatment of chronic periodontal diseases. Volume 83 number 6 journal of dental hygiene supplement of. The rationale for periodontal therapy wiley online library. Periodontal maintenance therapy upon completion of active periodontal treatment, followup periodontal maintenance visits should include.
The rationale of pocket elimination in the treatment of. Treatment of periodontal deep angular defects on pathologically migrated teeth often requires a combination of a periodontal regenerative procedure and orthodontic therapy. The aim of this paper is to assess the literature and discuss the rationale. Pdf rationale for use of antibiotics in periodontics. Introduction the finding in an egyptian tomb of two teeth ligated by a gold wire is evidence that the treatment of periodontal.
Journal of dental hygiene the american dental hygienistsassociation 2008 volume 83 number 6 journal of dental hygiene supplement to adha access rationale for comprehensive nonsurgical periodontal therapy. Issn 090667 the rationale for periodontal therapy raulg. Indications and rationale for nonsurgical periodontal therapy. Loss of periodontal support in relation to the patients age. The rationale for periodontal therapy caffesse 1995. The prediction of success of periodontal treatment would be of great benefit for clinicians treating cases of periodontitis, as well as for the patients to allow them to take informed decisions. Properly performed, periodontal treatment can eliminate pain, exudate, gingival inflammation,2 and bleeding. Rationale of periodontal treatment healing medical.
Morrison over the years, periodontal therapy has been influenced by the trends of the times, and consequently treatment approaches have been modified somewhat. Rationale of periodontal therapy presented by shashi kiran 19319 1 2. Periodontal surgery performed in the definitive treatment of periodontitis typically involves flap reflection to gain visual access to the root surfaces and bone figure 82. The potential role of biomarkers in periodontal diagnosis is then presented in the light of the published data. Surgical periodontal therapy with and without initial. Ashley2 verifiable cpd paper in turn give rise to further disease progres sion and ultimately failure of periodontal treatment. This book presents an overview of the use of contemporary regenerative techniques in the treatment of periodontal osseous and soft tissue defects. National estimates of the prevalence of periodontitis estimate that 47% of adults aged 30 years and older have periodontitis. These studies provide a rationale for the meticulous root. Biomarkers in periodontal health and disease rationale. Volume 83 number 6 journal of dental hygiene supplement. Rationale and techniques of nonsurgical pocket management in periodontal therapy. Rationale and techniques of nonsurgical pocket management.
The rationale for periodontal therapy, periodontology 2000. Gingival and osseous tissue heights and contours may be altered. The mechanical periodontal treatment was performed with ultrasonic device p5 newtron in four visits. Nonsurgical periodontal therapy based on the principles of causerelated therapy. Systemic therapy for treatment of the periodontal condition and in conjunction with local therapy is indicated in localized and generalized aggressive periodontitis in these diseases, systemic antibiotics are used to completely eliminate the bacteria that invade.
The american academy of periodontology aap guidelines stress that periodontal health should be achieved in the least invasive and cost effective manner. They receive up to three additional years of specialized training in periodontal disease treatment in both nonsurgical treatments and periodontal plastic surgery procedures. Ana pejcic, ljiljana kesic, radmila obradovic, dimitrije mirkovic department of periodontology and oral medicine faculty of medicine in nis, serbia. The rationale for the three monthly peridontal recall interval. Full color photos, illustrations, radiographs and videos show you how to perform periodontal.
Each chapter is designed to cover an important aspect related to periodontal regeneration, including an understanding of periodontium anatomy, biologic wound healing, regenerative materials, surgical techniques, and clinical applications. Clinical measurements included full mouth recordings of clinical attachment level, probing depth, bleeding on probing, and plaque index at pretreatment and following active and supportive periodontal therapy. It should be recognized that adherence to any parameter will not obviate all complications or postcare problems in periodontal therapy. The doctor may also suggest changing certain behaviors, such as quitting smoking, as a way to improve treatment. Home rationale for comprehensive nonsurgical periodontal therapy. Salem, dmd, mmscliran levin, dmd, frcdc causerelated therapy is key in the management and resolution of the two most common oral diseases. From clinical point of view, enhanced visualization during the periodontal procedures is necessary to produce better results. Periodontic surgery an overview sciencedirect topics. Rationale for comprehensive nonsurgical periodontal therapy. From a clinical perspective, better visualization during the diagnostic and therapeutic phases has been shown to yield better results compared to traditional approaches. Any type of treatment requires that the patient keep up good daily care at home. Summary systemic antibiotics are increasingly used in the treatment of perio dontal infections.