Becker W, Becker B. Periodontal regeneration: a contemporary re-evaluation. To provide a comprehensive overview of the methods that are available for the mechanical and chemical control of dental plaque. For the 1 to 3 mm pockets there was a slight reduction in depth at the hygienic phase, with only minor changes after the various modalities of treatment over 2 years. Phase II: Correction of damage that has resulted from the periodontal disease. Patients who have deep pockets (gaps between gum and teeth) or have need for crown lengthening are good candidates for this first phase of surgical treatment. Abrasives (approximately 20–40% of the content) enhance plaque removal, but may result in damage to the tooth surface if there is overzealous brushing. The majority of patients use a “horizontal scrub” technique, which does not clean effectively around gingival margins and can lead to tooth wear. Routine dental and dental hygiene treatment can occur B. Reynolds M, Aichelmann-Reidy M, et al. The initial phase in the traditional treatment of periodon- titis consists of nonsurgical t herapy including motivation, oral hygiene instructions and subgingival scaling [1]. Homecare, plaque control programmes and hygiene phase therapy are crucial components of non-surgical periodontal therapy. 1. During the maintenance phase of the periodontal treatment, aside from clinical examination, is also carried out removal of microbial plaque and calculus that start to format and penetrate under the gums and teeth polishing. Some brushes have single, compact tufts, which are specifically designed for interproximal cleaning. b.Cause related periodontal treatment (non surgical phase): During this phase, local anesthesia is administered and then microbial plaque and calculus that are under the gums and in contact with the teeth roots are removed. Specialist toothbrushes are available for certain patients and specific clinical indications (Fig 2-2): children’s toothbrushes – which have a reduced head size and a more bulky, easier-to-grip handle, single tufted toothbrushes (interspace brushes) – which can be used in areas that are inaccessible to a conventional brush, e.g. additional measures such as periodontal surgery, and/or endodontic therapy, implant surgery, restorative, orthodontic and/or prosthetic treatment • Maintenance phase (care), i.e. Also consider tapping into the talents of your dental assistant. When laser treatment has preceded this stage, the need for periodontal surgery is extremely limited. Patient should be referred to a physician C. Schedule the dental appointment after lunch D. Retake the blood pressure after 15 minutes E. Proceed with dental treatment after retaking blood pressure after 10 minutes Scaling and Root Planing. Patients refuse treatment for a variety of reasons, but one of the main ones is finances. Indeed, many clinical studies have confirmed that most patients, even with intensive hygiene phase therapy and regular re-enforcement of plaque control measures, will still have about 10–15% of tooth surfaces with residual plaque deposits. Mixed Makeup Recommended for you Periodontists are also experts in … Patient Plaque Control. Bristles are generally made of nylon, which is relatively flexible, resistant to fracture and does not become saturated with water. Thus, in many senses this term is misleading in that while this phase does occur at the beginning, what this phase Conventional, manual toothbrushes vary in design and size, and the type of brush used is a matter of personal preference (Fig 2-1). sites of gingival recession, furcations and large interdental spaces, orthodontic toothbrushes – which have a V-shaped indentation along the head of bristles to accommodate the components of fixed orthodontic appliances. Annals of Periodontology 1996;1:621-666. This phase aims to reduce and eliminate any gingival inflammation by removing dental plaque , calculus (dental) , restoration of tooth decay and correction of defective restoration as these all contribute to gingival inflammation, also known as gingivitis . The traditional design of brush head operates with a side-to-side or back and forth motion. denture brushes – which may be used with partial or complete dentures. A child under … The clinic has at its disposal three different wave spectrums and therefore can handle the whole range of possible laser applications during periodontal treatment. Systemic Antibiotics - In some cases, systemic antibiotics (orally administered) that specifically target periodontal pathogens are prescribed at the time of SRP procedures. and ≥ 7 mm prior to treatment were compared to their posttreatment scores. Keep in mind that the diagnosis is key. Zobozdrav Vestn. Toothpastes are used as aids for cleaning tooth surfaces and contain abrasives (e.g. 6. Parental assistance. To prevent engaging in malpractice, and to treat your patients with their best interests in mind first, we need to be attentive to each phase of dentistry. However, the technique and the force applied when brushing are more important determinants of plaque removal capability and gingival trauma than the hardness of the bristles themselves. Effective plaque control results in resolution of gingival inflammation and is fundamentally important in all periodontal therapy. dental hygiene treatment outcomes. [42] They usually have a dual-purpose head with tapered bristles that are much firmer than those of a conventional toothbrush. Scaling and Root Planning . Clinical trials in the 1980s confirmed that plaque control may be taught effectively in two 15 minute appointments (Table 2-1). During this surgical phase of the periodontal treatment, the periodontist will select the most appropriate surgical technique for your lesions, depending on the type and severity of the damages that were not eradicated during the first phase of the treatment (root scaling and laser application). For comfort, your periodontist or periodontal hygienist will numb (local anesthesia) the area prior to treatment. 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