Periodontal Assessment and Maintenance

better the process and the causes of periodontal disease ( I talked to the patient

The aim of this study is to be able to identify any risk factors for periodontal changes in adult patients with orthodontic treatment by evaluating the periodontal status of banded second molars using the gingival index.

From the Gothenburg group, Lindhe et al., carried out a 14 year follow up of 61 out of initially 75 patients after active treatment of advanced periodontal disease, being defined as

Before I introduce each article, I would like to summarize the general opinions of these four articles. A non-surgical periodontal therapy improves metabolic control in diabetic patients, but there is not enough study with good sample size to evidently prove this opinion. The conclusion of the last article that I am going to introduce was inconsistent. This was surprised to me because it is different from my expectation. I thought that the non-surgical periodontal therapy had badly effect on glucose metabolism of my patient. And this was why she was very prone to infection after

A contraindication post osseous surgery includes patient cooperation. Importance of biofilm control and routine maintenance helps provide long-term success with regenerative care. Following oral hygiene instructions is vital in maintaining achieved reduction in probing depths (Hempton, et al., 2010. P. 651). If the patient fails to comply with regular periodontal recalls and post-surgery hygiene instructions, disease reoccurrence with suspected periodontal pathogens is likely to occur at a four times greater rate. From the patient’s perspective, osseous surgery may also be costly, discomforting, and inefficient.

Very few people realize the importance of coming into Fairview Dental in Lewiston, ID, every six months to have their teeth cleaned and examined. It is something that dentists have encouraged for a very long time and that is for a good reason. Everyone knows what goes on when you are having your teeth cleaned, the hygienist is thoroughly cleaning and flossing your mouth. But, not many patients know what all is being checked for during a dental exam. There is a number of processes that Drs. Haas is checking for during a dental exam and when people are told what is being looked for they are more likely to come back to have it done every six months.

The procedure is a short-term treatment. It is actually a modification of traditional braces. Many adults prefer this solution because of the length of time involved. The average time required is six months.

If you suffer from periodontal gum disease, you’re not alone. Statistics show that roughly 50% of all US adults have periodontal disease. Unfortunately, periodontal disease is the leading cause of premature tooth loss in adults. If you’ve suffered premature tooth loss due to gum disease, your dentist may have recommended dental implants, which are a permanent way to replace missing teeth.

A re-evaluation appointment should be conducted four to six weeks after treatment has concluded, to determine tissue response (PERIO BOOK PG 385). This time frame is not exact for every patient, but a minimum of one month allows the tissues time to heal, permitting the clinician to evaluate tissue changes, and eliminate any local factors that may have been overlooked during the initial appointment. Like any other appointment, the first step of a re-evaluation appointment is to conduct a medical history update to confirm that there had been no changes in health or medications. Next, a complete periodontal assessment will be performed, reassessing pocket depths, recession, bleeding on probing index, mobility, and furcation involvement. Once

The concept of Guided tissue regeneration is centered on placing physical barriers to block the apical migration of the gingival connective tissue and epithelium cells of the flap, while allowing the inward migration of periodontal ligament cells on the exposed root surface. This allows periodontal regeneration to occur. Physical barriers also protect the blood clot during healing and preserve space for the growth of a new periodontal apparatus.

When a procedure as basic as scaling and root planning and the sight of reduced post-operative inflammation – seeing the gingiva turn to a benign pink from red gives you a sense of fulfillment and satisfaction that is incomparable, you know that being a Periodontist is everything you have ever wanted. Holding a scalpel, incising the gingival and periodontal tissues and raising a flap almost perfectly for the very first time, is perhaps one of the most exhilarating experiences I have ever had and, at the risk of sounding too dramatic, the clockwise and anti-clockwise turning of the wrist during suturing is nothing short of sheer poetry in motion to me.

If I were given the opportunity to start from the beginning and complete this case analysis again, I would change a few things. First I would record the plaque index. Having numbers to show the patient at every appointment encourages motivation. I would also improve my intra oral photos. Giving the patient the opportunity to see the difference in plaque retention side by side with the use of intraoral photos, before and after removal of supra gingival calculus, may have encouraged the patient to maintain frequent periodontal maintenance appointments. Also, something I had not thought about prior to this presentation, is utilizing Eaglesoft itself as an educational tool. Using the comparison chart at the bottom of the periodontal assessment,

Chronic periodontitis is a slowly progressive inflammatory disease that results in the destruction of periodontium (Armitage and Cullinan, 2010, Shaddox and Walker, 2010). It is characterized by clinical attachment greater than or equal to 5mm and radiographic evidence of alveolar bone loss (Cabanilla, Neely and Hernandez, 2008). Teeth with active periodontal

Throughout the years there have been many important advancements in cosmetic dentistry. Two of those important advancements are the methods used to treat periodontal disease. The names of those two treatments are plastic surgery and laser treatment for periodontal disease. The first method which is periodontal plastic surgery is the main method dental surgeons tend to go towards because it has been used more than the laser treatment. Plastic surgery of this disease begins with cleaning the deep areas

Up until now, clinical outcomes were assessed with the help of clinical indices, such as the gingival index. But the information received from these indices reflects only half of the component of oral health status. The other half is reflected by patient-centered assessments of the oral health, which need to complement the