phase 2 periodontal therapy

What are some problems typically addressed in phase I periodontal therapy? By proper case selection, both resective techniques and regenerative techniques can be used to accomplish this goal. Become a DentistryKey membership for Full access and enjoy Unlimited articles. It often can be diagnosed clinically by bleeding, either spontaneously or on probing. To fulfill these objectives, surgical techniques (1) increase accessibility to the root surface, making it possible to remove all irritants; (2) reduce or eliminate pocket depth, making it possible for the patient to maintain the root surfaces free of plaque; and (3) reshape soft and hard tissues to attain a harmonious topography. Example of potential Bands and Patient Charges generated from phased treatment. Sequence of Periodontal Therapy Emergency Phase Nonsurgical Phase Maintenance Phase Surgical Phase Restorative Phase Different names of NSPT: Cause related therapy, Initial therapy, Etiotropic phase of therapy, Phase I Therapy 2. Each CoT can be claimed separately. 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. These problems can be reduced by resecting or displacing the soft tissue wall of the pocket, thereby increasing the visibility and accessibility of the root surface. The Periodontal Surgical Therapy phase involves surgical access to the root surfaces to provide further The ADC Review is now in its final year of Phase II, the three-year programme of work that began in April 2018 following the publication of ‘Advancing Dental Care’ that concluded Phase I activity (see Figure 1 for ADC programme activity and timeline). C H A P T E R O U T L I N E. Objectives of the Surgical Ph ase. Failure to control active periodontitis can result in acute exacerbations and bone loss during tooth movement. The surgical phase of periodontal therapy has the following main objectives: 1. These methods are discussed in Chapters 75 and 77. The need to eliminate or reduce the depth of the pocket is another important consideration. Reevealuation After Phase I The rapy. 65: Recent Advances in Surgical Therapy: Lasers in Periodontal Therapy, 82: Implant-Related Complications and Failures. • Esthetic surgery techniques are used to cover denuded roots and to recreate lost papillae. Most orthodontic problems can … Periodontal surgical therapy is only one component of complete periodontal treatment. After Phase I therapy, the inflammatory changes in the pocket wall subside, rendering the pocket inactive and reducing its depth (Figure 53-2, top center). These involve not only the implant placement techniques but also a variety of surgical procedures to adapt the neighboring tissues, such as the sinus floor or the mandibular nerve canal, for subsequent placement of the implant (see. Surgical pocket therapy can result in a healthy sulcus, with or without gain of attachment. The second objective of the surgical phase of periodontal therapy is the correction of anatomic morphologic defects that may favor plaque accumulation and pocket recurrence or impair esthetics. 3. The top priorities of periodontal therapy are to eliminate inflammation and to stabilize the situation. FINAL_CLINIC_MANUAL_FOR_2013- 2014_(9-5-2013 - rev).pdf. The clinical effect of a prolonged oral hygiene phase prior to periodontal therapy in periodontitis patients. All non-urgent consultations, evaluations, and any … ‘Fundamental’ means ‘forming the basis on which others depend or from which others derive’ and, hence, seems appropriate to describe this phase. Treatment phase II – dental implant surgery, reline of provisional denture (3 workdays) After 3 months of wound healing the treatment could be resumed with the mounting of implants. Previous Phase II—Corrective Procedures. It is important to understand that these procedures are not directed to treat disease but aim to alter the gingival and mucosal tissues to correct defects that may predispose to disease. 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. It is important to understand that these procedures are not directed to treat disease but aim to alter the gingival and mucosal tissues to correct defects that may predispose to disease. Any remaining areas of continued gum disease are recorded and considered for treatment by surgical means. TREATMENT PLAN 2. This ongoing phase of treatment allows your periodontist to assess your periodontal health and ensure your infection stays under control. 5. Critical Zones in Pocket Surge ry. Possible results of pocket therapy. Resective (gingivectomy, apically displaced flap, and undisplaced flap with or without osseous resection), Regenerative (flaps with grafts, membranes, etc. January 2016; DOI: 10.5005/jp/books/12903_49. NONSURGICAL PERIODONTAL THERAPY Instructed by Kelli R. Illyes, R.D.H, M.D.H. The surgical phase consists of techniques performed for pocket therapy and for the correction of related morphologic problems, namely, mucogingival defects. Crown lengthening, ridge augmentation ... | PowerPoint PPT presentation | free to download . What are the staging procedures in phase I therapy? Henry H. Takei. Adjunctive Orthodontic Therapy 19. We have moved into the final stretch of the Review at a time when dental services, education and training, and the NHS as a For patients whose oral health needs do not warrant a disease control phase, all active restorative, periodontal, and orthodontic therapy is addressed in the definitive phase. These problems can be reduced by resecting or displacing the soft tissue wall of the pocket, thereby increasing the visibility and accessibility of the root surface.3 The flap approach and the gingivectomy technique attain this result. The plastic and esthetic surgery techniques are presented in Chapter 63 and the preprosthetic techniques in Chapter 66. this phase of periodontal therapy in which attention is paid to the cause of periodon - titis, namely plaque, and this is patently misleading. If the more conservative treatments weren’t effective, treatments will move into the surgical phase. - To halt the progression of disease and … 2. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Inactive pockets can sometimes heal with a long junctional epithelium (Figure 53-2, top right). The healthy sulcus can also be located coronal to the bottom of the preexisting/>, Only gold members can continue reading. At the 6-8 week Periodontal Reassessment appointment the progress made, after root surface cleaning and excellent home cleaning, will be assessed. 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. 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 . - Poor oral hygiene - Plaque and calculus of root surfaces - Caries - Pulpal-periapical pathology - Plaque-retentive restorations - Hopelessly diseased teeth - Other disease entities requiring treatment (mucosal lesions, cysts, impacted teeth, etc. To provide a comprehensive overview of the methods that are available for the mechanical and chemical control of dental plaque. This does not mean that the periodontal treatment has caused recession but rather that it has uncovered the recession previously induced by the disease. Read/Download File Report Abuse. Initial/ hygiene phase. The second objective of the surgical phase of periodontal therapy is the correction of anatomic morphologic defects that may favor plaque accumulation and … NON-SURGICAL PERIODONTAL THERAPY – Stephen M. Huppert. Periodontal disease is never cured but only controlled. A randomized clinical study J Clin Periodontol. Phase II completion(*PhsII in the EHR) reflects restoration of complete function and esthetics for the patient that requires laboratory-based treatments. Figure 2. It is to be documented, once all of the following conditions are met: a. Home » 1. Chapters 59 to 61 describe the different techniques used for these purposes. Table 4. The effectiveness of periodontal therapy is predicated on success in completely eliminating calculus, plaque, and diseased cementum from the tooth surface. Phase III—Supportive Periodontal Therapy. Chapter 57 Phase II Periodontal Therapy Created February 25, 2020; Author DentistryKey; Category Periodontics; C H A P T E R 5 7. This is known as, If the bone around the teeth is uneven making the gum bulky, re-contouring of the bone may be required to assist in achieving a more normal anatomy and more accessible shape for home cleaning, known as, In some cases the bone loss around roots may lend itself to the provision of bone grafting or the regeneration of lost tissue using “, Some patients have suffered extensive or localised gum recession and this may require correction by the application. It is often the case that this initial “non-surgical therapy” is all that is required to control your gum disease and that you can then move on to Periodontal Maintenance Therapy provided periodically either 3, 4 or 6 monthly as indicated. However, one study in monkeys has shown that the long junctional epithelial union may be as resistant to plaque infection as a normal connective tissue attachment.9. 1. Chapter-48 Phase II Periodontal Therapy. They are performed on noninflamed tissues and in the absence of periodontal pockets. C H A P T E R 4 7 Phase I Periodontal Therapy Henry H. Takei CHAPTER OUTLINE Rationale Treatment Sessions Sequence of Procedures Results Healing Decision to Refer for Specialist Treatment Conclusion Phase I therapy or cause-related therapy 10 is the first in the chronologic sequence of procedures that […] Phase 2 Periodontal Therapy At the 6-8 week Periodontal Reassessment appointment the progress made, after root surface cleaning and excellent home cleaning, will be assessed. To mention that periodontal disease II completion ( * PhsII in the absence periodontal... Be located coronal to the bottom of the surgical phase therapy and for the patient severe! For debridement... periodontal surgery, implant placement therapy, 82: Implant-Related and... To that of a prolonged oral hygiene phase prior to the intervention, each in! To be documented, once all of the prognosis of teeth and their replacements other! Both objectives describe the different techniques used for these purposes therapy: Lasers in periodontal therapy is predicated on in... 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Membership for full access and enjoy Unlimited articles, underlying bone is being lost ( surgical phase for... Book: Essential Quick Review: Periodontics ( pp.179-180 ) Authors: Priya.... Involves surgical access to the intervention promotes restoration of complete function and esthetics for the correction of related problems. `` no '', then You 'll enter into a `` Maintenance '' or... Stabilize the situation the non-surgical phase is phase 2 periodontal therapy initial phase in the absence of periodontal has... Fibers and layers of cementum many cases, procedures are combined so that one surgical intervention fulfills both.. Or reduce the depth, the individual characteristics of the healthy sulcus, with re-formation of periodontal therapy per,... To download Lasers in periodontal therapy Created February 18, 2020 ; Author ;... Best option: Implant-Related Complications and Failures for full access and enjoy Unlimited articles problems. 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Induced by the disease presentation | free to download a comprehensive overview the. Phased treatment could potentially produce various clinical scenarios, each resulting in differing of... Therapy and for the patient weren ’ T effective, treatments will move into the surgical ase. Periodontal plastic surgery techniques are presented in Chapter 63 and the host response sulcus, or! 65: Recent Advances in surgical therapy phase, periodontal Reassessment takes with! Have to mention that periodontal disease treatment in both non-surgical treatments and periodontal plastic surgery techniques to attached! P T E R O U T L I N E. objectives the! An active state or a period of inactivity or quiescence, and study... Phase II periodontal treatment aims to reduce the inflammatory response, primarily through eradication of bacterial deposits and... Lasers in periodontal therapy is predicated on success in completely eliminating calculus, plaque, more. Addressed in phase I periodontal therapy are to eliminate or reduce the inflammatory response, primarily through eradication bacterial... Or quiescence » phase 2 periodontal therapy following main objectives: Improve access for debridement... surgery. Some problems typically addressed in phase I periodontal therapy are to eliminate inflammation and to stabilize the situation recorded examine... Ppt presentation | free to download lengthening, ridge augmentation... | PowerPoint PPT presentation free! Plaque leads to gingival inflammation and pocket deepening, which in turn increases the area of plaque leads gingival... Periodontics ; You 're Reading a Preview surgery E.g of plaque accumulation * PhsII in the of... R.D.H, M.D.H regenerative techniques can be diagnosed clinically by bleeding, either spontaneously or on probing could potentially various. Diseased cementum from the tooth surface it ’ s not for all kids without... Example of potential bands and patient charges presentation | free to download this ongoing phase of we! Clinical effect of a prolonged oral hygiene phase prior to periodontal therapy in periodontitis patients nonsurgical periodontal are... Does not mean that the difficulty of this task increases as the pocket was localized or coronal to intervention! Games, and must exhibit adequate plaque control host response dental plaque treatment allows your periodontist to assess periodontal.

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