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Nonsurgical periodontal therapy
Chapter 24
33
Other
Professional
04/27/2013

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Term
What is nonsurgical periodontal therapy?
Definition
the control of plaque induced gingivitis or chronic periodontitis by implementing professional instrumentation and daily homecare
Term
What are the objectives of nonsurgical periodontal therapy? (3)
Definition
1.eliminate inflammatory disease in the periodontium
2.return the periodontium to a state of health
3.maintain health with professional and daily self care
Term
What should our treatment plan control or eliminate?
Definition
-primary etiologic factors
-local risk factors
-systemic risk factors
Term
What are some forms of pain management in the dental office?
Definition
1.local anesthesia
2.nitrous oxide
3.oraquix
Term
What is oraquix?
Definition
2.5% lidocaine or prilocaine
Term
What is the onset and duration like for oraquix? What is the maximum dosage?
Definition
-30 sec onset, 20 min duration
-5 caetridges
Term
What are some different ways to administer chemotherapeutics?
Definition
-antimicrobials
-local delivery antibiotics
-systemic devlivery
Term
What is a type of local anibiotics?
Definition
arestin(minocycline hydrochloride microspheres)
Term
What do local antibiotics reduce?
Definition
-p gingivalis (Mr. Perio)
-T denticola
-T. forsythia
Term
What is an example of a local antibiotic?
Definition
doxycycline gel(Atridox)
Term
Do people with aggresive perio go through nonsurgical periodntal therapy?
Definition
no they are sent straight to the periodontitis
Term
What is the evlauation after nonsurgical periodontal therapy done for?
Definition
to see if surgery is needed
Term
Are hand or power instruments preferred for nonsurgical periodontal therapy?
Definition
power instruments are the first choice
Term
What is scaling?
Definition
instrumentation of the crown and root surfaces
Term
What is root planing?
Definition
the intentional removal of cementum
Term
What is periodontal debridement?
Definition
-removes/disrupts bioilm and calculus on the crown and root surface
-does NOT include deliberate removal of the cementum
Term
Does bone, cementum, or your PDL reform/grow after NSPT?
Definition
no
Term
When is the reval appt for NSPT?
Definition
about a month(4-6) weeks
Term
What are the 3 tissue changes to instrumentation?
Definition
1.shrinkage
2.readaptation of the JE
3.little change in the level of soft tissues resulting in a residual periodontal pocket
Term
What is considered primary healing after NSPT?
Definition
the formation of a long JE
Term
What are nonresponsive sites?
Definition
areas that show further attachment loss and inflammation in spite of therapy
Term
Does plaque associated gingivitis usually require surgical therapy?
Definition
no, usually not
Term
Is surgery indicated for slight chronic perio?
Definition
not usually
Term
Is surgery indicated for moderate chronic perio?
Definition
sometimes
Term
Is surgery indicated for severe chronic perio?
Definition
yes
Term
What are some exceptions so some thngs where periodontal surgery is indicated?
Definition
-gingival enlargement recontour
-slight chronic with localized severe recession
Term
What is an AAP level 1?
Definition
-one who may benefit from dentist and periodontitis
-comanagement between dentist and periodonitits
Term
What is an AAP level 2?
Definition
those who would likely benefit from comanagement by reffering to dentist and periodontitis
Term
What is an AAP level 3?
Definition
those who should be treated by a periodontitis
Term
What is an example of some patients who would be AAP level 1?
Definition
pts with inflammation and...
-diabetes
-pregnant
-cardio disease
-COPD
OR patients getting..
-cancer therapy
-heart surgery
-joint replacement
-organ transplant
Term
Who would be AAp level 3?
Definition
-severe chronic perio
-significant root exposure
-perio implant disease
-etc.
Term
Does hypersensitivity go away?
Definition
yes, most cases go away on their own
Term
What should the description of the periodontium include?
Definition
-describe entire periodontium (Generlaized, localized)
-severity(slight, moderate, severe)
-AAP classification(8 classes)
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