Treatment approach was based on the comfort level of the practitioner. Your dentist will first start with nonsurgical treatments. Understand the differences between periodontal debridement, scaling, root planing de-plaquing ; Discuss the goals rationale for non-surgical therapy • Periodontal treatment, both surgical and nonsurgical, results in recession of the gingival margin after healing (Isidor et al. (1968) to reduce biological variability. 1981, Serino et al. Treatment approach was based on the comfort level of the practitioner. Journal of Clinical Periodontology. Nonsurgical therapy remains the cornerstone of periodontal treatment. When it does not achieve periodontal health, surgery may be indicated to restore periodontal health. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Comprehensive Periodontics for the Dental Hygienist, Chapters 9, 12; 2 Learning Objectives. • The Effect of Laser Therapy as an Adjunct to Non-Surgical Periodontal Treatment in Subjects With Chronic Periodontitis: A Systematic Review Marcus R. Karlsson,Christina I. Diogo Lofgren,and Henrik M. Jansson.J Periodontol 2008;79:2021-2028. As a trusted periodontist in Middlesex County, Dr. Albani has over 30 years of experience in the prevention and treatment of periodontal disease. therapy, Etiotropic phase of therapy, Phase I Therapy. Periodontal “gum” disease is typically a chronic infection caused by bacteria that works its way under the gum line, destroying the … Navarro-Sanchez AB, Faria-Almeida R, Bascones-Martinez A. Surgical periodontal therapy 32. See our User Agreement and Privacy Policy. They receive up to three additional years of specialized training in periodontal disease treatment in both non-surgical treatments and periodontal plastic surgery procedures. A number of treatment procedures, such as gingival curettage and aggressive removal of contaminated root cementum, have been unlearned. 1. Effect of non-surgical periodontal therapy on clinical and immunological response and glycaemic control in type 2 diabetic patients with moderate periodontitis. 33. Upcoming SlideShare. The emphasis of our practice is conservative periodontal therapy. After any periodontal surgical procedures, the involved tissues are considered as surgically wounded sites. Sequence of Periodontal Therapy Periodontal treatment of patients with bleeding disorders. Necrotizing ulcerative gingivitis & periodontits, Post operative complications of periodontal surgery, No public clipboards found for this slide. Chronic periodontitis is a polymicrobial biofilm infection (Abusleme et al. This is done to improve the overall tissue quality prior to surgery and also to help limit the areas requiring surgery. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Periodontal Treatments and Procedures Periodontists are dentistry's e xperts in treating periodontal disease. KEY WORDS: Anemia, chronic periodontitis, C-reactive protein, non-surgical periodontal therapy Periodontal disease is one of the most common oral diseases of humans. 1978 • Nonsurgical periodontal therapy is effective in eliminating inflammation in deep pockets and in improving clinical attachment levels. 2013) resulting in periodontal attachment loss (Armitage 1999).Chronic periodontitis can be effectively treated by means of mechanical non-surgical and surgical therapy (Badersten et al. With non -surgical periodontal therapy, many patients can be treated and maintani ed without the need for surgical interventoi n, however patients with advanced and aggressvi e forms of disease may require periodontal surgery. Clipping is a handy way to collect important slides you want to go back to later. Non-surgical Therapy: The course content includes instrumentation, ... Minor Tooth Movement in Periodontal Therapy: Basic concepts in patient minor tooth movement and periodontal-orthodontic relationships are emphasized and are reinforced through case presentation and review. If you continue browsing the site, you agree to the use of cookies on this website. Biofilm can be removed and a favorable local environment can be established with non-surgical mechanical debridement and/or surgical debridement. This must be recognized at the reevaluation appointment and appropriate therapy, probably surgery, should be instituted. This treatment gives you a much deeper cleaning than the basic cleaning. Different names of NSPT: Cause related therapy, Initial 2007; 34 (10):835–843. See our User Agreement and Privacy Policy. In the late 60’s and continuing into the 70’s and 80’s, many series of longitudinal studies were conducted, aimed to document the immediate and most importantly long term clinical results following several types of periodontal therapy. Non-surgical periodontal treatment does have its limitations. Looks like you’ve clipped this slide to already. Call {732) 564-7955 for an appointment. (1996) Timmerman(1994) Querna et al. Previous studies did not specify type of periodontitis, Bacteroides melaninogenicus has recently been reclassified and split into PORPHYROMONAS GINGIVALIS  and Prevotella intermedia. See our Privacy Policy and User Agreement for details. 19 Wills Way, Building 6, Piscataway, NJ 08854 . Atridox – Gel Based system 10 % Doxycycline 23. Even in severe cases of periodontal disease, non-surgical periodontal therapy often precedes surgical therapy. If you need a periodontist in Colonia NJ, then stop by the dental office of Centre for Excellence in Periodontics and Implant Dentistry, PC today. Both surgical and nonsurgical therapy produced improvement in the periodontal health. Other more subtle systemic and environmental issues ma… • Identify the techniques and applications for nonsurgical periodontal therapy procedures. Most of the procedures in non-surgical periodontal therapy do not require augmentation of coagulation factor levels. Controlling Systemic Risk Factors.Several risk factors have well established associations with both periodontal and systemic diseases, such as diabetes, smoking, stress, immunodeficiency, medications, obesity, hormones, and nutrition. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. ... PERIODONTAL THERAPY NON- SURGICAL SURGICAL INTRODUCTION 3 4. • Localized gingival recession and root exposure may represent an esthetic problem to the patient, and it is often associated with root sensitivity. 15 Prospect Lane, Colonia, NJ 07067. Looks like you’ve clipped this slide to already. Emergency Phase The exact treatments that your dentist or surgeon will choose depends on the severity of the periodontal disease. After in vivo treatment using the periodontal endoscope and six months' healing, calculus was absent on 35 of subjects' 36 specimens examined in vitro after extraction. (1994). • AAP statement on efficacy of Lasers in NS treatment of inflammatory PD-J.Periodontol;April2011 61. Keeping in mind, all the factors explained earlier in the discussion, an accurate treatment plan can be established for a … 1982 • Pocket elimination then became the main objective of periodontal therapy, flap procedures were commonly performed to eliminate the periodontal pocket. If you continue browsing the site, you agree to the use of cookies on this website. Attention to detail, patient compliance and proper selection of adjunctive antimicrobial agents for sustained plaque control are important elements in achieving successful long-term results. Now customize the name of a clipboard to store your clips. Nonsurgical Treatment of Chronic Periodontitis Clinical Practice Guideline (2015) A panel of experts convened by the American Dental Association (ADA) Council on Scientific Affairs presents an evidence-based clinical practice guideline and systematic review on nonsurgical treatment of patients with chronic periodontitis by means of scaling and root planing (SRP) with or without adjuncts. 1984) 6. Diagnosis The primary role of oral medicine is to provide a non-surgical option for treating pathologies of the mouth. Chemical plaque control /certified fixed orthodontic courses by Indian denta... No public clipboards found for this slide, Surgical v/s Non surgical periodontal therapy. We recommend dental check-ups every six months, which include a professional cleaning and examination of the teeth and gums. Nonsurgical treatments. 22. 33 Growth of new bone and junctional epithelium was evident with lack of inflammation. Surgical Phase Restorative Phase This review aims to highlight concepts relating to nonsurgical and surgical periodontal therapy, which have been learned and unlearned over the past few decades. The sequence of therapy, as well as treatment modalities to be used during periodontal therapy, including non-surgical, surgical, regenerative or implant therapy, are carefully planned. Now customize the name of a clipboard to store your clips. Nonsurgical therapy remains the cornerstone of periodontal treatment. You can change your ad preferences anytime. Split mouth design concept was introduced. This involves the removal of bacterial plaque and tartar which is present at and below the gum line. The goal of periodontal therapy can be defined as “to arrest the inflammatory disease process by removal of the subgingival biofilm and establish a local environment and microflora compatible with periodontal health” (Heitz-Mayfield, 2005). Many times, the early stages of periodontal disease are best treated with non-surgical periodontal therapy. Scaling and Root Planing. If you continue browsing the site, you agree to the use of cookies on this website. Severe and advanced periodontitis was defined by Anagnou-Vareltzides et al. For optimal treatment results, systemic risk factors must be modified or eliminated. If you continue browsing the site, you agree to the use of cookies on this website. Step 1. Cortney Annese, RDH, says attention to detail, patient compliance, and proper selection of adjunctive antimicrobial agents for sustained plaque control are important elements in achieving successful long-term results. • Describe the process of healing after periodontal debridement procedures, scaling, and root planing. If you continue browsing the site, you agree to the use of cookies on this website. Existing Patients: (732) 562-9600 Methods: Electronic searching identified 376 records, of which 18 were eligible blinded, randomized placebo-controlled trials. -The primary caveat with non-surgical therapy is that, there are sites and even patients where it may not be effective. It occurs as a result of exposure of the periodontium to dental plaque, biofilms that … Nonsurgical Phase This may be supplemented by local or systemic antibiotic or antiseptic modalities. • Describe the short- and long-term goals of nonsurgical periodontal therapy. Clipping is a handy way to collect important slides you want to go back to later. Very often, early stages of periodontal disease are effectively treated with non-surgical periodontal therapy. Periodontal scaling and root planing is a common non-surgical procedure used to help reduce the extensive plaque buildup aggravating your gums. The bleeding disorders are clinically confirmed by the case history of the patient. Non surgical periodontal therapy by Dr. Abhishek Gaur Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Non - surgica pl eriodontal therapy incul d es localized or generalized scaling and root planing, the use of You can change your ad preferences anytime. Both surgical and nonsurgical therapy produced improvement in the periodontal health. Some are under the patient’s control, and may, therefore, require lifestyle changes to achieve significant modification. Learning Outcomes • Define nonsurgical periodontal therapy. Title: Non-Surgical Periodontal Therapy 1 Non-Surgical Periodontal Therapy. Although NSPT is effective, it does have its limitations. Maintenance Phase These check-ups allow for minor and moderate problems to be addressed before they worsen. Aim: This systematic review aimed to determine the optimum dose and duration of amoxicillin-plus-metronidazole prescribed as an adjunct to non-surgical treatment of periodontitis. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Usually, most of the patients are under medical supervision for their condition. New Patients: (732) 564-7955. Non-surgical and surgical therapi… We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. See our Privacy Policy and User Agreement for details. 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