1975;2:67–79. Treatment is done using local anesthetic and treatment time is only one to two hours. Selection of the appro- priate incision technique is one of the main preconditions for a complication-free healing process involving minimum esthetic impairment. Upcoming SlideShare. General guidelines for periodontal surgery: instruments, local anesthesia, periodontal dressing, suturing. Barkann et al. The American Dental Association states that the treatment is aimed to prevent further advancement of the disease, and it is a lifelong plan for treatment. Phase I therapy or cause-related therapy 10 is the first in the chronologic sequence of procedures that constitute periodontal treatment. Prof. Enas Elgendy 2. Dr.Nurhuda Abdul Alim Araby The effectiveness of periodontal therapy is predicated on success in completely eliminating calculus, plaque, and diseased cementum from the tooth surface. Many are downloadable. • Localized gingival recession and root exposure may represent an esthetic problem to the patient, and it is often associated with root sensitivity. 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. Current techniques are based on a sound understanding of wound healing and therefore enhance and maximize the bodys healing potential. You can change your ad preferences anytime. Se você continuar a navegar o site, você aceita o uso de cookies. • When less invasi ve therapy (i.e., non -surgical periodontal therapy, Flap procedures) has failed to eliminate disease . 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. Periodontitis is generally treated by non-surgical mechanical debridement and regular periodontal maintenance care. Gum disease treatments may cost between $500 and $10,000 . Phase III therapy usually involves restorations and replacement of missing teeth. (2) described the procedure known as curettage, the surgical elimination of the epithelial lining of the pocket. 1. Learn new and interesting things. A periodontal pocket reduction procedure has been recommended because you have pockets that are too deep to clean with daily at-home oral hygiene and a professional care routine. Get ideas for your own presentations. Crossref. The cost of periodontal surgery varies greatly depending on the type of procedure and the severity of your disease. 2. Treatments for such conditions include scaling and root planing, non-surgical periodontal therapy, regenerative procedures, pocket reduction procedures, bone grafting, functional crown lengthening, and gum grafting. Significance of frequency of professional tooth cleaning for healing following periodontal surgery. Periodontal disease can cause pockets to form between the tooth and gum. Osseous Surgery is not indicated for teeth with a hopeless prognosis . For descriptive purposes, a rather broad distinction can be drawn between periodontal surgical techniques used to treat. If nonsurgical treatments can’t reduce pocket depth, surgery may be needed. SUCCESSFUL TREATMENTS FOR ADVANCED PERIODONTAL DISEASE periodontal regeneration linkedin slideshare May 31st, 2020 - periodontal regeneration 1 periodontal regeneration presented by prableen arora mds student 2 terminology acc to glossary of periodontal terms a graft is any tissue or an used for implantation or … 1. Non-Surgical Treatment. If you continue browsing the site, you agree to the use of cookies on this website. Americans with Disabilities: 2010. See our User Agreement and Privacy Policy. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. PERIODONTAL SURGERY Periodontal flaps Ass. Diagnostic Criteria for Diabetes Mellitus. INTRODUCTION Periodontal treatment includes; Systemic evaluation of the patient’s health A cause-related therapeutic phase with, in some cases A corrective phase involving periodontal surgical procedures Maintenance phase The 3rd World Workshop of the American Academy of Periodontology (1989) renamed this treatment phase “SUPPORTIVE PERIODONTAL THERAPY”(SPT) Antibiotic therapy for medical indications has been discussed elsewhere and will not be consid- ered here.1,2 This position paper is concerned with the use of antibiotics in the treatment of periodontitis lesions. Since the mid-1900s we’ve known that soft-tissue resection alone fails to eliminate periodontal pockets. Optimal dose and duration of amoxicillin-plus-metronidazole as an adjunct to non-surgical periodontal therapy: A systematic review and meta-analysis of randomized, placebo-controlled trials J Clin Periodontol. In our opinion, patients are more motivated to accept treatment recommendations when they are given the opportunity to see infection in their own mouths and they understand the value of treating periodontal disease in relation to their overall health. This applies not only to periodontal surgery but also to oral surgery and implant surgery. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. 43. He then went on to complete his certificate in Advanced Periodontology and Implantology at the prestigious University of Southern California in 2003. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Ass. This review aims to highlight concepts relating to nonsurgical and surgical periodontal therapy, which have been learned and unlearned over the past few decades. Dr. Aalam became a Doctor of Dental Surgery at the University of Nice Sophia Antipolis, France, in 2000 and enjoys fluency in both English and French. Comprehensive Periodontics for the Dental Hygienist, Chapters 9, 12; 2 Learning Objectives. To determine whether you have periodontitis and how severe it is, your dentist may: 1. Review your medical history to identify any factors that could be contributing to your symptoms, such as smoking or taking certain medications that cause dry mouth. 16 17. Learn new and interesting things. ABSTRACT Periodontitis is a biofilm infection with a mixed microbial aetiology. 3. Laser therapy has the potential to be an effective, minimally invasive procedure in periodontal therapy. 2. Types of bone and membrane used in guided tissue regeneration, Tissue engineering and periodontal regeneration, Localized bone augmentation and implant site development, No public clipboards found for this slide. Prepared by BDS (UiTM). Epub 2017 Nov 21. A longitudinal study of periodontal therapy in cases of advanced disease. Analyze laboratory tests : fasting blood glucose and casual glucose. Some are under the patient’s control, and may, therefore, require lifestyle changes to achieve significant modification. During this phase, procedures are undertaken to reduce the effects of disease. • Describe the process of healing after periodontal debridement procedures, scaling, and root planing. Step 1. This review aims to highlight concepts relating to nonsurgical and surgical periodontal therapy, which have been learned and unlearned over the past few decades. J Clin Periodontol. The aim of the present review was to survey the relevant literature on the clinical application of lasers as a minimally invasive treatment for periodontitis and peri‐implant disease. Westeelt E, Nyman S, Socransky S, Lindhe J. Periodontists, such as those at IPI of Torrance, receive up to three years of additional, specialized training in treating periodontal disease with nonsurgical and surgical procedures. 39. Periodontal therapy has limited success in the presence of undiagnosed or poorly controlled diabetes. Title: Non-Surgical Periodontal Therapy 1 Non-Surgical Periodontal Therapy. Regenerative techniques for periodontal therapy, No public clipboards found for this slide. 1984) 6. If a patient is suspected of having undiagnosed diabetes, the following procedures should be performed: 1. Drs. Objectives of the Surgical Phase 1. Minor adjustments ca… If you continue browsing the site, you agree to the use of cookies on this website. The bleeding disorders are clinically confirmed by the case history of the patient. For optimal treatment results, systemic risk factors must be modified or eliminated. PERIODONTAL SURGERY Usually, most of the patients are under medical supervision for their condition. See our User Agreement and Privacy Policy. Currently, lasers are used in periodontal therapy for (1) surgical procedures such as gingivectomy and osseous crown lengthening, (2) nonsurgical therapy, and (3) the surgical management of pathological changes resulting from periodontal disease. Long-Term Effect of Four Surgical Periodontal Therapies and One Non-Surgical Therapy: A Systematic Review and Meta-Analysis. Current modalities for managing periodontal diseases of children and adolescents may include antibiotic therapy in combination with non-surgical and/or surgical therapy. Kindly Ignore those … James Ramos and Scott Froum give an overview of the current surgical techniques for periodontal pocket elimination: curettage, gingivectomy, osseous surgery through the palatal flap, and laser-assisted pocket-reduction treatment. Non-surgical periodontal treatment does have its limitations. Since early diagnosis ensures the greatest chance for successful treatment, it is important that children receive a periodontal examination as part of their routine dental visits. Periodontal Esthetic Applications and Functional Crown Lengthening . Since the early twentieth century, periodontal surgery has been used to help dentists control the progression of periodontal disease. Improvement of the prognosis of teeth and their replacements. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. The association between periodontitis and hypertension was also supported by a randomized controlled trial of non-surgical periodontal therapy. In some cases, it could be non-surgical or surgical. It is generally accepted that mechanical debridement is at the core of any periodontal therapy (Van Dyke and Serhan, 2003). Lecture outlines • Definition • Indication of flap surgery • Classification of flaps • Advantages of the periodontal flap • Types of Incisions • Flap techniques for pocket therapy: 1. See our Privacy Policy and User Agreement for details. undergoing periodontal therapy. Periodontists are dentistry's e xperts in treating periodontal disease. REGENERATIVE PERIODONTAL THERAPY LINKEDIN SLIDESHARE. Recent advances in new wavelengths, delivery units, and power maximums have refocused the use of lasers on both the soft and/or hard tissues (Table 65-1). perio surgery treatment procedure O SlideShare utiliza cookies para otimizar a funcionalidade e o desempenho do site, assim como para apresentar publicidade mais relevante aos nossos usuários. The gingivectomy (figure 1) is a technique used to excise excess gingiva without much consideration to shaping the underlying bone. Periodontal instruments, surgery 1. Loading in ... single rooted teeth and posterior teeth with intact furcation respond better - Surgical periodontal therapy in pockets of > 5mm results in better outcome as reported By Kaldahl et al 21. This tissue is removed to the base of the underlying bone, and the new tissue is allowed to granulate in. Scaling and Root Planing. Consult the patient’s physician. Clipping is a handy way to collect important slides you want to go back to later. Many are downloadable. Systemic antibiotics in periodontal therapy LJA Heitz-Mayfield* *Centre for Rural and Remote Oral Health, The University of Western Australia. Periodontal treatment seeks to halt gum disease and its effects on the health and integrity of your teeth. Periodontal surgery 1. as an adjunct to surgical and non-surgical periodontal therapy. Mailoa J(1), Lin GH(1), Khoshkam V(2), MacEachern M(3), Chan HL(1), Wang HL(1). Background: The aim of this systematic review is to evaluate the long term (≥ 2 years) effect of four surgical and non-surgical therapies in treating periodontal disease. Examine your mouth to look for plaque and tartar buildup and check for easy bleeding. 28,46,52,67,86 They were initially used for removing hard tissue and caries but offered little benefit over standard rotary instruments. The first step of periodontal therapy is always cause-related therapy, aimed at obtaining patient compliance, reduction of oral bacterial loads, and control of gingival infection. Surgery on gum and bone can reduce pocket depth and save a tooth or teeth. Periodontists are also experts in replacing missing teeth with dental implants. If you continue browsing the site, you agree to the use of cookies on this website. Although advances in root instrumentation techniques and antibiotic therapy have improved the available treatments for periodontal infections, periodontal surgery will continue to be a necessary procedure in the foreseeable future. Share yours for free! When it does not achieve periodontal health, surgery may be indicated to restore periodontal health. Understand the differences between periodontal debridement, scaling, root planing de-plaquing ; Discuss the goals rationale for non-surgical therapy Periodontal treatment of patients with bleeding disorders. Dr. Salar Zeinali Oct.2013 2. 1982 Jul;9(4):323-36. doi: 10.1111/j.1600-051x.1982.tb02099.x. After periodontal surgery during healing, there is shrinkage of gingiva which may cause recession. Patients typically have needed only over the counter pain medicine post treatment. Visualization Technology, Ho boken, NJ: J ohn Wiley & Sons:81-116. Brault MW. Although mechanical non-surgical and surgical therapy continues to dominate other treatment approaches in the treatment of periodontal disease, its inability to completely eliminate periodontal pathogens from the soft tissues and hard tissue surfaces and within other niches in the oral cavity may cause recolonization of these pathogens leading to reinfection [1, 2]. Box 37-2. Get ideas for your own presentations. Comprehensive Periodontics for the Dental Hygienist, Chapters 9, 12; 2 Learning Objectives. Learning Outcomes • Define nonsurgical periodontal therapy. Penmetsa Subadhra Gautami, Alluri Venkata Ramaraju, Madiraju GunaShekhar, Adjunctive use of tetracycline fibers with nonsurgical periodontal therapy in an adult with Down syndrome: a case report, Special Care in Dentistry, 10.1111/j.1754-4505.2012.00237.x, 32, 2, (61-65), (2012). Clipping is a handy way to collect important slides you want to go back to later. A number of treatment procedures, such as gingival curettage and aggressive removal of contaminated root cementum, have been unlearned. 1) (5). During this procedure, your periodontist folds back the gum tissue and removes the disease-causing bacteria before securing the tissue into place. Share yours for free! View Phase 1 Periodontal Therapy PPTs online, safely and virus-free! Scaling – This is a process where … Intrabony periodontal defects present a clinical challenge in the treatment of periodontal disease and maintenance of compromised teeth. Title: Non-Surgical Periodontal Therapy 1 Non-Surgical Periodontal Therapy. You can change your ad preferences anytime. Loading in ... “ In patients with chronic periodontitis,what is the effect of smoking or smoking cessation on the response to non-surgical periodontal therapy in terms of clinical and patient-centered outcomes?” ( Labriola et al. ) Methods: An electronic search of four databases and a hand search of peer-reviewed journals for relevant articles were conducted. Upcoming SlideShare. Surgical periodontal therapy and implant therapy in the esthetic zone requires esthetic considerations. • Identify the techniques and applications for nonsurgical periodontal therapy procedures. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. "Critical probing depths" in periodontal therapy J Clin Periodontol. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Periodontal flaps • Describe the short- and long-term goals of nonsurgical periodontal therapy. Periodontal diseases are infections in the structures around the teeth. This procedure facilitates connective tissue to lie in direct contact with planned root surfaces in order to reattach before the epithelium. J Clin Periodontol. Looks like you’ve clipped this slide to already. Wound healing The healing of wounds in nonoral sites has been studied in great detail (Fig. Mesial/Distal Wedge A mesial/distal wedge procedure is indicated for the following : Mohammad Al-Isa, Mohanned Alotibi, Hashem Alhashemi, Fahad Althobiani, Alaa Atia, Sameh Baz, Effect of Non-Surgical Periodontal Therapy on the Fibrinogen Levels in Chronic Periodontitis Patients, The Saudi Dental Journal, 10.1016/j.sdentj.2018.12.001, (2018). Non-Surgical Treatments These pockets can gather plaque and need treatment. 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.