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    surgical periodontal therapy slideshare

    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. Harrel SK, Wilson TG Jr and Rivera-Hidalgo F, (2 013). Non-surgical periodontal treatment does have its limitations. ABSTRACT Periodontitis is a biofilm infection with a mixed microbial aetiology. 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. undergoing periodontal therapy. 3. J Clin Periodontol. Brault MW. See our Privacy Policy and User Agreement for details. See our Privacy Policy and User Agreement for details. Periodontal treatment of patients with bleeding disorders. 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. If you continue browsing the site, you agree to the use of cookies on this website. 39. He then went on to complete his certificate in Advanced Periodontology and Implantology at the prestigious University of Southern California in 2003. View Phase 1 Periodontal Therapy PPTs online, safely and virus-free! Clipping is a handy way to collect important slides you want to go back to later. Examine your mouth to look for plaque and tartar buildup and check for easy bleeding. 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. In addition, the surgical modality of therapy resulted in more attachment loss than the non-surgical approach when used in sites with initially shallow pockets. See our User Agreement and Privacy Policy. Prof. Enas Elgendy. It is generally accepted that mechanical debridement is at the core of any periodontal therapy (Van Dyke and Serhan, 2003). Looks like you’ve clipped this slide to already. 1) (5). Get ideas for your own presentations. 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. 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. Dr.Nurhuda Abdul Alim Araby Minor adjustments ca… Lasers were first used in the 1960s for dental applications. Non-Surgical Treatment. This review aims to highlight concepts relating to nonsurgical and surgical periodontal therapy, which have been learned and unlearned over the past few decades. 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. Improvement of periodontal status, following IPT, was directly related to the 24-h BP profile improvement. • When less invasi ve therapy (i.e., non -surgical periodontal therapy, Flap procedures) has failed to eliminate disease . "Critical probing depths" in periodontal therapy J Clin Periodontol. Some are under the patient’s control, and may, therefore, require lifestyle changes to achieve significant modification. Upcoming SlideShare. A number of treatment procedures, such as gingival curettage and aggressive removal of contaminated root cementum, have been unlearned. This applies not only to periodontal surgery but also to oral surgery and implant surgery. Prof. Enas Elgendy 2. Barkann et al. Phase II therapy is the surgical phase of treatment. Analyze laboratory tests : fasting blood glucose and casual glucose. J Clin Periodontol. • Describe the short- and long-term goals of nonsurgical periodontal therapy. Treatment is done using local anesthetic and treatment time is only one to two hours. After periodontal surgery during healing, there is shrinkage of gingiva which may cause recession. 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). 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. PERIODONTAL SURGERY Of the numerous periodontal surgical techniques, the oft-modified Widman flap (“Modified Wid-man Flap,” MWF) remains the standard procedure for open periodontitis therapy (Widman 1918, Ramfjord & Nissle 1974, Ramfjord 1977). A longitudinal study of periodontal therapy in cases of advanced disease. Osseous Surgery is not indicated for teeth with a hopeless prognosis . Periodontal flaps Non surgical periodontal therapy by Dr. Abhishek Gaur Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. BDS (UiTM). Regenerative techniques for periodontal therapy, No public clipboards found for this slide. Periodontal treatment seeks to halt gum disease and its effects on the health and integrity of your teeth. Periodontal diseases are infections in the structures around the teeth. Periodontists are dentistry's e xperts in treating periodontal disease. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Laser therapy has the potential to be an effective, minimally invasive procedure in periodontal therapy. This review aims to highlight concepts relating to nonsurgical and surgical periodontal therapy, which have been learned and unlearned over the past few decades. Mesial/Distal Wedge A mesial/distal wedge procedure is indicated for the following : 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. Since the mid-1900s we’ve known that soft-tissue resection alone fails to eliminate periodontal pockets. 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. Understand the differences between periodontal debridement, scaling, root planing de-plaquing ; Discuss the goals rationale for non-surgical therapy Diagnostic Criteria for Diabetes Mellitus. Selection of the appro- priate incision technique is one of the main preconditions for a complication-free healing process involving minimum esthetic impairment. Methods: An electronic search of four databases and a hand search of peer-reviewed journals for relevant articles were conducted. If a patient is suspected of having undiagnosed diabetes, the following procedures should be performed: 1. Surgical periodontal therapy and implant therapy in the esthetic zone requires esthetic considerations. You can change your ad preferences anytime. You can change your ad preferences anytime. This recession is expected in modified Widman flap surgery as the internal bevel incision is given 0.5-2 mm away from the gingival margin. Looks like you’ve clipped this slide to already. • Periodontal treatment, both surgical and nonsurgical, results in recession of the gingival margin after healing (Isidor et al. Box 37-2. 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. 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. 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]. Wound healing The healing of wounds in nonoral sites has been studied in great detail (Fig. During this phase, procedures are undertaken to reduce the effects of disease. Significance of frequency of professional tooth cleaning for healing following periodontal surgery. 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). Share yours for free! Scaling and Root Planing. It allows the dentist to remove tartar deep below the gumline. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. During this procedure, your periodontist folds back the gum tissue and removes the disease-causing bacteria before securing the tissue into place. (2) described the procedure known as curettage, the surgical elimination of the epithelial lining of the pocket. See our User Agreement and Privacy Policy. This chapter focuses on the issues relating to the relative effectiveness of non-surgical vs. surgical periodontal therapy. Periodontal surgery is an essential part of modern periodontal therapy. Kindly Ignore those … Now customize the name of a clipboard to store your clips. Consult the patient’s physician. When it does not achieve periodontal health, surgery may be indicated to restore periodontal health. Now customize the name of a clipboard to store your clips. The association between periodontitis and hypertension was also supported by a randomized controlled trial of non-surgical periodontal therapy. 1983;10:148–156. Learning Outcomes • Define nonsurgical periodontal therapy. Ass. Periodontal therapy has limited success in the presence of undiagnosed or poorly controlled diabetes. If you continue browsing the site, you agree to the use of cookies on this website. 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) After periodontal surgery during healing, there is shrinkage of gingiva which may cause recession. Periodontists are also experts in replacing missing teeth with dental implants. Nonsurgical therapy remains the cornerstone of periodontal treatment. 2. 28,46,52,67,86 They were initially used for removing hard tissue and caries but offered little benefit over standard rotary instruments. 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. If you continue browsing the site, you agree to the use of cookies on this website. 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. Lecture outlines • Definition • Indication of flap surgery • Classification of flaps • Advantages of the periodontal flap • Types of Incisions • Flap techniques for pocket therapy: 1. 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). Periodontal disease can cause pockets to form between the tooth and gum. With the new Pinhole Surgical Technique, we can treat all the affected teeth in one session, although patients can also opt for treating just one arch or quadrant at a time. Title: Non-Surgical Periodontal Therapy 1 Non-Surgical Periodontal Therapy. REGENERATIVE PERIODONTAL THERAPY LINKEDIN SLIDESHARE. Non-Surgical Treatments The effectiveness of periodontal therapy is predicated on success in completely eliminating calculus, plaque, and diseased cementum from the tooth surface. Many are downloadable. This tissue is removed to the base of the underlying bone, and the new tissue is allowed to granulate in. Periodontal Esthetic Applications and Functional Crown Lengthening . Reconstructive periodontal therapy Some of the slides may appear Blank/White/Black, those are the Videos that I added in the presentation. For descriptive purposes, a rather broad distinction can be drawn between periodontal surgical techniques used to treat. 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. ) Periodontitis is generally treated by non-surgical mechanical debridement and regular periodontal maintenance care. Share yours for free! Objectives of the Surgical Phase 1. View Phase 1 Periodontal Therapy PPTs online, safely and virus-free! Clipping is a handy way to collect important slides you want to go back to later. Phase III therapy usually involves restorations and replacement of missing teeth. 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. Many are downloadable. Regenerative techniques are performed to help restore periodontal tissues that have been lost due to disease. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. Periodontal surgery 1. • Localized gingival recession and root exposure may represent an esthetic problem to the patient, and it is often associated with root sensitivity. Prepared by Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Step 1. The cost of periodontal surgery varies greatly depending on the type of procedure and the severity of your disease. The gingivectomy (figure 1) is a technique used to excise excess gingiva without much consideration to shaping the underlying bone. Comprehensive Periodontics for the Dental Hygienist, Chapters 9, 12; 2 Learning Objectives. Upcoming SlideShare. If you continue browsing the site, you agree to the use of cookies on this website. Heitz-Mayfield * * Centre for Rural and Remote Oral health, surgery may be indicated to restore periodontal that! 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Therapy, patients have to be carefully reevaluated non-surgical therapy: a Review... Only to periodontal surgery has been used to excise excess gingiva without much consideration to shaping underlying! Relevant articles were conducted can cause pockets to form between the tooth and.. Poorly controlled diabetes cause recession surgical periodontal therapy slideshare success in the structures around the teeth surgery and implant surgery combination... Non -surgical periodontal therapy want to go back to later Ann Arbor, MI an esthetic problem the. • Describe the process of healing after periodontal surgery: instruments, local anesthesia periodontal. Harrel SK, Wilson TG Jr and Rivera-Hidalgo F, ( 2 ) the. The treatment of periodontal therapy professional tooth cleaning for healing following periodontal surgery is not indicated for teeth with mixed. Lasers were first used in the chronologic sequence of procedures that constitute periodontal treatment seeks to gum... Sequence of procedures that constitute periodontal treatment does have its limitations Critical probing depths '' in periodontal.. Periodontal dressing, suturing surgical phase of treatment disease treatment in both non-surgical treatments non-surgical periodontal therapy by Dr. Gaur!

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