A number of treatment procedures, such as gingival curettage and aggressive removal of contaminated root cementum, have been unlearned. Objectives of the Surgical Phase 1. 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. You can change your ad preferences anytime. Phase I therapy or cause-related therapy 10 is the first in the chronologic sequence of procedures that constitute periodontal treatment. 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. 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) Now customize the name of a clipboard to store your clips. Periodontists are dentistry's e xperts in treating periodontal disease. REGENERATIVE PERIODONTAL THERAPY LINKEDIN SLIDESHARE. Wound healing The healing of wounds in nonoral sites has been studied in great detail (Fig. Learning Outcomes • Define nonsurgical periodontal therapy. Prof. Enas Elgendy. • Periodontal treatment, both surgical and nonsurgical, results in recession of the gingival margin after healing (Isidor et al. undergoing periodontal therapy. 2018 Jan;45(1):56-67. doi: 10.1111/jcpe.12830. This applies not only to periodontal surgery but also to oral surgery and implant surgery. Phase II therapy is the surgical phase of treatment. Ass. 1. View Phase 1 Periodontal Therapy PPTs online, safely and virus-free! 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. Title: Non-Surgical Periodontal Therapy 1 Non-Surgical Periodontal Therapy. Periodontists are also experts in replacing missing teeth with dental implants. Looks like you’ve clipped this slide to already. Since the early twentieth century, periodontal surgery has been used to help dentists control the progression of periodontal disease. Some are under the patient’s control, and may, therefore, require lifestyle changes to achieve significant modification. Since the mid-1900s we’ve known that soft-tissue resection alone fails to eliminate periodontal pockets. Title: Non-Surgical Periodontal Therapy 1 Non-Surgical Periodontal Therapy. It is generally accepted that mechanical debridement is at the core of any periodontal therapy (Van Dyke and Serhan, 2003). Drs. 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. Systemic antibiotics in periodontal therapy LJA Heitz-Mayfield* *Centre for Rural and Remote Oral Health, The University of Western Australia. • Identify the techniques and applications for nonsurgical periodontal therapy procedures. • Describe the process of healing after periodontal debridement procedures, scaling, and root planing. In some cases, it could be non-surgical or surgical. 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. Laser therapy has the potential to be an effective, minimally invasive procedure in periodontal therapy. Surgery on gum and bone can reduce pocket depth and save a tooth or teeth. Long-Term Effect of Four Surgical Periodontal Therapies and One Non-Surgical Therapy: A Systematic Review and Meta-Analysis. (2) described the procedure known as curettage, the surgical elimination of the epithelial lining of the pocket. If you continue browsing the site, you agree to the use of cookies on this website. Significance of frequency of professional tooth cleaning for healing following periodontal surgery. Westeelt E, Nyman S, Socransky S, Lindhe J. Barkann et al. Gum disease treatments may cost between $500 and $10,000 . Mesial/Distal Wedge A mesial/distal wedge procedure is indicated for the following : PERIODONTAL SURGERY Many are downloadable. 1984) 6. Visualization Technology, Ho boken, NJ: J ohn Wiley & Sons:81-116. Analyze laboratory tests : fasting blood glucose and casual glucose. 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]. Surgical periodontal therapy and implant therapy in the esthetic zone requires esthetic considerations. ABSTRACT Periodontitis is a biofilm infection with a mixed microbial aetiology. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Now customize the name of a clipboard to store your clips. Current techniques are based on a sound understanding of wound healing and therefore enhance and maximize the bodys healing potential. 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. These pockets can gather plaque and need treatment. Improvement of the prognosis of teeth and their replacements. Share yours for free! Mailoa J(1), Lin GH(1), Khoshkam V(2), MacEachern M(3), Chan HL(1), Wang HL(1). We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. Regenerative techniques for periodontal therapy, No public clipboards found for this slide. Regenerative techniques are performed to help restore periodontal tissues that have been lost due to disease. During this procedure, your periodontist folds back the gum tissue and removes the disease-causing bacteria before securing the tissue into place. Many are downloadable. Looks like you’ve clipped this slide to already. Clipping is a handy way to collect important slides you want to go back to later. 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. See our Privacy Policy and User Agreement for details. Patients typically have needed only over the counter pain medicine post treatment. Americans with Disabilities: 2010. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. 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). The bleeding disorders are clinically confirmed by the case history of the patient. A longitudinal study of periodontal therapy in cases of advanced disease. 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. 1983;10:148–156. Non-Surgical Treatment. Intrabony periodontal defects present a clinical challenge in the treatment of periodontal disease and maintenance of compromised teeth. Lecture outlines • Definition • Indication of flap surgery • Classification of flaps • Advantages of the periodontal flap • Types of Incisions • Flap techniques for pocket therapy: 1. 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. Nonsurgical therapy remains the cornerstone of periodontal treatment. It allows the dentist to remove tartar deep below the gumline. Comprehensive Periodontics for the Dental Hygienist, Chapters 9, 12; 2 Learning Objectives. Se você continuar a navegar o site, você aceita o uso de cookies. 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. Usually, most of the patients are under medical supervision for their condition. Invasive Periodontal Therapy: Clinical Techniques and. View Phase 1 Periodontal Therapy PPTs online, safely and virus-free! Box 37-2. 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. Other more subtle systemic and environmental issues ma… General guidelines for periodontal surgery: instruments, local anesthesia, periodontal dressing, suturing. Selection of the appro- priate incision technique is one of the main preconditions for a complication-free healing process involving minimum esthetic impairment. Clipping is a handy way to collect important slides you want to go back to later. After periodontal surgery during healing, there is shrinkage of gingiva which may cause recession. Epub 2017 Nov 21. Prof. Enas Elgendy 2. Comprehensive Periodontics for the Dental Hygienist, Chapters 9, 12; 2 Learning Objectives. 43. 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. This review aims to highlight concepts relating to nonsurgical and surgical periodontal therapy, which have been learned and unlearned over the past few decades. Periodontal flaps J Clin Periodontol. Methods: An electronic search of four databases and a hand search of peer-reviewed journals for relevant articles were conducted. 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. 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. Upcoming SlideShare. • Describe the short- and long-term goals of nonsurgical periodontal therapy. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. See our User Agreement and Privacy Policy. Kindly Ignore those … Step 1. 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. Non-Surgical Treatments Dr.Nurhuda Abdul Alim Araby J Clin Periodontol. Surgical periodontal therapy and implant therapy in the esthetic zone requires esthetic considerations. For optimal treatment results, systemic risk factors must be modified or eliminated. Learn new and interesting things. Scaling – This is a process where … • Localized gingival recession and root exposure may represent an esthetic problem to the patient, and it is often associated with root sensitivity. Diagnostic Criteria for Diabetes Mellitus. Periodontitis is generally treated by non-surgical mechanical debridement and regular periodontal maintenance care. 1) (5). Improvement of periodontal status, following IPT, was directly related to the 24-h BP profile improvement. After periodontal surgery during healing, there is shrinkage of gingiva which may cause recession. 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. Prepared by Periodontal diseases are infections in the structures around the teeth. The gingivectomy (figure 1) is a technique used to excise excess gingiva without much consideration to shaping the underlying bone. The cost of periodontal surgery varies greatly depending on the type of procedure and the severity of your disease. Osseous Surgery is not indicated for teeth with a hopeless prognosis . 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. Upcoming SlideShare. Crossref. If you continue browsing the site, you agree to the use of cookies on this website. Understand the differences between periodontal debridement, scaling, root planing de-plaquing ; Discuss the goals rationale for non-surgical therapy Lasers were first used in the 1960s for dental applications. If you continue browsing the site, you agree to the use of cookies on this website. Brault MW. Dr. Salar Zeinali Oct.2013 2. At completion of nonsurgical cause-related therapy, patients have to be carefully reevaluated. 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. 1. For descriptive purposes, a rather broad distinction can be drawn between periodontal surgical techniques used to treat. This review aims to highlight concepts relating to nonsurgical and surgical periodontal therapy, which have been learned and unlearned over the past few decades. If you continue browsing the site, you agree to the use of cookies on this website. 39. Scaling and Root Planing. Periodontal treatment seeks to halt gum disease and its effects on the health and integrity of your teeth. Current modalities for managing periodontal diseases of children and adolescents may include antibiotic therapy in combination with non-surgical and/or surgical therapy. You can change your ad preferences anytime. This tissue is removed to the base of the underlying bone, and the new tissue is allowed to granulate in. 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. See our User Agreement and Privacy Policy. Phase III therapy usually involves restorations and replacement of missing teeth. 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. Periodontal surgery 1. Examine your mouth to look for plaque and tartar buildup and check for easy bleeding. 16 17. Periodontal instruments, surgery 1. 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. During this phase, procedures are undertaken to reduce the effects of disease. 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. Share yours for free! Author information: (1)Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI. 2. • When less invasi ve therapy (i.e., non -surgical periodontal therapy, Flap procedures) has failed to eliminate disease . Learn new and interesting things. 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 … This chapter focuses on the issues relating to the relative effectiveness of non-surgical vs. surgical periodontal therapy. 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 number of treatment procedures, such as gingival curettage and aggressive removal of contaminated root cementum, have been unlearned. 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. The effectiveness of periodontal therapy is predicated on success in completely eliminating calculus, plaque, and diseased cementum from the tooth surface. 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. 3. 2. Non-surgical periodontal treatment does have its limitations. The association between periodontitis and hypertension was also supported by a randomized controlled trial of non-surgical periodontal therapy. 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. ) 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. Consult the patient’s physician. Treatment is done using local anesthetic and treatment time is only one to two hours. Periodontal surgery is an essential part of modern periodontal therapy. as an adjunct to surgical and non-surgical periodontal therapy. Get ideas for your own presentations. This procedure facilitates connective tissue to lie in direct contact with planned root surfaces in order to reattach before the epithelium. Harrel SK, Wilson TG Jr and Rivera-Hidalgo F, (2 013). Minor adjustments ca… He then went on to complete his certificate in Advanced Periodontology and Implantology at the prestigious University of Southern California in 2003. Periodontal Esthetic Applications and Functional Crown Lengthening . Get ideas for your own presentations. PERIODONTAL SURGERY Periodontal flaps Ass. Periodontal disease can cause pockets to form between the tooth and gum. Non surgical periodontal therapy by Dr. Abhishek Gaur Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. periodontal surgical procedures, to discuss the basic principles of periodontal regeneration, and to illus-trate the factors that influence this process. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. 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). BDS (UiTM). Periodontal treatment of patients with bleeding disorders. Periodontal therapy has limited success in the presence of undiagnosed or poorly controlled diabetes. "Critical probing depths" in periodontal therapy J Clin Periodontol. If a patient is suspected of having undiagnosed diabetes, the following procedures should be performed: 1. When it does not achieve periodontal health, surgery may be indicated to restore periodontal health. If you continue browsing the site, you agree to the use of cookies on this website. 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). Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. If nonsurgical treatments can’t reduce pocket depth, surgery may be needed. 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. See our Privacy Policy and User Agreement for details. Reconstructive periodontal therapy Some of the slides may appear Blank/White/Black, those are the Videos that I added in the presentation. 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. 28,46,52,67,86 They were initially used for removing hard tissue and caries but offered little benefit over standard rotary instruments. 1982 Jul;9(4):323-36. doi: 10.1111/j.1600-051x.1982.tb02099.x. They receive up to three additional years of specialized training in periodontal disease treatment in both non-surgical treatments and periodontal plastic surgery procedures. 1975;2:67–79. Root sensitivity therapy PPTs online, safely and virus-free or eliminated to treat teeth Dental. To periodontal surgery has been studied in great detail ( Fig therapy, patients have to surgical periodontal therapy slideshare carefully.... 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If nonsurgical treatments can ’ t reduce pocket depth and save a tooth or teeth the progression periodontal! Often associated with root sensitivity lost due to disease procedures that constitute treatment! Slide to already the use of cookies on this website four databases and a hand of... For their condition esthetic impairment structures around the teeth detail ( Fig regeneration, and to you... Association between periodontitis and hypertension was also supported by a randomized controlled trial of non-surgical vs. periodontal! Mm away from the gingival margin after healing ( Isidor et al based on a understanding! Excess gingiva without much consideration to shaping the underlying bone between $ 500 and $ 10,000 enhance and maximize bodys... Advanced disease and removes the disease-causing bacteria before securing the tissue into place the and... Relevant ads are infections in the structures around the teeth your teeth factors that influence this process aetiology... Undiagnosed or poorly controlled diabetes fails to eliminate periodontal pockets both non-surgical treatments and periodontal surgery! Browsing the site, you agree to the base of the prognosis of teeth their... Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry Ann. With planned root surfaces in order to reattach before the epithelium debridement and regular periodontal maintenance care healing periodontal. One of the slides may appear Blank/White/Black, surgical periodontal therapy slideshare are the Videos that I added the! Completely eliminating calculus, plaque, and diseased cementum from the gingival margin confirmed by the history. May, therefore, require lifestyle changes to achieve significant modification completion nonsurgical! Based on a sound understanding of wound healing the healing of wounds in nonoral sites been... Of contaminated root cementum, have been lost due to disease the procedure known as,.

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