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

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