This review aims to highlight concepts relating to nonsurgical and surgical periodontal therapy, which have been learned and unlearned over the past few decades. A number of treatment procedures, such as gingival curettage and aggressive removal of contaminated root cementum, have been unlearned. See our User Agreement and Privacy Policy. Step 1. The effectiveness of periodontal therapy is predicated on success in completely eliminating calculus, plaque, and diseased cementum from the tooth surface. Mailoa J(1), Lin GH(1), Khoshkam V(2), MacEachern M(3), Chan HL(1), Wang HL(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. Prof. Enas Elgendy. See our Privacy Policy and User Agreement for details. Significance of frequency of professional tooth cleaning for healing following periodontal surgery. Periodontal flaps 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. REGENERATIVE PERIODONTAL THERAPY LINKEDIN SLIDESHARE. 1984) 6. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. They receive up to three additional years of specialized training in periodontal disease treatment in both non-surgical treatments and periodontal plastic surgery procedures. Understand the differences between periodontal debridement, scaling, root planing de-plaquing ; Discuss the goals rationale for non-surgical therapy • Identify the techniques and applications for nonsurgical periodontal therapy procedures. 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. Periodontal treatment seeks to halt gum disease and its effects on the health and integrity of your teeth. as an adjunct to surgical and non-surgical periodontal therapy. 28,46,52,67,86 They were initially used for removing hard tissue and caries but offered little benefit over standard rotary instruments. PERIODONTAL SURGERY Periodontal flaps Ass. Methods: An electronic search of four databases and a hand search of peer-reviewed journals for relevant articles were conducted. Wound healing The healing of wounds in nonoral sites has been studied in great detail (Fig. Share yours for free! Clipping is a handy way to collect important slides you want to go back to later. Upcoming SlideShare. If a patient is suspected of having undiagnosed diabetes, the following procedures should be performed: 1. Laser therapy has the potential to be an effective, minimally invasive procedure in periodontal therapy. Share yours for free! Scaling – This is a process where … We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. 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). It is generally accepted that mechanical debridement is at the core of any periodontal therapy (Van Dyke and Serhan, 2003). Scaling and Root Planing. Periodontal Esthetic Applications and Functional Crown Lengthening . 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. 2. 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 cost of periodontal surgery varies greatly depending on the type of procedure and the severity of your disease. Usually, most of the patients are under medical supervision for their condition. 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). 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. 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. ) Get ideas for your own presentations. 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. Surgery on gum and bone can reduce pocket depth and save a tooth or teeth. Brault MW. Learn new and interesting things. After periodontal surgery during healing, there is shrinkage of gingiva which may cause recession. During this phase, procedures are undertaken to reduce the effects of disease. J Clin Periodontol. At completion of nonsurgical cause-related therapy, patients have to be carefully reevaluated. Periodontists are dentistry's e xperts in treating periodontal disease. Clipping is a handy way to collect important slides you want to go back to later. 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. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. 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. For optimal treatment results, systemic risk factors must be modified or eliminated. 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. View Phase 1 Periodontal Therapy PPTs online, safely and virus-free! Box 37-2. 43. 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. This tissue is removed to the base of the underlying bone, and the new tissue is allowed to granulate in. Systemic antibiotics in periodontal therapy LJA Heitz-Mayfield* *Centre for Rural and Remote Oral Health, The University of Western Australia. Periodontists are also experts in replacing missing teeth with dental implants. When it does not achieve periodontal health, surgery may be indicated to restore periodontal health. Non-Surgical Treatments PERIODONTAL SURGERY If you continue browsing the site, you agree to the use of cookies on this website. Periodontal instruments, surgery 1. Periodontal surgery is an essential part of modern periodontal therapy. 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. 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 … Regenerative techniques for periodontal therapy, No public clipboards found for this slide. 39. See our User Agreement and Privacy Policy. 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. Current techniques are based on a sound understanding of wound healing and therefore enhance and maximize the bodys healing potential. Crossref. Drs. 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. 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). Prof. Enas Elgendy 2. It allows the dentist to remove tartar deep below the gumline. Reconstructive periodontal therapy Some of the slides may appear Blank/White/Black, those are the Videos that I added in the presentation. Upcoming SlideShare. Author information: (1)Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI. Phase II therapy is the surgical phase of treatment. Barkann et al. Since the mid-1900s we’ve known that soft-tissue resection alone fails to eliminate periodontal pockets. • Describe the short- and long-term goals of nonsurgical periodontal therapy. General guidelines for periodontal surgery: instruments, local anesthesia, periodontal dressing, suturing. Patients typically have needed only over the counter pain medicine post treatment. Periodontitis is generally treated by non-surgical mechanical debridement and regular periodontal maintenance care. Since the early twentieth century, periodontal surgery has been used to help dentists control the progression of periodontal disease. Ass. 2. Current modalities for managing periodontal diseases of children and adolescents may include antibiotic therapy in combination with non-surgical and/or surgical therapy. Regenerative techniques are performed to help restore periodontal tissues that have been lost due to disease. Periodontal treatment of patients with bleeding disorders. Non-Surgical Treatment. Learning Outcomes • Define nonsurgical periodontal therapy. Dr.Nurhuda Abdul Alim Araby Surgical periodontal therapy and implant therapy in the esthetic zone requires esthetic considerations. Periodontal disease can cause pockets to form between the tooth and gum. You can change your ad preferences anytime. If you continue browsing the site, you agree to the use of cookies on this website. ABSTRACT Periodontitis is a biofilm infection with a mixed microbial aetiology. 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. See our Privacy Policy and User Agreement for details. 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) 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. 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). Diagnostic Criteria for Diabetes Mellitus. 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