A true partnership between the patient and the dental team working toward mutual treatment goals has the greatest opportunity for success. Patient education and plaque control instruction occur at the beginning of this phase. The initial (periodontal) treatment is concluded with a reevaluation. Patient education and plaque control instruction occur at the beginning of this phase. Because of the complexity of the periodontal treatment required to meet planned goals, a series of appointments is often required. 5. Because of the complexity of the periodontal treatment required to meet planned goals, a series of appointments is often required. The treatment plan is the blueprint for management of the dental case and is an essential aspect of successful therapy. Floss daily. treatment team. Each phase suggested a particular group of procedures and included evaluation of the patient’s response. This system is based on the clinical manifestations of disease and conditions. Use a mouth rinse to help reduce plaque between your teeth, if recommended by your dentist. No treatment should be provided to a patient until a treatment plan has been established and agreed on. Scaling and Root Planning In the first phase of your treatment, special instruments will be used to carefully and thoroughly clean (debride) and polish each tooth and its root surfaces. The experimental group received comprehensive non-surgical periodontal treatment which included 3 steps: Step 1—dental examination and oral hygiene education including a brochure describing the plan for comprehensive PD; Step 2—periodontal treatments, including subgingival curettage and root planing (supportive therapy); Step 3—evaluation of the effectiveness of the comprehensive periodontal … v ... • Record the diagnosis, suggested treatment plan and details of costs. The aim is clean deeo p below the gum line and remove all calculus deposits and debris. This system is based on the clinical manifestations of disease and conditions. 2. • Extraction of hopeless teeth and provisional replacement if needed (may be postponed to a more convenient time), • Diet control (for patients at high caries risk), • Scaling and root planing to remove bacterial plaque biofilm and calculus, • Correction of contributing restorative and prosthetic factors, • Removal of caries and restoration of teeth (temporary or final, depending on whether a definitive prognosis for the tooth has been arrived at and on the location of the caries), • Antimicrobial therapy (local or systemic), • Evaluation of response to Phase I (occurs 1 month or longer after completion), • Reassess gingival condition and pocket depth, • Rechecking for plaque, calculus, and caries, • Periodontal surgery, including placement of implants, • Evaluation of response to restorative phase, • Periodontal condition (pockets, inflammation), (Reprinted and adapted by permission from Newman MG, Takei HH, Klokkevold PR, et al, eds. Calculus at this location adheres to the root surface right at the cementoenamel junction and is very difficult to remove. Endodontic therapy can be performed to relieve pain, even if its completion carries over to other phases of treatment, and oral lesions of any type should be evaluated and treated or referred. [The periodontal treatment plan]. Many restorative dental treatments in particular require the establishment of healthy periodontal tissues for their clinical success. Following a careful medical and dental diagnostic workup, clear goals of therapy are defined and informed consent is obtained from the patient. Regenerative techniques are performed to help restore periodontal tissues that have been lost due to disease. Most periodontists would agree that after scaling and root planing, many patients do not require any further active treatment. List the major classifications of periodontal disease. Also in this plan, the therapy must be carried out … The Challenge: Advanced periodontal disease and severe bone loss The solution: Periodontal disease treatment, full mouth rehabilitation and dental implants Our 38-year old patient was devastated by the thought of losing her teeth and ha ving dentures. Phase IV therapy is the maintenance phase. The. This system was adopted by the American Academy of Periodontology (AAP) and is widely accepted by the dental community as the preferred classification system.13 The classifications are outlined in Box 10-2. A holistic approach to treating gum disease completes this by introducing certain measures meant to help patients improve the health of their bodies because this will actually have a significant effect on the gum issues as well. Other risk factors for periodontal disease also should be identified and modified where possible. Periodontal therapy is diagnosis-driven and, to the extent possible, should address all modifying factors and risk factors that impact development and progression of plaque-induced periodontal disease. At Rocky Point, Sonora Mexico you can combine comfort, health and relaxation with customize gum disease treatment to … Antimicrobial agents are used or recommended for home use. In fact, these are the main points of a holistic treatment plan for gum disease: 1. The role of the dental hygienist may vary depending on the type of case, experience of the hygienist, requirements of the state dental practice act, practice setting, and philosophy of the periodontist or general dentist. Defining a treatment plan for the periodontal patient is a process that requires the, The total treatment plan is the sequential outline of the essential services and procedures to be provided to eliminate disease and restore the oral cavity to health and function. For coordination of the total treatment of the patient, the treatment plan can be divided into various segments or phases. • Identify the considerations for sequencing dental hygiene treatment with periodontal diseases. Various periodontal classification systems have been used over the years and have been modified to reflect advances in knowledge and research.1 A classification system is simply a method for comparing treatment approaches and likely results. Any dental emergency is treated first to achieve patient comfort. Carranza’s Clinical Periodontology. This stage has also been referred to as initial therapy, nonsurgical therapy, cause-related therapy, or the hygienic phase of treatment. This … 5: Calculus and Other Disease-Associated Factors, 9: Systemic Factors Influencing Periodontal Diseases, 12: Plaque Biofilm and Disease Control for the Periodontal Patient, 11: Occlusion and Temporomandibular Disorders, 18: Prognosis and Results After Periodontal Therapy, Periodontology for the Dental Hygienist 4e. • Discuss informed consent and its importance to the process of patient care. Phase I therapy or Etiotropic Phase. What Are Periodontal Diseases? In 1999, an international group of periodontal experts approved the classification system currently in use. This chapter describes current strategies and classifications for planning the treatment of the periodontal patient. Wennstrom 27 proposed a simplified algorithm for treating periodontal diseases in older adults that is applicable to routine periodontal therapy for any age group. Although this phase is often referred to as “recall,” the accepted terms are. Once the diagnosis is determined, various treatment options can be formulated. This is also a part of treatment once an infection occurs. When indicated, the plan should include: 1. MASTER PLAN FOR TOTAL TREATMENT The aim of the treatment plan is total treatment, that is, the coordination of all the short- and long-term goals for the purpose of creating a well- functioning dentition in a healthy periodontal environment. Such teeth often serve as abutments for fixed and removable partial dentures, and their position in an arch may add stability to a dental prosthesis. Periodontal surgical procedures, including placement of implants. The overall approach of this classification system separates gingival disease from periodontal disease and conditions affecting the periodontium. The treatment sequence begins with a preliminary phase (incorporating immediate treatment needs), followed by Phase I (etiologic treatment), Phase II (surgical treatment), Phase III (restorative treatment), and Phase IV (maintenance treatment). The interval between periodontal maintenance appointments is determined by the periodontal condition and the plaque control that the patient is able to attain and maintain. Other situations are evaluated on a case-by-case basis. Phase IV therapy is the maintenance phase. The treatment plan defines the methods and sequence of delivering appropriate treatment.1,3,4. They receive up to three additional years of specialized training in periodontal disease treatment in both non-surgical treatments and periodontal plastic surgery procedures. The effects of periodontitis can be stopped through regular checkups and treatment and continued good oral hygiene. This 41-year-old male patient had completed Phase I therapy consisting of quadrant scaling and root planing and oral hygiene instructions. • Teeth that will require removal. Gum disease treatments may cost between $500 and $10,000 . Scaling, root debridement and planing are performed. Brush your teeth twice a day or, better yet, after every meal or snack. Most patients who have been treated for moderate to advanced periodontal disease require maintenance visits every 3 months.9-12. Treatment plan is guiding map for perio treatment – no treatment should be initiated without forming a solid TP & Although Its clinician’s responsibility to make individual patient realize the value of Treatment – motivated patient is a prerequisite for optimum outcome of perio therapy 69 60. Each phase suggested a particular group of procedures and included evaluation of the patient’s response. Treatment planning provides an opportunity to explain problems and treatment goals to the patient in understandable terms.4–6 Listening to the patient’s concerns is a crucial element in the treatment planning process so that the plan can address the patient’s perceived needs along with the disease identified by the clinician. Procedures in this phase included restorative dentistry, extensive orthodontics, and any needed occlusal therapy. Medical consultation or referral for treatment when appropriate. Disease classifications are useful for diagnosis, prognosis, and treatment planning because they help define the extent of disease and facilitate communication among members of the. The dental hygiene treatment plan consists of services that are performed by the dental hygienist within the total treatment plan.2 Treatment planning occurs after the assessment of all clinical data and reflects the diagnosis and prognosis of the patient. 1 This plan includes all procedures performed to attain and maintain the long-term oral health of the patient and should involve all members of the health care team and the patient. This system was adopted by the American Academy of Periodontology (AAP) and is widely accepted by the dental community as the preferred classification system. The dental hygienist must also use the visual and verbal feedback from the patient to judge the patient’s level of understanding. The goals of the treatment plan are to eliminate and control etiologic and predisposing factors of disease, maintain health, and prevent recurrence of disease. The dental hygienist is often responsible for treatment of the periodontal patient in the nonsurgical, or Phase I, and maintenance, or Phase IV, stages of periodontal treatment. Creating Your Plan After considering all of the information the dental team has gathered, the team can begin to create an individualized dental treatment plan for each patient. Experience wonderful dental care in the relaxed surroundings of a white sandy beaches of coastal resorts. Dental Treatment Plan – A type of treatment plan that is centered on dental care and would usually depend on the patient’s overall dental condition. Patients with extensive surgical and restorative needs often have treatment extend over many months, even years. Deep cleaning, which involves scaling and root planing, will likely be one of the first treatments your dentist uses. The sequence of treatment depends on a number of factors, including the periodontal diagnosis and prognosis, the patient’s systemic and periodontal condition, and the patient’s preferences. Many of her teeth were beyond help and, due to the severe nature of the bone loss, providing her with a lasting aesthetic solution that … The role of the dental hygienist may vary depending on the type of case, experience of the hygienist, requirements of the state dental practice act, practice setting, and philosophy of the periodontist or general dentist. This stage has also been referred to as initial therapy, nonsurgical therapy, cause-related therapy, or the hygienic phase of treatment.7,8. • Define the role of the dental hygienist in determining the dental hygiene care plan. Periodontal maintenance occurs while the other phases of treatment are ongoing because the completion of the entire treatment plan can take months or years, and decline in the status of periodontal patients has been observed much earlier, after as little as 90 days. The, Extraction of hopeless teeth and provisional replacement if needed (may be postponed to a more convenient time), Diet control (for patients at high caries risk), Scaling and root planing to remove bacterial plaque biofilm and calculus, Correction of contributing restorative and prosthetic factors, Removal of caries and restoration of teeth (temporary or final, depending on whether a definitive prognosis for the tooth has been arrived at and on the location of the caries), Antimicrobial therapy (local or systemic), Evaluation of response to Phase I (occurs 1 month or longer after completion), Reassess gingival condition and pocket depth, Rechecking for plaque, calculus, and caries, Periodontal surgery, including placement of implants, Evaluation of response to restorative phase, Periodontal condition (pockets, inflammation). 3. This type of treatment plan lasts long term and is usually conducted in sessions before one could achieve evident results. So, the phases of treatment plan are, Emergency phase. In 1999, an international group of periodontal experts approved the classification system currently in use. • Describe the goals and rationale for periodontal treatment planning. Try these measures to reduce or prevent periodontitis: 1. Identify the considerations for sequencing dental hygiene treatment with periodontal diseases. During this phase, procedures are undertaken to reduce the effects of disease. Periodontal diseases are caused by infections that have spread to the gums and tooth roots. This chapter describes current strategies and classifications for planning the treatment of the periodontal … [Article in French] Matter J. PMID: 1059252 [PubMed - indexed for MEDLINE] The dental hygienist noted the redness and swelling that remained in the tissue and reinstrumented the area. Phase I therapy describes the procedures that are designed to control or eliminate the etiologic factors of the disease process. Phases of treatment plan. Various periodontal classification systems have been used over the years and have been modified to reflect advances in knowledge and research. PERIODONTAL SURGICAL TREATMENT PLAN Initial Periodontal Examination At this appointment Dr. Calvert will review with you your medical and dental history. The dental hygienist is often responsible for treatment of the periodontal patient in the nonsurgical, or Phase I, and maintenance, or Phase IV, stages of periodontal treatment. Describe the goals and rationale for periodontal treatment planning. The sequence of treatment depends on a number of factors, including the periodontal diagnosis and prognosis, the patient’s systemic and periodontal condition, and the patient’s preferences. Phase II therapy or Surgical Phase. Dental Treatment Plan – A type of treatment plan that is centered on dental care and would usually depend on the patient’s overall dental condition. Phase II therapy is the surgical phase of treatment. Log In or. Initial Periodontal Treatment A. Scaling, root debridement and planing are performed. Principally, the comprehensive periodontal therapy can be divided into four main phases followed by any dental emergency 7. Scaling and root planing is sometimes followed by adjunctive therapy such as local delivery antimicrobials, systemic antibiotics, and host modulation, as needed on a case-by-case basis. Most patients who have been treated for moderate to advanced periodontal disease require maintenance visits every 3 months. 1975 Sep;85(9):901-4. After this new diagnosis, and if necessary adjustment of the original goal of the treatment plan, a definite treatment plan can be effected. Figures 10-1 to 10-4 are examples of successful therapeutic results achieved by a dental hygienist providing Phase I therapy. periodontal disease and, hence, oral hygiene instructions are the cornerstone of periodontal treatment planning. Using a system that is understood and used by a large number of dental professionals greatly facilitates communication regarding cases. Development of a logical and properly sequenced treatment plan is a derivative of the periodontal assessment and diagnosis. Substantial amounts of calculus remained on the tooth. All treatment plans must be understood by the patient and reflect the patient’s wishes and preferences. When you make your appointment, ask how long a cleaning and … Phase III therapy usually involves restorations and replacement of missing teeth. established before the beginning of treatment, and it must be carefully monitored. Classify the phases of dental treatment included in the comprehensive care plan. For coordination of the total treatment of the patient, the treatment plan can be divided into various segments or phases. 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