Study sets, textbooks, questions
Upgrade to remove ads
Re-evaluation and Recall
Terms in this set (32)
What are the phases of therapy?
- Emergency Treatment
- Phase 1: Disease Control
- Phase 2: Surgical
- Phase 3: Restorative Assessment
- Phase 4: Maintenance
What's considered Phase 1 treatment?
Scaling + Trophy, SRP, Caries Control, Temporizations, Extraction of hopeless teeth, endodontic treatment
What is the purpose of re-evaluation?
To determine the effect of phase 1, if we've hit maintenance or require further treatment
How long post-treatment should we re-eval mobility?
What is the AAPW Consensus for adequate interval of time to assess initial response to therapy?
If re-evaluations is done too early, there is no harm. (T/F)
False. Early re-evals can lead to over treatment
What are the two main paths after initial therapy and before evaluation?
1. Recession (case got worse)
2. Clinical Attachment Gain (healing)
Signs of Healing
1. Absent BOP
2. Patient displays good OH
3. Healing in 3-6 months
Wound healing beings with _______________ for periodontal treatment.
How long does junction epithelium take to re-epithelialize?
What is the percentage range of tooth surfaces having residual calculus after SRP?
How long does it take for granulation tissue to be replaced with collagen fibers?
What can't we probe during re-evaluations at 2 weeks?
Junctional epithelium only takes two weeks, while Connective Tissue takes 4-8 weeks to reattach
How long does it take for oral flora to repopulate?
8-12 weeks, 3 months
What to look for in a re-evaluation
- Probing Depth
- Plaque Index
List a few examples of Surgical Therapy
1. Guided Tissue Regeneration
2. Osseous/Pocket reduction
3. Soft tissue graft
What is phase two of treatment?
Surgical Periodontal Therapy
What is phase 3?
Restorative Treatment and Re-assesment
What is phase 4?
Establishing a maintenance protocol: Recall
Purpose of Recall (3)
- Prevent recurrence and progression
- Prevent tooth loss
- Locate and treat condition in timely manner
Who requires recall therapy
Name the 4 types of recall maintenance
1. Preventative Maintenance
2. Trial Maintenance
3. Compromised Maintenance
4. post- treatment maintenance
Who is preventative maintenance for?
Periodontal healthy people
Trial maintenance therapy is for
mild to moderate periodontitis patients
Compromised Maintenance Therapy:
Medically compromised patients where active therapy is not possible
What needs to be done in a recall appointment?
1. Update Medical History
2. Update extra/intra oral exam
3. Update radiograph
4. Review Periodontal Chart
5. Scale + Prophy remains!
How often would medical history be updated?
Once a year
What should be reviewed/updated in a periodontal chart in a recall appointment?
1. Plaque Index
2. Probing Depth
Factors that determine frequency of recall (6)
Patient Diagnosis, Disease Risk, Disability, Orthodontic Treatment, Partial Dentures, Poor OH or High Caries
What cases/patients should be recalled at 6 months?
Gingivitis and Periodontally Healthy Patients
Periodontitis patients should be recalled how often?
Every 3 months
4 month recall includes what cases/patients
Orthodontic, Partial Dentures, Caries and poor OH
Sets found in the same folder
Toothbrush & Mouthrinse
NSPT Scaling and Root Planing
The Role of Antibiotics in Periodontal Therapy
Ch 48 - Plaque Biofilm Control Reading
Other sets by this creator
Pharmacological Mangement for CNS Disorder Pt 1
Dental Management of Endocrine Disorders
Musculoskeletal disorders- PART 1 ONLY