It constitutes the first stage of periodontal disease and it is an extremely common condition. Use a soft toothbrush and replace it at least every three to four months. Scaling and Root Planning . In fact, it is estimated that the amount of body radiation received with a full mouth series is much less than one would receive at a day at the beach. Required fields are marked *. They receive up to three additional years of specialized training in periodontal disease treatment in both non-surgical treatments and periodontal plastic surgery procedures. When examining and treatment planning for older adults, it is vital to develop appropriate prevention and treatment modalities. This treatment may be done over more than one visit, depending on your personal needs. When the affected blood vessel is one of the coronary arteries, the patient suffers a heart attack (myocardial infarction) and when one of the arteries in the brain is affected, the patient suffers a stroke. Often, if the patient has excellent oral hygiene habits and keeps regular maintenance appointments, this is enough to stabilize a case. This is critical, for while there may be various approaches to treat a problem, there can be only one correct diagnosis. If your gum disease is advanced, your dentist may refer you to a specialist in gum diseases (periodontist). It is like forcefully rocking a fence post in soil back and forth until it can be removed. Perio - The treatment plan 1. Smoking - A host factor that CAN be altered, and one that GREATLY increases the risk of disease. Gingivitis is the inflammation of the gums. It includes a very high population of bacteria that end up injuring the gum lining of the teeth. He determines the periodontal status and develops a treatment plan that includes restorative and preventive care. Reducing stress directly enforces the body’s ability to fight disease and this is crucial to the successful management of periodontal disease. This is manifested by the presence of fatty deposits in the arteries and thus, the thickening of the arterial walls. This early stage of gum disease is known as gingivitis. Use a soft toothbrush and replace it at least every three to four months. Furthermore, minute fragments of food can remain inside the pockets, to feed bacteria, unless they are properly cleaned. However, if the plaque and associated calculus manages to burrow into the gum lining deep enough, it can cause more complex issues, such as gingivitis, in which the inflammation is still primarily limited to the gum tissue edge. Your response to therapy will be assessed at a follow up appointment. periodontal disease and, hence, oral hygiene instructions are the cornerstone of periodontal treatment planning. Maintaining ones teeth allows for healthier food choices, which allows for better nutrition, which allows for a better functioning immune system and adding years to ones life. Calculus, however, is highly mineralized and similar to a weak stone like deposit. The difference between plaque and calculus is that plaque can be removed easily  by the individual with a toothbrush, floss or similar instrument. Therefore, it is quite easy for patients to neglect the condition. The periodontal examination gives the dentist a complete picture of the periodontal condition of the patient's mouth. Mouth bacteria found in saliva forms colonies on the teeth and tissues, which is called plaque. In the case of plaque-induced gingivitis, the main treatment plan involves removal of plaque and calculus by scaling and root planning, followed by oral hygiene instruction which includes modified bass method of brushing and the use of chemical plaque control agents like 0.2% or 0.02% chlorhexidine gluconate or … Occlusion (bite) - Excessive forces on teeth may increase the chances of bone loss. Therefore, the holistic approach to the treatment plan assures the highest chances of success because it includes the most important items of the classic treatment, as well as the best ways to enhance the body’s ability to improve itself. Dental Radiographs (X-RAYS) The treatment plan designed & restore dentition to maximal function with esthetically pleasing result, is what care plan? Undergo surgical treatment, if needed. Preventing periodontal disease and the development of gingivitis is rather straight forward. At Rocky Point, Sonora Mexico you can combine comfort, health and relaxation with customize gum disease treatment to restore your oral health. Treating gum disease from its early stages can minimize the damage it causes and enable the patient to restore the health of his gums. For a milder case of dental disease, your vet may recommend a dental cleaning and polishing. Treating Periodontal Disease The 3 Steps to Treating Periodontal Disease The treatment of periodontal disease involves 3 main steps: Initial Preparation; Surgical Treatment; Maintenance; The following is an overview of the components of each treatment step. Plaque that is not removed can harden and form “tartar” that brushing doesn’t clean. Periodontal disease is a chronic inflammatory disease that destroys bone and gum tissues that support the teeth. If surgery is needed to eliminate pockets that persist, a surgical treatment plan is formulated. In some patients, this natural inflammatory process is too severe or poorly controlled and the inflammation actually damages the supporting structures […] The results of these studies, where tray drug delivery systems were used as adjunct to non-surgical periodontal therapy, provide no strong evidence that show adjunctive use of tray delivery systems is more effective than traditional non-surgical periodontal therapy alone. 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. In the private practice setting, the treatment of patients with periodontal … Severe periodontitis requires periodontal treatment is required. Knowing the periodontal disease symptoms will help you recognize when gingivitis is setting in. This has a significant effect on the gums and can greatly contribute to the development of periodontal disease. Non-Surgical Treatments. • Discuss the effect smoking has on oral and general health and the benefits of . Brushing teeth at least twice a day is fundamental to preserving their health. INITIAL TREATMENT PLAN Unforeseen developments during treatment may necessitate modification of the initial treatment plan. Other important information is collected during the examination, so an accurate diagnosis can be made (click a heading for a more detailed discussion). Periodontal disease is initiated by the long-term buildup of dental plaque and calculus. To reach a diagnosis, the patient's dental and medical histories must be taken, a clinical examination must be performed, and dental x-rays (radiographs) must be reviewed. From meditating, yoga classes and all the way to extreme sports, patients have a wide range of choices available. It should be recognised that not all patients will be psychologically or physically capable of complying with the optimal standard of oral hygiene and some may even decline therapy. Co-diagnosis and treatment planning with the patient set the stage for the next step – providing conservative treatment. While this is not always possible, new techniques are allowing for more predictable regeneration of tissues. Suite 330, Burnsville MN, 55337 (952) 435-0333, 625 E. Nicollet Blvd. In the last decade periodontists have also begun to understand that periodontal disease is a result of bacteria interacting with the patient's defense systems. Your email address will not be published. Floss daily. The AAP has reviewed several studies about the treatment of periodontal disease using tray drug delivery systems. … The dentist will need to assess whether or not patients present bruxism, a condition which entails the prolonged grinding of the teeth. Some of these teeth may be considered questionable, and their long-term prognosis guarded. 4. During this procedure the gums are lifted back and the tartar is removed. This progresses up to the point where the gum lining is more easily separated from the teeth increasing the depth of the crevice around each tooth. These small “pockets” where the gum is lifted from the teeth are very dangerous because they make the gums and bone extremely prone to more severe infections. This is why it is crucial that patients commit to a periodic examination and treatment plan. In advanced cases of periodontitis, the ligaments of the teeth become swollen causing the teeth to move within the socket. As such, there is a wide range of available treatment plans that patients can opt from. ... Periodontal disease is microbial infection, & research - important risk factor for severe life- threatening diseases - stroke, cardiovascular disease, pulmonary disease, & diabetes, as well as for premature low-birth-weight babies 60 If gingivitis is not treated correctly, plaque accumulations can lead to periodontitis. The amount of dental plaque necessary to determine gingivitis can be quite difficult to notice with the naked eye. However, if your cat's dental disease is more severe, your vet may suggest surgery and possibly tooth extraction. The doctor sees all new patients first for a comprehensive exam and X-rays. As you can imagine, rough food needs to be replaced with softer and smoother alternatives. Steps. For others, the same amount of bacteria may cause advanced periodontal disease and bone loss. The localized form largely affects permanent incisors and first molars. Pocket Reduction Procedures. A Periodontist is a dentist who specialises in the prevention, diagnosis and treatment of periodontal (gum) disease and the treatment of oral inflammation. Active Therapy – The most common active treatment of periodontal disease is periodontal scaling and root planing, sometimes referred to as a “deep” cleaning. After the patient has been treated with scaling and root planing, healing of the periodontal tissues is initiated. Once the clinical data is gathered and correlated with the x-ray findings, your periodontist is able to organize and systematically evaluate the results to make a diagnosis. Periodontal disease symptoms. What is the treatment for periodontal diseases? The first step of treatment is to eliminate all of the known causes of the periodontal disease. As explained above, gum disease is caused by a complex association of predisposing factors and one or more causing factors. Clinical Examination Raise the issue of stopping smoking, where appropriate. • Provide SUPPORT. There are a number of different types of dental x-rays, each with a specific purpose, but for periodontal treatment a full series of periapical films is generally required. Initial preparation also includes creating an environment that makes plaque removal by the patient as easy as possible. Periodontal Disease & Treatment. Treatment usually Severe Osteopenia - May result in more jawbone loss, particularly in postmenopausal women. It is stubborn, often surviving attempts to remove it by the individual. The dentist will prescribe the appropriate type of toothbrush for patients, as well as the ideal toothpaste for their … Accurate treatment plan; Accurate diagnosis. Aggressive periodontitis is classified into localized and generalized forms. The patient is taught to remove the plaque, while the dental professional must remove the calculus. However, this entails a long-term process that patients need to commit to. Moreover, a chronic inflammation state determines a cascade of reactions in the body, centered on the release of damaging endotoxins that in time trigger the onset of atherosclerosis. Introducing a Rigorous Cleaning Routine. The inflammation is part of the body’s natural defence mechanisms and occurs in response to a build-up of plaque (bacteria) on the teeth. Try these measures to reduce or prevent periodontitis: 1. Scaling and cleaning. Furcations - Bone loss into the furcation of a tooth compromises the prognosis. There is nothing a patient can do that is more important to maintaining a healthy mouth than daily flossing and brushing along with consistent periodontal maintenance. 6… Periodontists are dentistry's e xperts in treating periodontal disease. to the patient by following-up at subsequent visits. Today we are able to do a simple test for genetic susceptibility. Assessment: Periodontal gum assessment (with CBCT scan and / or X-rays, taken in-house): £150 *: If you have had a periodontal consultation elsewhere, send a copy of the plan for a ‘like for like’ cost comparison. The practitioner should, following diagnosis, develop a treatment plan with specified therapeutic outcomes. For decades we have known that a prime indicator for future periodontal breakdown is a past history of periodontal disease. Explain the treatment planning concepts for treating periodontal diseases in older adults. Phases of Periodontal Therapy Preliminary Phase Treatment of emergencies: • Dental or periapical • Periodontal • Other Extraction of hopeless teeth and provisional replacement if needed (may be postponed to a more convenient time). Regenerative Procedures. In treatment notation, a mesio-occlusal surface is abbreviated as what? While regular cleanings and impeccable oral hygiene are fundamental to improving all conditions of the gums, the holistic approach to the course of treatment for gum disease can assure a higher rate of long-term success. Dr. The most basic surgical option is called flap surgery, in which your dentist or periodontist will make an incision in your gums, lifting them back to clean and remove the tartar, infected bone, and necrotic … Periodontal disease, commonly referred to as gum disease, is a complex infection of the gums and bone surrounding the teeth. By taking a dental history and evaluating previous x-rays, we have a better understanding about the rate of disease progression, and can determine what must be done to prevent further breakdown. Prevention and Treatment of Periodontal Diseases in Primary ... PLAN which specifies how the patient will incorporate oral hygiene into daily life. 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. Flap Surgery - The most common surgical procedure, giving the periodontist access to the jawbone. This clear film of bacteria is the primary cause of periodontal inflammation and breakdown. Periodically, the rough surfaced calculus needs to be removed. Brush your teeth twice a day or, better yet, after every meal or snack. at six places, surrounding the tooth, to determine the pocket depth. "X" indicates a missing tooth. Gum Disease Treatment Plan. Defining a treatment plan for the periodontal patient is a process that requires the assessment, preventive, therapeutic, and evaluative skills of the dental hygienist and the dentist. Experience wonderful dental care in the relaxed surroundings of a white sandy beaches of coastal resorts. In those cases elimination of the remaining pockets is the best treatment. The holistic dentist can help patients find the best ways possible to relieve stress. If it is obvious during the examination that surgery is needed to obtain the best result, parts of the Initial Preparation may be abbreviated or by-passed completely. 4. As plaque spreads under the gum line, it causes a chronic inflammation of the gum, due to the effect of the toxins released by the bacteria. Treatment of Gum Disease. Your interest, participation and commitment are essential to make your treatment a success. If the disease has been arrested, the optimal periodontal maintenance (cleaning) schedule is determined for the patient. Smoothing or replacement of fillings that do not fit well and thus retain plaque, Adjustment of bite (occlusal equilibration) if needed. Calculus (also known as tartar) is formed when salts from the saliva precipitate into the plaque. After that, the disease can be managed with diligent home care and routine check-ups in many cases, but in others, additional medical intervention may be necessary. Periodontal disease affects the gums, bone and other supporting tissues of the teeth. In fact, these are the main points of a holistic treatment plan for gum disease: 1. Consider using an electric toothbrush, which may be more effective at removing plaque and tartar. If it is, the gums can be easily treated and the recovery can often be complete. The following outline lists factors that may be addressed during initial preparation. Most adults in the UK have gum disease to some degree, and most people experience it at least once. Some people are fortunate, and have minor periodontal disease even with poor oral hygiene. Thus, the basis of any given treatment plan is a rigorous daily dental care routine, completed by periodic professional cleanings. Consult your dentist to create an oral hygiene treatment plan that includes brushing with a toothpaste such as As the lining tissue of blood vessels is a prime target for circulating bacteria, is is not a surprise that gum disease affects so many widely dispersed body organs. Scaling and root planing is a specialized kind of dental cleaning that removes plaque, calculus, and diseased cementum from the sides of the tooth roots. The scheduler follows the treatment plan. With this information the periodontist and the patient can determine which treatment plan to follow. Dental / Medical Histories  Severe periodontal disease had ravaged this lady’s mouth and caused severe bone loss, gum recession, drifting and loosening of all her teeth. MedlinePlus: Gum Disease The NIH National Library of Medicine's collection of links to government, professional, and non-profit/voluntary organizations with information on periodontal disease and gingivitis. If your gum disease is beyond gingivitis, the first step in treating gum disease usually involves scaling (SCAY-ling) and root planing (PLAY-ning). How the patient's body responds to the bacterial (plaque) assault depends on the "host" resistance. This is a good example of just how important it is to save natural teeth, rather than undergoing extractions. Once the diagnosis is determined, various treatment options can be formulated. clear whether it is an independent periodontal disease, or if it is the phenotypic expression of chronic periodontitis in susceptible patients. 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