surgical periodontal therapy slideshare

Many are downloadable. Get ideas for your own presentations. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Gum disease treatments may cost between $500 and $10,000 . Diagnostic Criteria for Diabetes Mellitus. Periodontal diseases are infections in the structures around the teeth. Periodontal instruments, surgery 1. 1. Periodontists are dentistry's e xperts in treating periodontal disease. 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. At completion of nonsurgical cause-related therapy, patients have to be carefully reevaluated. Title: Non-Surgical Periodontal Therapy 1 Non-Surgical Periodontal Therapy. Examine your mouth to look for plaque and tartar buildup and check for easy bleeding. ABSTRACT Periodontitis is a biofilm infection with a mixed microbial aetiology. Long-Term Effect of Four Surgical Periodontal Therapies and One Non-Surgical Therapy: A Systematic Review and Meta-Analysis. 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. Drs. Periodontal therapy has limited success in the presence of undiagnosed or poorly controlled diabetes. See our Privacy Policy and User Agreement for details. Systemic antibiotics in periodontal therapy LJA Heitz-Mayfield* *Centre for Rural and Remote Oral Health, The University of Western Australia. 28,46,52,67,86 They were initially used for removing hard tissue and caries but offered little benefit over standard rotary instruments. Periodontitis is generally treated by non-surgical mechanical debridement and regular periodontal maintenance care. 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). 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. ) Upcoming SlideShare. 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. J Clin Periodontol. Prof. Enas Elgendy. A longitudinal study of periodontal therapy in cases of advanced disease. Usually, most of the patients are under medical supervision for their condition. Since the mid-1900s we’ve known that soft-tissue resection alone fails to eliminate periodontal pockets. Prof. Enas Elgendy 2. These pockets can gather plaque and need treatment. Intrabony periodontal defects present a clinical challenge in the treatment of periodontal disease and maintenance of compromised teeth. Comprehensive Periodontics for the Dental Hygienist, Chapters 9, 12; 2 Learning Objectives. Periodontal treatment of patients with bleeding disorders. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Minor adjustments ca… 43. Scaling and Root Planing. "Critical probing depths" in periodontal therapy J Clin Periodontol. See our Privacy Policy and User Agreement for details. periodontal surgical procedures, to discuss the basic principles of periodontal regeneration, and to illus-trate the factors that influence this process. Se você continuar a navegar o site, você aceita o uso de cookies. Harrel SK, Wilson TG Jr and Rivera-Hidalgo F, (2 013). He then went on to complete his certificate in Advanced Periodontology and Implantology at the prestigious University of Southern California in 2003. Surgery on gum and bone can reduce pocket depth and save a tooth or teeth. Non surgical periodontal therapy by Dr. Abhishek Gaur Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. 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). Kindly Ignore those … Looks like you’ve clipped this slide to already. PERIODONTAL SURGERY 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. Prepared by Non-Surgical Treatment. Some are under the patient’s control, and may, therefore, require lifestyle changes to achieve significant modification. Reconstructive periodontal therapy Some of the slides may appear Blank/White/Black, those are the Videos that I added in the presentation. 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. Lasers were first used in the 1960s for dental applications. Epub 2017 Nov 21. Significance of frequency of professional tooth cleaning for healing following periodontal surgery. See our User Agreement and Privacy Policy. Crossref. 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. as an adjunct to surgical and non-surgical periodontal therapy. Other more subtle systemic and environmental issues ma… Clipping is a handy way to collect important slides you want to go back to later. 1983;10:148–156. Learn new and interesting things. 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. Nonsurgical therapy remains the cornerstone of periodontal treatment. It allows the dentist to remove tartar deep below the gumline. 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. Current modalities for managing periodontal diseases of children and adolescents may include antibiotic therapy in combination with non-surgical and/or surgical therapy. 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. Treatment is done using local anesthetic and treatment time is only one to two hours. Mesial/Distal Wedge A mesial/distal wedge procedure is indicated for the following : Selection of the appro- priate incision technique is one of the main preconditions for a complication-free healing process involving minimum esthetic impairment. If you continue browsing the site, you agree to the use of cookies on this website. For optimal treatment results, systemic risk factors must be modified or eliminated. Upcoming SlideShare. Step 1. If you continue browsing the site, you agree to the use of cookies on this website. 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. 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. Laser therapy has the potential to be an effective, minimally invasive procedure in periodontal therapy. 2. See our User Agreement and Privacy Policy. Get ideas for your own presentations. 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. Learn new and interesting things. • When less invasi ve therapy (i.e., non -surgical periodontal therapy, Flap procedures) has failed to eliminate disease . 2018 Jan;45(1):56-67. doi: 10.1111/jcpe.12830. During this phase, procedures are undertaken to reduce the effects of disease. Surgical periodontal therapy and implant therapy in the esthetic zone requires esthetic considerations. Current techniques are based on a sound understanding of wound healing and therefore enhance and maximize the bodys healing potential. It is generally accepted that mechanical debridement is at the core of any periodontal therapy (Van Dyke and Serhan, 2003). The gingivectomy (figure 1) is a technique used to excise excess gingiva without much consideration to shaping the underlying bone. They receive up to three additional years of specialized training in periodontal disease treatment in both non-surgical treatments and periodontal plastic surgery procedures. 1982 Jul;9(4):323-36. doi: 10.1111/j.1600-051x.1982.tb02099.x. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. 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]. Periodontal surgery 1. Clipping is a handy way to collect important slides you want to go back to later. undergoing periodontal therapy. Patients typically have needed only over the counter pain medicine post treatment. Ass. Now customize the name of a clipboard to store your clips. Periodontal Esthetic Applications and Functional Crown Lengthening . 1) (5). Phase II therapy is the surgical phase of treatment. Comprehensive Periodontics for the Dental Hygienist, Chapters 9, 12; 2 Learning Objectives. (2) described the procedure known as curettage, the surgical elimination of the epithelial lining of the pocket. Regenerative techniques for periodontal therapy, No public clipboards found for this slide. • Periodontal treatment, both surgical and nonsurgical, results in recession of the gingival margin after healing (Isidor et al. Since the early twentieth century, periodontal surgery has been used to help dentists control the progression of periodontal disease. 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. 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. 3. Visualization Technology, Ho boken, NJ: J ohn Wiley & Sons:81-116. REGENERATIVE PERIODONTAL THERAPY LINKEDIN SLIDESHARE. Phase I therapy or cause-related therapy 10 is the first in the chronologic sequence of procedures that constitute periodontal treatment. 16 17. During this procedure, your periodontist folds back the gum tissue and removes the disease-causing bacteria before securing the tissue into place. Periodontists are also experts in replacing missing teeth with dental implants. For descriptive purposes, a rather broad distinction can be drawn between periodontal surgical techniques used to treat. Americans with Disabilities: 2010. Understand the differences between periodontal debridement, scaling, root planing de-plaquing ; Discuss the goals rationale for non-surgical therapy PERIODONTAL SURGERY Periodontal flaps Ass. 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). View Phase 1 Periodontal Therapy PPTs online, safely and virus-free! Consult the patient’s physician. Surgical periodontal therapy and implant therapy in the esthetic zone requires esthetic considerations. 2. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Non-Surgical Treatments The cost of periodontal surgery varies greatly depending on the type of procedure and the severity of your disease. 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. Author information: (1)Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI. Now customize the name of a clipboard to store your clips. This review aims to highlight concepts relating to nonsurgical and surgical periodontal therapy, which have been learned and unlearned over the past few decades. Dr.Nurhuda Abdul Alim Araby 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. • Describe the process of healing after periodontal debridement procedures, scaling, and root planing. 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. You can change your ad preferences anytime. Box 37-2. This tissue is removed to the base of the underlying bone, and the new tissue is allowed to granulate in. You can change your ad preferences anytime. After periodontal surgery during healing, there is shrinkage of gingiva which may cause recession. 39. Methods: An electronic search of four databases and a hand search of peer-reviewed journals for relevant articles were conducted. If a patient is suspected of having undiagnosed diabetes, the following procedures should be performed: 1. Improvement of periodontal status, following IPT, was directly related to the 24-h BP profile improvement. Non-surgical periodontal treatment does have its limitations. View Phase 1 Periodontal Therapy PPTs online, safely and virus-free! 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) 1984) 6. Wound healing The healing of wounds in nonoral sites has been studied in great detail (Fig. 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. This procedure facilitates connective tissue to lie in direct contact with planned root surfaces in order to reattach before the epithelium. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. This applies not only to periodontal surgery but also to oral surgery and implant surgery. 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. BDS (UiTM). Share yours for free! Westeelt E, Nyman S, Socransky S, Lindhe J. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. Regenerative techniques are performed to help restore periodontal tissues that have been lost due to disease. • Localized gingival recession and root exposure may represent an esthetic problem to the patient, and it is often associated with root sensitivity. Brault MW. Objectives of the Surgical Phase 1. Learning Outcomes • Define nonsurgical periodontal therapy. 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. 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. 1975;2:67–79. 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. 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. 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. Dr. Salar Zeinali Oct.2013 2. 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 … Wiley & Sons:81-116, the University of Southern California in 2003 basic principles of periodontal therapy some the! Results in recession of the prognosis of teeth and their replacements is predicated on in. Dr.Nurhuda Abdul Alim Araby BDS ( UiTM ), most of the prognosis teeth... Described the procedure known as curettage, the University of Michigan School of Dentistry, Ann Arbor,.. 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surgical periodontal therapy slideshare 2021