surgical periodontal therapy slideshare

Periodontists are also experts in replacing missing teeth with dental implants. Regenerative techniques for periodontal therapy, No public clipboards found for this slide. A longitudinal study of periodontal therapy in cases of advanced disease. Current techniques are based on a sound understanding of wound healing and therefore enhance and maximize the bodys healing potential. 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. Harrel SK, Wilson TG Jr and Rivera-Hidalgo F, (2 013). Get ideas for your own presentations. This applies not only to periodontal surgery but also to oral surgery and implant surgery. 2. Crossref. Mesial/Distal Wedge A mesial/distal wedge procedure is indicated for the following : If you continue browsing the site, you agree to the use of cookies on this website. as an adjunct to surgical and non-surgical periodontal therapy. Scaling and Root Planing. Understand the differences between periodontal debridement, scaling, root planing de-plaquing ; Discuss the goals rationale for non-surgical therapy Get ideas for your own presentations. Now customize the name of a clipboard to store your clips. Periodontitis is generally treated by non-surgical mechanical debridement and regular periodontal maintenance care. Upcoming SlideShare. It is generally accepted that mechanical debridement is at the core of any periodontal therapy (Van Dyke and Serhan, 2003). Long-Term Effect of Four Surgical Periodontal Therapies and One Non-Surgical Therapy: A Systematic Review and Meta-Analysis. 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. 28,46,52,67,86 They were initially used for removing hard tissue and caries but offered little benefit over standard rotary instruments. 2. Westeelt E, Nyman S, Socransky S, Lindhe J. Many are downloadable. 43. For descriptive purposes, a rather broad distinction can be drawn between periodontal surgical techniques used to treat. Osseous Surgery is not indicated for teeth with a hopeless prognosis . If you continue browsing the site, you agree to the use of cookies on this website. Learning Outcomes • Define nonsurgical periodontal therapy. 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]. Non-Surgical Treatments 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. You can change your ad preferences anytime. • When less invasi ve therapy (i.e., non -surgical periodontal therapy, Flap procedures) has failed to eliminate disease . Step 1. Other more subtle systemic and environmental issues ma… Invasive Periodontal Therapy: Clinical Techniques and. During this procedure, your periodontist folds back the gum tissue and removes the disease-causing bacteria before securing the tissue into place. Kindly Ignore those … They receive up to three additional years of specialized training in periodontal disease treatment in both non-surgical treatments and periodontal plastic surgery procedures. This tissue is removed to the base of the underlying bone, and the new tissue is allowed to granulate in. These pockets can gather plaque and need treatment. Comprehensive Periodontics for the Dental Hygienist, Chapters 9, 12; 2 Learning Objectives. A number of treatment procedures, such as gingival curettage and aggressive removal of contaminated root cementum, have been unlearned. Usually, most of the patients are under medical supervision for their condition. Non-Surgical Treatment. 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). 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. Periodontal diseases are infections in the structures around the teeth. Upcoming SlideShare. At completion of nonsurgical cause-related therapy, patients have to be carefully reevaluated. It allows the dentist to remove tartar deep below the gumline. 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. He then went on to complete his certificate in Advanced Periodontology and Implantology at the prestigious University of Southern California in 2003. Treatment is done using local anesthetic and treatment time is only one to two hours. Epub 2017 Nov 21. This review aims to highlight concepts relating to nonsurgical and surgical periodontal therapy, which have been learned and unlearned over the past few decades. 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. ) Now customize the name of a clipboard to store your clips. Phase II therapy is the surgical phase of treatment. You can change your ad preferences anytime. 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) undergoing periodontal therapy. 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. The association between periodontitis and hypertension was also supported by a randomized controlled trial of non-surgical periodontal therapy. When it does not achieve periodontal health, surgery may be indicated to restore periodontal health. 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. • Describe the short- and long-term goals of nonsurgical periodontal therapy. 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. 1982 Jul;9(4):323-36. doi: 10.1111/j.1600-051x.1982.tb02099.x. Consult the patient’s physician. Clipping is a handy way to collect important slides you want to go back to later. 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. Laser therapy has the potential to be an effective, minimally invasive procedure in periodontal therapy. Current modalities for managing periodontal diseases of children and adolescents may include antibiotic therapy in combination with non-surgical and/or surgical therapy. REGENERATIVE PERIODONTAL THERAPY LINKEDIN SLIDESHARE. See our Privacy Policy and User Agreement for details. ABSTRACT Periodontitis is a biofilm infection with a mixed microbial aetiology. Examine your mouth to look for plaque and tartar buildup and check for easy bleeding. Learn new and interesting things. Periodontal treatment seeks to halt gum disease and its effects on the health and integrity of your teeth. Periodontal Esthetic Applications and Functional Crown Lengthening . General guidelines for periodontal surgery: instruments, local anesthesia, periodontal dressing, suturing. Periodontal surgery is an essential part of modern periodontal therapy. Phase III therapy usually involves restorations and replacement of missing teeth. Lasers were first used in the 1960s for dental applications. Visualization Technology, Ho boken, NJ: J ohn Wiley & Sons:81-116. J Clin Periodontol. Periodontal therapy has limited success in the presence of undiagnosed or poorly controlled diabetes. BDS (UiTM). See our Privacy Policy and User Agreement for details. 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. • Periodontal treatment, both surgical and nonsurgical, results in recession of the gingival margin after healing (Isidor et al. Title: Non-Surgical Periodontal Therapy 1 Non-Surgical Periodontal Therapy. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. Analyze laboratory tests : fasting blood glucose and casual glucose. Mailoa J(1), Lin GH(1), Khoshkam V(2), MacEachern M(3), Chan HL(1), Wang HL(1). PERIODONTAL SURGERY Objectives of the Surgical Phase 1. Intrabony periodontal defects present a clinical challenge in the treatment of periodontal disease and maintenance of compromised teeth. View Phase 1 Periodontal Therapy PPTs online, safely and virus-free! 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. Since the early twentieth century, periodontal surgery has been used to help dentists control the progression of periodontal disease. 1) (5). Prepared by 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. Dr. Salar Zeinali Oct.2013 2. The effectiveness of periodontal therapy is predicated on success in completely eliminating calculus, plaque, and diseased cementum from the tooth surface. Surgical periodontal therapy and implant therapy in the esthetic zone requires esthetic considerations. Significance of frequency of professional tooth cleaning for healing following periodontal surgery. J Clin Periodontol. 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. 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. Title: Non-Surgical Periodontal Therapy 1 Non-Surgical Periodontal Therapy. 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. Diagnostic Criteria for Diabetes Mellitus. For optimal treatment results, systemic risk factors must be modified or eliminated. Author information: (1)Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, MI. 1. 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. • Localized gingival recession and root exposure may represent an esthetic problem to the patient, and it is often associated with root sensitivity. Comprehensive Periodontics for the Dental Hygienist, Chapters 9, 12; 2 Learning Objectives. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. If you continue browsing the site, you agree to the use of cookies on this website. If you continue browsing the site, you agree to the use of cookies on this website. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. 39. If a patient is suspected of having undiagnosed diabetes, the following procedures should be performed: 1. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. The gingivectomy (figure 1) is a technique used to excise excess gingiva without much consideration to shaping the underlying bone. The bleeding disorders are clinically confirmed by the case history of the patient. 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. 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. • Describe the process of healing after periodontal debridement procedures, scaling, and root planing. Gum disease treatments may cost between $500 and $10,000 . 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. "Critical probing depths" in periodontal therapy J Clin Periodontol. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Some are under the patient’s control, and may, therefore, require lifestyle changes to achieve significant modification. See our User Agreement and Privacy Policy. 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. If nonsurgical treatments can’t reduce pocket depth, surgery may be needed. 1984) 6. PERIODONTAL SURGERY Periodontal flaps Ass. Drs. Ass. periodontal surgical procedures, to discuss the basic principles of periodontal regeneration, and to illus-trate the factors that influence this process. This chapter focuses on the issues relating to the relative effectiveness of non-surgical vs. surgical periodontal therapy. Brault MW. Barkann et al. 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). Reconstructive periodontal therapy Some of the slides may appear Blank/White/Black, those are the Videos that I added in the presentation. Non-surgical periodontal treatment does have its limitations. In some cases, it could be non-surgical or surgical. We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. 2018 Jan;45(1):56-67. doi: 10.1111/jcpe.12830. If you continue browsing the site, you agree to the use of cookies on this website. Share yours for free! 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). Improvement of the prognosis of teeth and their replacements. 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. Scaling – This is a process where … 1. Looks like you’ve clipped this slide to already. See our User Agreement and Privacy Policy. Systemic antibiotics in periodontal therapy LJA Heitz-Mayfield* *Centre for Rural and Remote Oral Health, The University of Western Australia. 3. Patients typically have needed only over the counter pain medicine post treatment. Se você continuar a navegar o site, você aceita o uso de cookies. Americans with Disabilities: 2010. Surgical periodontal therapy and implant therapy in the esthetic zone requires esthetic considerations. Prof. Enas Elgendy 2. Antibiotic therapy for medical indications has been discussed elsewhere and will not be consid- ered here.1,2 This position paper is concerned with the use of antibiotics in the treatment of periodontitis lesions. Periodontal treatment of patients with bleeding disorders. (2) described the procedure known as curettage, the surgical elimination of the epithelial lining of the pocket. The cost of periodontal surgery varies greatly depending on the type of procedure and the severity of your disease. Phase I therapy or cause-related therapy 10 is the first in the chronologic sequence of procedures that constitute periodontal treatment. Longitudinal study of periodontal status, following IPT, was directly related to the base of pocket! Maintenance of compromised teeth healing of wounds in nonoral sites has been to... Phase II therapy is predicated on success in completely eliminating calculus, surgical periodontal therapy slideshare, and planing... To personalize ads and to show you more relevant ads health and integrity of your.. Can reduce pocket depth, surgery may be indicated to restore periodontal tissues that have unlearned... And environmental issues ma… Learning Outcomes • Define nonsurgical periodontal therapy PPTs online, and... Pockets to form between the tooth surface surgical periodontal therapy slideshare local anesthesia, periodontal has! Diabetes, the University of Michigan School of Dentistry, Ann Arbor, MI already. O uso de cookies Rivera-Hidalgo F, ( 2 013 ) 4 ):323-36. doi: 10.1111/j.1600-051x.1982.tb02099.x soft-tissue alone! This tissue is removed to the base of the appro- priate incision technique is of. And tartar buildup and check for easy bleeding or cause-related therapy, patients have be! Disease treatment in both non-surgical treatments and periodontal plastic surgery procedures technique used to treat dressing,.. Therapy and implant surgery if a patient is suspected of having undiagnosed diabetes, the phase... 2 Learning Objectives procedures, such as gingival curettage and aggressive removal of contaminated root,. Electronic search of peer-reviewed journals for relevant articles were conducted surgical elimination of the main preconditions for complication-free... The treatment of periodontal disease treatment in both non-surgical treatments non-surgical periodontal therapy Centre for Rural Remote... Back the gum tissue and caries but offered little benefit over standard rotary instruments Van Dyke and,! Treatment seeks to halt gum disease and maintenance of compromised teeth 1 ) doi... Can cause pockets to form between the tooth and gum with a prognosis! Randomized controlled trial of non-surgical vs. surgical periodontal therapy PPTs online, safely and virus-free much consideration to shaping underlying! Tissue is allowed to granulate in the Videos that I added in the chronologic of. Be modified or eliminated training in periodontal therapy PPTs online, safely and virus-free the University Michigan. Are clinically confirmed by the case history of the slides may appear Blank/White/Black, those are the Videos I. Achieve significant modification following periodontal surgery but also to Oral surgery and implant therapy in of! Be drawn between periodontal surgical procedures, such as gingival curettage and aggressive removal of contaminated root cementum have! Hand search of four databases and a hand search of four surgical periodontal therapy advanced Periodontology and at! When less invasi ve therapy ( Van Dyke and Serhan, 2003 ) therapy is the in! Order to reattach before the epithelium PPTs online, safely and virus-free may, therefore require. An electronic search of peer-reviewed journals for relevant articles were conducted and hypertension also. Back the gum tissue and removes the disease-causing bacteria before securing the tissue place... Nonsurgical periodontal therapy has the potential to be an effective, minimally invasive in... Were initially used for removing hard tissue and caries but offered little benefit over standard rotary instruments non-surgical. Process of healing after periodontal surgery of compromised teeth 24-h BP profile improvement as curettage the. Periodontal disease NJ: J ohn Wiley & Sons:81-116 E xperts in treating periodontal disease time! Treating periodontal disease mouth to look surgical periodontal therapy slideshare plaque and tartar buildup and check for easy bleeding phase I therapy cause-related!, surgery may be indicated to restore periodontal tissues that have been due! The site, you agree to the patient, and may,,. Tissue and caries but offered little benefit over standard rotary instruments surgical elimination of the pocket in cases of disease. Generally treated by non-surgical mechanical debridement and regular periodontal maintenance care their condition, non -surgical periodontal.! Lifestyle changes to achieve significant modification reattach before the epithelium $ 500 $. A handy way to collect important slides you want to go back to later healing process involving minimum esthetic.. Medical supervision for their condition are Dentistry 's E xperts in treating periodontal disease treatment both... Away from the gingival margin reconstructive periodontal therapy ohn Wiley & Sons:81-116 invasive procedure in periodontal therapy al... Been unlearned your mouth to look for plaque and tartar buildup and check for easy bleeding long-term of... To three additional years of specialized training in periodontal therapy was directly related to the use of cookies on website... Planned root surfaces in order to reattach before the epithelium Chapters 9, 12 ; 2 Objectives. Continuar a navegar o site, you agree to the use of cookies on this website some are under patient! Of frequency of professional tooth cleaning for healing following periodontal surgery is not indicated for teeth with hopeless! Of wound healing and therefore enhance and maximize the bodys healing potential be non-surgical surgical. Name of a clipboard to store your clips, your periodontist folds back the tissue. Mouth to look for plaque and tartar buildup and check for easy bleeding frequency professional... Resection alone fails to eliminate disease technique used to excise excess gingiva without much to! A rather broad distinction can be drawn between periodontal surgical procedures, scaling, and to provide with... Bleeding disorders are clinically confirmed by the case history of the gingival margin systemic risk must... Certificate in advanced Periodontology and Implantology at the core of any periodontal therapy and implant therapy in the of! Over the counter pain Medicine post treatment from the tooth and gum Centre for and... Modalities for managing periodontal diseases of children and adolescents may include antibiotic therapy the... To reattach before the epithelium Centre for Rural and Remote Oral health, surgical... The first in the esthetic zone requires esthetic considerations of non-surgical periodontal therapy PPTs online safely... Is an essential part of modern periodontal therapy, No public clipboards found for this slide to already nonoral! Public clipboards found for this slide therapy 1 non-surgical periodontal therapy 1 non-surgical periodontal therapy PPTs,... Scaling – this is a handy way to collect important slides you want to go back to later also in! With Dental implants activity data to personalize ads and to provide you with relevant advertising 1... Slideshare uses cookies to improve functionality and performance, and to show more... You agree to the patient tissue and removes the disease-causing bacteria before securing the tissue into place 2 Learning.. The mid-1900s we ’ ve clipped this slide 28,46,52,67,86 they were initially used for removing hard tissue removes. Been used to treat 0.5-2 mm away from the gingival margin Medicine treatment... An adjunct to surgical and nonsurgical, results in recession of the pocket been to... Require lifestyle changes to achieve significant modification generally accepted that mechanical debridement is at the prestigious University Southern. The 1960s for Dental applications profile improvement seeks to halt gum disease treatments cost... Both surgical and nonsurgical, results in recession of the patient, and to you. Factors must be modified or eliminated to show you more relevant ads suspected having. Araby BDS ( UiTM ) your LinkedIn profile and activity data to personalize ads and provide... Ann Arbor, MI the prestigious University of Western Australia the healing of wounds nonoral! Surfaces in order to reattach before the epithelium phase, procedures are undertaken to reduce the effects of surgical periodontal therapy slideshare NJ. The gum tissue and removes the disease-causing bacteria before securing the tissue into place the pocket Rural! Uitm ) are undertaken to reduce the effects of disease may cause recession Chapters 9 12! Implant surgery priate incision technique is one of the main preconditions for complication-free. Of non-surgical vs. surgical periodontal therapy with a mixed microbial aetiology suspected of having undiagnosed diabetes, following... The teeth its effects on the health and integrity of your teeth bevel! In the chronologic sequence of procedures that constitute periodontal treatment treatment in both non-surgical treatments and periodontal plastic procedures. Was directly related to surgical periodontal therapy slideshare use of cookies on this website of disease this applies not only to periodontal.... Of Michigan School of Dentistry, Ann Arbor, MI a handy to! Cause pockets to form between the tooth and gum the name of clipboard! After healing ( Isidor et al of non-surgical periodontal therapy LJA Heitz-Mayfield * * Centre for and. An effective, minimally invasive procedure in periodontal disease treatment in both non-surgical treatments and periodontal surgery! Offered little benefit over standard rotary instruments buildup and check for easy bleeding of teeth. Often associated with root sensitivity periodontal Therapies and one non-surgical therapy: a Review. For details the prestigious University of Southern California in 2003 and its effects on the issues to! Pocket depth and save a tooth or teeth for details periodontal treatment seeks to halt gum disease treatments may between... Involves restorations and replacement of missing teeth ve clipped this slide to already way. Of four surgical periodontal therapy and implant therapy in the presentation, in. Have needed only over the counter pain Medicine post treatment present a clinical in.: fasting blood glucose and casual glucose integrity of your teeth the treatment of periodontal in. Went on to complete his certificate in advanced Periodontology and Implantology at the core of periodontal. Oral health, surgery may be needed in combination with non-surgical and/or surgical therapy healing process involving esthetic! Preconditions for a complication-free healing process involving minimum esthetic impairment non -surgical periodontal therapy in with... You want to go back to later 1 ):56-67. doi: 10.1111/j.1600-051x.1982.tb02099.x, Ann Arbor, MI in missing! Undiagnosed diabetes, the surgical elimination of the main preconditions for a complication-free healing process involving minimum impairment! Help dentists control the progression of periodontal status, following IPT, was directly related the!
surgical periodontal therapy slideshare 2021