Maintenance phase of periodontal therapy Questions Answers Dr

Maintenance phase of periodontal therapy Questions & Answers Dr. Kadhim Jawad 1

What is the maintenance phase of periodontal therapy ? Dr. Kadhim Jawad 2

It is a program of recalling visits including various preventive & therapeutic measures. Although these measures are carried out by the dental team (dentists & their assistants), they need patient cooperation to be succeed. Dr. Kadhim Jawad 3

What are the objectives of this phase ? Dr. Kadhim Jawad 4

Objectives of maintenance phase are: 1 - Insure good plaque control. 2 - Prevent further loss of C. T attachment. Dr. Kadhim Jawad 5

What are the roles of the patient & dental team in this phase ? Dr. Kadhim Jawad 6

The role of patient is: Maintaining a careful and thorough program of oral hygiene. The role of the dental team is: providing of professional assistance after completion of active therapy Dr. Kadhim Jawad 7

When should the maintenance therapy starts ? Dr. Kadhim Jawad 8

After initial therapy in periodontitis cases, the adaptive changes in gingival form, bone contour & depth of gingival sulcus may take place over several years, but in term of clinical attachment level the results are usually fairly stable after six months, this period was suggested as healing period in which a recall program with two weeks interval was suggested. After this period a prophylactic recall programs was recommended. Dr. Kadhim Jawad 9

What are the practical routines in the maintenance visits ? Dr. Kadhim Jawad 10

These routines usually include the following procedures: Dr. Kadhim Jawad 11

I - Examination and reevaluation of : A – Periodontal condition that include: 1 - degree of gingival inflammation (GI). 2 - measurement the loss of attachment. B – Patient oral hygiene. (PL. I) or(O. H. I). Dr. Kadhim Jawad 12

II - Supportive treatment: This step conducted as needed and it may include one or more of the following procedures: A - Information & motivation. B - Instruction & / or corrections of patient plaque control measures. C - Scaling and polishing. Dr. Kadhim Jawad 13

III- Treatment of recurrence of periodontal disease: 1 - generalized. 2 - localized. Dr. Kadhim Jawad 14

Generalized recurrent PD: This type occur due to deficiency in the maintenance care. Dr. Kadhim Jawad 15

Localized form of recurrence : It caused by failure of plaque control in this particular area this failure may be due to: 1 – Inadequate oral hygiene practice. 2 – Incomplete removal of calculus during professional care. 3 – Presence of plaque retentive factors. Dr. Kadhim Jawad 16

Treatment of the recurrent PD Elimination of the cause will eliminate the problem. Dr. Kadhim Jawad 17

How long does the recall visit last ? Recall visit usually last for 60 minutes divided between different aspects of supportive treatments provided by the dentists and their assistants. Dr. Kadhim Jawad 18

The Prophy-hour Dr. Kadhim Jawad 19

Does the recall visits affect the loss of attachment & plaque control ? Dr. Kadhim Jawad 20

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Can you document your talking clinically ? Dr. Kadhim Jawad 23

A case of aggressive periodontitis Dr. Kadhim Jawad 24

After initial therapy Dr. Kadhim Jawad 25

After 5 years without recall visits Dr. Kadhim Jawad 26

How can we insure the patient attendance to the recall visits ? Dr. Kadhim Jawad 27

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