Ramfjords Outdated Dogmas J Prosthet Dent 1984 52

Ramfjord’s Outdated Dogmas J. Prosthet. Dent. 1984; 52: 781 -786 1

Dogma 1 Periodontal crevices that can be probed clinically beyond 3 mm are progressive lesions previously untreated or treated. 2

Dogma 2 A surgical sculpturing of gingiva and bone resembling horizontal atrophy to the level of the deepest defect is needed to stop further loss of support. 3

Dogma 3 Complete plaque control by the patient is needed to stop the progress of periodontitis 4

Dogma 4 Furcation involvement signifies such poor prognosis for the tooth and the adjacent teeth that extraction is preferable unless the furcation involvement can be eliminated by odontoplasty, hemisections, or amputations. 5

Dogma 5 The deeper the pockets, the poorer the prognosis. 6

Dogma 6 The progress of advanced periodontal disease cannot be stopped by current treatment modalities. 7

Dogma 7 Healing after scaling and root planing is enhanced by soft tissue curettage 8

Dogma 8 Teeth with less than 1 mm of attached gingiva will continue to lose attachment if not treated surgically. 9

Dogma 9 Gingival blanching as a result of lip pull indicates need for mucogingival surgery. 10

Dogma 10 Teeth with increased mobility after periodontal therapy that includes occlusal adjustment should be splinted. 11

Simplified Description of Old & New Concepts Regarding Periodontitis Old New Target Group Everyone 10% to 15% of population Nature Generalized Site-specific Treatment Surgical (Pocket elemination) Nonsurgical (passive sites) Björn U. Zachrisson 12